Obesity Surgery最新文献

{"title":"Broadening the Scope: Additional Considerations for Long-Term Evaluation of Sleeve Gastrectomy in Adolescents.","authors":"Yaxin Ma, Jingwen Wang, Yonghong Sun","doi":"10.1007/s11695-025-08343-0","DOIUrl":"https://doi.org/10.1007/s11695-025-08343-0","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329692","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":"International Federation for Surgery for Obesity and Metabolic Disorders Position Statement on the role of Upper Gastrointestinal Endoscopy Before and After Metabolic Bariatric Surgery.","authors":"Wendy A Brown, Oliver M Fisher, Yazmin Johari, Jessica Au, Christine Stier, Rachel Moore, Chetan Parmar, John B Dixon, Paulina Salminen","doi":"10.1007/s11695-025-08206-8","DOIUrl":"https://doi.org/10.1007/s11695-025-08206-8","url":null,"abstract":"<p><strong>Background: </strong>The International Federation for Surgery for Obesity and Metabolic Diseases (IFSO) provides Position Statements to assist clinical decision making. The use of upper gastrointestinal endoscopy (UGIE) before and after MBS is a topic of debate in clinical practice. This Position Statement updates two previous Position Statements on this issue.</p><p><strong>Methods: </strong>A taskforce undertook a systematic review of available literature according to PRISMA guidelines. Critical appraisal of the methodology of each paper was performed according to the Joanna Briggs Institute. Recommendations based on the derived data were generated and then approved by the Scientific Committee of IFSO.</p><p><strong>Results: </strong>The rate of abnormal findings on pre-MBS UGIE was 61% (95% CI 55%-67%; I² 98.99%). However, less than 1% (I² 58.39%) of people undergoing a pre-MBS UGIE were found to have a condition that precluded MBS; although, 35% either needed treatment for their condition and in 23% there was a Change of the planned MBS procedure type. Despite the frequency of abnormal pathology on pre-MBS UGIE, symptoms were a poor predictor of abnormal findings. The post-operative incidence of BE after MBS was estimated at 2.4% (95% CI 1.66-3.45; I² = 92.1%). The rates of both regression and progression of known BE present prior to MBS were poorly defined.</p><p><strong>Conclusions: </strong>Noting the heterogenous nature of the data, high likelihood of bias, variability of definitions of UGIE detected pathology and Limited follow-up beyond 2 years, seven recommendations for clinical practice are provided, with a caveat that the data should be re-explored in 3 years.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313430","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":"Optimal Use of Computed Tomography in Diagnosing Internal Herniation After Roux-en-Y Gastric Bypass: A Proposition for the Application of a Radiological Prediction Score.","authors":"Lilian L van Hogezand, Lucas Goense, Erik J R J van der Hoeven, Charlotte J Tutein Nolthenius, Niek van Oorschot, Luigi A M J G van Riel, Marinus J Wiezer, Niels A T Wijffels, Marijn Takkenberg, Wouter W Te Riele, Lea M Dijksman, Hjalmar C van Santvoort, Wouter J M Derksen","doi":"10.1007/s11695-025-08323-4","DOIUrl":"https://doi.org/10.1007/s11695-025-08323-4","url":null,"abstract":"<p><strong>Background: </strong>Structured assessment of abdominal computed tomography (CT)-scans is increasingly used to identify signs of internal herniation after Roux-en-Y gastric bypass (RYGB), aiding in the decision-making process to perform a diagnostic laparoscopy (DLS). This study aimed to develop a prediction score based on structured assessment of CT-signs for internal herniation.</p><p><strong>Methods: </strong>Patients presenting with abdominal pain after RYGB, who underwent a CT-scan for suspicion of internal herniation and subsequently DLS, were included. CT-scans were reassessed for presence of ten CT-signs for internal herniation by two radiologists and two registrars. Diagnostic accuracy for detection of internal herniation for each sign and an overall suspicion score were calculated and compared with the original CT-reports. Interobserver agreement was measured using Fleiss' kappa. A prediction score was developed based on variables identified by multivariable logistic regression.</p><p><strong>Results: </strong>With DLS 44 internal herniations (114 CT-scans, 92 patients) were identified. Structured assessment improved diagnostic accuracy compared to the original CT-report (AUC of 0.69 to 0.79, p = 0.03), and the positive (67% to 81%) and negative predictive value (75% to 82%). The three-sign prediction score (venous congestion, swirl sign, right-sided anastomosis) resulted in improved diagnostic accuracy compared to the original CT-report (AUC of 0.69 to 0.79, p = 0.038). Interobserver agreement of these signs was adequate between all readers (K = 0.56-0.75).</p><p><strong>Conclusions: </strong>Structured assessment of CT-scans improves diagnostic accuracy for internal herniation after RYGB. Our three-sign prediction-model offers a simplified, reproducible alternative to extensive assessment, without compromising the improved diagnostic effectiveness.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318615","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":"High Incidence of Benign Perianal Disorders After Sleeve Gastrectomy and One Anastomosis Gastric Bypass.","authors":"Eyal Yonathan Juster, Raja Magdoub, Amram Kupietzky, Bilal Aliyan, Ata Maden, Ronit Grinbaum, Noam Shussman, Haggi Mazeh, Ido Mizrahi","doi":"10.1007/s11695-025-08342-1","DOIUrl":"https://doi.org/10.1007/s11695-025-08342-1","url":null,"abstract":"<p><strong>Aim: </strong>Bariatric surgery may alter bowel habits, potentially leading to new-onset benign perianal disorders (NOPD). This study aimed to assess the incidence and identify potential risk factors of NOPD following vertical sleeve gastrectomy (VSG) and one anastomosis (mini) gastric bypass (OAGB).</p><p><strong>Methods: </strong>We conducted a retrospective cross-sectional, single-center study using retrospective analysis of prospectively collected data. All patients who underwent VSG or OAGB between 2015-2018 were considered. NOPD diagnoses were based on physical examinations and a standardized phone questionnaire assessing past and present perianal symptoms.</p><p><strong>Results: </strong>Of 540 eligible patients, 313 participated (150 VSG, 163 OAGB). Among 264 patients without prior perianal disorders, 96 (36.4%) developed NOPD postoperatively-29.6% in the VSG group vs. 42.4% in the OAGB group (p = 0.04). The most common conditions were hemorrhoidal disease (24.2%), fissures (12.8%), and abscesses/fistulas (3%). Surgical treatment was required in 17.7% (17/96) of affected patients. Increased bowel movement frequency was more common after OAGB than VSG (57.7% vs. 11.7%, p < 0.001). OAGB, younger age, and altered bowel habits were associated with higher NOPD risk. Forty-nine patients (15.7%) reported preexisting perianal disorders, 26.5% of whom experienced worsening symptoms. Overall, 86% of patients were unaware of the link between bariatric surgery and NOPD, and 15% indicated they would not recommend surgery due to these symptoms.</p><p><strong>Conclusion: </strong>NOPD are relatively common after bariatric surgery, particularly OAGB. Patients-especially those with identified risk factors-should be counselled regarding this potential complication during the preoperative decision-making process.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318614","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":"Recurrent Weight Gain after Sleeve Gastrectomy: Is Conversion to Duodenal Switch Superior to Roux-en-Y Gastric Bypass?","authors":"Agustina A Pontecorvo, Jorge Cornejo, Steven Bowers, Enrique F Elli","doi":"10.1007/s11695-025-08334-1","DOIUrl":"https://doi.org/10.1007/s11695-025-08334-1","url":null,"abstract":"<p><strong>Background: </strong>Rates of conversion procedures after Sleeve Gastrectomy have been reported to reach up to 12.2% in 10 years of follow-up. The aim of this study was to compare perioperative outcomes and weight changes in patients who underwent either conversion from SG to Roux-en-Y Gastric Bypass (C-RYGB) or Duodenal Switch (C-DS).</p><p><strong>Methods: </strong>This study was a nonrandomized, controlled, retrospective review of 100 patients who underwent conversion of LSG due to recurrent weight gain at our institution from May 2015 to November 2024. Perioperative and postoperative variables were examined.</p><p><strong>Results: </strong>Of 481 SGs, 100 patients (90 C-RYGB; 10 C-DS) underwent conversion due to recurrent weight gain. The C-DS group had a higher preoperative BMI compared to C-RYGB (57.2 kg/m² vs 38.9 kg/m², p < 0.001). Additionally, C-DS showed shorter operative time (142.5 min vs 193.8 min, p = 0.02) and similar length of hospitalization than C-RYGB. There was no significant difference in late reoperation rate between groups (13 [14.4%] C-RYGB vs 2 [20%] C-DS). The C-DS group had significant differences in %TWL at 6-,12- and 24-month follow-up with values of 21% vs 15.5%, 30% vs 18.2% and 33% vs 19% over C-RYGB, respectively. Excess preoperative BMI at the time of conversion was associated with a greater weight loss (each 1 kg/m² increase yielded 0.7% greater %TWL). However, no significant correlation was found between these two variables (p = 0.24, R² = 0.05).</p><p><strong>Conclusions: </strong>C-DS appears to be safe and feasible for the surgical management of recurrent weight gain after LSG. In addition, C-DS provides a significantly higher %TWL on 6, 12 and 24 months compared to C-RYGB.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313441","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":"Robotic-Assisted Bariatric Surgery Compared to Standard Laparoscopy-Utilization Trends, Outcomes, and Operative Times: MBSAQIP Data from 2018 to 2021.","authors":"William Hope, William Gourash, Kristine Ruppert, Ramesh Ramanathan","doi":"10.1007/s11695-025-08308-3","DOIUrl":"https://doi.org/10.1007/s11695-025-08308-3","url":null,"abstract":"<p><strong>Background: </strong>Evaluation of the utilization and outcomes of robotic-assisted bariatric surgery (RA-BS) is needed. This study investigates the current utilization trends and outcomes of robotic-assisted (RA) versus laparoscopic primary bariatric surgery.</p><p><strong>Methods: </strong>RA and laparoscopic primary Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) were compared using the 2018-2021 MBSAQIP participant user data files. A total of 678,357 patients were propensity matched 1:1 based on 12 variables. A total of 198,630 patients were included in the study group: 145,858 matched to SG and 52,772 to RYGB.</p><p><strong>Results: </strong>From 2018 to 2021, there was an increase in the percentage of RA-BS procedures from 10 to 25%. L-SG had significantly lower rates of superficial infection (0.22% vs. 0.29%), organ space infection (0.18% vs. 0.24%), post-operative transfusion (0.46% vs. 0.68%), gastrointestinal bleed (0.19% vs. 0.26), and reoperation (0.63% vs. 0.74%) compared to RA-SG. RA-RYGB had significantly lower rates of superficial infection (0.37% vs. 0.8%), post-operative transfusion (0.75% vs. 1.1%), and gastrointestinal bleed (0.6% vs. 0.9%) compared to L-RYGB. There were statistically significant decreases in operative time, and 30-day outcomes of reoperation, intervention, and readmission for both laparoscopic and RA-BS over time from 2018 to 2021.</p><p><strong>Conclusion: </strong>There was a progressive increase in the number and percentage of RA procedures. Most perioperative outcomes were statistically equivalent. RA-RYGB was associated with lower complication rates of infection and bleeding, while RA-SG was associated with higher rates of infection, bleeding, and reoperation. Continued research is needed to understand the efficacy and clinical significance of RA-BS.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313402","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":"Response to Borah et al's Comments on Manuscript: \"From Outcomes to Long-Term Impact: Do Improvements in Individual Cardiometabolic Risk Factors After Sleeve Gastrectomy Translate to Reductions in Composite Indicators of Cardiovascular Risk\".","authors":"Walid El Ansari, Wahiba Elhag","doi":"10.1007/s11695-025-08320-7","DOIUrl":"https://doi.org/10.1007/s11695-025-08320-7","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145302525","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":"Evaluating the Reliability and Quality of Bariatric Surgery Educational Content on TikTok and Bilibili: a Cross-Sectional Content Analysis.","authors":"Gang Peng, Chen Wang, Hong-Wei Zhang, Ting Xu, Jian-Zhong Di","doi":"10.1007/s11695-025-08317-2","DOIUrl":"https://doi.org/10.1007/s11695-025-08317-2","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a chronic disease with a rising global prevalence, representing a significant public health burden. Patients increasingly utilize short-video platforms such as TikTok and Bilibili to obtain health information regarding bariatric surgery. The quality and reliability of this content have not been thoroughly evaluated, raising concerns about the potential for misinformation to influence patient decision-making.</p><p><strong>Methods: </strong>A cross-sectional content analysis was conducted on the top 100 videos retrieved from both TikTok and Bilibili using the keyword \"bariatric surgery\" in Chinese. After excluding irrelevant and duplicate content, a total of 200 videos were included for analysis. Videos were systematically categorized by uploader type and content. Two senior bariatric surgeons independently assessed the videos for quality and reliability using the Global Quality Score (GQS) and a modified DISCERN instrument.</p><p><strong>Results: </strong>TikTok videos demonstrated significantly higher user engagement, with greater median likes, collections, shares, and comments compared to Bilibili (p < 0.001). Conversely, Bilibili videos had a significantly longer median duration (p < 0.001). The overall quality of videos on both platforms was suboptimal. However, TikTok videos received modestly higher GQS and DISCERN scores from both reviewers (p < 0.05). Content uploaded by professional institutions achieved the highest quality scores across both platforms (p < 0.001). Professional individuals were the predominant uploaders, accounting for 79.0% of the videos. A strong positive correlation was observed among user engagement metrics (likes, saves, shares, comments; r > 0.9), but these metrics showed no significant correlation with GQS or DISCERN quality scores.</p><p><strong>Conclusion: </strong>The quality and reliability of bariatric surgery-related educational content on both TikTok and Bilibili are largely inadequate. While TikTok videos demonstrated slightly superior quality scores, professional institutions represent the most reliable source of information. User engagement metrics are poor indicators of video quality. These findings underscore the need for healthcare professionals to guide patients in navigating online health information and for platforms to implement more stringent quality control measures.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308372","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":"Long Term Outcomes of Laparoscopic Sleeve Gastrectomy in an Academic Center in Belgium (9 Years Follow-Up).","authors":"Ines Ari, Jacques Himpens, Patricia Loi, Tiana Duray, Marie Barea, Jean Closset","doi":"10.1007/s11695-025-08301-w","DOIUrl":"https://doi.org/10.1007/s11695-025-08301-w","url":null,"abstract":"<p><strong>Background: </strong>Laparoscopic sleeve gastrectomy (LSG) is a widely used metabolic-bariatric surgical (MBS) technique, but long-term outcome data remain limited. This study aims to assess the 9-year progression of weight and related comorbidities following LSG.</p><p><strong>Methods: </strong>This retrospective study analyzed data from patients who underwent LSG in 2014, with consent to share data. Participants also completed an \"ad hoc\" questionnaire. Medical data and responses were analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>Of the 96 patients, 56 (23/33 males/females) agreed to participate in the follow-up (66.7%) and were assessed. The average initial weight was 119.7 ± 17.3 kg with a median of 117.0 kg (average BMI was 41.1 ± 3.48 kg/m² - median 40.5 kg/m²). Preoperatively, comorbidities included arterial hypertension (AHT) in 44.6%, dyslipidemia (DL) in 46.4%, sleep apnea syndrome (SAS) in 33.9%, type 2 diabetes (T2DM) in 21.4%, and gastroesophageal reflux disease (GERD) in 53.6% of participants. Nadir BMI was assessed at year 3 (Y3) at a value of 28.2 ± 3.8 kg/m², corresponding to a 31.1 ± 8.8% total weight loss (TWL) - median 30.9%. Weight regains occurred post-Y3, with %TWL of 27.3 ± 9.4% at Y6 and 26.4 ± 10.3% at Y9. The regain between Y3-Y6, Y3-Y9 and Y6-Y9 is considered as being significant; excess weight loss (EWL) at Y9 was 68.0 ± 25.8%. All comorbidities improved, but GERD significantly increased to 75.0% at Y9 (p = 0.0110). Emotional eating significantly impacted weight loss (p = 0.03829).</p><p><strong>Conclusions: </strong>LSG leads to significant long-term weight loss, although some weight regains starting at 3 years postoperatively. LSG also demonstrates lasting benefits for AHT, DL, SAS, and T2DM. However, GERD worsened overtime.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308392","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":"The Top 100 Cited Articles on Bariatric Surgery: A Bibliometric Analysis.","authors":"Sijie Chen, Dehui Wang, Jie Li, Yaoyao Chen, Wah Yang, Ruixiang Hu, Cunchuan Wang, Yali Chen, Zilong Wu","doi":"10.1007/s11695-025-08340-3","DOIUrl":"https://doi.org/10.1007/s11695-025-08340-3","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery (BS) is widely recognized as an effective intervention for obesity and related metabolic diseases; however, bibliometric analyses of the bariatric surgery literature remain scarce. This study aims to identify and analyze the top 100 most cited articles (T100) in BS to map research trends and influential contributions.</p><p><strong>Method: </strong>A comprehensive literature search on BS was conducted using the Web of Science Core Collection database. Through keyword searches and subsequent manual screening, the T100 articles were identified. These were then analyzed bibliometrically using software tools such as CiteSpace, VOSviewer, and Bibliometrix, with data organized in Microsoft Excel.</p><p><strong>Result: </strong>As of July 2024, the total citation count for the T100 articles reached 110,623. These papers were published between 2000 and 2021, spanning 46 journals, with the New England Journal of Medicine publishing the most articles (n = 13). 60% of the articles were published in the 2010s, and 68% originated from the United States, with Harvard University being the leading institution, contributing 16 papers. Philip R. Schauer and Sjöström Lars authored 7 and 6 papers, respectively. Among the T100 articles, 89 were classified as Level 1 or 2 evidence. The articles related to surgical procedures included 40 on Roux-en-Y gastric bypass (RYGB), 20 on sleeve gastrectomy (SG), and 14 on adjustable gastric banding. Additionally, 36 articles addressed the treatment of related metabolic complications, including 16 on Type 2 Diabetes Mellitus (T2DM), 14 on nonalcoholic fatty liver disease (NAFLD), and 4 on cardiovascular disease.</p><p><strong>Conclusions: </strong>This study systematically analyzed the T100 most-cited articles on BS reveals a dominant contribution from the United States, with a focus on RYGB and SG procedures. These studies demonstrate significant efficacy in treating obesity, T2DM, and NAFLD. However, long-term outcomes and complications require further validation through large-scale prospective research.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145302521","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}