Obesity Surgery最新文献_第7页

Innovative Left Liver Mobilization for Hiatal Exposure: Advancing Bariatric Surgery Despite Unresolved Safety Questions. 创新左肝动员裂孔暴露：推进减肥手术尽管未解决的安全问题。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-08 DOI: 10.1007/s11695-025-07904-7

Ahmed Abokhozima, Hassan El-Masry, Ahmed Abo Elmagd, Mohammed Alokl

引用次数: 0

Comparison Between Erector Spinae Plane Block at T9 Level and Transversus Abdominis Plane Block for Postoperative Analgesia and Recovery in Patients with Obesity Undergoing Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial. T9水平竖脊肌平面阻滞与腹横平面阻滞对肥胖腹腔镜袖胃切除术患者术后镇痛和恢复的比较：一项随机对照试验。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-16 DOI: 10.1007/s11695-025-07920-7

Tong Mu, Kejiang Chen, Yi Xu, Yonggang Hao, Dan Liu, Ke Wei

{"title":"Comparison Between Erector Spinae Plane Block at T9 Level and Transversus Abdominis Plane Block for Postoperative Analgesia and Recovery in Patients with Obesity Undergoing Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial.","authors":"Tong Mu, Kejiang Chen, Yi Xu, Yonggang Hao, Dan Liu, Ke Wei","doi":"10.1007/s11695-025-07920-7","DOIUrl":"10.1007/s11695-025-07920-7","url":null,"abstract":"Introduction: Effective postoperative analgesia is essential for recovery after bariatric surgery. This study examines whether T9 erector spinae plane (ESP) block provides better analgesia and recovery than subcostal transversus abdominis plane (TAP) block in patients with obesity undergoing laparoscopic sleeve gastrectomy (LSG).Methods: Patients undergoing LSG were randomized to receive either ESP or TAP blocks. The primary outcome was pain intensity measured by the Numeric Rating Scale (NRS). Secondary outcomes included sensory blockade levels, opioid consumption (morphine equivalents), need for rescue analgesia, and recovery milestones.Results: Among 168 patients, median age was 29.0 years (ESP) vs 31.0 years (TAP) (p = 0.135), with most being female (67.9% ESP, 65.5% TAP) (p = 0.743). Median BMI was 36.7 kg/m2 (ESP) vs 37.1 kg/m2 (TAP) (p = 0.819). Patients receiving ESP blocks consistently reported lower NRS scores postoperatively (p = 0.002 and p < 0.001). Sensory blockade in the ESP group was more consistent (84.5% at T6-T12), whereas the TAP group exhibited greater variability (p < 0.001). Opioid consumption within 48 h was lower in the ESP group (median reduction of 8 mg) (p < 0.001). Moreover, ESP group patients needed less rescue analgesia (p = 0.001) and demonstrated faster functional recovery (p < 0.001).Conclusions: For patients with obesity undergoing LSG, ultrasound-guided ESP block at T9 enhances postoperative analgesia and accelerates recovery compared to subcostal TAP block. While the difference in NRS scores was modest, ESP's ability to reduce opioid use and promote faster recovery highlights its clinical advantage.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2249-2263"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079333","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

Fully Robotic Sleeve Gastrectomy Using Complete Gastric Staple Line Bioabsorbable Reinforcement: How I Do It (a Video). 全机器人袖胃切除术使用全胃钉线生物吸收强化：我是怎么做的（视频）。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-23 DOI: 10.1007/s11695-025-07880-y

Imed Ben Amor, Panagiotis Lainas, Fahad Alghareeb, Sarah Ben Amor, Rayan Rassouli, Patrick Baqué

{"title":"Fully Robotic Sleeve Gastrectomy Using Complete Gastric Staple Line Bioabsorbable Reinforcement: How I Do It (a Video).","authors":"Imed Ben Amor, Panagiotis Lainas, Fahad Alghareeb, Sarah Ben Amor, Rayan Rassouli, Patrick Baqué","doi":"10.1007/s11695-025-07880-y","DOIUrl":"10.1007/s11695-025-07880-y","url":null,"abstract":"Robotic sleeve gastrectomy (RSG) is gaining place among surgeons. In our initial RSG practice, we noticed that gastric staple line intraoperative bleeding is more frequent and more important compared to the conventional laparoscopic approach. Any technique that could reduce the likelihood of intraoperative bleeding in RSG would be of tremendous benefit. The present video report is a detailed description of a fully RSG using complete gastric staple line bioabsorbable reinforcement, minimizing intraoperative bleeding. We present the case of a 32-year-old female patient with severe obesity (weight = 132 kg; BMI = 46.8 kg/m2) that underwent fully RSG in our department. RSG technique is thoroughly described, highlighting several important aspects of RSG, including (i) patient positioning to optimize access and ergonomics; (ii) the use of a Nathanson liver retractor, avoiding interference with robotic arms; (iii) trocar placement strategy; (iv) intraoperative selection of stapler reloads; and (v) the use of a bioabsorbable reinforcement (Seamguard®, Gore) for staple line reinforcement and bleeding minimization. Operative time was 180 min, and, blood loss was minimal (< 10 ml). The patient was discharged on postoperative day 1. Postoperative recovery was uneventful, without bleeding, gastric leak, or other complications. Only simple oral analgesics were required postoperatively. At 1-month follow-up visit, the patient had lost 10 kg and reported significant improvement in overall health. Complete gastric staple line bioabsorbable reinforcement seems to decrease intraoperative bleeding when the robotic approach is used for sleeve gastrectomy. Prospective randomized studies are needed to validate this approach as gold standard practice for RSG.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2384-2386"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973005","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

Surgeons Performing Sleeve Gastrectomy Fret too much about the Antral Mill! 外科医生执行袖式胃切除术烦恼太多关于胃窦磨！

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-21 DOI: 10.1007/s11695-025-07862-0

Sarfaraz Jalil Baig, Aishwarya Varma

引用次数: 0

Are We Adopting New Technologies in MBS to Serve the Patients or Because They Fascinate the Surgeon? 我们在MBS中采用新技术是为了服务患者还是因为它们吸引了外科医生？

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-13 DOI: 10.1007/s11695-025-07923-4

Mohamed H Zidan, Nour Zayed, Mohamed Hany

引用次数: 0

Gastrocolic Fistula Due to Staple Line Leak Following Metabolic Bariatric Surgery: A Systematic Review. 代谢性减肥手术后因钉线泄漏引起的胃结肠瘘：一项系统综述。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-17 DOI: 10.1007/s11695-025-07844-2

Mohamed Hany, Anwar Ashraf Abouelnasr, Muhammad Gaballah, Ahmed Ragab, Dina Mohamed Hafez, Bart Torensma

{"title":"Gastrocolic Fistula Due to Staple Line Leak Following Metabolic Bariatric Surgery: A Systematic Review.","authors":"Mohamed Hany, Anwar Ashraf Abouelnasr, Muhammad Gaballah, Ahmed Ragab, Dina Mohamed Hafez, Bart Torensma","doi":"10.1007/s11695-025-07844-2","DOIUrl":"10.1007/s11695-025-07844-2","url":null,"abstract":"Gastrocolic fistula (GCF) is a rare but serious complication following metabolic bariatric surgery (MBS), primarily caused by leaks from the staple line or anastomotic sites. This systematic review aims to comprehensively analyze the diagnosis and management strategies for GCF following MBS. The Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Scopus, Web of Science, and EMBASE were searched until March 2024. Studies were independently screened and extracted using the PRISMA checklist. This systematic review included 16 studies (13 case reports and three retrospective cohort studies). GCF was most prevalent in laparoscopic sleeve gastrectomy (LSG), accounting for 81.2% of the studies. The transverse colon was the most common site of occurrence. Exploratory laparoscopy was utilized as the final treatment or rescue surgery in 85.7% of GCF case report studies, with all patients successfully healed following these interventions. The time from diagnosis to closure of the GCF varied significantly: in acute studies, closure occurred between 14 and 61 days, while in chronic studies, it ranged from 1 to 12 months. This systematic review concludes that surgical intervention should be recommended for managing GCF following specific staple line leaks in LSG. Most GCF studies occurred more than 6 months post-surgery, indicating a late complication. Computed tomography (CT) was the most frequently used diagnostic tool. Although over-the-scope clips (OTSC) and stents were employed, their efficacy as primary treatments remain questionable due to limited and inconsistent study outcomes.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2277-2295"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023390","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

Post-Bariatric Anemia Recovery: Addressing Surgical Imbalance and Inflammation. 减肥后贫血恢复：解决手术不平衡和炎症。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-03 DOI: 10.1007/s11695-025-07897-3

Yutao Tao, Ziyang Bao

引用次数: 0

Closure of Mesenteric Defects During Roux-en-Y Gastric Bypass Using Ifabond® Surgical Glue. 使用Ifabond®手术胶封堵Roux-en-Y胃旁路术中的肠系膜缺损。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-05 DOI: 10.1007/s11695-025-07873-x

Antoine Sina, Christian Mouawad

{"title":"Closure of Mesenteric Defects During Roux-en-Y Gastric Bypass Using Ifabond® Surgical Glue.","authors":"Antoine Sina, Christian Mouawad","doi":"10.1007/s11695-025-07873-x","DOIUrl":"10.1007/s11695-025-07873-x","url":null,"abstract":"Purpose: There is no consensus regarding the optimal technique for mesenteric defects' closure after Roux-en-Y gastric bypass (RYGB). In our article, we will describe our experience with mesenteric defect closure during RYGB using n-Hexyl-Cyanoacrylate surgical glue.Material and methods: We conducted a prospective study based on a non-randomized, monocentric, single-operator data collection between January 2018 and January 2022. Included patients were undergoing first and second intention RYGB for morbid obesity. In total, 357 patients underwent RYGB among whom 202 patients (56.5%) underwent mesenteric defect closure with a non-absorbable barbed running suture, and 155 patients (43.5%) underwent closure with n-Hexyl-Cyanoacrylate surgical glue.Results: After a mean follow-up duration of 28 months, there was no surgical revision in the surgical glue group. As for the group who received a running suture, two patients (1%) underwent laparoscopic surgical revision for an internal hernia.Conclusion: Defect closure during RYGB using n-Hexyl-Cyanoacrylate surgical glue seems to be a fast, effective, and safe technique which avoids the risk of mesenteric trauma.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2274-2276"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975190","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 of Same-Day Discharge Bariatric Surgery: A Comprehensive Analysis of 457 Cases Across Multiple Procedure Types. 当日出院减肥手术的安全性：跨多种手术类型的457例综合分析

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 DOI: 10.1007/s11695-025-07874-w

Sunil Sharma, Amit Surve, Daniel Cottam, Ashley Wooley, Jaycee Christensen, Smita Sharma, Tristan Patel

{"title":"Safety of Same-Day Discharge Bariatric Surgery: A Comprehensive Analysis of 457 Cases Across Multiple Procedure Types.","authors":"Sunil Sharma, Amit Surve, Daniel Cottam, Ashley Wooley, Jaycee Christensen, Smita Sharma, Tristan Patel","doi":"10.1007/s11695-025-07874-w","DOIUrl":"10.1007/s11695-025-07874-w","url":null,"abstract":"Background: Outpatient bariatric surgery offers reduced hospital stays and healthcare costs, with promising safety outcomes. This study analyzes the short-term results of stand-alone primary and revision bariatric surgeries, alongside concomitant foregut and abdominal surgeries associated with bariatric procedures, to assess their safety and efficacy in an outpatient setting at a free-standing ambulatory center.Methods: A retrospective study was conducted on 457 same-day discharge (SDD) bariatric cases performed by a single surgeon at a free-standing ambulatory center between January 2021 and July 2024. The procedures included sleeve gastrectomy (SG), duodenal switch (DS), adjustable gastric band (AGB) removal, and Roux-en-Y gastric bypass (RYGB). Concomitant foregut and abdominal surgeries associated with bariatric procedures, such as hiatal hernia repair (HHR), cholecystectomy, fundoplication, and ventral hernia repair, were performed when clinically indicated.Results: Of the 457 cases, 97.8% were primary surgeries, and 2.1% were revisions. Stand-alone procedures accounted for 39.3%, and 60.6% were concomitant. SG constituted 74.8% of cases, followed by HHR (16.1%), DS (5.4%), AGB removal (2.6%), and RYGB (.8%). The mean operative time was 79.9 ± 24.3 min, with a mean length of stay of 3 h 52 min (± 1:10). The 30-day complication rate was 2.1%, with Clavien-Dindo grade IIIb complications in .8% of patients. Patient satisfaction was high, with a mean score of 9.8.Conclusions: Outpatient bariatric surgeries demonstrated strong safety with minimal complications, underscoring their viability in carefully selected patients. Staged approaches for complex cases further optimized outcomes, making outpatient settings a robust option for a wide range of bariatric procedures.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2101-2110"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029437","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

Hair Loss and Metabolic and Bariatric Surgery: An Updated Systematic Review and Meta-analysis. 脱发与代谢和减肥手术：最新的系统综述和荟萃分析。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-19 DOI: 10.1007/s11695-025-07903-8

Nima Taghizadeh, Hussein Salhab, Ali Alirezaei, Khosrow Najjari, Wah Yang, Raziyhe Abedi-Kichi, Ali Esparham, Shahab Shahabi Shahmiri

引用次数: 0