A study analyzed preoperative endoscopic findings in 405 patients undergoing bariatric surgery, revealing chronic superficial gastritis (80.5%) and reflux esophagitis (20.2%) as the most common conditions. Higher rates of reflux esophagitis were associated with older age, male gender, elevated BMI, smoking, and drinking. Risk factors differed by gender, with morbid obesity and H. pylori common […]
Category: Metabolic and Bariatric Surgery
Duodeno-ileal diversion with SNAP is feasible and safe.
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 […]
Guidelines for Metabolic and Bariatric Surgeons
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 […]
Favorable safety profile of same-day discharge bariatric surgery
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. […]
SASI bypass demonstrates enhanced weight loss and metabolic improvements.
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 Decreases PAI-1 Levels and Improves Metabolic Markers
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 Leads to Greater Weight Loss
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 […]
Probiotics Improve Metabolic Status Post Gastric Bypass
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 […]
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 […]