journal
https://read.qxmd.com/read/38795202/patient-satisfaction-and-experience-with-same-day-discharge-after-laparoscopic-roux-en-y-gastric-bypass-a-mixed-methods-study
#1
JOURNAL ARTICLE
Suzanne C Kleipool, Gijs J A Willinge, Elke G E Mathijssen, Kim A G J Romijnders, Steve M M de Castro, Hendrik A Marsman, Pim W J van Rutte, Ruben N van Veen
INTRODUCTION: Same-day discharge (SDD) after laparoscopic Roux-en-Y gastric bypass (RYGB) is a safe and effective healthcare pathway. However, there is limited understanding of the patient perspective on SDD. The aim of this study was to explore patient satisfaction and experience with SDD after RYGB. METHODS: A mixed-methods study with a concurrent design was conducted in a Dutch teaching hospital, using questionnaires and interviews. Patients who underwent RYGB and were discharged on the day of the surgery completed four questionnaires of the BODY-Q (satisfaction with the surgeon, satisfaction with the medical team, satisfaction with the office staff, and satisfaction with information provision) ± 4 months postoperative...
May 25, 2024: Obesity Surgery
https://read.qxmd.com/read/38789682/associations-between-adolescent-preoperative-mental-health-psychosocial-factors-and-body-mass-index
#2
JOURNAL ARTICLE
Megan E Perez, Keeley J Pratt, Eileen Chaves
BACKGROUND: There is little research on adolescent bariatric surgery and mental health (depression, anxiety, etc.) with racial/ethnic minority adolescents. The objective of this study is to determine associations between adolescents' preoperative reports of depression, anxiety, and self-esteem and caregiver's' reports of the caregiver-adolescent relationship and interpersonal relationships with adolescents' BMI and differences based on race/ethnicity. METHOD: Adolescents (ages 12-21) who underwent metabolic and bariatric surgery from June 2020 to November 2022 had their responses to specific items on the BASC-3 (anxiety, depression, and self-esteem) analyzed for associations with their body mass index (BMI) and with caregiver responses to the BASC-3 for adolescents' interpersonal skills and relationship with caregiver...
May 25, 2024: Obesity Surgery
https://read.qxmd.com/read/38789681/similar-rates-of-symptomatic-marginal-ulcers-after-one-anastomosis-gastric-bypass-compared-to-roux-en-y-gastric-bypass
#3
JOURNAL ARTICLE
Amram Kupietzky, Omri Dodi, Noa Cohen, Roi Dover, Ata Maden, Haggi Mazeh, Ronit Grinbaum, Ido Mizrahi
PURPOSE: One-anastomosis-gastric-bypass (OAGB) has become a common bariatric procedure worldwide. Marginal ulcers (MU) are a significant non-immediate complication of gastric bypass surgeries. There seems to be concern among surgeons that MU are more common after OAGB compared with Roux-en-Y gastric bypass (RYGB) due to the constant and extensive exposure of the anastomosis to bile. The aim of this study was to compare the incidence, presentation, and management of MU between the two surgeries...
May 24, 2024: Obesity Surgery
https://read.qxmd.com/read/38780836/effects-of-intravenous-lidocaine-on-quality-of-recovery-after-laparoscopic-bariatric-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#4
REVIEW
Eduardo C Barbosa, Guilherme H P C Ortegal, Julia M Aguirre, Paola R R Costa, Lucas N Ferreira, Laura F Moreira, Guilherme C Silva, Pedro Paulo M Ferro Filho, Diogo M Ferreira
This systematic review and meta-analysis aimed to assess the effects of pre and intraoperative lidocaine infusion on short-term recovery quality after laparoscopic bariatric surgeries. In the search across MEDLINE, Embase, and Cochrane databases, we considered randomized controlled trials comparing intravenous lidocaine vs placebo (saline) for patients with obesity undergoing laparoscopic bariatric surgery. Seven studies (640 patients) were included. The lidocaine group had a significantly higher recovery quality score, a lower morphine consumption, and a notably reduced rate of nausea and vomiting compared with the placebo group...
May 23, 2024: Obesity Surgery
https://read.qxmd.com/read/38780835/comparison-of-sleeve-gastrectomy-with-loop-duodenojejunal-bypass-versus-one-anastomosis-gastric-bypass-for-type-2-diabetes-the-role-of-pylorus-preservation
#5
JOURNAL ARTICLE
Yiming Si, Shibo Lin, Wei Guan, JiaJia Shen, Hui Liang
BACKGROUND: One anastomosis gastric bypass (OAGB) is recognized as a standard procedure in metabolic surgery. However, concerns about postoperative bile reflux and nutritional risks are prevalent. Comparatively, sleeve gastrectomy with loop duodenojejunal bypass (SG + LoopDJB) bypasses an equivalent length of the foregut as OAGB while maintaining pyloric function. The role of pylorus function remains to be further elucidated regarding these metabolic procedures' therapeutic outcomes and side effects...
May 23, 2024: Obesity Surgery
https://read.qxmd.com/read/38777944/vertical-sleeve-gastrectomy-reduces-gut-luminal-deoxycholic-acid-concentrations-in-mice
#6
JOURNAL ARTICLE
Rahaf Shishani, Annie Wang, Victoria Lyo, Renu Nandakumar, Bethany P Cummings
BACKGROUND: Bariatric surgery alters bile acid metabolism, which contributes to post-operative improvements in metabolic health. However, the mechanisms by which bariatric surgery alters bile acid metabolism are incompletely defined. In particular, the role of the gut microbiome in the effects of bariatric surgery on bile acid metabolism is incompletely understood. Therefore, we sought to define the changes in gut luminal bile acid composition after vertical sleeve gastrectomy (VSG). METHODS: Bile acid profile was determined by UPLC-MS/MS in serum and gut luminal samples from VSG and sham-operated mice...
May 22, 2024: Obesity Surgery
https://read.qxmd.com/read/38776009/-window-to-window-a-variant-technique-of-laparoscopic-sleeve-gastrectomy
#7
JOURNAL ARTICLE
Christian Mouawad, Fadi Sleilati
PURPOSE: Laparoscopic sleeve gastrectomy (LSG) may present many technical modifications depending on the surgeon. However, no significant variation was noted in the chronological order of the surgical steps in the current technique. We present the "Window to Window," a variant LSG technique. MATERIAL AND METHODS: The technique, introduced in our institution in 2007, requires three trocars. Surgical steps, presented chronologically in a descriptive video, start by creating the "paracardial window" then the "antral window...
May 22, 2024: Obesity Surgery
https://read.qxmd.com/read/38773010/single-port-one-anastomosis-sleeve-gastrectomy-with-transit-bipartition-initial-experience-and-technique
#8
JOURNAL ARTICLE
Jason Widjaja, Jianjun Yang, Wenpei Dong, Rui Wang, Dongchao Yang, Zhicheng Song, Yan Gu
BACKGROUND: Sleeve gastrectomy with transit bipartition (SG-TB) procedure has been gaining traction recently. While being a relatively novel procedure, it shows potentials to improve the standalone SG outcomes, such as diabetes remission and reflux. This article aims to show insights on performing SG-TB in one anastomosis fashion (SG-OATB) and single-port approach. METHODS: Three patients who underwent laparoscopic single-port SG-OATB at our hospital were included...
May 21, 2024: Obesity Surgery
https://read.qxmd.com/read/38771478/impact-of-recurrent-weight-gain-thresholds-on-comorbid-conditions-progression-following-laparoscopic-sleeve-gastrectomy
#9
JOURNAL ARTICLE
Wei-Leng Chin, Wan-Ling Tu, Tze-Ho Yang, Chung-Yen Chen, Jian-Han Chen, Tien-Tsan Hung
INTRODUCTION: Defining recurrent weight gain after metabolic bariatric surgery poses a significant challenge. Our study aimed to standardize recurrent weight gain measurements in patients undergoing laparoscopic sleeve gastrectomy (LSG) and ascertain its association with comorbidity progression. METHODS: We conducted a retrospective data analysis on 122 patients who underwent LSG, tracking their progress over 2-7 years. Data on weight, blood pressure measurements, and laboratory tests were collected, focusing on the postoperative period to identify nadir weight, total weight loss, and recurrent weight gain...
May 21, 2024: Obesity Surgery
https://read.qxmd.com/read/38769238/perioperative-cannabis-use-in-bariatric-patients-a-review-of-outcomes-and-proposed-clinical-pathway-for-management
#10
REVIEW
Meghan H Maceyko, Marc Neff, Jonathan Halevy, Marguerite Dunham
Legalization of marijuana has led to increased prevalence of medical and recreational cannabis use, underscoring the importance for anesthesiologists, surgeons, and perioperative physicians to understand the effects of this drug in patient care. Bariatric surgical patients represent a unique target population to understand peri-operative cannabis use and its effects as these patients undergo an extensive preoperative psychological and nutritional evaluation. Standardized guidelines on cannabis use in bariatric surgery are lacking and many clinicians remain uncertain on how to handle cannabis use in the peri-operative period...
May 21, 2024: Obesity Surgery
https://read.qxmd.com/read/38769237/effect-of-intraoperative-blood-pressure-regulation-on-postoperative-hemorrhage-after-bariatric-surgery
#11
JOURNAL ARTICLE
Mira Fink, Shayda Stock, Jodok Matthias Fink, Gabriel Seifert, Veit Broghammer, Stephan Herrmann, Stefan Fichtner-Feigl, Goran Marjanovic, Claudia Laessle
INTRODUCTION: With a rising number of bariatric procedures, the absolute number of postoperative complications is increasing, too. Postoperative bleeding, particularly along the staple line, is a recognized challenge. Numerous strategies including reinforcement of the staple line (SLR) have been proposed to improve bleeding rates, but no single technique has shown superiority over the others. In our bariatric center, we have implemented intraoperative blood pressure regulation alone, without SLR, to reduce hemorrhagic complications postoperatively...
May 20, 2024: Obesity Surgery
https://read.qxmd.com/read/38769236/single-anastomosis-sleeve-ileal-bypass-sasi-the-alarming-rate-of-malnutrition
#12
LETTER
Ala Wafa, Ahmad Bashir, Ricardo V Cohen, Ashraf Haddad
No abstract text is available yet for this article.
May 20, 2024: Obesity Surgery
https://read.qxmd.com/read/38767785/the-safety-and-efficacy-of-concurrent-laparoscopic-cholecystectomy-during-minimally-invasive-roux-en-y-gastric-bypass-a-systematic-review
#13
REVIEW
Sloane Kowal, Mitchell Vendrov, David Vaz, Zuhaib M Mir, Nader M Hanna, Boris Zevin
We conducted a systematic review to examine perioperative outcomes for adults undergoing minimally invasive Roux-en-Y gastric bypass (RYGB) with and without concurrent cholecystectomy (CCE). We reviewed the literature using OVID MEDLINE(R), Embase, Cochrane CENTRAL, Web of Science, and medRxiv and identified studies published between 1946 and May 2023. We identified a total of 2402 studies with 11 included in the final analysis (combined 149,356 patients). Studies suggested increased operative time associated with RYGB-CCE, with mixed results regarding length of stay and rates of bile duct injury...
May 20, 2024: Obesity Surgery
https://read.qxmd.com/read/38764003/laparoscopic-guided-transversus-abdominis-plane-tap-block-combined-with-port-site-infiltration-psi-for-laparoscopic-sleeve-gastrectomy-in-an-erabs-pathway-a-randomized-prospective-double-blind-placebo-controlled-trial
#14
JOURNAL ARTICLE
Rita Cataldo, Vincenzo Bruni, Sabrina Migliorelli, Ida Francesca Gallo, Giuseppe Spagnolo, Giulia Gibin, Miriam Borgetti, Alessandro Strumia, Alessandro Ruggiero, Giuseppe Pascarella
PURPOSE: Patients undergoing laparoscopic sleeve gastrectomy (LSG) commonly experience moderate to severe postoperative pain. We conducted a randomized, prospective double-blind placebo-controlled study to evaluate the analgesic effect of laparoscopic-guided TAP (LG-TAP) block after LSG in a high-volume bariatric center, applying an enhanced recovery after bariatric surgery (ERABS) pathway. MATERIAL AND METHODS: One hundred ten patients were randomly allocated to receive LG-TAP block with local anesthetic (LA) or saline solution (placebo), both combined with port-site infiltration with LA (LA-PSI)...
May 20, 2024: Obesity Surgery
https://read.qxmd.com/read/38762612/contribution-of-ultra-processed-foods-to-weight-gain-recurrence-5-years-after-metabolic-and-bariatric-surgery
#15
JOURNAL ARTICLE
Stephany L Lobão, Adler S Oliveira, Josefina Bressan, Sônia L Pinto
BACKGROUND: The aim of this study was to evaluate evolution of ultra-processed food intake and recurrent weight gain in patients who underwent Roux-en-Y gastric bypass. MATERIALS AND METHODS: This study is an observational longitudinal study that evaluated patients who underwent metabolic and bariatric surgery at four time points: before surgery and at 3, 12, and 60 months after surgery. Anthropometric and dietary intake data were collected through two 24-h dietary recalls...
May 18, 2024: Obesity Surgery
https://read.qxmd.com/read/38760651/long-term-11-years-results-of-laparoscopic-gastric-bypass-changes-in-weight-blood-levels-of-sugar-and-lipids-and-late-adverse-effects-laparoscopic-gastric-bypass-results
#16
JOURNAL ARTICLE
L Deycies Gaete, J Attila Csendes, A Tomás González, P Álvaro Morales, Benjamín Panza
PURPOSE: Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) remains the most effective procedure to treat severe obesity with proven short- and intermediate-term benefits. The main goal is to describe the effects on weight and biochemical laboratory tests after long-term follow-up (11 years). MATERIALS AND METHODS: A prospective cohort of adults with obesity treated with LRYGB between 2004 and 2010 in one center were studied. Patients with prior bariatric or upper digestive tract surgery, hiatal hernia >4 cm, alcoholism, or decompensated conditions were excluded...
May 17, 2024: Obesity Surgery
https://read.qxmd.com/read/38760650/evaluation-of-the-impact-of-chatgpt-on-the-selection-of-surgical-technique-in-bariatric-surgery
#17
JOURNAL ARTICLE
Ruth Lopez-Gonzalez, Sergi Sanchez-Cordero, Jordi Pujol-Gebellí, Jordi Castellvi
PURPOSE: With the growing interest in artificial intelligence (AI) applications in medicine, this study explores ChatGPT's potential to influence surgical technique selection in metabolic and bariatric surgery (MBS), contrasting AI recommendations with established clinical guidelines and expert consensus. MATERIALS AND METHODS: Conducting a single-center retrospective analysis, the study involved 161 patients who underwent MBS between January 2022 and December 2023...
May 17, 2024: Obesity Surgery
https://read.qxmd.com/read/38758515/assessing-chatgpt-vs-standard-medical-resources-for-endoscopic-sleeve-gastroplasty-education-a-medical-professional-evaluation-study
#18
JOURNAL ARTICLE
Razan Aburumman, Karim Al Annan, Rudy Mrad, Vitor O Brunaldi, Khushboo Gala, Barham K Abu Dayyeh
BACKGROUND AND AIMS: The Chat Generative Pre-Trained Transformer (ChatGPT) represents a significant advancement in artificial intelligence (AI) chatbot technology. While ChatGPT offers promising capabilities, concerns remain about its reliability and accuracy. This study aims to evaluate ChatGPT's responses to patients' frequently asked questions about Endoscopic Sleeve Gastroplasty (ESG). METHODS: Expert Gastroenterologists and Bariatric Surgeons, with experience in ESG, were invited to evaluate ChatGPT-generated answers to eight ESG-related questions, and answers sourced from hospital websites...
May 17, 2024: Obesity Surgery
https://read.qxmd.com/read/38758514/one-stage-vs-two-step-one-anastomosis-duodenal-switch-oads-sadi-s-a-safety-and-efficacy-single-center-propensity-score-matched-analysis
#19
JOURNAL ARTICLE
Javier Osorio, Víctor Admella, David Merino, Lucía Sobrino, Carlota Tuero, Núria Vilarrasa, Claudio Lazzara
INTRODUCTION: One Anastomosis Duodenal Switch (OADS/SADI-S) is used both as a one stage and a second-step procedure, either planned or revisional after a failed sleeve gastrectomy. However, there is lack of adjusted comparative evidence validating its use. MATERIAL AND METHODS: Propensity-score matched comparison between patients submitted to one-stage vs. two-step OADS, adjusted by age, gender, and initial body mass index (BMI). RESULTS: One hundred ninety-five patients (130 one-stage and 65 two-step OADS) were included, with mean initial BMI 52...
May 17, 2024: Obesity Surgery
https://read.qxmd.com/read/38758513/two-stage-conversion-of-roux-en-y-gastric-bypass-to-sadi-s
#20
JOURNAL ARTICLE
Andrés Sánchez-Pernaute, Clara Pañella, Miguel Ángel Rubio, Leyre López Antoñanzas, Antonio Torres, Elia Pérez-Aguirre
No abstract text is available yet for this article.
May 17, 2024: Obesity Surgery
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