Obesity SurgeryPub Date : 2024-11-29DOI: 10.1007/s11695-024-07600-y
Raymond Lau, Matthew Stevenson, Munichandra Babu Tirumalasetty, Jenny Lee, Christopher Hall, Qing Miao, Collin Brathwaite, Louis Ragolia
{"title":"Correction: A Longer Biliopancreatic Limb and Shorter Common Channel Enhance Weight Loss But May Have Harmful Effects in Mouse Models of Roux-en-Y Gastric Bypass.","authors":"Raymond Lau, Matthew Stevenson, Munichandra Babu Tirumalasetty, Jenny Lee, Christopher Hall, Qing Miao, Collin Brathwaite, Louis Ragolia","doi":"10.1007/s11695-024-07600-y","DOIUrl":"10.1007/s11695-024-07600-y","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751439","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}
Obesity SurgeryPub Date : 2024-11-28DOI: 10.1007/s11695-024-07599-2
Nathalia Ramori Farinha Wagner, Ricardo Fernandes, Michelle Teixeira Frota Reichmann, Maria Clara Peixoto Lopes, Larissa Locatelli Swain Welc, Antonio Carlos Ligocki Campos
{"title":"Use of Probiotics and Synbiotics in the Treatment of Small Intestinal Bacterial Overgrowth (SIBO) and Other Gastrointestinal Symptoms After Metabolic Bariatric Surgery: a Systematic Review and Meta-Analysis.","authors":"Nathalia Ramori Farinha Wagner, Ricardo Fernandes, Michelle Teixeira Frota Reichmann, Maria Clara Peixoto Lopes, Larissa Locatelli Swain Welc, Antonio Carlos Ligocki Campos","doi":"10.1007/s11695-024-07599-2","DOIUrl":"https://doi.org/10.1007/s11695-024-07599-2","url":null,"abstract":"<p><p>Metabolic bariatric surgery is considered the most effective treatment for severe obesity, however it may be associated with the development of Small Intestinal Bacterial Overgrowth (SIBO) and other gastrointestinal symptoms (GIS). This study conducted a systematic review and meta-analysis to evaluate the effects of probiotics or synbiotics on GIS and SIBO in post- metabolic bariatric surgery patients. Five studies that investigated the effect of probiotics or synbiotics in the treatment of post-surgery GIS were included in the review, with three focusing on SIBO. For the meta-analysis, three studies assessed GIS, and two examined SIBO. The results showed that probiotics did not offer significant benefits in treating GIS or SIBO in these patients.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739489","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}
Obesity SurgeryPub Date : 2024-11-28DOI: 10.1007/s11695-024-07591-w
David Benaiges, Juan Pedro-Botet, Anna Casajoana
{"title":"Time to Put LDL Cholesterol on the Roadmap in Bariatric Surgery Guidelines.","authors":"David Benaiges, Juan Pedro-Botet, Anna Casajoana","doi":"10.1007/s11695-024-07591-w","DOIUrl":"https://doi.org/10.1007/s11695-024-07591-w","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739548","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}
Obesity SurgeryPub Date : 2024-11-27DOI: 10.1007/s11695-024-07597-4
David B Sarwer, Krista Schroeder, Sarah R Fischbach, Sophia M Atwood, Leslie J Heinberg
{"title":"Applying the Principles of Trauma-Informed Care to the Evaluation and Management of Patients Who Undergo Metabolic and Bariatric Surgery.","authors":"David B Sarwer, Krista Schroeder, Sarah R Fischbach, Sophia M Atwood, Leslie J Heinberg","doi":"10.1007/s11695-024-07597-4","DOIUrl":"https://doi.org/10.1007/s11695-024-07597-4","url":null,"abstract":"<p><p>Evaluation of relevant psychosocial variables is an important aspect of comprehensive, high-quality metabolic and bariatric surgery (MBS) care. Given the high rates of adverse childhood experience (ACEs) and other forms of trauma experienced later in life reported by individuals with class III obesity, it is time to apply the principles of trauma-informed care to the multidisciplinary care of MBS patients. This narrative review begins with a summary of the literature on the psychosocial functioning of individuals who present for MBS. Emphasis is placed upon the relationship between ACEs, class III obesity, and MBS. Trauma-informed care is defined, and its principles are applied to the MBS care continuum. The paper ends with a recommendation on how the field of MBS can integrate trauma-informed care into clinical practice and future research.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731188","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}
Obesity SurgeryPub Date : 2024-11-27DOI: 10.1007/s11695-024-07560-3
Mohammad Javad Farzadmanesh, Masoumeh Shahsavan, Shahab Shahabi Shahmiri, Mahsa Ghorbani, Mohammad Fathi, Nariman Mehrnia, Abdolreza Pazouki, Mohammad Kermansaravi
{"title":"The Impact of Cholecystectomy on Bile Reflux After One Anastomosis Gastric Bypass.","authors":"Mohammad Javad Farzadmanesh, Masoumeh Shahsavan, Shahab Shahabi Shahmiri, Mahsa Ghorbani, Mohammad Fathi, Nariman Mehrnia, Abdolreza Pazouki, Mohammad Kermansaravi","doi":"10.1007/s11695-024-07560-3","DOIUrl":"https://doi.org/10.1007/s11695-024-07560-3","url":null,"abstract":"<p><strong>Background: </strong>Bile reflux (BR) is an issue after one anastomosis gastric bypass (OAGB). Cholecystectomy can increase BR in patients without a history of metabolic and bariatric surgery. We aimed to evaluate the effect of cholecystectomy on BR after OAGB.</p><p><strong>Methods: </strong>This prospective observational study was conducted between March 2017 and December 2022 including 34 matched adult individuals with a body mass index ≥ 40 kg/m<sup>2</sup> or ≥ 35 in the presence of comorbidities and gallstone disease in preop evaluations who underwent primary OAGB including 17 patients who had undergone cholecystectomy simultaneously or after OAGB (OAGB + LC) and 17 patients without cholecystectomy (OAGB). All patients underwent evaluations for gastroesophageal reflux disease (GERD) and bile reflux (BR) using various methods including esophagogastroduodenoscopy (EGD), the GERD-Q questionnaire, and a hepatobiliary iminodiacetic acid (HIDA) scan.</p><p><strong>Results: </strong>Thirty-four patients were included in this study. BR into the esophagus was not detected in both groups. BR to the gastric pouch was observed in 4 patients (23.5%) of the OAGB group and 6 patients (35.3%) of the OAGB + LC group (P = 0.452). BR to gastric remnant was observed in 6 patients (one and five patients in OAGB and OAGB + LC groups respectively) (P = 0.072). There was no statistically significant difference between the two groups, although it was clinically significant.</p><p><strong>Conclusion: </strong>Cholecystectomy after OAGB is not associated with a change in the rate of BR in the gastric pouch but increases the incidence of BR into gastric remnant that may be harmful in the long term.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731193","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}
Obesity SurgeryPub Date : 2024-11-21DOI: 10.1007/s11695-024-07594-7
Liqi Li, Mengzhe Wang
{"title":"Bariatric Surgery for Diabetic Obesity: Insights and Challenges.","authors":"Liqi Li, Mengzhe Wang","doi":"10.1007/s11695-024-07594-7","DOIUrl":"https://doi.org/10.1007/s11695-024-07594-7","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687857","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}
Obesity SurgeryPub Date : 2024-11-21DOI: 10.1007/s11695-024-07491-z
Qing Xia, Julie A Campbell, Alex Kitsos, Petr Otahal, Michelle Kilpatrick, Alison Venn, David Preen, Barbara de Graaff, Lei Si, Amanda L Neil, Alexandr Kuzminov, Andrew J Palmer
{"title":"Economic Impact of Bariatric Surgery in Australia: 16-Year Results from the 45 and Up Study with Linked Health Data.","authors":"Qing Xia, Julie A Campbell, Alex Kitsos, Petr Otahal, Michelle Kilpatrick, Alison Venn, David Preen, Barbara de Graaff, Lei Si, Amanda L Neil, Alexandr Kuzminov, Andrew J Palmer","doi":"10.1007/s11695-024-07491-z","DOIUrl":"https://doi.org/10.1007/s11695-024-07491-z","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is the most effective long-term therapy for severe obesity; however, empirical investigation of its economic impacts has been based on limited samples, short-term costs, and a narrow range of cost categories. This study aimed to evaluate the economic impacts of bariatric surgery in a large cohort of Australians aged ≥ 45 years.</p><p><strong>Methods: </strong>N = 1157 operated (surgery) and 1157 non-operated participants were selected from the 45 and Up Study. Data sources included the baseline and follow-up surveys along with linked state and national administrative health datasets. Linear mixed-effects regression predicted the cost trajectory 8 years pre- and post-bariatric surgery, and the difference-in-differences approach evaluated its economic impact. Sensitivity analyses included an approximation of indirect costs and subgroup analysis by surgery type.</p><p><strong>Results: </strong>The matched cohort composed 77% female, had an average age of 58.1 ± 5.8 years. Direct healthcare costs increased over time in both groups. Costs for the operated group peaked ($15,884) during the surgery year and became up to 23.8% lower than those for the non-operated group from the second year post-surgery when including indirect costs. Surgery's economic benefits increased over longer horizons, with a maximum annual cost-saving of $3196 per person in the eighth post-surgery year. However, even after accounting for indirect costs, cumulative cost-savings were not achieved. Subgroup analysis revealed sleeve gastrectomy as the least costly surgical option.</p><p><strong>Conclusion: </strong>Higher short-term costs in the surgery year primarily drove inter-group cost differences. The economic value of bariatric surgery lies in the long-term benefits, particularly when considering indirect costs.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681899","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}
Obesity SurgeryPub Date : 2024-11-20DOI: 10.1007/s11695-024-07595-6
Yuan Shen, Jichun Ma
{"title":"The Effect of Bariatric Metabolic Surgery on the Incidence of Hypoglycemia for Obesity Patients.","authors":"Yuan Shen, Jichun Ma","doi":"10.1007/s11695-024-07595-6","DOIUrl":"https://doi.org/10.1007/s11695-024-07595-6","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676401","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}
Obesity SurgeryPub Date : 2024-11-19DOI: 10.1007/s11695-024-07584-9
Yusuf Ahmed, Karim Ataya, Isa Almubarak, Manar Ali, Abdulla Almubarak, Walaa Yusuf, Stefan Simeonovski, Mostafa Mohammed Saad Mahran, Almoutuz Aljaafreh, Hussein El Bourji, Wah Yang
{"title":"Laparoscopic Single Anastomosis Duodeno-Ileal Bypass Versus One Anastomosis Gastric Bypass as Revisional Procedures after Sleeve Gastrectomy: Meta-analysis and Systematic Review.","authors":"Yusuf Ahmed, Karim Ataya, Isa Almubarak, Manar Ali, Abdulla Almubarak, Walaa Yusuf, Stefan Simeonovski, Mostafa Mohammed Saad Mahran, Almoutuz Aljaafreh, Hussein El Bourji, Wah Yang","doi":"10.1007/s11695-024-07584-9","DOIUrl":"10.1007/s11695-024-07584-9","url":null,"abstract":"<p><strong>Background: </strong>It has been observed that 5-8% of primary bariatric procedures result in inadequate treatment response, necessitating the need for revisional surgery. In this systematic review and meta-analysis, we aim to compare the effectiveness of single anastomosis duodeno-ileal bypass (SADI) and one anastomosis gastric bypass (OAGB) in addressing weight recurrence following sleeve gastrectomy.</p><p><strong>Methods: </strong>We systematically searched PubMed, Scopus, Web of Science, and Cochrane Central Register of Controlled Trials databases. Studies were considered eligible if they compared SADI with OAGB as revisional surgeries following sleeve gastrectomy.</p><p><strong>Results: </strong>Our search strategy yielded four articles with a total of 309 patients. Regarding weight loss at 1 year of follow-up, SADI was favorable based on excess weight loss percentage (EWL%) and total weight loss percentage (TWL%). At 2 years of follow-up, EWL% did not show a statistically significant difference between the two operations although TWL% was higher in SADI group. Regarding postoperative bile reflux, the OAGB group had a significantly higher incidence of biliary reflux (OR 0.15; 95% CI 0.04 to 0.53; P = 0.003). Patients enrolled in SADI did not develop anastomotic ulcers according to the four studies included in the analysis. In contrast, seven patients in the OAGB group did develop anastomotic ulcers, but the difference was not statistically significant (OR 0.23; 95% CI 0.05 to 1.10; P = 0.07).</p><p><strong>Conclusion: </strong>ADI is a feasible procedure with a favorable outcome compared to OAGB as a revisional surgery following sleeve gastrectomy regarding weight loss at 1 year with a lower incidence of postoperative biliary reflux.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668332","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}