Obesity Surgery最新文献

{"title":"Effect of Gastric Bypass vs Sleeve Gastrectomy on Remission of Type 2 Diabetes Mellitus Among Patients with Severe Obesity: A Meta-Analysis.","authors":"Suelen Queiroz, Júlia Gonçalves Gadelha, Noor Husain, Cristina Sicorschi Gutu","doi":"10.1007/s11695-025-07858-w","DOIUrl":"10.1007/s11695-025-07858-w","url":null,"abstract":"<p><strong>Background: </strong>Obesity and type 2 diabetes mellitus (T2DM) are global health crises, with bariatric surgery emerging as a key intervention. However, the comparative efficacy of Roux-en-Y gastric bypass (RYGB) versus sleeve gastrectomy (SG) in achieving diabetes remission remains debated.</p><p><strong>Methods: </strong>This PRISMA-compliant meta-analysis included three randomized controlled trials (RCTs, n = 613 patients) comparing RYGB and SG in adults with severe obesity (BMI ≥30 kg/m²) and T2DM.</p><p><strong>Primary outcome: </strong>diabetes remission (HbA1c 6.0%). Risk of bias was assessed via Cochrane RoB-2 tool; statistical analysis used fixed-effect models (I²=0%).</p><p><strong>Results: </strong>RYGB demonstrated superior diabetes remission rates vs. SG (OR 2.77, 95% CI 1.83-4.20, p0.001), with no heterogeneity. Subgroup analyses confirmed consistency across studies. Mean follow-up was ≤5 years; baseline demographics were comparable (mean age 46.2 years, 53.4% male).</p><p><strong>Conclusion: </strong>RYGB significantly outperforms SG in achieving T2DM remission, likely due to its combined restrictivemalabsorptive mechanisms and metabolic hormonal effects. These findings support RYGB as the preferred surgical option for obese patients with T2DM, though long-term studies are needed to assess durability.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2296-2302"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079335","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":"Comments on: The Effects of Intraperitoneal Dexmedetomidine in Comparison with Ropivacaine in Postoperative Pain After Laparoscopic Sleeve Gastrectomy: A Double-Blind, Randomized, Placebo-Controlled, Clinical Trial.","authors":"Jiayi Deng, Hanbin Wang, Liang Yu","doi":"10.1007/s11695-025-07921-6","DOIUrl":"10.1007/s11695-025-07921-6","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2026-2027"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972154","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}

{"title":"Multivitamin Adherence after Bariatric Surgery: A Multicenter Observational Study on the Application of Patient-Centered Care by Health Care Professionals.","authors":"Babs M J van Es, Hendrika J M Smelt, Ingrid Kruizinga","doi":"10.1007/s11695-025-07892-8","DOIUrl":"10.1007/s11695-025-07892-8","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2185-2190"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972157","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":"Embracing the Robotic Revolution in Pediatric Patients: Making Robotic-Assisted Surgeries the New Gold Standard for Patient Care.","authors":"Doja Qaraqe, Radwan Kassir","doi":"10.1007/s11695-025-07924-3","DOIUrl":"10.1007/s11695-025-07924-3","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2035-2036"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020902","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":"Correction: The Pandora's Box of Bariatric Surgery: Unveiling the Association with Kidney Stone Risk-A Cross-Sectional Study.","authors":"Jinlong Wang, Liguo Tian, Ping Xiao, Yan Jiao","doi":"10.1007/s11695-025-07877-7","DOIUrl":"10.1007/s11695-025-07877-7","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2402"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047714","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":"Regarding \"Revision/Conversion Surgeries After One Anastomosis Gastric Bypass-An Experts' Modified Delphi Consensus\".","authors":"Oral Ospanov","doi":"10.1007/s11695-025-07912-7","DOIUrl":"10.1007/s11695-025-07912-7","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2021-2022"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064324","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":"Comparative Analysis of Laparoscopic Sleeve Gastrectomy with and Without Prior Endoscopic Intragastric Balloon Insertion: Examining Stomach Volumetry, Histopathologic Changes, Hormonal Levels, and Postoperative Outcomes.","authors":"Mohamed Hany, Frits Berends, Eman Sheta, Anwar Ashraf Abouelnasr, Ann Samy Shafiq Agayby, Ahmed Zidan, Bart Torensma, Edo Aarts","doi":"10.1007/s11695-025-07907-4","DOIUrl":"10.1007/s11695-025-07907-4","url":null,"abstract":"<p><strong>Background: </strong>The effects of prior intragastric balloon (IGB) placement on stomach volumetry, surgical technique, and outcomes in laparoscopic sleeve gastrectomy (LSG) patients are unclear.</p><p><strong>Methods: </strong>This prospective cohort study analyzed stomach histology, gastric volume, and hormonal markers in 90 LSG patients (45 with prior IGB, 45 without). We assessed stomach wall thickness, fibrosis, smooth muscle density, and ghrelin-positive cells, along with intraoperative parameters like stapler cartridge use and operative time. Postoperative outcomes, including weight loss and food tolerance (FT), were compared between groups at 6 months and 1 year.</p><p><strong>Results: </strong>In the 6th month and 1st year, the two groups had no differences in weight, BMI, and %TWL before and after the Inverse Propensity Score-Weighted adjustment. The IGB group had significantly increased muscular thickness, smooth muscle cell count, and fibrosis (p < 0.001) but similar mucosa thickness and inflammation. Preoperative stomach and resected specimen volumes were higher in the IGB group (p < 0.001). Both groups showed slight increases by 1 year, with no significant FT differences. Furthermore, no significant difference in postoperative complications was noted. Hormonal changes were observed, including lower leptin levels in the IGB group throughout.</p><p><strong>Conclusion: </strong>While prior intragastric balloon (IGB) placement induces significant volumetry changes and hormone levels, it does not affect surgical outcomes-including postoperative complications, weight loss, resolution of associated medical problems, the duration of IGB placement, or the interval between IGB removal and LSG surgery-compared to those without IGB.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2039-2052"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975202","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}

{"title":"Patients' Expectations and Perspectives on Follow-up Care after Bariatric Surgery in Germany.","authors":"Jonas Wagner, Madita Roll, Anne Lautenbach, Sara Notz, Gabriel Plitzko, Jakob Izbicki, Oliver Mann, Thilo Hackert, Anna Duprée, Freya Brodersen, Angelika Weigel","doi":"10.1007/s11695-025-07890-w","DOIUrl":"10.1007/s11695-025-07890-w","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is the most effective treatment for patients with obesity. After surgery, lifelong follow-up care is recommended to improve weight-loss outcomes. However, follow-up attendance is low, and the reasons have yet to be determined. Therefore, the present study aimed to identify patients' expectations and perspectives on follow-up care after bariatric surgery to identify current unmet needs and ways to increase follow-up attendance.</p><p><strong>Methods: </strong>Patients who underwent bariatric surgery at a university medical center and attended at least one follow-up appointment completed an online questionnaire. The questionnaire consisted of open-ended questions regarding follow-up care. Content analysis was applied to qualitatively analyze the results.</p><p><strong>Results: </strong>In total, 164 patients responded to at least one question (participation rate 50.1%). On average, patients had attended three follow-up appointments at the time of the study. Expectations concerning the content of follow-up care included regular examinations, blood tests, and psychological and nutritional counseling and support. Notably, the follow-up care was most criticized for its lack of regular psychological and nutritional support, with many suggesting that these services be incorporated. Interestingly, follow-up care appointment attendance was rarely connected with expectations of better outcomes. Regular appointments and laboratory results were among the positive aspects of the current follow-up care.</p><p><strong>Conclusions: </strong>Expectations were mostly related to the content of follow-up care. However, few patients seemed to recognize the importance of follow-up care for improved outcomes. Therefore, educating patients about the critical role of follow-up care might improve attendance and also lead to more successful long-term bariatric surgery outcomes.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2174-2184"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005221","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}

{"title":"Impact of Bariatric Surgery on Postpartum Urinary Incontinence in Women with Gestational Diabetes: A Retrospective Case-Control Analysis.","authors":"Yajing Xiong, Guohua Wu","doi":"10.1007/s11695-025-07899-1","DOIUrl":"10.1007/s11695-025-07899-1","url":null,"abstract":"<p><strong>Background: </strong>Prenatal obesity and gestational diabetes mellitus (GDM) are recognized contributors to the development of postpartum urinary incontinence (PPUI). Pregnant women with obesity and GDM are at an elevated risk, and while bariatric surgery (BS) has proven effective for sustained weight loss and may mitigate urinary incontinence, its influence on postpartum outcomes has not been thoroughly examined. This study evaluates the relationship between BS and PPUI outcomes-including symptom duration and subtype.</p><p><strong>Methods: </strong>In this retrospective case-control investigation, we analyzed pregnancies of women with a history of BS who later developed GDM. A control cohort without prior BS was established via 1:2 matching according to preoperative body mass index (BMI), maternal age, parity, and delivery year. This matching strategy ensured a robust comparative analysis between groups.</p><p><strong>Results: </strong>The no-BS control group experienced a significantly longer duration of PPUI (median: 18.2 weeks) compared to the BS group (median: 12.1 weeks; log-rank p < 0.001). Additionally, by 12 months postpartum, 82.6% of the BS group achieved symptom resolution versus 67.4% of controls (p = 0.03). Multivariate analysis further identified postoperative diarrhea as an independent predictor of extended PPUI duration (p = 0.002).</p><p><strong>Conclusions: </strong>Our findings suggest that BS may contribute to improved PPUI outcomes by shortening the duration of urinary incontinence. However, complications such as postoperative diarrhea appear to adversely affect recovery, emphasizing the need for integrated perioperative and postpartum management in this high-risk group.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2210-2217"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975012","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":"Comment on: \"Intravenous Ibuprofen Versus Ketorolac for Perioperative Pain Control in Patients with Morbid Obesity Undergoing Bariatric Surgery: A Randomized Controlled Trial\".","authors":"Wenrui Zhao, Xu Xufang, Genlan Zhang, Shaoyang Cui","doi":"10.1007/s11695-025-07887-5","DOIUrl":"10.1007/s11695-025-07887-5","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2013-2014"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991627","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}