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The enemy of good is better, colonic obstruction post gastric bypass: an international video case series
We present 3 cases of transverse colon obstruction after antecolic-antegastric Roux-en-Y gastric bypass (RYGB) and describe the technical steps in relieving the obstruction. All patients have consented and approved to publish this work.Effects of body composition profiles on oncological outcomes and postoperative intraabdominal infection following colorectal cancer surgery
Anthropometric data as prognostic factors of colorectal cancer are promising but contradictory. The aim of this study was to assess the preoperative body composition profiles as predictive factors for postoperative, oncologic, and inflammation outcomes.Single and dual anastomosis duodenal switch for obesity treatment: a single-center experience
Biliopancreatic diversion with duodenal switch (BPD/DS) is the most effective bariatric surgery in super-obese patients, although technically complex and time consuming. As a primary surgery, single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is similar to BPD/DS in terms of short-term outcomes, but long-term and comparative data are lacking.Effect of surgical versus medical therapy on estimated cardiovascular event risk among adolescents with type 2 diabetes and severe obesity
Cardiovascular disease (CVD) remains the leading cause of mortality in type 2 diabetes (T2D). Better interventions are needed to mitigate the high lifetime risk for CVD in youth T2D.Counterregulatory responses to postprandial hypoglycemia after Roux-en-Y gastric bypass
Postbariatric hypoglycemia (PBH) is a potentially serious complication after Roux-en-Y gastric bypass (RYGB), and impaired counterregulatory hormone responses have been suggested to contribute to the condition.Factors implicated in discharge disposition following elective bariatric surgery
Current bariatric surgery studies have focused on traditional outcomes such as mortality and morbidity and have thus far have neglected an important marker of surgical care- discharge destination.Concurrent hiatal hernia repair and bariatric surgery: outcomes after sleeve gastrectomy and Roux-en-Y gastric bypass
Hiatal hernias are often repaired concurrently with bariatric surgery to reduce risk of gastroesophageal reflux disease–related complications.Long-term outcomes of Roux-en-Y gastric diversion after failed surgical fundoplication in a large cohort and a systematic review
Roux-en-Y gastric diversion (RNYG) is an alternative approach for patients with persistent or recurrent gastroesophageal reflux disease (GERD) after surgical fundoplication, especially in patients with esophageal dysmotility or morbid obesity, because redo fundoplication could offer unfavorable outcomes.First prospective clinical trial of reduced incision bariatric procedures using magnetic liver retraction
Exposure of the surgical field is an essential component of minimally invasive surgery. Liver retraction is an important element of bariatric procedures because visualization of the stomach and gastroesophageal junction is key. The magnetic surgical system provides a well-tolerated and effective option for adjustable liver retraction without the use of a dedicated port.Eating expectancies before bariatric surgery: assessment and associations with weight loss trajectories
While presurgical eating behaviors have demonstrated limited prognostic value, cognitions regarding the effects of eating may serve as important predictors of weight loss outcomes after bariatric surgery. The Eating Expectancies Inventory (EEI) is a commonly used, self-report measure of expected consequences of eating; however, its psychometric and predictive properties have not yet been evaluated among bariatric surgery patients.Predictors and outcomes of bleed after sleeve gastrectomy: an analysis of the MBSAQIP data registry
Bleeding after laparoscopic sleeve gastrectomy (LSG) is an important complication associated with significant morbidity and a drastic increase in healthcare resources. Multiple strategies have been developed to minimize bleeding, including varying bougie size, line reinforcement, and intra-operative tranexamic acid. These techniques, however, have been implemented without a clear understanding of the pre-, intra-, and postoperative predictors of bleeding in patients undergoing SG.Sleeve gastrectomy in patients with previous antireflux surgery. Preliminary results of the “no-touch to posterior wrap” technique
Reported morbidity of Roux-en-Y gastric bypass in patients with previous antireflux surgery warrants caution, and data on sleeve gastrectomy (SG) are unexpectedly scarce.Clinical periodontal conditions in individuals after bariatric surgery: a systematic review and meta-analysis
The aim of the present study was to perform a systematic review and meta-analysis to assess the influence of bariatric surgery on the clinical periodontal conditions in patients with obesity. This review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and registered at the International Prospective Registry of Systematic Reviews (CRD42018099313). A search was conducted by 2 investigators in the PubMed/MEDLINE, Web of Science, and Cochrane Library databases for relevant articles published up to May 2018.One-year follow-up of a dissonance-based intervention on quality of life, wellbeing, and physical activity after Roux-en-Y gastric bypass surgery: a randomized controlled trial
Health-related quality of life (HRQoL) peaks around 1 year after Roux-en-Y gastric bypass (RYGB) surgery, and thereafter, in many patients, slowly deteriorates.Does pregnancy increase the risk of cholecystectomy following bariatric surgery? A cross-sectional cohort study
Reproductive-aged women constitute a substantial proportion of patients who undergo weight loss procedures. While the risk of gallstone disease after such procedures has been addressed extensively, the impact of pregnancy on gallstone disease after bariatric procedures has not been reported.Psychometric properties of the eating loss of control scale among postbariatric patients
Assessing the complexities of eating behaviors in patients who undergo bariatric surgery is challenging. The Eating Loss of Control Scale (ELOCS), a measure of loss-of-control (LOC) eating, has not yet been evaluated psychometrically among bariatric surgery patients.Intragastric single-port surgery (IGS) accesses the gastric remnant and allows ERCP for common bile duct stones after RYGB: a simple solution for a difficult problem
Patients who have undergone a Roux-en-Ygastric bypass (RYGB) and suffer from choledocholithiasis postoperatively pose a medical dilemma. Treatment of the cholestasis can be complicated because of the altered anatomy in these patients. The gastric remnant and duodenum are isolated from the pancreaticobiliary limb, making endoscopic retrograde pancreatography (ERCP) challenging and often impossible.Sleeve gastrectomy in obese Wistar rats improves diastolic function and promotes cardiac recovery independent of weight loss
Heart failure with preserved ejection fraction is the most common cause of heart failure and is characterized by impaired diastolic relaxation. Bariatric surgery significantly improves diastolic relaxation, but a mechanism beyond weight loss remains unknown.Time savings and accuracy of a simulated flexible and conditional administration of the MMPI-2-RF in presurgical psychological evaluations of bariatric surgery candidates
Broadband psychological tests like the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) [1] are recommended for use in presurgical psychological assessments of bariatric surgery patients [2] because of research literature supporting the utility of the test in this setting [3-6]. For example, Marek et al. [5] found that scores from the test predicted appointment adherence and weight loss outcomes 1 year postsurgery. Nevertheless, psychologists conducting these evaluations tend to administer shorter, more symptom-focused measures rather than broadband instruments with longer administration times [7].Mental disorders and weight change in a prospective study of bariatric surgery patients: 7 years of follow-up
Long-term, longitudinal data are limited on mental disorders after bariatric surgery.Changes of gut microbiota between different weight reduction programs
Gut microbiota may induce obesity, diabetes, and metabolic syndrome. Different weight reduction programs may induce different changes in gut microbiota.Laparoscopic loop duodenaljejunal bypass with sleeve gastrectomy in type 2 diabetic patients
Diabetes is an epidemic disease and is estimated to affect >300 million people worldwide in 2025 [1]. Type 2 diabetes (T2D) management is a combination of diet, lifestyle modifications, and drug therapy. Recently, many studies have shown remission of T2D in obese population [2–6]. Buchwald et al. [2] in his systemic review and meta-analysis showed that diabetes remission rates were 99% (95% confidence interval, 97%–100%) after biliopancreatic diversion, 84% (95% confidence interval, 77%–90%) after Roux-en-Y gastric bypass (RYGB), and 48% (95% confidence interval, 29%–67%) after gastric banding.Recent trends in intensive treatments of obesity: Is academic research matching public interest?
Overweight and obesity continues to be a serious public health concern. The World Health Organization estimated that the worldwide prevalence of obesity nearly tripled between 1975 and 2016, with 1.9 bilion adults being overweight in 2016 and, of these, 650 million were obese [1]. In addition to the pandemic escalation of obesity in developed nations, obesity is now on the rise in developing countries, such as China, India, and the rest of Asia. The World Health Organization estimates that >1.7 billion people worldwide are overweight or obese [2].Improvement in pulmonary function in asthmatic patients after bariatric surgery: a systematic review and meta-analysis
Asthma is a common respiratory disorder that affects 1 in 13 people, and at least 25 million people in the United States have asthma [1,2]. Another evolving public health problem is obesity, which is a condition that affects millions of Americans and that causes a large and growing economic burden on healthcare systems in the United States [3]. Many observational studies found and reported association between asthma and obesity. Increased rates of prevalence of, disease exacerbation in, and risk of hospitalization for asthma are reported in obese patients [4–6].Is age a real or perceived discriminator for bariatric surgery? A long-term analysis of bariatric surgery in the elderly
Obesity has become an epidemic in the United States and around the world. At the same time, we are seeing an aging of human populations both nationally and globally. The U.S. Census Bureau projects that the percentage of the population aged ≥65 years will increase from 13.7% in 2012 to 16.8% in 2020 to 20.3% in 2030 [1]. This trend holds true on the global scale with 8.5% of the world population being ≥65 years in 2015, and expected to nearly double to 16.7% in 2050. From 2011 to 2014 the obesity rate in the U.S.
