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Five-year results from a three-year randomized controlled trial comparing banded and non-banded sleeve gastrectomy (SG) showed that banded sleeve gastrectomy (BSG) resulted in significantly higher excess weight loss (9%) and total weight loss (4.2%) compared to non-banded SG. Most patients experienced remission of type 2…
Patients with a postoperative diagnosis of COVID-19 after bariatric surgery had worse outcomes, including a higher risk of anastomotic/staple line leak, postoperative pneumonia, and 30-day reoperation. However, patients who had COVID-19 before surgery had similar outcomes to those without COVID-19. The study suggests that it…
Researchers analyzed data from two randomized clinical trials to assess the feasibility of using the Swiss-Finnish Bariatric Metabolic Outcome Score (SF-BARI score) as a standardized tool for measuring outcomes in metabolic bariatric surgery (MBS). They found that the SF-BARI score, which includes measures of weight…
Approximately 36% of patients who undergo non-pancreatic upper gastrointestinal surgeries develop pancreatic exocrine insufficiency (PEI), which can have detrimental effects on their health. The incidence of PEI was found to be 23% after bariatric metabolic surgery and 50.4% after oesophagogastric resection, with even higher rates…
In a Delphi survey involving 43 global obesity experts, unanimous consensus (≥70% agreement) was achieved on 15 essential definitions and reporting standards in metabolic bariatric surgery (MBS). Notable agreement (95/121 statements) covered preferred surgical procedures like Roux-en-Y gastric bypass and sleeve gastrectomy. Moderate consensus existed…
In evaluating post-sleeve gastrectomy patients, this study compared nuclear scintigraphy gastric emptying with three-dimensional multi-detector computed tomography (3D-MDCT) gastric volumetry. Poor weight loss group exhibited delayed gastric emptying compared to optimal weight loss group. Gastric emptying time correlated with weight loss parameters, while gastric volume…
Over 10 years, a survey involving 452 primary care practitioners in Scotland revealed increased awareness of local bariatric referral criteria, with more making referrals. Despite recognizing the impact of bariatric surgery on weight and related diseases, knowledge gaps persisted regarding national guidelines. Comfort levels in…
A comprehensive study across 17 centers on four continents, comparing robotic bariatric surgery with laparoscopic benchmarks, involved 9,097 patients. In expert centers, robotic Roux-en-Y gastric bypass demonstrated lower benchmark cut-offs for hospital stay, bleeding, and ulceration but had a longer operation duration. Robotic sleeve gastrectomy…
Examining 276 cases, researchers found that patients undergoing double conversions from adjustable gastric band (AGB) to sleeve gastrectomy (SG) and then to Roux-en-Y gastric bypass (RYGB) primarily did so due to gastroesophageal reflux disease (GERD) or inadequate weight loss/weight regain. Those converted for weight issues…
As the battle against obesity rages on, clinicians explore the endoscopic arena for weight loss interventions. The review dissects diverse endoscopic bariatric therapies, from intragastric balloons to endoluminal procedures. While these methods exhibit short-term effectiveness, concerns linger about weight rebound. Adverse events, including nausea and…
