A structured ambulation protocol starting in the PACU significantly accelerates recovery after laparoscopic sleeve gastrectomy. Time to first flatus: 18.6 hours in the early ambulation group vs. 24.0 hours in controls (5.4-hour difference, p < 0.001). Quality of recovery scores improved in the experimental group on postoperative days 0 (122 vs. 105), 1 (135 vs. […]

Roux-en-Y gastric bypass offers better outcomes for type 2 diabetes remission than sleeve gastrectomy in obese patients. Patients receiving Roux-en-Y showed higher remission rates for diabetes at 1 and 3 years, with significant differences from sleeve gastrectomy. At 1 and 3 years, HbA1c levels were lower in the Roux-en-Y group, indicating better glycemic control. Prioritize […]

An endoscopically placed bypass liner significantly improves glycemic control and weight loss in patients with poorly controlled type 2 diabetes and obesity. HbA1c reduction at 12 months was -1.10% for the bypass group versus -0.28% for sham (p=0.0004). Patients in the bypass group experienced a 7.7% total weight loss compared to 2.1% in the sham […]

Bariatric surgery significantly raises the risk of alcohol use disorder (AUD) and alcohol-related mortality, crucial for surgical decision-making. Gastric bypass (GBP) patients face a 5.07 times higher AUD risk, while vertical banded gastroplasty (VBG) and gastric banding patients are 2.28 and 2.34 times more likely to develop AUD, respectively. Alcohol-related mortality is 6.18 times higher […]

Metabolic bariatric surgery markedly enhances glycemic control and liver histology in patients with metabolic dysfunction-associated steatohepatitis (MASH). A scoping review of 14 studies reveals substantial reductions in fasting glucose, insulin resistance, and liver enzymes, alongside histological improvements, including decreased steatosis and fibrosis. These changes, observed over follow-up periods of 6 months to 5 years, underline […]

A meta-analysis of 38,647 gastric bypass patients across 27 countries reveals robotic Roux-en-Y gastric bypass (rrygb) requires longer surgical time but offers improved intraoperative safety compared to laparoscopic Roux-en-Y (lrygb). Despite a significant increase in robotic surgeries from 0.2% to 5.7% over 25 years, both techniques maintain similar mortality and complication rates. This comprehensive analysis […]

An international panel reached a consensus on sleeve gastrectomy, endorsing its use for diverse patient populations, including adolescents and the elderly. Key recommendations included avoiding routine dissection of the hiatus and prioritizing endoscopic pigtail drainage for managing acute leaks. Additional surgical options were outlined for patients with severe gastroesophageal reflux disease (GERD) and inadequate weight […]

One year post-bariatric surgery, 80% of patients showed a notable improvement in the nonalcoholic fatty liver disease (NAFLD) activity score. Nonalcoholic steatohepatitis (NASH) improved in 42.1% without worsening fibrosis, and 78.8% experienced fibrosis improvement. MRI-proton density fat fraction (MRI-PDFF) reliably detected liver fat remission in 72.2% to 90.4% of patients, while a significant decline in […]

Bariatric surgery has significantly enhanced safety, evidenced by a 40% reduction in 90-day mortality over 15 years and declining severe complications. Among 486,161 procedures, sleeve gastrectomy and gastric bypass remain prevalent. However, improvements have plateaued since 2018, signaling a need for fresh optimization strategies. Notably, postoperative medication use has shifted, with analgesic and antidepressant prescriptions […]