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Comparison of Posterior Quadratus Lumborum Block vs Surgical Wound Infiltration in Patients Undergoing Bariatric Sleeve Gastrectomy Surgery. 减肥套筒胃切除术后腰方肌阻滞与手术伤口浸润的比较。
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-22 DOI: 10.1007/s11695-025-07934-1
Ali Shariat, Rishi Kadakia, Hung-Mo Lin, Natalia Egorova, Shirley Jin, Malikah Latmore, Jonathan Epstein, Poonam Pai B H, Koji Park, Subhash Kini, Himani V Bhatt
{"title":"Comparison of Posterior Quadratus Lumborum Block vs Surgical Wound Infiltration in Patients Undergoing Bariatric Sleeve Gastrectomy Surgery.","authors":"Ali Shariat, Rishi Kadakia, Hung-Mo Lin, Natalia Egorova, Shirley Jin, Malikah Latmore, Jonathan Epstein, Poonam Pai B H, Koji Park, Subhash Kini, Himani V Bhatt","doi":"10.1007/s11695-025-07934-1","DOIUrl":"https://doi.org/10.1007/s11695-025-07934-1","url":null,"abstract":"<p><strong>Background: </strong>We are studying whether the performance of the posterior quadratus lumborum block (pQLB) will decrease postoperative opioid consumption in patients undergoing laparoscopic sleeve gastrectomy (LSG) compared with surgical wound infiltration with local anesthetic.</p><p><strong>Methods: </strong>This is a single-center, prospective, randomized pilot study. Forty ASA 3 patients with severe obesity undergoing LSG were randomized to receive either the pQLB or surgical wound infiltration of local anesthetics. Major endpoints included postoperative analgesic medications in the pQLB group versus the surgical wound infiltration group, visual analog pain scores (VAS 0-10), postoperative time to first opioid, and incidence of nausea and vomiting.</p><p><strong>Results: </strong>Opioid consumption in morphine equivalents on postoperative days 1 (p = 0.86) and 2 (p = 0.57) was not significantly different between the two groups. However, patients in the pQLB group had significantly lower VAS pain scores on postoperative day 1 (p = 0.003) and postoperative day 2 (p = 0.04) than those who received surgical wound infiltration.</p><p><strong>Conclusions: </strong>This prospective, randomized pilot study shows that the performance of pQLB did not reduce postoperative opioid consumption in patients undergoing LSG. However, patients who received the pQLB had significantly lower postoperative VAS pain scores. Therefore, the performance of pQLB is both feasible and may provide analgesic benefits in patients undergoing LSG.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128253","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}
引用次数: 0
The Effects of Acupressure Applied After Bariatric Surgery on Gastrointestinal Functions, Pain, and Anxiety. 减肥手术后穴位按压对胃肠功能、疼痛和焦虑的影响。
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-22 DOI: 10.1007/s11695-025-07768-x
Duygu Balaban, Ayşegül Yayla
{"title":"The Effects of Acupressure Applied After Bariatric Surgery on Gastrointestinal Functions, Pain, and Anxiety.","authors":"Duygu Balaban, Ayşegül Yayla","doi":"10.1007/s11695-025-07768-x","DOIUrl":"https://doi.org/10.1007/s11695-025-07768-x","url":null,"abstract":"<p><strong>Background: </strong>This study was conducted to determine the effects of acupressure applied to patients after bariatric surgery on gastrointestinal functions, pain, and anxiety.</p><p><strong>Methods: </strong>The study was conducted as a randomized controlled experimental trial with a placebo group. The research data were collected at the General Surgery Clinic of Private Aktif Kocaeli Hospital between January 2023 and March 2024 from 90 patients (30 in the control group, 30 in the intervention group, and 30 in the placebo group) who underwent bariatric surgery. The \"Patient Descriptive Form,\" \"Postoperative Gastrointestinal Functions Assessment Form,\" \"Visual Analog Scale,\" \"Verbal Pain Scale,'' and \"State-Trait Anxiety Inventory\" were used in data collection. The data were analyzed using the SPSS 22 package program, and the results were interpreted at a p < 0.05 significance level.</p><p><strong>Results: </strong>Of the patients in the intervention group, 63.3% flatulated at the 12th postoperative hour, 43.3% passed stool, and there was a significant difference between the groups (p < 0.05); they consumed more food daily (p < 0.05), their pain (3.43 ± 0.97) and distension (3.20 ± 1.06) scores were lower, and more patients (46.7%) experienced mild pain (p < 0.05). Although there was no statistically significant difference between the mean nausea scores of the groups at the 6th, 12th, 24th, and 48th postoperative hours, the mean nausea scores of the patients in the intervention group at the 12th postoperative hour (0.33 ± 5.07) were lower than those of the control (1.33 ± 1.83) and placebo groups (1.33 ± 4.34) (p > 0.05). All three groups had similar mean state-trait anxiety scores (p > 0.05).</p><p><strong>Conclusion: </strong>The study found that acupressure applied after bariatric surgery ensured that patients flatulated and passed stool in the early period, increased food consumption, and reduced abdominal distension and pain. In line with these results, it can be recommended that acupressure be applied in clinics after surgery.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120447","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}
引用次数: 0
Effects of Modified Thoracoabdominal Nerves Block Through Pericondrial Approach on Postoperative Pulmonary Functions in Laparoscopic Bariatric Surgery: A Randomized Controlled Study. 改良胸腹神经阻滞经会阴周入路对腹腔镜减肥手术术后肺功能的影响:一项随机对照研究。
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-21 DOI: 10.1007/s11695-025-07908-3
Çağdaş Baytar, Zeynep Gürbüz, Bengü Gülhan Köksal İncegül, Merve Sena Baytar, İlhan Taşdöven, Özcan Pişkin
{"title":"Effects of Modified Thoracoabdominal Nerves Block Through Pericondrial Approach on Postoperative Pulmonary Functions in Laparoscopic Bariatric Surgery: A Randomized Controlled Study.","authors":"Çağdaş Baytar, Zeynep Gürbüz, Bengü Gülhan Köksal İncegül, Merve Sena Baytar, İlhan Taşdöven, Özcan Pişkin","doi":"10.1007/s11695-025-07908-3","DOIUrl":"https://doi.org/10.1007/s11695-025-07908-3","url":null,"abstract":"<p><strong>Background: </strong>We aimed to evaluate the effects of modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) block on respiratory dysfunction after laparoscopic sleeve gastrectomy (LSG) in patients with obesity.</p><p><strong>Methods: </strong>In this prospective randomized-controlled study, 60 patients aged 18-65 years and ASA PS II-III were included. Patients were divided into two groups: group M-TAPA (n = 30) and group control (n = 30). The primary outcome was the results of spirometric respiratory function tests. The secondary outcomes were total opioid consumption, postoperative resting, dynamic pain scores, and assessing the functional recovery via quality of recovery (QoR)-15 on postoperative day 1.</p><p><strong>Results: </strong>The FVC, FEV1, PEF, and predicted FEV1 values were significantly different between the groups, whereas the results were similar for FEV1/FVC values in the postoperative first hour. The decreases in FVC, FEV1, PEF, and predicted FEV1 values were higher in the group control. Total tramadol consumption at 0-24 h was significantly higher in the group control than in the group M-TAPA (group M-TAPA = 170 (0-300), group control = 220 (80-300); p = 0.013). Resting and dynamic NRS pain scores at the 1st, 2nd, 6th, and 12th postoperative hours were significantly higher in the control group than in the M-TAPA group.</p><p><strong>Conclusions: </strong>The M-TAPA block in patients with obesity undergoing LSG reduced postoperative respiratory dysfunction and opioid consumption.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111278","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}
引用次数: 0
A New Nomogram for Predicting Early Weight Loss Outcomes in Patients with Obesity Following Laparoscopic Sleeve Gastrectomy. 预测腹腔镜袖式胃切除术后肥胖患者早期体重减轻结果的新Nomogram (Nomogram)。
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-20 DOI: 10.1007/s11695-025-07798-5
Wenzhi Wu, Zhao Li, Chentong Yuan, Mingyu Yang, Yi Song, Zhenying Xu, Zhaopeng Li, Yun Lu, Xiaoming Zhou, Dongsheng Wang, Yu Li
{"title":"A New Nomogram for Predicting Early Weight Loss Outcomes in Patients with Obesity Following Laparoscopic Sleeve Gastrectomy.","authors":"Wenzhi Wu, Zhao Li, Chentong Yuan, Mingyu Yang, Yi Song, Zhenying Xu, Zhaopeng Li, Yun Lu, Xiaoming Zhou, Dongsheng Wang, Yu Li","doi":"10.1007/s11695-025-07798-5","DOIUrl":"https://doi.org/10.1007/s11695-025-07798-5","url":null,"abstract":"<p><strong>Purpose: </strong>Laparoscopic sleeve gastrectomy (LSG) is an effective treatment for obesity, but early weight loss outcomes vary owing to individual nutritional and metabolic differences. We developed a nomogram model to predict early weight loss after LSG, incorporating computed tomography (CT)-based body composition metrics and preoperative inflammatory-nutritional markers.</p><p><strong>Methods: </strong>We retrospectively analyzed 305 patients with obesity who underwent LSG at the Affiliated Hospital of Qingdao University between January 2016 and June 2023. An external validation cohort of 105 patients from a separate institution was also included. Patients were categorized into optimal remission (%total weight loss [%TWL] ≥ 25%) and suboptimal remission (%TWL < 25%) weight loss groups one year postoperatively. Predictive variables were identified using Least Absolute Shrinkage and Selection Operator (LASSO) regression and multivariate logistic regression. A nomogram was constructed based on the significant predictors. Model performance was assessed using the area under the receiver operating characteristic curve (AUC), calibration curves, decision curve analysis (DCA), and clinical impact curve (CIC).</p><p><strong>Results: </strong>Independent predictors of suboptimal remission included BMI > 40 kg/m<sup>2</sup>, elevated total cholesterol, high neutrophil-to-lymphocyte ratio, high cortisol, low skeletal muscle index, and elevated visceral-to-subcutaneous adipose tissue area ratio. The constructed nomogram demonstrated strong predictive performance, with AUCs of 0.864 and 0.842 in the training and external validation cohorts, respectively. Calibration curves indicated excellent agreement between predicted and observed outcomes. DCA and CIC confirmed the model's clinical utility in both cohorts.</p><p><strong>Conclusion: </strong>The developed nomogram effectively predicts early weight loss outcomes after LSG, supporting targeted perioperative management and personalized nutritional interventions.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111177","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}
引用次数: 0
Trends and Practices in Bariatric Surgery in Egypt: Insights on Esophagogastroduodenoscopy (EGD) Utilization and Surgical Volumes. 埃及减肥手术的趋势和实践:关于食管胃十二指肠镜(EGD)使用和手术量的见解。
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-20 DOI: 10.1007/s11695-025-07846-0
Mohamed H Zidan, Ahmed Abokhozima, Mohannad I A Gaber, Ahmed Amgad, Hashem Altabbaa, Hassan El-Masry, Mohammed Alokl, Reda Fawzy Ali, Ahmed Abo Elmagd, Aliaa Selim, Khaled Gawdat
{"title":"Trends and Practices in Bariatric Surgery in Egypt: Insights on Esophagogastroduodenoscopy (EGD) Utilization and Surgical Volumes.","authors":"Mohamed H Zidan, Ahmed Abokhozima, Mohannad I A Gaber, Ahmed Amgad, Hashem Altabbaa, Hassan El-Masry, Mohammed Alokl, Reda Fawzy Ali, Ahmed Abo Elmagd, Aliaa Selim, Khaled Gawdat","doi":"10.1007/s11695-025-07846-0","DOIUrl":"https://doi.org/10.1007/s11695-025-07846-0","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Esophagogastroduodenoscopy (EGD) is crucial in bariatric surgery for detecting gastro-esophageal conditions and incidental pathologies, impacting surgical decisions and outcomes. The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) recommends routine EGD before and after bariatric procedures to identify incidental pathologies. However, global adherence to these guidelines varies, especially in resource-constrained settings where economic limitations often dictate practice patterns. This study adapts a survey by Quake et al. (2022) to the Egyptian context, offering a comprehensive analysis of EGD utilization alongside broader trends in metabolic and bariatric surgery (MBS) practices in Egypt.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A survey adapted from Quake et al. (2022) was tailored to assess trends in metabolic and bariatric surgery (MBS) practices in Egypt. Conducted between April and August 2024 with a response rate of 53.3%, the survey targeted Egyptian bariatric surgeons. It evaluated EGD utilization, surgical expertise, institutional volumes, types of procedures, revisional surgeries, and adherence to the 2020 IFSO position statement. Data was collected through Google Forms and analyzed for trends, challenges, and gaps in practice, focusing on economic constraints and guideline implementation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among the 80 respondents, 88.8% were consultants, with 73.8% performing over 100 surgeries annually. The volume of bariatric procedures increased from 2021 to 2023, with significant growth in sleeve gastrectomy (SG) and single-anastomosis sleeve ileal (SASI) bypasses/bipartition. Revisional surgeries were most commonly Roux-en-Y gastric bypass (RYGB). Despite this growth, EGD utilization remained limited. Pre-operatively, only 12.5% of surgeons performed EGD routinely for all patients, while 67.5% used it selectively based on patient or procedural factors. Post-operative EGD at one year was routinely offered by just 3.8% of surgeons, with 55% not routinely using it at all. Institutional and economic factors influenced these practices; surgeons in high-volume or private settings were more likely to adopt selective EGD use. Awareness of the 2020 IFSO guidelines showed a minimal impact on EGD practices, suggesting that financial considerations often outweigh clinical recommendations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study highlights critical trends in bariatric surgery practices in Egypt, including increasing procedural volumes and the limited utilization of EGD. Economic constraints remain the predominant barrier to routine EGD use, despite its potential to improve surgical outcomes by identifying incidental pathologies. Enhancing patient care requires establishing a national registry, upgrading training programs, and implementing observerships to align with international standards are pivotal in advancing bariatric care in Egypt and guaranteeing high-cal","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209064","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}
引用次数: 0
Safety Outcomes in Same-Day Discharge Anastomotic Metabolic/Bariatric Surgery vs Regular Overnight Discharge Protocol: A Systematic Review and Meta-analysis. 当日出院吻合口代谢/减肥手术与常规隔夜出院方案的安全性:系统回顾和荟萃分析
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-20 DOI: 10.1007/s11695-025-07885-7
Patricia M Ortega, Lucas Sabatella, Ahmed R Ahmed
{"title":"Safety Outcomes in Same-Day Discharge Anastomotic Metabolic/Bariatric Surgery vs Regular Overnight Discharge Protocol: A Systematic Review and Meta-analysis.","authors":"Patricia M Ortega, Lucas Sabatella, Ahmed R Ahmed","doi":"10.1007/s11695-025-07885-7","DOIUrl":"https://doi.org/10.1007/s11695-025-07885-7","url":null,"abstract":"<p><p>Same-day discharge (SDD) protocols for anastomotic metabolic and bariatric surgery (MBS) have emerged as a strategy to optimise healthcare resources. However, concerns regarding safety, particularly related to mortality and postoperative complications, remain unresolved. This meta-analysis aimed to compare the safety of SDD with standard overnight hospitalisation (OH) in anastomotic MBS, focusing on early postoperative outcomes. A systematic review and meta-analysis were conducted following PRISMA and MOOSE guidelines. Four studies, including 19,849 patients (24.4% undergoing SDD), were analysed. Outcomes assessed included 30-day overall morbidity, mortality, readmission, reoperation rates and complications categorised by the Clavien-Dindo classification. A random-effects model was used for data pooling, and heterogeneity was assessed using the I<sup>2</sup> statistic. SDD was associated with a significantly higher risk of 30-day mortality (OR 7.24; 95% CI 2.27-23.52; p = 0.001; I<sup>2</sup> = 26%) and overall morbidity (OR 1.89; 95% CI 1.29-2.76; p = 0.001; I<sup>2</sup> = 4%) compared to OH. No significant differences were observed in readmission (OR 1.17; 95% CI 0.61-2.22; p = 0.64; I<sup>2</sup> = 79.1%) or reoperation rates (OR 0.98; 95% CI 0.47-2.03; p = 0.96; I<sup>2</sup> = 61%). Interestingly, SDD was associated with a significantly lower rate of major complications (Clavien-Dindo grade III/IV) compared to OH (OR 0.64; 95% CI 0.44-0.91; p = 0.013; I<sup>2</sup> = 9%). The observed increase in mortality and morbidity among SDD patients underscores the need for stringent patient selection, standardised discharge protocols and robust follow-up systems. Prospective studies are required to refine SDD protocols and ensure their safe implementation.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111384","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}
引用次数: 0
Obesity Management Medications as Adjuncts to Metabolic and Bariatric Surgery: Consensus Recommendations from India. 肥胖管理药物作为代谢和减肥手术的辅助:来自印度的一致建议。
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-20 DOI: 10.1007/s11695-025-07895-5
Ramen Goel, Nandakishore Dukkipati, Randeep Wadhawan, Abhishek Katakwar, Shashank Shah, Aparna Govil Bhasker, Amrit Manik Nasta, Deep Goel, Raj Palaniappan, Sarfaraz Baig, Manish Khaitan, Sandeep Aggarwal, Abhay Agrawal, Ashvind Bawa, Gyan Saurabh, Jasmeet Singh Ahluwalia, Jayanth Leo X L, Jaydeep Palep, Kedar P Patil, Kuldeepak S Kular, Mahendra Narwaria, Mandeep Kaur, Manish Motwani, Rahul Borude, Rakesh Kumar Sinha, Sadashiv Chaudhari, Satish Pattanshetti, Sumeet Shah, Surendra Ugale, Suviraj James John, Vikas Singhal
{"title":"Obesity Management Medications as Adjuncts to Metabolic and Bariatric Surgery: Consensus Recommendations from India.","authors":"Ramen Goel, Nandakishore Dukkipati, Randeep Wadhawan, Abhishek Katakwar, Shashank Shah, Aparna Govil Bhasker, Amrit Manik Nasta, Deep Goel, Raj Palaniappan, Sarfaraz Baig, Manish Khaitan, Sandeep Aggarwal, Abhay Agrawal, Ashvind Bawa, Gyan Saurabh, Jasmeet Singh Ahluwalia, Jayanth Leo X L, Jaydeep Palep, Kedar P Patil, Kuldeepak S Kular, Mahendra Narwaria, Mandeep Kaur, Manish Motwani, Rahul Borude, Rakesh Kumar Sinha, Sadashiv Chaudhari, Satish Pattanshetti, Sumeet Shah, Surendra Ugale, Suviraj James John, Vikas Singhal","doi":"10.1007/s11695-025-07895-5","DOIUrl":"https://doi.org/10.1007/s11695-025-07895-5","url":null,"abstract":"<p><p>Obesity is a global health concern, with weight regain (WR) common after bariatric surgery. Clear guidelines on post-surgical medication use are essential. This expert consensus evaluates the role of obesity management medications (OMMs) in optimizing weight loss (WL) and preventing WR in individuals undergoing metabolic and bariatric surgery (MBS). Using a modified Delphi approach, a panel of 12 experts reviewed evidence and formulated consensus recommendations. Two voting rounds led to consensus on 11 of 15 statements, covering preoperative WL strategies and postoperative weight management. The recommendations guide OMM selection, timing, and effectiveness in enhancing WL outcomes. Integrating OMMs into bariatric care protocols can help clinicians improve long-term success rates in obesity management.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111308","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}
引用次数: 0
Critical Aspects into Surgical Management, Classification, and Therapeutic Guidelines for Incidental GISTs During Bariatric Surgeries. 减肥手术中偶发gist的手术管理、分类和治疗指南的关键方面。
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-19 DOI: 10.1007/s11695-025-07919-0
Hassan El-Masry, Mohamed Abouegylah, Ahmed Abokhozima
{"title":"Critical Aspects into Surgical Management, Classification, and Therapeutic Guidelines for Incidental GISTs During Bariatric Surgeries.","authors":"Hassan El-Masry, Mohamed Abouegylah, Ahmed Abokhozima","doi":"10.1007/s11695-025-07919-0","DOIUrl":"https://doi.org/10.1007/s11695-025-07919-0","url":null,"abstract":"<p><p>Incidental gastrointestinal stromal tumors (GISTs) discovered during bariatric surgeries present unique diagnostic and management challenges. In response to Khan et al.'s report on a sleeve-preserving approach to GIST resection, we highlight several critical considerations. Contrary to the notion that incidental GISTs rarely alter surgical plans, tumor characteristics, especially size and location near critical structures like the gastroesophageal junction, can necessitate procedural modifications. Preoperative endoscopy plays a pivotal role in early detection and surgical planning. We also underscore the importance of individualized oncologic decision-making, integrating tumor parameters and procedural classification systems.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102336","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}
引用次数: 0
Impact of Preoperative COVID-19 on Postoperative Outcomes in Patients Undergoing Bariatric/Metabolic Surgery: an Updated Analysis of TrinetX Databases. 术前COVID-19对减肥/代谢手术患者术后结局的影响:TrinetX数据库的最新分析
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-01 Epub Date: 2025-04-04 DOI: 10.1007/s11695-025-07850-4
Yu-Jun Huang, Chia-Li Kao, Kuo-Chuan Hung, Yi-Chen Lai, Jheng-Yan Wu, I-Wen Chen
{"title":"Impact of Preoperative COVID-19 on Postoperative Outcomes in Patients Undergoing Bariatric/Metabolic Surgery: an Updated Analysis of TrinetX Databases.","authors":"Yu-Jun Huang, Chia-Li Kao, Kuo-Chuan Hung, Yi-Chen Lai, Jheng-Yan Wu, I-Wen Chen","doi":"10.1007/s11695-025-07850-4","DOIUrl":"10.1007/s11695-025-07850-4","url":null,"abstract":"<p><strong>Background: </strong>The impact of preoperative coronavirus disease (COVID-19) on outcomes after metabolic and bariatric surgery (MBS) remains incompletely understood, as previous studies were conducted early in the pandemic, when viral strains and management differed.</p><p><strong>Methods: </strong>Using the TriNetX database, we conducted a retrospective analysis of patients who underwent MBS between June 2022 and December 2024. Patients with COVID-19 within 4 weeks before surgery were propensity-score matched 1:1 with controls without prior COVID-19 based on demographics, obesity-associated medical condition, and laboratory values. The primary outcome was the incidence of postoperative pulmonary complications (i.e., pneumonia or acute respiratory failure), while the secondary outcomes included the incidence of acute kidney injury (AKI), intensive care unit (ICU) admission, other infections (i.e., surgical site infection or urinary tract infection), mortality, and emergency department (ED) visits.</p><p><strong>Results: </strong>Among 34,652 matched patients, 30-day pulmonary complications showed no significant difference between the COVID-19 and control groups (odds ratio[OR]: 0.898, 95%CI:0.674-1.197, p = 0.4646). However, the COVID-19 group experienced higher rates of AKI (OR:1.407, 95%CI:1.087-1.823, p = 0.0093) and ED visits (OR:1.169, 95%CI:1.082-1.264, p < 0.0001). Other secondary outcomes were similar between the groups. COPD, anemia, and old age were significant risk factors for pulmonary complications. Risk factors for AKI include chronic kidney disease, male sex, anemia, diabetes mellitus, and cardiovascular diseases.</p><p><strong>Conclusion: </strong>Recent preoperative COVID-19 was not associated with increased risk of pulmonary complications following MBS, suggesting surgery need not be delayed for this concern. However, enhanced monitoring of renal complications and post-discharge care may be warranted in patients with identified risk factors.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"1808-1817"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780773","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}
引用次数: 0
Correction: Frailty Index as a Predictor of Operative Safety and Efficacy in Patients Undergoing Laparoscopic Sleeve Gastrectomy. 修正:虚弱指数作为腹腔镜袖式胃切除术患者手术安全性和有效性的预测指标。
IF 2.9 3区 医学
Obesity Surgery Pub Date : 2025-05-01 DOI: 10.1007/s11695-025-07819-3
Eliahu Yonathan Bekhor, Boris Kirshtein, Noam Peleg, Nayyera Tibi, Hila Shmilovich, Lisa Cooper, Alex Tatarov, Nidal Issa
{"title":"Correction: Frailty Index as a Predictor of Operative Safety and Efficacy in Patients Undergoing Laparoscopic Sleeve Gastrectomy.","authors":"Eliahu Yonathan Bekhor, Boris Kirshtein, Noam Peleg, Nayyera Tibi, Hila Shmilovich, Lisa Cooper, Alex Tatarov, Nidal Issa","doi":"10.1007/s11695-025-07819-3","DOIUrl":"10.1007/s11695-025-07819-3","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"1611"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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