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 did not. Nuclear scintigraphy, especially with a threshold of 21.2 […]
Category: Metabolic and Bariatric Surgery
Evolution of Primary Care Practitioners’ Views on Bariatric Surgery Over a Decade
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 managing post-operative patients remained unchanged. Referral hesitancy was attributed to […]
Global Benchmarks for Robotic Bariatric Surgery
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 outperformed its laparoscopic counterpart in most outcomes. Overall, newly established […]
Complex Bariatric Surgery Sequencing: Double Conversions from Adjustable Gastric Band to Sleeve Gastrectomy and Then to Roux-en-Y Gastric Bypass
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 had higher baseline body mass index and sleep apnea prevalence, […]
Navigating the Landscape of Endoscopic Weight Loss Therapies
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 vomiting, pepper the landscape. Despite the challenges, the endoscopic toolkit […]
Bariatric Surgery: A Defender Against Obesity-Associated Cancers
In the fight against obesity-related cancers, bariatric surgery emerges as a hero. A multi-center study reveals that adults with obesity undergoing bariatric surgery enjoy a significantly lower risk of developing new obesity-associated cancers compared to their nonsurgical counterparts. At the 10-year mark, the bariatric surgery group boasts a 4.0% incidence, while the nonsurgical group hits […]
Mindful Eating and Sleep Crucial in Preventing Weight Recurrence after Bariatric Surgery
A survey of 169 post-bariatric surgery individuals reveals a 23.1% significant weight recurrence rate. Sleeve gastrectomy increases risk (OR = 12.99). Anxiety, depression, and maladaptive eating patterns correlate with recurrence. Mindful eating and adequate sleep emerge as key protective factors, significantly reducing recurrence risk (OR = 4.84 and 7.30, respectively). The study underscores the pivotal […]
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 […]
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 […]