Researchers delved into the post-gastric bypass world, unraveling the mystery of weight regain (WR). Examining 34 Roux-en-Y gastric bypass alumni, they discovered a correlation between the gastojejunal anastomosis (GJA) diameter and WR. However, excluding outliers with GJA over 30 mm nullified the link. The study highlights the potential of visual GJA estimation and emphasizes that […]
Category: Metabolic and Bariatric Surgery
RoboSlim: Navigating Bariatric Revisions with Robotics
In the quest for post-bariatric excellence, researchers dived into the robotic realm for revisional bariatric surgery (RBS). Surveying 106 patients who embarked on this robotic journey, the results spoke volumes. With a focus on patients experiencing insufficient weight loss, the team uncovered a success story—significant weight loss, improved comorbidities, and relieved symptoms. The RoboSlim saga […]
Hepatic Vagotomy: A Lipid Makeover for Obesity
In the battle against the expanding empire of obesity, researchers delved into hepatic vagotomy’s (HV) potential to rewrite the cholesterol story. Following laparoscopic sleeve gastrectomy, the HV squad at the six-month checkpoint showcased a significant victory with lower total cholesterol/high-density lipoprotein (TC/HDL) ratios. While not all hypotheses stood strong, the study unveiled a promising narrative […]
A Deep Dive into Anti-Obesity Medications
The battle against obesity is no one-size-fits-all, and this study delves into the arsenal—lifestyle tweaks, anti-obesity meds (AOMs), gadgets, and surgery. Researchers stress the need for a personalized approach, factoring in patient quirks, goals, and health hiccups. In this trial-and-error game, no crystal ball predicts the perfect AOM match. The takeaway? Prescribe sequentially, maybe mix […]
Cracking the Code: Gastrojejunal Anastomosis Holds Clues to Weight Regain in Gastric Bypass Graduates
Researchers delved into the post-gastric bypass world, unraveling the mystery of weight regain (WR). Examining 34 Roux-en-Y gastric bypass alumni, they discovered a correlation between the gastojejunal anastomosis (GJA) diameter and WR. However, excluding outliers with GJA over 30 mm nullified the link. The study highlights the potential of visual GJA estimation and emphasizes that […]
Mind Over Matter: Anxiety and Body Image Drive Binge Eating After Bariatric Surgery
In the post-bariatric world, where the battle against severe obesity is won, anxiety and negative body image emerge as sneaky foes, fostering binge eating disorder (BED). Surveying 92 patients, the study unveils the heavyweight champions—depression, anxiety, body image concerns, poor quality of life, and obesity—linked with BED. The knockout punch comes from anxiety and body […]
Gastric Bypass: A Shield Against Esophageal Adenocarcinoma in Obesity
In a Nordic cohort study, researchers explored if bariatric surgery lowers esophageal and cardia adenocarcinoma risks linked to obesity. Of 748,932 participants, mainly undergoing gastric bypass, the surgery showed a significant decrease in esophageal adenocarcinoma risk over time, suggesting it may counteract its development in morbidly obese individuals. The study implies gastric bypass as a […]
Balancing Act: Bariatric Surgery and Anticoagulation’s Bleeding Dilemma
In a study spanning 2008–2022, researchers delved into the post-bariatric bleeding risks for patients on chronic anticoagulation (CAT). Examining 132 cases (82 Roux-en-Y gastric bypass, 50 sleeve gastrectomy), the incidence of long-term bleeding was significantly higher in the Roux-en-Y group (18.3%) than the sleeve gastrectomy group (4%). Notably, bleeding marginal ulcer (MU) prevailed in the […]
Novice Surgeons’ Success in Laparoscopic Sleeve Gastrectomy
In South Korea’s non-tertiary hospitals, where bariatric surgery lacks specialized training, researchers examined outcomes of laparoscopic sleeve gastrectomy (LSG). Analyzing data from a novice surgeon’s cases before and after the learning curve, they found comparable safety and efficacy. Post-learning curve, operation time significantly decreased (118.4 to 61.9 minutes), showcasing that LSG can be proficiently performed […]
Discovering Key Factors for Type 2 Diabetes Remission After Bariatric Surgery
In the quest to understand why some individuals achieve type 2 diabetes (T2D) remission after bariatric surgery while others don’t, a study identified crucial factors. Patients who experienced T2D remission had better β-cell function and higher levels of acyl ghrelin, a hormone. They also had lower visceral fat compared to subcutaneous fat. Additionally, branched-chain amino […]
