Probiotic supplementation post-Roux-en-Y gastric bypass led to lower blood sugar levels (FBS and HbA1c) and increased vitamin B12 levels compared to a placebo. Both groups experienced reduced BMI, with improved gastrointestinal function based on the GIQLI questionnaire. The probiotic group showed significant enhancements in metabolic and vitamin profiles, along with GI function, without a significant […]
Category: Metabolic and Bariatric Surgery
Bariatric Surgery Improves Outcomes Post-Liver Transplantation
Bariatric surgery post-liver transplantation, particularly sleeve gastrectomy, resulted in significant and sustained weight loss, improved liver health, and reduced metabolic dysfunction in a Belgian nationwide study. Patients experienced a decrease in body mass index and notable reductions in liver enzyme and HbA1c levels post-surgery. The study highlights the safety and feasibility of sleeve gastrectomy in […]
Factors Influencing Postoperative Weight Trajectories in Bariatric Surgery
Study identifies key factors influencing postoperative weight loss trajectories after bariatric surgery, including demographics like age, sex, and race/ethnicity, as well as preoperative clinical factors such as preoperative BMI and comorbidities. Men, older patients, and certain ethnic groups were more likely to have lower postoperative weight loss. These findings could help improve patient support to […]
Revisional Bariatric Surgery Reduces Antidiabetic Costs
Revisional bariatric surgery showed a positive impact on antidiabetic treatment reimbursement over a 4-year follow-up, reducing or discontinuing treatments and decreasing costs per patient. A study in France compared different revisional surgery sequences after sleeve gastrectomy and adjustable gastric banding, revealing significant changes in reimbursed antidiabetic treatments. These findings suggest the potential cost-effectiveness of revisional […]
Post-Bariatric Surgery Statin Discontinuation and ASCVD Risk
Post-bariatric surgery statin discontinuation poses significant risks for ASCVD events, particularly in patients with prior ASCVD and certain demographics like Hispanics. Primary prevention patients have an 82% reduced risk of post-statin cessation ASCVD events compared to secondary prevention patients. Individualized healthcare strategies are needed, especially for those over age 40 with diabetes. Comprehensive cardiovascular evaluations […]
Reduced Incidence of Internal Hernia with Meticulous Mesenteric Defect Closure in Gastric Bypass
Meticulous closure of mesenteric defects during laparoscopic Roux-en-Y gastric bypass significantly reduces the risk of internal hernia, particularly at the jejunojejunostomy and Petersen defects. Improvements in closure techniques led to a notable decrease in internal hernia incidence over time, with the most effective method involving non-absorbable sutures and an additional purse-string suture. Clinicians should maintain […]
Patients’ Preferences for Metabolic Bariatric Surgery
Patients with obesity overwhelmingly prefer metabolic bariatric surgery (MBS) options that offer significant weight loss without recurrence, no risk of complications, and minimal adverse effects. Two main patient groups emerged: those prioritizing weight loss and those prioritizing avoidance of complications. Attributes like out-of-pocket costs and resolution of medical conditions were deemed less critical. Understanding these […]
Genetic Background Influence on Weight Loss after Bariatric Surgery
Study reveals that patients with lower polygenic risk scores for high BMI experience better weight loss outcomes after bariatric surgery. Genetic background, along with individual factors such as biological sex and age, plays a significant role in determining the success of surgical interventions for severe obesity. Results suggest that polygenic risk scores could serve as […]
Development and Validation of the GAASThyriC Model to Predict Suboptimal Responses After Laparoscopic Sleeve Gastrectomy
Study developed a predictive model – GAASThyriC – utilizing age, glucose, TSH, alcohol use, SII, and tobacco to forecast patient outcomes post laparoscopic sleeve gastrectomy. The GAASThyriC score demonstrated high accuracy in identifying individuals unlikely to have optimal responses in weight loss. This model serves as a valuable tool for clinicians to anticipate patient populations […]
Dietary Adherence Boosts Weight Loss Post-Bariatric Surgery
Adherence to post-surgery dietary recommendations significantly impacts weight loss success after metabolic and bariatric surgery. Factors like pre-surgery BMI, type of surgery, age, physical activity, and depression symptoms also play a role. Adherence peaks within 6 months post-surgery, highlighting the importance of ongoing support and behavior modification interventions for long-term success in managing severe obesity. […]