Endoscopic sleeve gastroplasty (ESG) demonstrated cost-effectiveness compared to lifestyle modification in adults with class I/II obesity within a five-year horizon, achieving an incremental cost-effectiveness ratio of $23,432 per quality-adjusted life year (QALY). ESG remained cost-effective across sensitivity analyses and was dominant over longer timeframes. The findings suggest ESG as a viable treatment alternative for individuals […]

At five years post-surgery, laparoscopic Roux-en-Y gastric bypass (LRYGB) achieved significantly greater weight loss compared to laparoscopic sleeve gastrectomy (LSG) with a mean difference of -7.65 kg/m² (p=0.0001). The LRYGB group also exhibited better resolution rates for type 2 diabetes mellitus (T2D) and dyslipidemia. Although both procedures showed no difference in quality of life or […]

Researchers found barbed sutures significantly reduce suturing time in bariatric surgery. Analyzing 11 studies with 27,442 patients, including 3,516 using barbed sutures, they observed a mean reduction of 4.87 minutes in suturing time (95% CI -8.43 to -1.30; p 

A pilot study involving 27 participants demonstrates that duodeno-ileal diversion using the sutureless neodymium anastomosis procedure (SNAP) is both technically feasible and relatively safe. Patients achieved progressive, clinically meaningful weight loss within 9 months post-procedure, with all presenting widely patent anastomoses at the 3-month mark. These findings suggest potential for SNAP as an effective approach […]

A consensus was achieved among 89 international metabolic and bariatric surgeons on 29 of 30 statements regarding the prerequisites for practicing metabolic and bariatric surgery (MBS). Key criteria include holding a general surgery degree, completing a dedicated fellowship, and proficiency in managing postoperative complications. The learning curve for various MBS procedures was defined, ranging from […]

Findings indicate that the same-day discharge (SDD) protocol for bariatric surgery shows a favorable safety profile, achieving a 30% success rate for SDD sleeve gastrectomy and a 6% rate for SDD Roux-en-Y gastric bypass. The study recorded 811 sleeve gastrectomies and 325 Roux-en-Y procedures, highlighting a significant increase in ambulatory surgeries over a three-year timeframe. […]

Comparative analysis revealed that single anastomosis sleeve ileal (SASI) bypass leads to greater weight loss than sleeve gastrectomy (SG) with a mean difference of 11.32 kg, and improves metabolic parameters, including type 2 diabetes mellitus (RR=1.35), dyslipidemia (RR=1.41), and obstructive sleep apnea (RR=1.50). No significant differences were found compared to one-anastomosis gastric bypass (OAGB), and […]

Bariatric surgery significantly lowers PAI-1 levels, which correlate with improvements in lipids, glucose, and insulin resistance. The surgery also induces a decrease in body weight and BMI, and helps reverse type 2 diabetes. PAI-1 acts as a regulator of PCSK9, TG, and BMI, while PCSK9 modulates LDL-C, HDL-C, and PAI-1. These changes suggest an improved […]

Banded Roux-en-Y gastric bypass (RYGB) surgery results in a statistically significant increase in percent excess weight loss at 1, 2, and 5 years postoperatively compared to standard RYGB procedures. Additionally, patients undergoing banded RYGB do not have a significantly higher risk of postoperative complications. This meta-analysis, including 13 studies and over 8500 patients, highlights the […]