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. […]
Category: Metabolic and Bariatric Surgery
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 […]
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 […]