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 […]
Category: Metabolic and Bariatric Surgery
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 […]
OAGB and RYGB Improve Renal Function Equally
One-anastomosis gastric bypass (OAGB) and Roux-en-Y gastric bypass (RYGB) showed similar improvements in renal function one year post-surgery, with OAGB leading to greater weight loss. Both procedures resulted in significantly higher estimated glomerular filtration rates. Younger age and lower baseline renal function were associated with better postoperative outcomes. OAGB could be a viable option for […]
Bariatric Intervention Improves Steatohepatitis
Bariatric intervention significantly reduced BMI and intrahepatic fat in patients with obesity, leading to improvements in histologic features of metabolic dysfunction-associated steatohepatitis. Nonalcoholic fatty liver disease activity score decreased significantly at various time points post-intervention. These findings suggest that bariatric intervention may be an effective alternative for obese patients with metabolic dysfunction-associated steatohepatitis unresponsive to […]
Outcomes of Laparoscopic Revisional Sleeve Gastrectomy with Hiatal Hernia Repair
Analysis of revisional and conversional sleeve gastrectomy procedures with concurrent hiatal hernia repair showed increased operative time, risk of postoperative pneumonia, and readmission within thirty days for patients with hiatal hernia repair. Despite these findings, patients undergoing laparoscopic revisional or conversional sleeve gastrectomy with hiatal hernia repair did not experience higher risks of death, postoperative […]