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Metabolic and Bariatric Surgery

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Surg Obes Relat Dis24 Jan 2024

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…

Obes Surg23 Jan 2024

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,…

Obes Surg23 Jan 2024

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…

BMC Surg20 Jan 2024

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…

Surg Endosc19 Jan 2024

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…

Surg Endosc19 Jan 2024

Comparison of Single-Port and Multiple-Port Sleeve Gastrectomy: Feasibility and Non-Inferiority

Researchers investigated the feasibility of single-port sleeve gastrectomy (SPSG) by introducing a routine gastric suspension technique. Analyzing 171 patients, they compared SPSG to multiple-port sleeve gastrectomy (MPSG) and found no significant differences in preoperative and perioperative parameters, complications, or total weight loss percentages. SPSG demonstrated…