Obesity Surgery最新文献

{"title":"Staying on Track: Factors Influencing 10-Year Follow-Up Adherence After Sleeve Gastrectomy.","authors":"Natalia Dowgiałło-Gornowicz, Mateusz Wityk, Paweł Lech","doi":"10.1007/s11695-025-07954-x","DOIUrl":"https://doi.org/10.1007/s11695-025-07954-x","url":null,"abstract":"<p><strong>Background: </strong>Sleeve gastrectomy (SG) is currently the most frequently performed bariatric procedure worldwide. While its popularity continues to grow due to favorable surgical outcomes and acceptable complication rates, maintaining long-term postoperative follow-up remains a major challenge. This study aimed to identify factors influencing adherence to 10-year follow-up in patients who underwent SG and to evaluate their long-term clinical outcomes.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 150 patients who underwent SG between 2013 and 2014 at a single center in Poland. Data included demographics, obesity-related diseases, surgical details, and follow-up adherence. Logistic regression was used to identify predictors of long-term follow-up. Outcomes such as weight loss, obesity-related diseases remission, and surgical complications were assessed in accordance with ASMBS guidelines.</p><p><strong>Results: </strong>Of 150 patients, 101 (67.3%) completed the 10-year follow-up. Age was the only independent predictor of long-term follow-up adherence (OR = 1.03, CI = 1.00-1.07, p = 0.048). Neither distance from the hospital nor size of the city of residence significantly impacted follow-up rates. Among the patients with follow-up, the median total weight loss (%TWL) was 21.5%, and remission of type 2 diabetes and hypertension occurred in 55.6% and 36.8% of patients, respectively. Additional surgery was performed in 16 patients, mainly due to recurrent weight gain and gastroesophageal reflux disease. Complication rate was 4.0%, with no mortality reported.</p><p><strong>Conclusions: </strong>Older patients had slightly higher follow-up adherence after SG. Despite multiple measures to maintain contact, a substantial proportion of patients were lost to follow-up.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187397","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 Surgery on Long Term Outcomes of Patients Undergoing Joint Arthroplasty: A Meta-Analysis.","authors":"Yuan Feng, Hongqing Ju, Lili Chen, Yan Zhou","doi":"10.1007/s11695-025-07953-y","DOIUrl":"https://doi.org/10.1007/s11695-025-07953-y","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is increasingly performed in obese patients, and its potential impact on subsequent joint arthroplasty outcomes remains unclear. Understanding this relationship is essential, as obesity significantly influences joint health and surgical success. This meta-analysis aims to assess the influence of bariatric surgery on various long-term outcomes following joint arthroplasty, specifically examining whether bariatric surgery affects the risk of complications post-surgery.</p><p><strong>Methods: </strong>A systematic search was conducted across Scopus, EMBASE, PubMed, Chinese National Knowledge Infrastructure, WangFeng databases, Cochrane Library, and Google Scholar. Nineteen studies were included, and data were pooled using a random-effects inverse-variance model with a DerSimonian-Laird estimate of tau². Subgroup analyses were performed for total knee arthroplasty, total hip arthroplasty, and either procedure.</p><p><strong>Results: </strong>Prior bariatric surgery showed no significant effect on the overall risk of periprosthetic infections (OR 1.018, 95% CI: 0.694 to 1.493), fractures (OR 1.052, 95% CI: 0.880 to 1.259), or revision rates (OR 1.169, 95% CI: 0.903 to 1.514). However, an increased risk of dislocation was observed in the total hip arthroplasty subgroup (OR 1.918, 95% CI: 1.036 to 3.552). High heterogeneity was noted across several outcomes.</p><p><strong>Conclusions: </strong>Bariatric surgery does not significantly impact most long-term joint arthroplasty outcomes, although it may increase the risk of dislocation in total hip arthroplasty patients. These findings underscore the importance of considering a patient's surgical history in preoperative evaluations for joint arthroplasty, particularly in the context of obesity management and its implications for surgical outcomes.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187395","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":"Short-Term Safety and Complication Profile of Outpatient SADI-S: A Comprehensive Multicenter Analysis.","authors":"Tatum Cottam, Amit Surve, Daniel Cottam, Riley Ward, Walter Medlin, Bo Neichoy, Bleu Schniederjan, Sunil Sharma, Brian Mooers, Calista Kee, David Daynes","doi":"10.1007/s11695-025-07944-z","DOIUrl":"https://doi.org/10.1007/s11695-025-07944-z","url":null,"abstract":"<p><strong>Background: </strong>Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), is an effective weight-loss surgery for clinically severe obesity and has established safety profiles in inpatient hospital settings. However, its safety in outpatient settings with same-day discharge remains unexplored.</p><p><strong>Objective: </strong>The study aimed to evaluate the short-term safety and complication profile of primary SADI-S procedures performed in outpatient settings across multiple centers.</p><p><strong>Methods: </strong>A retrospective analysis was performed using data from a prospectively maintained database, encompassing 327 instances of outpatient primary SADI-S procedures conducted between May 2020 and January 2023. Six surgeons performed these procedures at three distinct U.S. surgical centers. No standardized surgical techniques or enhanced recovery after surgery protocols were uniformly applied across these centers.</p><p><strong>Results: </strong>A total of 327 patients were included in the final analysis. The mean preoperative BMI was 45.2 ± 7.2 kg/m². Preoperative obstructive sleep apnea (26.2%), hypertension (25.3%), gastroesophageal reflux disease (22%), hyperlipidemia (18.9%), and type 2 diabetes (16.2%) were observed in the patient cohort. Intraoperative complications occurred in .3% of cases, with no instances of open conversion. The mean skin-to-skin operative time was 65.2 ± 24.6 min, and the average length of stay was 5 h and 7 min ± 2 h. The 30-day rates of complication, reintervention, ER visits, readmissions, and reoperations were 3.6%, 1.8%, 1.5%, .9%, and .9%, respectively.</p><p><strong>Conclusion: </strong>In carefully selected patients, outpatient SADI-S was associated with favorable short-term safety outcomes, including low rates of complications, reinterventions, and readmissions, suggesting feasibility in specialized centers pending further prospective validation.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187396","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":"Endoscopic Band Ligation for Weight Loss: Exploring the Gastric Antrum as a Promising Target.","authors":"Mohamed A Abeid","doi":"10.1007/s11695-025-07937-y","DOIUrl":"https://doi.org/10.1007/s11695-025-07937-y","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183689","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":"Endoscopic Sleeve Gastroplasty: A Retrospective Cohort Study of 90 Patients in Colombia.","authors":"Camilo Ortiz Silva, Maria Pamela Delgado Mosquera, Julio Ricardo Zuluaga Peña, Valeria Atenea Costa Barney","doi":"10.1007/s11695-025-07945-y","DOIUrl":"https://doi.org/10.1007/s11695-025-07945-y","url":null,"abstract":"<p><strong>Introduction: </strong>Endoscopic sleeve gastroplasty (ESG) is a minimally invasive weight loss procedure that reduces stomach volume and length using an endoscope suturing device, creating a sleeve-like shape to limit food intake and promote weight loss. ESG has been proven to be more effective in promoting weight loss than dietary and lifestyle changes, with a low incidence of complications. In Colombia, data regarding the effectiveness and safety of this procedure are lacking.</p><p><strong>Methods: </strong>This descriptive, retrospective cohort study included patients who underwent ESG between January 2022 and July 2023. Demographic and clinical characteristics were descriptively analyzed. Changes in weight, Body Mass Index (BMI), and percentage of Total Body Weight Loss (%TBWL) at 1, 3, and 6 months were assessed.</p><p><strong>Results: </strong>Ninety patients were included in this study. The median baseline weight was 85.5 kg, and the median BMI was 33 kg/m². Weight reduction was observed after 3 and 6 months, with weights of 73 kg and 69.5 kg, respectively (p < 0.001). %TBWL increased to 8.3%, 15.5%, and 20.0% at 1, 3, and 6 months (p < 0.001). BMI decreased to 27.4 kg/m² at the third month and 25.9 kg/m² in the sixth month, respectively (p < 0.001). Complications were mostly minor, occurring within the first month of follow-up, and included abdominal pain (21.1%), nausea (28.9%), vomiting (14.4%) and gastroesophageal reflux disease (GERD) symptoms including heartburn and regurgitation (10%). Gastrointestinal bleeding (3.3%) was less common.</p><p><strong>Conclusions: </strong>ESG is a safe and effective adjuvant treatment for obesity. This study showed significant BMI and %TBWL reduction at the 3- and 6-months post-procedure follow-ups, with a low incidence of minor complications.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182322","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 Sleeve Gastrectomy on Ectopic Fat Deposition and Skeletal Muscle Composition Across Glucose Metabolic States.","authors":"Xiang Gao, Junhong Duan, Beibei Cui, Pengzhou Li, Zhihong Su, Weizheng Li, Zhi Song, Shaihong Zhu, Pengfei Rong, Liyong Zhu","doi":"10.1007/s11695-025-07940-3","DOIUrl":"https://doi.org/10.1007/s11695-025-07940-3","url":null,"abstract":"<p><strong>Background: </strong>Differences in abdominal fat and muscle composition among patients with obesity across glycemic statuses-and the modulatory role of metabolic bariatric surgery (MBS) on these interrelationships-remain unclear. This study thus aims to elucidate the interplay between body composition and glycemic status, and to assess how MBS differentially impacts metabolic parameters and body composition outcomes in these patient groups.</p><p><strong>Methods: </strong>In this single-center prospective study, 49 patients with obesity (31 with impaired glucose metabolism [IGM], 18 with normal glucose tolerance [NGT]) underwent Dixon MRI for fat/water separation to assess pancreatic, hepatic, and muscle fat. Measurements were taken preoperatively and 3 months post-laparoscopic sleeve gastrectomy.</p><p><strong>Results: </strong>The study included 18 patients with NGT (2 male/16 female; mean age 26.22 ± 7.17 years) and 31 with IGM (16 male/15 female; mean age 33.52 ± 10.65years). Both groups showed significant postoperative reductions in all measured parameters (P < 0.0001). The IGM group demonstrated greater decreases in visceral fat (88.33 ± 38.33 vs. 54.68 ± 25.91 cm², P = 0.001), hepatic fat (13.27 ± 7.00% vs. 8.93 ± 6.69%, P = 0.039), pancreatic fat (13.27 ± 7.00% vs. 8.93 ± 6.69%, P = 0.021), and psoas area (6.13 ± 4.82 vs. 2.18 ± 6.00 cm², P = 0.015) compared to the NGT group. Liver fat correlated positively with HOMA-IR, fasting glucose, and HbA1c (P < 0.05).</p><p><strong>Conclusions: </strong>Patients with obesity and IGM have higher visceral fat, pancreatic fat, and erector spinae mass than their NGT counterparts. Following bariatric surgery, they experience greater reductions in liver fat, pancreatic fat, and muscle areas. These findings suggest differential metabolic effects based on preoperative glucose status. However, further large-scale studies are needed to confirm.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174278","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":"New Horizons in GIQoL Assessment: Commendation and Considerations for a Culturally Adaptable Tool Post-MBS.","authors":"Yi Ding, Shuying Wang","doi":"10.1007/s11695-025-07948-9","DOIUrl":"https://doi.org/10.1007/s11695-025-07948-9","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160599","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":"Bariatric Surgery and Lung Transplant Outcomes: Case Series and Insights from a Propensity-Matched Analysis at a High-Volume Transplant Center.","authors":"Andrés Latorre-Rodriguez, Mark Shacker, Hesham Mohamed, Ross M Bremner, Sumeet K Mittal","doi":"10.1007/s11695-025-07932-3","DOIUrl":"https://doi.org/10.1007/s11695-025-07932-3","url":null,"abstract":"<p><strong>Background: </strong>An increasing number of patients with a history of bariatric surgery and advanced respiratory disease are presenting for lung transplantation (LTx). We aimed to describe and compare LTx outcomes between recipients with prior bariatric surgery and a matched control group at a high-volume lung transplant center.</p><p><strong>Methods: </strong>After IRB approval, we identified bilateral LTx recipients with a pre-LTx history of bariatric surgery (Roux-en-Y gastric bypass [RYGB], sleeve gastrectomy [SG], or laparoscopic adjustable gastric band [LAGB]). The institutional experience is reported as a case series. Furthermore, perioperative and mid-term transplant outcomes such primary graft dysfunction (PGD), antibody-mediated rejection (AMR), acute cellular rejection (ACR), chronic lung allograft dysfunction (CLAD)-free survival, and overall survival (OS) were compared to a 1-to-2 propensity score-matched control group.</p><p><strong>Results: </strong>Nine patients (median age: 65 years; 77.8% female) with a history of bariatric surgery (RYGB = 4, SG = 4, LAGB = 1) a median of 76 months before LTx were included. The median hospital length of stay (LOS) and ICU-LOS were similar to the control group (n = 18). Moreover, 1-, 2-, and 3-year OS in bariatric and control groups were similar (88.9%, 88.9%, and 66.7% vs. 100%, 86.7%, and 78%, respectively; p = 0.27). CLAD-free survival and rates of PGD, AMR, and ACR were also similar.</p><p><strong>Conclusions: </strong>Prior bariatric surgery may not affect overall or CLAD-free survival after bilateral LTx. Bariatric surgery for obesity treatment in patients with advanced lung diseases may improve their LTx candidacy without compromising early and mid-term transplant outcomes.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174274","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":"Assessing the Evidence for Preoperative Multivitamin Use: Insights into Efficacy, Safety, and Study Design.","authors":"Yi Ding, Shuying Wang","doi":"10.1007/s11695-025-07949-8","DOIUrl":"https://doi.org/10.1007/s11695-025-07949-8","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160589","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":"Laparoscopic Single Anastomosis Sleeve Ileal Bypass Versus Laparoscopic Roux-en-Y Gastric Bypass as Single Stage Procedure for Management of Patients with Class V Obesity (BMI ≥ 60 kg/m²): Short-Term Follow-Up.","authors":"Mohamed Wael, Mohamed Mosaad Kandel, Hashem Altabbaa, Mostafa Refaie Elkeleny","doi":"10.1007/s11695-025-07930-5","DOIUrl":"https://doi.org/10.1007/s11695-025-07930-5","url":null,"abstract":"<p><strong>Background: </strong>Individuals with clinically severe obesity and a BMI ≥ 60 kg/m² (class V obesity) have a higher incidence of both obesity-related comorbidities and anticipated operative difficulty, with a subsequent higher risk of perioperative morbidity and mortality and a longer hospital stay. In patients with class V obesity, the definitive bariatric procedure is still a matter of debate. This study compared surgical procedures (SASI vs. RYGB) in people with class V obesity. The primary objective was to compare weight loss after both procedures over a 1-year follow-up. Secondary outcomes included the evaluation of the incidence of the operative time (skin-to-skin), postoperative complications, duration of hospital stay, rate of conversion to the open technique, and quality of life, as well as amelioration of obesity-related comorbidities.</p><p><strong>Methods: </strong>From January 2019 to December 2022, the data of 73 consecutive patients with class V obesity was collected, who underwent either standard RYGB (n = 40) or SASI (n = 33) at the General Surgery Department of Alexandria University Hospital and some non-governmental hospitals.</p><p><strong>Results: </strong>There was no statistically significant difference between both groups as regards mean age (p = 0.012), sex (p = 0.250), preoperative BMI (p = 0.754), or preoperative incidence of obesity-related co-morbidities. The SASI procedure showed a statistically shorter operative time (p < 0.001). There was no significant difference between the two groups as regards the incidence of postoperative surgical complications, either early cmplications (21.1% and 20% in both SASI and RYGB, respectively, p = 0.770) or late (beyond 30 days) complications (15.2% and 15% in SASI and RYGB, respectively, p = 1.000), with neither conversion nor intra-operative mortality in both groups. However, the SASI group showed a significant shorter postoperative hospital stay (p < 0.001). During the follow-up period, both operations demonstrated a significant overall resolution of pre-operative obesity-related comorbidities, a significant increase in postprandial 6 weeks postoperative GLP-1 with statistically more rise in the SASI group in the postprandial GLP-1 compared to the RYGB group (p < 0.001). There was no mortalities in both group during the follow up duration.</p><p><strong>Conclusion: </strong>In patients with class V obesity, the SASI procedure had a statistically shorter operative time (skin-to-skin) and a shorter hospital stay compared to RYGB. Both procedures resulted in satisfactory weight loss, as well as comparable improvements in obesity-related comorbidities.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160570","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}