A comparative study analyzed data from patients undergoing laparoscopic sleeve gastrectomy (LSG) in Egypt over 11 years to evaluate the efficacy and safety of staple line reinforcement (SLR). The SLR group had longer surgery times but a lower rate of postoperative bleeding compared to the non-SLR group. All leakage cases occurred in the non-SLR group, […]
Category: Metabolic and Bariatric Surgery
Transumbilical stapling technique for OAGB has been successfully developed.
Researchers have developed a transumbilical stapling technique specifically tailored to the unique demands of one anastomosis gastric bypass (OAGB) procedures. The study builds upon previous work and addresses the challenge of creating a slender gastric tube spanning 25 cm for OAGB. The technique, called transumbilical stapling technique, has shown promising results and could effectively overcome […]
ERAS Protocols Reduce Adverse Surgical Outcomes in Bariatric Surgery
The systematic review and meta-analysis of randomized clinical trials on enhanced recovery after surgery (ERAS) protocols in bariatric surgery revealed that ERAS programs significantly reduce postoperative nausea and vomiting, intraoperative time, time to mobilization, intensive care unit stays, hospital stay, and readmission rates compared to standard care. These findings suggest that implementation of ERAS protocols […]
Insulin-like growth factor 1 levels predict weight loss in women post laparoscopic sleeve gastrectomy
The study aimed to assess the association between insulin-like growth factor 1 (IGF-1) levels and weight loss in female patients post laparoscopic sleeve gastrectomy (SG). It included 100 patients who underwent clinical and laboratory investigations, with follow-up after one year. Results showed a significant reduction in body mass index, fasting HbA1c levels, and triglycerides, along […]
Study Finds Over Half of ESG Patients Require Opioids in the Perioperative Setting
A retrospective study on endoscopic sleeve gastroplasty (ESG) evaluated the need for peri- and postoperative opioid therapy. Of the 67 patients included, 58.2% required opioids in the perioperative setting, with a mean dose of 12.3 mg morphine milligram equivalents (MMEs). Furthermore, 17.9% of patients required home opioid prescriptions postoperatively, while more than a third reported […]
Impedance Planimetry Establishes New Diagnostic and Severity Values for Gastric Sleeve Stenosis
Impedance planimetry measurements provide objective assessments in diagnosing gastric sleeve stenosis (GSS), a common complication following sleeve gastrectomy. This retrospective analysis of 110 upper endoscopies identifies new benchmark values for the diagnosis and severity of GSS. Impedance planimetry measurements of diameter and distensibility index were significantly lower with increasing severity of GSS, regardless of balloon […]
No Significant Impact of Preoperative Glycemic Control on Bariatric Surgery Outcomes
The study aimed to determine the impact of preoperative glycemic control on bariatric and metabolic surgery outcomes. The researchers conducted a retrospective cohort study on patients with type 2 diabetes who underwent surgery after completion of a specialist weight management program. The study found no significant differences in complications between patients with preoperative HbA1c levels […]
Factors Influencing Delayed Discharge in Enhanced Recovery after Bariatric Surgery
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 […]
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 […]