Obesity Surgery最新文献_第3页

Re: Remnant Gastrectomy and Gastric Bypass: A Systematic Review of Indications and Outcomes of Resectional Gastric Bypass. Re：残胃切除术和胃旁路术：胃切除术和胃旁路术：胃切除术适应症和结果的系统回顾。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-07-27 DOI: 10.1007/s11695-024-07428-6

Mohamed H Zidan, Aliaa Selim, Ahmed Abokhozima

引用次数: 0

Commentary on "Revisional Bariatric Surgery after Roux-en-Y Gastric Bypass for Bile Reflux: A Single Centre Long-term Cohort Study". 关于 "因胆汁反流而进行 Roux-en-Y 胃旁路术后再减肥手术：单中心长期队列研究"。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-07-26 DOI: 10.1007/s11695-024-07397-w

Richard Welbourn, Edward J Nevins, Kamal Mahawar

引用次数: 0

Gastric Wall Necrosis and Perforation Following Argon Plasma Coagulation (APC) Coupled with Endoscopic Sleeve Gastroplasty (ESG) and Its Emergency Laparoscopic Surgical Management. 氩等离子凝固术（APC）与内镜袖状胃成形术（ESG）并用后的胃壁坏死和穿孔及其紧急腹腔镜手术治疗。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI: 10.1007/s11695-024-07380-5

Pooja Unadkat, Amit Maydeo, Chetan Parmar, Muffazal Lakdawala

引用次数: 0

Spanish Experience with Latero-Lateral Duodeno-Ileostomy + Sleeve Gastrectomy with Magnet Anastomosis System. 使用磁性吻合系统进行侧十二指肠吻合术+袖状胃切除术的西班牙经验。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-08-02 DOI: 10.1007/s11695-024-07432-w

Jana Dziakova, Antonio Torres, Maja Odovic, José Miguel Esteban, Manuel Vázquez-Romero, Andrea Castillo, Andrés Sánchez-Pernaute, Michel Gagner

{"title":"Spanish Experience with Latero-Lateral Duodeno-Ileostomy + Sleeve Gastrectomy with Magnet Anastomosis System.","authors":"Jana Dziakova, Antonio Torres, Maja Odovic, José Miguel Esteban, Manuel Vázquez-Romero, Andrea Castillo, Andrés Sánchez-Pernaute, Michel Gagner","doi":"10.1007/s11695-024-07432-w","DOIUrl":"10.1007/s11695-024-07432-w","url":null,"abstract":"Background: The partial diversion of intestinal contents facilitates achieving and maintaining weight loss and improving glycemic control in patients with obesity and with or without T2DM. The purpose of this study is to report our experience and 1-year follow-up with novel modification of SADI-S.Methods: This study is a part of a multicentric trial of patients that underwent primary side-to-side duodeno-ileostomy and sleeve gastrectomy (SG) with GT metabolic solutions magnetic anastomosis system. Feasibility, safety, and initial efficacy were evaluated.Results: The mean age of the patients included was 48 ± 8.75 years and the preoperative BMI was 43.32 ± 2.82 kg/m2. The complications were present in 30% of patients. The anastomosis patency was confirmed by the passage of radiological contrast under fluoroscopy at a mean of 17 days (17-29 days), and the mean expulsion time was 42 days (32-62). The mean diameter of the anastomosis after the magnet expulsion was 13.8 × 11.4 mm. The percentage of total weight lost at 1 year was 38.68 ± 8.48% (p < 0.001). The percentage of excess weight loss 82.5 ± 18.44% (p < 0.001) and improvements in glucose profiles were observed. Mean baseline HbA1c 5.77 ± 0.31% was reduced to 5.31 ± 0.26% (p < 0.024).Conclusions: Latero-lateral duodeno-ileostomy + SG with magnetic duodenal bipartition is afeasible and reasonably safe technique and induces weight loss in patients with obesity and improvement of glycemic control. This modification could be considered as an option to standard SADI-S or as a first step in two stages procedure. However, larger studies are needed.Trial registration: Clinicaltrials.gov Identifier: #NCT05322122.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875478","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

Improving Equity of Access to a Publicly Funded Bariatric Surgery Programme by Removal of Mandatory Weight Loss Targets. 通过取消强制性体重减轻目标，改善公费减肥手术项目的公平性。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-08-10 DOI: 10.1007/s11695-024-07427-7

Alexandra Gower, Nicholas Evennett, Grant Beban, Elaine Yi, Elizabeth Chen

{"title":"Improving Equity of Access to a Publicly Funded Bariatric Surgery Programme by Removal of Mandatory Weight Loss Targets.","authors":"Alexandra Gower, Nicholas Evennett, Grant Beban, Elaine Yi, Elizabeth Chen","doi":"10.1007/s11695-024-07427-7","DOIUrl":"10.1007/s11695-024-07427-7","url":null,"abstract":"Introduction: Obesity disproportionately affects 50.8% of Māori and 71.3% of Pacific adults in New Zealand, and these groups also have reduced access to bariatric surgery. Mandatory preoperative weight loss targets are a requirement of many bariatric surgery programmes globally; however, the evidence supporting their efficacy is inconclusive. In 2017, mandatory preoperative weight loss targets were eliminated from the bariatric surgery programme at Auckland City Hospital in New Zealand, with the aim to improve equity of access to bariatric surgery. This study will review postoperative patient outcomes following the elimination of preoperative weight loss targets from the programme.Methods: A retrospective analysis of 231 patients who underwent bariatric surgery at Auckland City Hospital from 2018 to 2021 was performed. Nineteen patients were lost to follow up and 12 were excluded (revision surgery or pregnancy). The comparison group of 100 consecutive patients, retrospective from 2017, had been required to lose 10% of excess body weight preoperatively to qualify for surgery. Outcomes assessed were weight loss and diabetes resolution at 12 months, and postoperative complications within 90 days.Results: Elimination of preoperative weight loss targets was associated with greater numbers of Māori and Pacific patients undergoing bariatric surgery. There was no significant difference in weight loss outcomes or postoperative complications.Conclusion: Elimination of preoperative weight loss targets improves access to bariatric surgery for Māori and Pacific patients, inequitably affected by obesity. Removal of preoperative weight loss targets does not adversely affect weight loss outcomes, or postoperative complications, thus supporting their elimination.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141913470","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

Cardiac Abnormalities in Individuals Aged ≥ 50 Years with Severe Obesity Referred for Bariatric Surgery. 年龄≥ 50 岁的重度肥胖症患者转诊接受减肥手术时出现的心脏异常。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-08-01 DOI: 10.1007/s11695-024-07422-y

Michelle Lobeek, Aniek Peters, Sophie L van Veldhuisen, Yves G C J America, Michiel Rienstra, Eric J Hazebroek, Dirk J van Veldhuisen, Thomas M Gorter

引用次数: 0

The Effect of Maternal Bariatric Surgery on Offspring Anthropometry: A Mixed Cohort. 母亲减肥手术对后代人体测量的影响：混合队列

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-06-14 DOI: 10.1007/s11695-024-07361-8

Raheleh Moradi, Maryam Navaee, Negar Zamaninour, Amin Setaredan, Abdolreza Pazouki, Ali Kabir

{"title":"The Effect of Maternal Bariatric Surgery on Offspring Anthropometry: A Mixed Cohort.","authors":"Raheleh Moradi, Maryam Navaee, Negar Zamaninour, Amin Setaredan, Abdolreza Pazouki, Ali Kabir","doi":"10.1007/s11695-024-07361-8","DOIUrl":"10.1007/s11695-024-07361-8","url":null,"abstract":"Purpose: Although bariatric surgery is associated with a decrease in obesity complications, it may affect the children's growth by a maternal nutritional deficiency. This study was conducted to assess the effect of maternal bariatric surgery on offspring anthropometry.Materials and methods: In a mixed cohort, anthropometric status of children aged 5 years or less born to mothers with a history of bariatric surgery was compared with a control group consists of peers born to mothers with obesity but without bariatric surgery. Anthropometric indices including crude and quantile values for BMI, weight, height, and head circumference at birth and the first 5 years of life were measured. Then, the adjusted effect of maternal surgical history on anthropometric status was estimated by linear regression.Results: From a total of 56 children, 28 born to mothers with a history of bariatric surgery, and 28 born to mothers with obesity but without bariatric surgery. At birth, weight (2915 vs 3225 g) and BMI (11.72 vs 12.94 kg/m2) were lower in the group with maternal bariatric surgery than in the control group (P = 0.02 and P = 0.03, respectively), although after regression adjustment, there was only a significant difference between the two groups in height for age value in children less than 5 years old (B = 0.872, P-value = 0.001).Conclusion: Bariatric surgery with decrease of weight indices at birth has a probable influence on growth and development in next years. Therefore, it is recommended further studies to identify unknown effect of types of preconception surgical procedures on childhood outcomes.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321326","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

Assessment of Metabolic and Bariatric Surgery Safety in Patients with Advanced Liver Fibrosis. 评估晚期肝纤维化患者代谢和减肥手术的安全性。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI: 10.1007/s11695-024-07434-8

Giovani Barum, Leonardo Arenhart Paladini, Pedro G Stevanato de Oliveira, Thais Rodrigues Moreira, Cristiane Valle Tovo, Ângelo Z Mattos

{"title":"Assessment of Metabolic and Bariatric Surgery Safety in Patients with Advanced Liver Fibrosis.","authors":"Giovani Barum, Leonardo Arenhart Paladini, Pedro G Stevanato de Oliveira, Thais Rodrigues Moreira, Cristiane Valle Tovo, Ângelo Z Mattos","doi":"10.1007/s11695-024-07434-8","DOIUrl":"10.1007/s11695-024-07434-8","url":null,"abstract":"Purpose: The well-established relationship between obesity and metabolic dysfunction-associated steatotic liver disease (MASLD) is a key etiological factor in the development of liver cirrhosis. Bariatric surgery is an effective treatment for weight loss in patients with moderate-to-severe obesity, also playing a role in controlling MASLD. However, surgical safety in patients with advanced fibrosis remains to be established. This study aimed to evaluate the safety and repercussions of bariatric surgery according to fibrosis stage.Materials and methods: Patients undergoing bariatric surgery who had an intraoperative liver biopsy were retrospectively evaluated. Preoperative and postoperative data were collected from medical records, and results were stratified according to fibrosis stage into early fibrosis (no fibrosis or stages 1 and 2) and advanced fibrosis (stages 3 and 4).Results: The study included 1185 patients: 1129 with early fibrosis and 56 with advanced fibrosis. The advanced fibrosis group had higher percentage of men (35.7% vs 21.6%, p = 0.014) and of people with diabetes (42.9% vs 16.5%, p < 0.001) and hypertension (57.1% vs 41.4%, p = 0.012). Patients with advanced fibrosis also required longer hospitalizations (4.64 vs 4.06 days, p < 0.001) and were more frequently admitted to the intensive care unit (7.1% vs 2.9%, p = 0.038). The groups did not differ significantly in other outcomes. There were no deaths in either group.Conclusion: Bariatric surgery proved to be safe, with similar complication rates in patients with advanced fibrosis and in those with early fibrosis.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792924","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

Dissemination of the 2022 ASMBS and IFSO Guidelines for Bariatric Surgery: What Has Reached Primary Care Providers? 2022 年 ASMBS 和 IFSO 减肥手术指南的传播：初级保健提供者了解到了什么？

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-08-15 DOI: 10.1007/s11695-024-07449-1

John Hulse, Richard Slay, Mary Kate Bryant, T Karl Byrne, Rana Pullatt

{"title":"Dissemination of the 2022 ASMBS and IFSO Guidelines for Bariatric Surgery: What Has Reached Primary Care Providers?","authors":"John Hulse, Richard Slay, Mary Kate Bryant, T Karl Byrne, Rana Pullatt","doi":"10.1007/s11695-024-07449-1","DOIUrl":"10.1007/s11695-024-07449-1","url":null,"abstract":"Background: Only 1% of Americans eligible for metabolic and bariatric surgery (MBS) receive MBS. Prior studies have analyzed primary care provider (PCP) referral patterns and perceptions of MBS as a potential barrier to increasing MBS. However, less data exists regarding PCP knowledge of MBS indications and outcomes. Following the 2022 update to the indications for MBS by the ASMBS and IFSO, the number of eligible patients is only expected to increase. We evaluated PCP knowledge regarding the existence of the 2022 ASMBS and IFSO updated guidelines, MBS indications, and MBS outcomes.Methods: An 11-question survey was emailed to primary care residents, advanced practice providers, and faculty at a single institution.Results: Of 151 surveys distributed, 39.7% responded (n = 60). 95% were unaware of the 2022 updated guidelines. On multiple choice questions, 16.3% correctly identified the average weight loss from MBS, and 46.8% correctly answered the diabetes remission rate following MBS. Trainee answers were not statistically significant from practicing PCPs. Fifteen respondents had referred a patient for MBS, but this subgroup did not perform significantly better on the assessment. A total of 72.3% of respondents reported inadequate MBS education during their training, and 85.1% were interested in additional education.Conclusions: We present the first assessment of PCP MBS knowledge since the release of the 2022 updated ASMBS and IFSO guidelines. This study indicates a gap in PCPs' knowledge regarding the updated guidelines and represents an opportunity for collaboration with our primary care colleagues to provide further MBS education.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11349814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982911","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

Can You Believe It? How to Deal with an Intragastric Balloon Migration in the Pleural Cavity. 您相信吗？如何处理胸膜腔内胃内球囊移位。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-06-19 DOI: 10.1007/s11695-024-07365-4

Federico Marchesi, Giorgio Dalmonte, Matteo Riccò, Lucia Ballabeni, Francesco Tartamella, Simone Bosi, Marina Valente

引用次数: 0