Obesity Surgery最新文献

{"title":"Is Telemedicine as Effective as Face-to-Face Care to Patients with Health Outcomes of Metabolic and Bariatric Surgery? Results from a Systematic Review and Meta-analysis.","authors":"Gabriela Sousa de Oliveira, Ruanda Pereira Maia, Patrícia Borges Botelho Gamba, Ana Claudia Morais Godoy Figueiredo, Kênia Mara Baiocchi de Carvalho","doi":"10.1007/s11695-025-07792-x","DOIUrl":"https://doi.org/10.1007/s11695-025-07792-x","url":null,"abstract":"<p><p>This study aimed to review the effectiveness of clinical treatment delivered via teleconsultation, guided by a healthcare professional, compared to face-to-face care for individuals at any period of metabolic and bariatric surgery. A total of 3701 studies were identified from searches across seven databases, with nine studies included in the qualitative synthesis and six in the meta-analysis. Teleconsultation demonstrated comparable outcomes to face-to-face care regarding adherence rates (OR 1.17, p = 0.44) and postoperative BMI loss (MD - 0.29, p = 0.87), suggesting that teleconsultation may be an equally effective and viable alternative to in-person treatment. However, the low level of evidence due to the high risk of bias underscores the need for further high-quality studies to confirm these findings.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664091","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 \"The Performance of Opioid-Free Anesthesia for Bariatric Surgery in Clinical Practice\".","authors":"Anthony Kiriaki, Max Besser","doi":"10.1007/s11695-025-07789-6","DOIUrl":"https://doi.org/10.1007/s11695-025-07789-6","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664096","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":"Oral Health in Individuals After Bariatric Surgery: A Systematic Scoping Review.","authors":"Hisham Sindi, Sarah Almuzaini, Arwa Mubarak, Faisal F Hakeem, Guglielmo Campus, Hani T Fadel, Peter Lingström","doi":"10.1007/s11695-025-07793-w","DOIUrl":"https://doi.org/10.1007/s11695-025-07793-w","url":null,"abstract":"<p><p>This scoping review appraises the available literature that investigates oral health after bariatric surgery (BS). Forty-two records were included (33 original studies and 9 systematic reviews). Bariatric surgery had a negative impact on the oral health related quality of life (three out of six studies). Relatively few studies found improvement following BS, probing pocket depth (2/10), clinical attachment level (1/9), bleeding on probing (3/10) and plaque (3/8). Conversely, BS was negatively associated with the DMFT (4/6), tooth wear (4/6) and oral radiographic findings (1/1). There was conflicting evidence regarding salivary parameters. To conclude, the literature on oral health in bariatric surgery patients is continuously growing. Positive as well as negative associations between oral health parameters and bariatric surgery are observed.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664093","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":"Enhanced Total Weight Loss 2 Years Post-Roux-en-Y Gastric Bypass with Longer Biliopancreatic Limb.","authors":"Miya C Yoshida, Diana Luong, Sally Tan, Jennifer Pan, Jonathan Luu, Owen Pyke, Venkata Kella, Collin E M Brathwaite, Jun Levine","doi":"10.1007/s11695-025-07797-6","DOIUrl":"https://doi.org/10.1007/s11695-025-07797-6","url":null,"abstract":"<p><strong>Background: </strong>Despite widespread use of Roux-en-Y gastric bypass (RYGB), there are no standardized limb lengths in the United States.</p><p><strong>Methods: </strong>A multi-center retrospective cohort study was conducted from 2020 to 2023. Eligible patients who had undergone RYGB were divided into subgroups based on BP limb lengths: short (50-75 cm), intermediate (80-125 cm), and long (150-175 cm). Primary outcomes were total weight loss (TWL) and % TWL at 1 and 2 years. Secondary outcomes were post-operative BMI and % BMI change at 1 and 2 years, micronutrient deficiencies, hypothyroidism, acute kidney injury (AKI) requiring treatment, and remission in associated medical problems. Subgroups were compared using multivariate analysis.</p><p><strong>Results: </strong>Two hundred twenty-eight patients received a long BP limb, 194 patients received an intermediate BP limb, while 152 patients received a short BP limb. Primary outcomes TWL and % TWL were significantly different between the groups at 1 year: TWL and % TWL were greater in patients with long BP limbs. The difference between the long and short BP limb groups increased at the 2-year mark. Patients who had long BP limbs had higher rates of DM remission (12.3% vs 11.9% 6.6%), HTN (8.8% vs 5.7% vs 7.9%), GERD symptoms (14.5% vs 9.8% vs 5.3%), and OSA (8.8% vs 7.7% vs 5.3%). Vitamin A deficiency rates were higher in the long BP limb group.</p><p><strong>Conclusions: </strong>The results suggest that longer BP limb lengths are conducive to TWL and overall treatment of obesity-related problems without severe rates of complications. Additional longer longitudinal studies are needed to assess the impact of long BP limbs on nutrition and weight loss in the long term.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658062","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 Performance of Artificial Intelligence in One Anastomosis Gastric Bypass Surgery: Comparative Efficacy of ChatGPT-4.0, ChatGPT-Omni, and Gemini AI.","authors":"Erkan Aksoy","doi":"10.1007/s11695-025-07794-9","DOIUrl":"https://doi.org/10.1007/s11695-025-07794-9","url":null,"abstract":"<p><strong>Background: </strong>The integration of artificial intelligence (AI) into medical practice opens up new frontiers for decision support, especially in intricate surgical procedures like one-anastomosis gastric bypass (OAGB). This study was designed to showcase the potential and performance of three AI models-ChatGPT-4.0, ChatGPT-Omni, and Gemini AI-in tackling complex clinical queries related to OAGB, thereby paving the way for a more efficient and effective surgical practice.</p><p><strong>Methods: </strong>The study utilized a comprehensive query evaluation methodology comprising 180 questions for ChatGPT-4.0, ChatGPT-Omni, and Gemini AI models, equally divided among true/false, multiple-choice, open-ended, and case-scenario queries. These questions covered various aspects of OAGB surgery, including preoperative assessment, surgical technique, management of complications, and long-term outcomes.</p><p><strong>Results: </strong>ChatGPT-Omni showed higher accuracy rates than Gemini AI and ChatGPT-4.0 in most question formats and difficulty levels (p < 0.0001). However, the performance gap varied depending on the complexity and type of the queries. In true-false and multiple-choice formats, ChatGPT-Omni excelled, particularly in complex scenarios (p = 0.017). With a mean of 5.62 on a six-point scale, ChatGPT-Omni demonstrated exceptional capability in providing accurate and comprehensive answers to both open-ended and case scenarios. ChatGPT-Omni demonstrated the highest performance metrics, including precision (0.947), recall (0.857), and F1-score (0.9), although these values were dependent on the specific query format and type.</p><p><strong>Conclusions: </strong>While ChatGPT-Omni demonstrated superior accuracy in many clinical queries related to OAGB, especially in simpler decision-making scenarios, it is crucial to underscore the need for additional validation in complex clinical settings. This cautionary note serves as a reminder of the current limitations of AI in surgery and the importance of ongoing research and validation.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658065","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":"Historical Perspectives of Obesity Through Art.","authors":"Gabriela Zamudio Martínez, Martha Patricia Sánchez Muñoz, Carlos Manuel Moreno Mendoza, Manuel Andrey Félix Castro","doi":"10.1007/s11695-025-07805-9","DOIUrl":"https://doi.org/10.1007/s11695-025-07805-9","url":null,"abstract":"<p><p>This review examines the changing interpretation of obesity in art throughout history. From prehistoric times, where weight symbolized fertility and abundance, to modern periods where it was linked to morality, sin, or decadence, art has mirrored evolving societal views on the human body. These representations reflect shifts in cultural, social, and economic values, illustrating how perceptions of health, beauty, and morality have transformed through time. By analyzing art, we gain insight into how different eras defined the human body, highlighting art's crucial role in shaping and reflecting these changing interpretations.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658064","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":"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/s11695-025-07713-y","DOIUrl":"10.1007/s11695-025-07713-y","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is an effective treatment for obesity and its associated comorbidities. However, the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) for elderly and frail populations remain uncertain.</p><p><strong>Objectives: </strong>To validate the efficacy and safety of LSG for elderly and frail patients and to assess its impact on overweight and obesity-related comorbidities.</p><p><strong>Methods: </strong>A retrospective cohort study of patients undergoing LSG at a university-affiliated single center between 2009 and 2022 from a prospectively maintained database. Patients were categorized into two cohorts based on age and frailty index: elderly vs younger patients and frail vs non-frail groups. Preoperative, perioperative, and postoperative data were analyzed.</p><p><strong>Results: </strong>Frailty was associated with statistically significantly higher perioperative complications (%, Clavien-Dindo of III/IV, 8 vs 3) and lower treatment success rates (% Excess Body Weight Loss, six-month, year, and two-year, 58 vs 64, 73 vs 82, 72 vs 81, and 63 vs 76, respectively). Age was not shown to alter the safety or efficacy of the operation.</p><p><strong>Conclusion: </strong>While LSG is a viable option for elderly and frail patients, frailty is a significant predictor of treatment outcomes. A comprehensive assessment of individual factors, including frailty status, is essential for informed decision-making before surgery.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658063","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":"Mobilization of the Left Liver for Optimal Hiatal Exposure During Bariatric Surgery Procedures.","authors":"Alejandro Gandsas, John Marr, Adam Weltz, Miljana Vladimirov","doi":"10.1007/s11695-025-07782-z","DOIUrl":"https://doi.org/10.1007/s11695-025-07782-z","url":null,"abstract":"<p><p>Hepatomegaly, particularly an enlarged left liver lobe, is a well-recognized challenge in bariatric surgery, contributing significantly to staged procedures, conversions to open surgery, and aborted operations. Impaired intraoperative visualization hinders safe access to the hiatus and gastroesophageal junction, increasing the risk of complications. This report focuses on the laparoscopic mobilization of the left liver lobe as a reliable technique to address these challenges, offering improved exposure and facilitating precise surgical dissection. This technique should be considered a last resort to provide proper visualization of the hiatus when other retraction methods have failed. In our experience, this approach was applied in seven patients (six sleeve gastrectomies and one gastric bypass) with good outcomes. All patients tolerated the procedures well, and no intra- or post-operatively complications directly attributable to the mobilization technique were observed. These findings underscore the safety and efficacy of this method, making it a valuable tool for both primary and revisional bariatric surgeries.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649868","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 Effects of Metabolic Bariatric Surgery on Intra-pancreatic Fat Deposition and Total Pancreas Volume: a Systematic Review and Meta-analysis.","authors":"Yaochen Wang, Yutong Liu, Maxim S Petrov","doi":"10.1007/s11695-025-07778-9","DOIUrl":"https://doi.org/10.1007/s11695-025-07778-9","url":null,"abstract":"<p><p>Bariatric procedures are common interventions for weight loss and metabolic improvements; yet, their effects on the pancreas-a key metabolic organ-are largely unknown. This systematic review aimed to summarise data on changes in intra-pancreatic fat deposition (IPFD) and total pancreas volume (TPV) following metabolic bariatric surgery and endoscopic bariatric therapy. The literature search was conducted in MEDLINE and Embase databases. Studies in humans were included if they reported on changes in IPFD and/or TPV from before to after bariatric procedure. Random effects meta-analysis was conducted. Fourteen studies (all involving metabolic bariatric surgery) met the eligibility criteria. Metabolic bariatric surgery resulted in a mean absolute IPFD reduction of 3.9% (p = 0.003) and a mean TPV decrease of 10.7 cm³ (p < 0.001). The mean relative IPFD reduction after metabolic bariatric surgery was 35.9%. Sleeve gastrectomy led to a higher mean relative IPFD reduction than Roux-en-Y gastric bypass (39.9% vs. 20.6%), though this difference was not statistically significant. Analysis of follow-up duration showed a mean relative IPFD reduction of 8.8% in patients with follow-ups of less than 3 months. Metabolic bariatric surgery leads to significant reductions in IPFD and TPV. Follow-up should take place no earlier than 3 months for the full benefits of bariatric procedures on the pancreas to manifest.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649871","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":"Patient Attrition in Bariatric Surgery: Key Factors and Future Directions.","authors":"Yize Ying, Wensheng Pan","doi":"10.1007/s11695-025-07779-8","DOIUrl":"https://doi.org/10.1007/s11695-025-07779-8","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649869","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}