Sleeve gastrectomy surgery led to a significant reduction in hyperuricemia prevalence, improving metabolic syndrome status in patients with obesity. After one year, there was a 46.75% decrease in hyperuricemia cases among females and a 44.44% decrease among males. Enhancements in anthropometric and laboratory measurements were observed, highlighting the clinical relevance of this surgical intervention in […]
Category: Metabolic and Bariatric Surgery
Effective Uric Acid-Lowering Medication Post-Bariatric Surgery in Gout Patients
Following bariatric surgery, patients with gout benefited from uric acid-lowering medication, exhibiting reduced gout attacks and serum uric acid levels. Patients who continued medication showed fewer gout attacks and decreased serum uric acid levels after 6 months, compared to those who did not receive treatment. This highlights the importance of postoperative uric acid-lowering therapy in […]
Effectiveness and Safety of Metabolic and Bariatric Surgery in Patients with Chronic Kidney Disease
Metabolic and bariatric surgery (MBS) is effective for sustained weight loss in chronic kidney disease (CKD) patients, with acceptable complication rates. Roux-en-Y gastric bypass (RYGB) leads to higher weight loss percentages but carries a higher risk of late surgical complications compared to sleeve gastrectomy (SG). CKD patients undergoing MBS saw improvements in kidney function, with […]
Feasibility of Laparoscopic Common Bile Duct Exploration in Gastric Bypass Patients
Study shows laparoscopic exploration with a disposable bronchoscope is safe and effective for removing common bile duct stones in gastric bypass patients, achieving 100% stone clearance without conversions to open surgery. This cost-effective approach offers a practical alternative to traditional methods, demonstrating feasibility and safety in this population. Journal Article by Jazi AHD, Mahjoubi M […]
Low-cost Elastic Organ Retractor for Bariatric Surgery
In minimally invasive upper gastrointestinal and bariatric surgery, a trocar-less elastic intra-corporeal retractor (icr) was developed and proven effective in liver retraction. The icr is safe, inexpensive, and easily reproducible, reducing risks of bleeding, infection, and liver injury associated with conventional methods. It offers quick application and repositioning, enhancing surgical precision and safety in around […]
Metabolic Surgery Shows Superior Renoprotective Effects in CKD Patients
Metabolic surgery significantly reduces kidney impairment progression and lowers the risk of kidney failure or death by 60% and 44%, respectively, when compared to GLP-1 receptor agonists in patients with type 2 diabetes, obesity, and established chronic kidney disease. This highlights the potential of metabolic surgery as a therapeutic option for individuals with CKD and […]
Aprepitant Effectively Prevents Post-bariatric Surgery Nausea and Vomiting
Aprepitant significantly reduces postoperative nausea and vomiting in patients undergoing metabolic bariatric surgery, improving recovery and patient satisfaction. Meta-analysis of six studies involving 929 patients showed a significant decrease in ponv incidence with aprepitant, particularly at 0, 6, and 12 hours postoperatively. Administering aprepitant within the first 24 hours post-surgery is recommended for optimal efficacy. […]
Impact of 3-Month Excessive Weight Loss on Post-Gastric Sleeve Outcomes
Early body-weight loss (< 37.7% EBWL) at 3 months post-laparoscopic sleeve gastrectomy predicts poorer long-term weight loss outcomes. High BMI, elevated neutrophil-to-lymphocyte ratio (≥ 2.36), and female sex are significant risk factors for suboptimal weight loss. These findings highlight the potential utility of targeted interventions such as adjuvant weight loss medications in at-risk patients. Journal […]
Positive outcomes of converting Sleeve Gastrectomy to Roux-en-Y Gastric Bypass for GERD symptoms
Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass significantly reduced GERD symptoms and PPI use, with 70% of patients experiencing complete symptom resolution and 60% discontinuing PPIs. This approach led to improved postoperative outcomes, decreasing daily symptoms of GERD and the need for PPIs. The study highlights the effectiveness of Roux-en-Y Gastric Bypass for managing […]
Preoperative BMI and Weight Loss Correlation
Study reveals a non-linear, inverted U-shaped association between preoperative BMI and optimal weight loss outcomes post bariatric surgery. Setting a BMI threshold of 42.9 is critical in predicting optimal clinical responses in patients with obesity. Quartile odds ratios and restricted cubic spline analysis support this correlation, highlighting the importance of personalized treatment strategies based on […]