Obesity Surgery最新文献

{"title":"Correction to: Predictive Value of Complete Blood Count (CBC)-Derived Indices-C-Reactive-Protein-Albumin-Lymphocyte index (CALLY), Glucose-to-Lymphocyte Ratio (GLR), Prognostic Nutritional Index (PNI), Hemoglobin, Albumin, Lymphocyte, Platelet (HALP), and Controlling Nutritional Status (COUNT)-on Body Composition Changes After Bariatric Surgery.","authors":"Hanieh Radkhah, Diar Zooravar, Bahareh Shateri-Amiri, Homina Saffar, Khosrow Najjari, Mojgan Mirabdolhagh Hazaveh","doi":"10.1007/s11695-025-07841-5","DOIUrl":"https://doi.org/10.1007/s11695-025-07841-5","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Publisher Correction: Long-Term Effects of Professional and Non-Professional Support on a Healthy Lifestyle Following Bariatric Surgeries.","authors":"Lani Ofri, Sharon Barak, Dror Dicker, Ayala Blau","doi":"10.1007/s11695-025-07806-8","DOIUrl":"https://doi.org/10.1007/s11695-025-07806-8","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Liver Retraction in Sleeve Gastrectomy Challenges and Considerations.","authors":"Aya Bessa, Ahmed Abokhozima, Mohamed H Zidan, Hassan El-Masry","doi":"10.1007/s11695-025-07835-3","DOIUrl":"https://doi.org/10.1007/s11695-025-07835-3","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Fascial Closure versus Non-fascial Closure on Developing Trocar Site Hernias (TsH) in the Bariatric Population: A Systematic Review.","authors":"Bassem Abou Hussein, Omar Al Marzouqi, Sameera Hajijama, Ali Al Ani, Nagham Toba, Mariam Sandal, Mohammed Amaan Khokar, Hessa Al Qasimi, Nour AlDeen Hejazi, Amar Khamis, Ali Khammas","doi":"10.1007/s11695-025-07827-3","DOIUrl":"https://doi.org/10.1007/s11695-025-07827-3","url":null,"abstract":"<p><strong>Background: </strong>Trocar site hernia (TsH) is an uncommon complication of bariatric surgery but potentially serious. People with obesity are more susceptible due to the difficulty in approximating fascial tissue. This study aims to investigate whether fascial closure (FC) or non-fascial closure (NFC) of trocar sites, in patients undergoing bariatric surgery, will affect the incidence of TsH.</p><p><strong>Methods: </strong>A systematic review was conducted from July to September of 2023 and registered on Prospero 2023 CRD42023403504. The study included articles of patients who underwent bariatric surgery describing the trocar site closure technique and incidence of TsH. The exclusion criteria involved procedures using a single port, natural orifice, open, or robotic techniques. Search engines included PubMed, Medline, Scopus, and ClinicalTrials. Data collection was conducted by authors independently and disagreements were resolved as per consensus.</p><p><strong>Results: </strong>Out of 1433 studies that were screened, 14 cohort studies consisting of 6143 participants met the eligibility criteria. Out of the 14 studies, three compared the development of TsH between the FC and NFC groups. Two of the three reported a significantly increased incidence of TsH in the NFC group (p = 0.02, p < 0.05), whereas the remaining article reported no significant difference in incidence between the two groups. The incidence of TsH in patients undergoing FC was found to be between 0 and 11.5% by five studies consisting of 1583 patients, whereas the incidence in patients undergoing NFC was found to be between 0 and 1.6% by another set of five studies comprising 2592 patients. The study's main limitations were data heterogeneity and lack of adequate comparative literature.</p><p><strong>Conclusions: </strong>Comparative and non-comparative studies investigating the incidence of TsH between FC and NFC groups revealed contradictory results. Therefore, this systematic review showed non-conclusive results and further comparative studies must be conducted with more statistical evidence to formally declare an association.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discontinuation of Tirzepatide and Semaglutide Prior to Gastric Sleeve Surgery: Clinical Considerations and Guidelines.","authors":"Radwan Kassir, Ahmed Ezzat, Jassim Fakhro","doi":"10.1007/s11695-025-07833-5","DOIUrl":"https://doi.org/10.1007/s11695-025-07833-5","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Bariatric and Metabolic Surgery on Sarcopenia-Related Parameters According to the EWGSOP2 Consensus Criteria in Persons Living with Obesity.","authors":"Paulo Cardoso, Tânia V Santos, Marta Ramon-Krauel, Sandra Pais, Ana Luísa De Sousa-Coelho","doi":"10.1007/s11695-025-07816-6","DOIUrl":"https://doi.org/10.1007/s11695-025-07816-6","url":null,"abstract":"<p><p>Although bariatric and metabolic surgery (BS) has proved effective in the treatment of obesity based on the reduction in fat mass and the remission of comorbidities, there is also loss of lean mass after BS which could compromise muscle functionality. According to the European Working Group on Sarcopenia in Older People (EWGSOP), sarcopenia is a disease associated with loss of muscle mass, strength, and function. Through a comprehensive review of the literature, we identified a range of studies focusing on evaluating sarcopenia-related parameters according to the EWGSOP2 consensus criteria, before and after BS. Although most studies reported reductions in skeletal muscle mass and absolute muscle strength after surgery, improvements in muscle functionality were generally achieved, independent of the type of BS.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicare Jeopardizing Metabolic and Bariatric Surgery Telehealth Services: A Call for Action.","authors":"Emiliano Gabriel Manueli Laos, Francisco Schlottmann, Alvaro Ducas, Amber Pirzada, Mario A Masrur","doi":"10.1007/s11695-025-07832-6","DOIUrl":"https://doi.org/10.1007/s11695-025-07832-6","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Complications Weight on Surgeons? Second Victim Syndrome in Metabolic and Bariatric Surgery.","authors":"Pauline Infantes, Federica Papini, Anna Domingues, Julie Sacuto, Andrea Lazzati, Camille Jung, Luca Paolino","doi":"10.1007/s11695-025-07824-6","DOIUrl":"https://doi.org/10.1007/s11695-025-07824-6","url":null,"abstract":"<p><strong>Background: </strong>Although complications primarily affect patients, they also seem to cause repetitive trauma for surgeons. The concept of the \"second victim\" was introduced by Dr. A. Wu in 2000. This study aims to analyze the psychological impact of serious complications on metabolic and bariatric surgeons.</p><p><strong>Methods: </strong>The target population included all metabolic and bariatric surgeons who are members of the Société Française et Francophone de Chirurgie de l'Obésité et Maladies Métaboliques (SOFFCO.MM). A questionnaire was developed by two surgeons, and refined by a group of psychologists.</p><p><strong>Results: </strong>A total of 130 participants completed the questionnaire. Serious adverse effect affected surgical practice and professional confidence in 41.3% of cases, and had negative repercussions at family level in 39.7% of respondents. These complications led to feelings of guilt, anxiety and sleep disorders (53.7%, 53.7%, 44.6%). Excessive workload, a macho culture and a lack of communication within the team were the main obstacles to seeking help (60.3%, 47.1%, 40.5%). Women and young surgeons (30-40 years) were more affected by complications in their surgical practice and self-confidence (p = 0.03 and p = 0.019). Neither regular physical activity nor meditation showed any significant benefit in mitigating these effects.</p><p><strong>Conclusions: </strong>This study highlights the significant psychological burden that serious complications impose on metabolic and bariatric surgeons. Due to a lack of institutional support, surgeons often manage emotional distress privately rather than professionally. Urgent action is needed to implement comprehensive support systems.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is it Safe to Perform Concomitant Cholecystectomy in Patients With Confirmed Gallbladder Disease Undergoing Metabolic and Bariatric Surgery? An Updated Meta-Analysis.","authors":"Giulia Almiron da R Soares, Amanda Godoi, Pedro C A Reis, Ana Gabriela Ponte Farias, Gabriela R Brandao, Bernardo Fontel Pompeu, Mariana Pereira, Victor Kenzo Ivano, Sergio Mazzola Poli de Figueiredo","doi":"10.1007/s11695-025-07821-9","DOIUrl":"https://doi.org/10.1007/s11695-025-07821-9","url":null,"abstract":"<p><strong>Introduction: </strong>Obesity is a global public health issue, and metabolic and bariatric surgery (MBS) remains most effective intervention for achieving and maintaining long-term weight loss. However, rapid weight loss following MBS increases the risk of gallstone formation. Concomitant cholecystectomy (CC) during MBS has been proposed to mitigate this risk, but recent studies present conflicting evidence regarding its safety and efficacy, leaving no clear consensus.</p><p><strong>Methods: </strong>We conducted a meta-analysis by systematically searching MEDLINE, Cochrane Central, Embase, and ClinicalTrials.gov for studies comparing CC plus BS versus BS alone. Odds ratios (ORs) and mean differences (MDs) with 95% confidence intervals (CIs) were pooled using a random-effects model. Statistical analyses were performed with Review Manager v5.4 and RStudio v4.3.3.</p><p><strong>Prospero id: </strong>CRD42023480360.</p><p><strong>Results: </strong>We included 26 studies encompassing 656,830 patients with confirmed gallstones, among whom 34,409 (5.2%) underwent CC.The mean age was 41.5 years, and 79.2% were female. Patients undergoing CC + MBS had increased postoperative bleeding (OR 1.31; 95% CI 1.06-1.62; p = 0.01), wound complications (OR 1.61; 95% CI 1.34-1.95; p < 0.01), respiratory complications (OR 1.49; 95% CI 1.13-1.95; p < 0.01), and anastomotic complications (OR 1.86; 95% CI 1.28-2.70; p < 0.01). No significant differences in operation time, rates of postoperative mortality, length of hospital stay, and vein thrombosis were found between groups.</p><p><strong>Conclusion: </strong>CC during MBS increases operative time and postoperative complications, though only anastomotic complications are clinically significant. Therefore, CC should be reserved for high-risk or symptomatic patients and avoided in bariatric procedures involving an anastomosis due to the elevated risk of complications.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Risk Factors of In-Hospital Gastrointestinal-Related Complications Following Bariatric Surgery: A Retrospective Nationwide Inpatient Sample Database Study.","authors":"Lingli Liang, Luansheng Liang, Yangguang Huang, Haimao Liang, Jianghua Su, Yanling Zhou","doi":"10.1007/s11695-025-07840-6","DOIUrl":"https://doi.org/10.1007/s11695-025-07840-6","url":null,"abstract":"<p><strong>Background: </strong>Obesity is associated with numerous serious physiological and psychological health problems. Bariatric surgery (BS) remains the most effective treatment for obesity, but early postoperative gastrointestinal complications may require additional surgical intervention. The objective of this study was to analyze gastrointestinal-related complications (GRCs) and their risk factors following BS, including sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB), using a nationwide database.</p><p><strong>Methods: </strong>An analysis of the Nationwide Inpatient Sample data from 2010 to 2019 was conducted to compare patients following BS with versus without postoperative GRCs. Variables included demographics, hospital characteristics, length of stay, costs, comorbidities, and complications. Risk factors were identified through stepwise multivariate logistic regression.</p><p><strong>Results: </strong>Among 323,066 BS patients, 12,248 (3.79%) developed GRCs, with a decreasing trend observed over the study period. Common complications included gastrointestinal bleeding (1.37%), bowel obstruction (1.84%), and anastomotic issues (0.99%). Significant risk factors included advanced age, anemia (deficiency and chronic blood loss), cardiovascular conditions (heart failure, valve disease, peripheral vascular disorders), coagulation abnormalities, rheumatoid arthritis or collagen vascular diseases, drug abuse, electrolyte imbalances, neurological conditions, renal failure, non-bleeding peptic ulcer disease, and weight loss. Interestingly, liver disease emerged as a risk factor for GRCs after SG while acting as a protective factor for GRCs after RYGB.</p><p><strong>Conclusion: </strong>Understanding the risk factors for GRCs after BS would allow for improved patient management and clinical outcomes.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}