Patient and operative factors were examined to identify reasons for delayed discharge following bariatric surgery in an enhanced recovery setting. The study found that patient characteristics, such as ethnicity, did not significantly impact length of stay. Furthermore, the type of surgery, whether primary or revisional, did not affect discharge time. However, operations performed by trainee […]
Category: Metabolic and Bariatric Surgery
Calorie-restricted DASH diet improves weight loss and body composition in post-bariatric patients with weight regain.
Post-bariatric patients experiencing weight regain benefitted more from a 16-week low-calorie DASH diet than a low-calorie diet alone. The DASH group showed superior improvements in weight loss, body mass index, and fat mass reduction, compared to the control group. Both interventions led to significant reductions in anthropometric and body composition parameters, while changes in blood […]
Extended Chemoprophylaxis Reduces Portomesenteric Vein Thrombosis Rates but Increases Postoperative Bleeding in Laparoscopic Sleeve Gastrectomy Patients
Routine extended (30 days) chemoprophylaxis for laparoscopic sleeve gastrectomy (SG) may decrease portomesenteric vein thrombosis (PMVT) rates. A study of 8,864 SG patients revealed that implementing routine extended chemoprophylaxis significantly reduced PMVT occurrences, but at the cost of a higher postoperative bleeding rate. The majority of increased bleeds were delayed and managed non-operatively. Journal Article […]
Short-Term Metabolic Improvements Following Roux-en-Y Gastric Bypass
The study investigated the metabolic changes and physiological factors mediating the effects of Roux-en-Y gastric bypass (RYGB) surgery in obese patients. Results showed that insulin concentrations decreased significantly after the surgery, along with improvements in weight loss and insulin sensitivity. Additionally, triglycerides, remnant cholesterol, lactate, glycoprotein acetyls, and certain amino acids decreased post-surgery. The study […]
The Obesity Epidemic: Misconceptions and Harmful Beliefs
The CDC’s recent statements on obesity causing metabolic syndrome and attributing it to individual behavior are contested. Bariatric surgery outcomes challenge the direct link between obesity and diabetes suggested by the CDC. The rise in diabetes rates from 2004 to 2012 contradicts behavior-based explanations. The study emphasizes the need for a nuanced understanding of obesity […]
The Effect of Diet Composition on Post-operative Outcomes of Roux-en-Y Gastric Bypass in Mice: Key Findings
Regardless of diet, Roux-en-Y gastric bypass (RYGB) led to significant reductions in body weight, fat mass, and lean mass. RYGB and high-fat diet (HFD) independently affected bone mineral density and vitamin D levels. HFD after RYGB posed a significant health risk, impairing improvements to dyslipidemia, non-alcoholic fatty liver disease (NAFLD), and fibrosis. The study suggests […]
Comparable Outcomes of Gastric Bypass and Fundoplication for GERD in Patients with Obesity
A retrospective study compared the outcomes of Roux-en-Y gastric bypass and fundoplication in patients with obesity and gastroesophageal reflux disease (GERD). Ninety-five patients with a BMI ≥35 underwent either procedure. Both groups saw an improvement in GERD symptoms and overall quality of life. There were no significant differences in postoperative reflux symptoms, dysphagia, or overall […]
Metabolic surgery effectively resolves nonalcoholic steatohepatitis and improves fibrosis in patients with obesity
Metabolic surgery has been found to facilitate the resolution of nonalcoholic steatohepatitis (NASH) and improve fibrosis in patients with obesity. A study comparing the histologic outcomes of metabolic surgery versus nonsurgical care in individuals with fibrotic NASH revealed that half of the surgical patients achieved simultaneous resolution of NASH and improvement in fibrosis, compared to […]
Effect of Mood Disorders on Weight Loss Outcomes in Bariatric Surgery Patients
The study aimed to assess the impact of mood disorders on weight loss outcomes in patients undergoing bariatric surgery. Data from 775 patients were analyzed, out of which 38.1% had pre-existing mood disorder diagnoses. Both groups experienced significant reductions in postoperative body mass index, with no significant difference between the mood disorder group and the […]
Bariatric Surgery in ESRD Patients on Dialysis: Safety and Outcomes in the Transplant Era
Patients with end-stage renal disease (ESRD) on dialysis who underwent bariatric surgery experienced longer operative times and increased postoperative complications compared to those without renal disease. The study, analyzing data from the 2015-2020 MBSAQIP database, found that laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) were safe procedures for ESRD patients seeking kidney […]
