Patients who developed small bowel obstruction (SBO) after bariatric surgery were older, with lower BMI, and more likely female. Serious complications at 30 days post-operation were increased in SBO patients, with Roux-en-Y gastric bypass being the largest independent predictor of SBO development. COPD, prior DVT, lower BMI, and female sex were also predictive factors. SBO […]

After bariatric surgery, attention capacity and executive function improved, while immediate memory worsened. Serine, glutamic acid, and glycolic acid were identified as potential metabolites linked to cognitive performance alterations. Cluster analysis revealed two subgroups, with cluster 2 showing improved attention and executive function but reduced immediate memory. These findings suggest that bariatric surgery affects cognitive […]

Comparing outcomes of primary single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) to two-stage SADI-S after sleeve gastrectomy (SG), a Canadian bariatric study with 179 laparoscopically treated patients (2016–2020) revealed both approaches as efficient in achieving weight loss and comorbidity reduction at short and mid-term follow-ups. Preoperative criteria are crucial for surgeon decision-making between primary […]

Researchers compared laparoscopic sleeve gastrectomy (LSG) with laparoscopic Roux-en-Y gastric bypass (LRYGB) in treating obesity. The meta-analysis of 20 studies involving 1270 patients showed that LRYGB was superior to LSG in terms of BMI loss at six months and short-term T2DM remission efficacy. However, LSG had less complications and shorter operating times. Therefore, LRYGB is […]

Roux-en-Y gastric bypass (RYGB) patients display higher rates of continued diabetes remission (CDR) compared to sleeve gastrectomy (SG) patients, even with weight recurrence (WR). The odds of Type 2 diabetes mellitus (T2DM) recurrence were 5.5 times higher in the SG group. Baseline insulin use, higher preoperative HbA1c, and longer preoperative T2DM duration were associated with […]

Studies on 196 participants reveal that converting sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGB) significantly improves quality of life (QoL). Following conversion, there’s a notable reduction in gastroesophageal reflux disease (GERD) symptoms, proton pump inhibitor (PPI) use, and positive outcomes in excess weight loss (EWL). However, the limited number of studies and varied QoL […]

The review highlights the strong association between bariatric surgery and decreased incidence of breast, ovarian, and endometrial cancers. However, there is heterogeneity in the findings regarding esophageal, gastric, liver, pancreas, colon, and rectal cancers. The study identifies epidemiologic shortcomings in cohort studies that potentially explain these discrepancies. The review offers a framework to identify subgroups […]

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, […]

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 […]

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 […]