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 […]
Category: Metabolic and Bariatric Surgery
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. […]
Reduction in Hyperuricemia Following Sleeve Gastrectomy
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 […]
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 […]