Obesity Surgery最新文献

{"title":"Are We Adopting New Technologies in MBS to Serve the Patients or Because They Fascinate the Surgeon?","authors":"Mohamed H Zidan, Nour Zayed, Mohamed Hany","doi":"10.1007/s11695-025-07923-4","DOIUrl":"10.1007/s11695-025-07923-4","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2030-2034"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032743","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":"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":"<p><p>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.</p>","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}

{"title":"Post-Bariatric Anemia Recovery: Addressing Surgical Imbalance and Inflammation.","authors":"Yutao Tao, Ziyang Bao","doi":"10.1007/s11695-025-07897-3","DOIUrl":"10.1007/s11695-025-07897-3","url":null,"abstract":"","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2015-2016"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973008","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":"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":"<p><strong>Purpose: </strong>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.</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"Risk Factors for Type 2 Diabetes Mellitus Relapse in More Than 5-Year Follow-up After Sleeve Gastrectomy with Transit Bipartition.","authors":"Cüneyt Kırkıl, Mesut Yur, İlayda Aydın, Ahmet Bozdağ, Ahmet Aslan, Mehmet Fatih Ebiloğlu","doi":"10.1007/s11695-025-07906-5","DOIUrl":"10.1007/s11695-025-07906-5","url":null,"abstract":"<p><strong>Background: </strong>In some patients who achieved complete remission (CR) of type 2 diabetes mellitus (T2DM) after sleeve gastrectomy with transit bipartition (TB), T2DM relapses after a while. ABCD scoring predicts the likelihood of remission following TB. However, the factors affecting T2DM relapse are unknown.</p><p><strong>Methods: </strong>The data of patients with CR after TB who were followed for more than 5 years was analyzed retrospectively.</p><p><strong>Results: </strong>The median follow-up of 56 patients, 29 of whom were female (51.8%), was 71 months (range: 61 to 101). Eleven of 56 patients (19.6%) had relapse in T2DM. Patients with an ABCD score less than 4 had a significantly higher rate of relapse. Its sensitivity and specificity rates were 90.9% and 93.3%, respectively. Preoperative C-peptide level (OR 0.032 [CI 0.003-0.295], p = 0.002), LDL-cholesterol level (OR 1.025 [CI 1.005-1.045], p = 0.013), duration of T2DM (OR 1.553 [1.216-1.983], p < 0.001), ABCD score (OR 0.047 [0.006-0.361], p = 0.003), and FIB-4 index (OR 6.073 [1.496-24.656], p = 0.012) were risk factors.</p><p><strong>Conclusions: </strong>Patients with longer durations of T2DM, higher LDL-cholesterol levels, lower C-peptide levels and ABCD scores, and worse liver fibrosis are at a higher risk of relapse after achieving initial CR of T2DM with TB.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2227-2233"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984511","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":"First-in-Human Linear Magnetic Jejuno-Ileal Bipartition: Preliminary Results with Incisionless, Sutureless, Swallowable Technique.","authors":"Michel Gagner, Martin Fried, David Michalsky, Karen Dolezalova, Petra Sramkova, Jan Brezina, Dasa Baliarova, Lucie Hlavata, Michal Novak, Jaroslav Bartos, Sarka Mullerova","doi":"10.1007/s11695-025-07861-1","DOIUrl":"10.1007/s11695-025-07861-1","url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive surgery may be further advanced with the novel biofragmentable magnetic anastomosis compression system. Two magnets may be swallowed, or placed by flexible endoscopy, in a side-to-side magnetic jejuno-ileostomy (MagJI) bipartition for weight and type 2 diabetes (T2D) reduction. MagJI markedly reduces the major complications of enterotomy, stapling/suturing, and retained foreign materials.</p><p><strong>Methods: </strong>This was a prospective first-in-human investigation of feasibility, safety, and preliminary efficacy in adults with body mass index (BMI, kg/m²) ≥ 30.0- ≤ 40.0. After serial introduction via swallowing or endoscopy, linear magnets were laparoscopically guided to the distal ileum and proximal jejunum where they were aligned. Magnets fused over 7-21 days forming jejuno-ileostomy.</p><p><strong>Primary endpoints: </strong>feasibility and severe adverse event (SAEs) incidence (Clavien-Dindo grade); secondary endpoints: weight, T2D reduction.</p><p><strong>Results: </strong>Between 3-1 - 2024 and 6-30 - 2024, nine patients (mean BMI 37.3 ± 1.1) with T2D (all on T2D medications; mean HbA1_C 7.1 ± 0.2%, glucose 144.8 ± 14.3 mg/dL) underwent MagJI. Mean procedure time: both magnets swallowed, 86.7 ± 6.3 min; one magnet swallowed with second delivered endoscopically, 113.3 ± 17.0 min. Ninety-day feasibility confirmed in 100.0%: 0.0% bleeding, leakage, infection, mortality. Most AEs grade I-II; no SAEs. At 6-month radiologic confirmation, all anastomoses were patent. Excess weight loss 17.5 ± 2.8 kg; mean BMI reduction 2.2 ± 0.3, HbA1_C 6.1 ± 0.1% (p < 0.01), glucose 115.5 ± 6.5 mg/dL (p = 0.19); 83.0% dropped below 6.5% HbA1_C and had markedly reduced anti-T2D medications.</p><p><strong>Conclusions: </strong>The swallowable, biofragmentable magnetic anastomosis system appeared to be feasible and safe in achieving incisionless, sutureless jejuno-ileostomy. The first-in-human MagJI procedure may offer minimally complicated anastomosis creation and moderate MBS weight loss and T2D reduction.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2067-2080"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026637","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":"One-Year Outcomes of SADI-S in Chinese Patients with Type 2 Diabetes and BMI < 35 kg/m²: A Single-Center Retrospective Study.","authors":"Zheng Zhang, Tao Jiang","doi":"10.1007/s11695-025-07872-y","DOIUrl":"10.1007/s11695-025-07872-y","url":null,"abstract":"<p><strong>Background: </strong>There is limited evidence on the efficacy and safety of single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) in treating type 2 diabetes mellitus (T2DM) in patients with body mass index (BMI) < 35 kg/m².</p><p><strong>Methods: </strong>This study included clinical data from 22 T2DM patients with BMI < 35 kg/m² who received SADI-S treatment. Changes in diabetes-related indicators, weight-related indicators, and patient nutritional outcomes were analyzed.</p><p><strong>Results: </strong>SADI-S was successfully performed in all 22 cases, with no conversions to laparotomy or resulting deaths. The incidence of surgical complications was 4.54% (1/22). One-year postsurgery, there was a significant decrease in BMI from 32.42 ± 2.18 to 22.11 ± 1.86 kg/m² (P < 0.05) and a significant decrease in mean HbA1c from 8.76 ± 1.74 to 5.25 ± 0.76% (P < 0.05). The %EWL and %TWL were 145.78 ± 35.97% and 31.60 ± 6.34% respectively at 1 year. The remission rate for T2DM was 94.7% (18/19) at 1 year. Following SADI-S, the incidence rates of zinc deficiency and vitamin D deficiency at 1 year were 38.46% (5/13) and 30.77% (4/13), respectively, significantly higher than presurgery.</p><p><strong>Conclusions: </strong>SADI-S is considered an efficient, safe, and feasible surgical approach for patients with T2DM and a BMI < 35 kg/m². Nevertheless, additional research, including potentially multi-center collaborative studies, is warranted to assess the procedure's long-term outcomes.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2142-2149"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037059","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":"Hair Loss and Metabolic and Bariatric Surgery: An Updated Systematic Review and Meta-analysis.","authors":"Nima Taghizadeh, Hussein Salhab, Ali Alirezaei, Khosrow Najjari, Wah Yang, Raziyhe Abedi-Kichi, Ali Esparham, Shahab Shahabi Shahmiri","doi":"10.1007/s11695-025-07903-8","DOIUrl":"10.1007/s11695-025-07903-8","url":null,"abstract":"<p><p>The current updated systematic review and meta-analysis aims to investigate the rate of hair loss after metabolic and bariatric surgery (MBS). A systematic search was done on PubMed, Scopus, Google Scholar, and Web of Science. The primary outcome of this study was to investigate the incidence of hair loss following MBS. In this meta-analysis of 41 articles with 7044 patients, our results showed that the incidence of hair loss after MBS was 47%. In addition, Roux-en-Y gastric bypass had a significantly higher rate of hair loss than sleeve gastrectomy (OR = 1.91). On the other hand, Roux-en-Y gastric bypass had a significantly lower rate of hair loss compared to duodenal switch (OR = 0.41). Hair loss is a common complication after MBS, especially after the duodenal switch and Roux-en-Y gastric bypass.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2370-2380"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094481","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":"Exploring the Acceptability of Post-bariatric Nutritional-Behavioral and Supervised Exercise Intervention (BARI-LIFESTYLE): A Mixed Methods Evaluation.","authors":"Friedrich C Jassil, Raissa Hamelmann, Adrian Brown, Alisia Carnemolla, Helen Kingett, Jacqueline Doyle, Amy Kirk, Neville Lewis, Gemma Montagut, Parastou Marvasti, Kusuma Chaiyasoot, Roxanna Zakeri, Jessica Mok, Kalpana Devalia, Chetan Parmar, Janine Makaronidis, Rachel L Batterham","doi":"10.1007/s11695-025-07927-0","DOIUrl":"https://doi.org/10.1007/s11695-025-07927-0","url":null,"abstract":"<p><strong>Background: </strong>The BARI-LIFESTYLE trial explored the impacts of a combined nutritional-behavioral tele-counselling and supervised exercise intervention in the first year following bariatric surgery. While the program did not elicit additional weight loss or improvements in health outcomes, evaluating its acceptability remains critical to refining future research and intervention design.</p><p><strong>Methods: </strong>A mixed-methods approach was employed. First, the acceptability of the intervention program was determined through randomization refusal rate, dropout rate, intervention refusal rate, and attendance rate. Data from the self-reported exit questionnaire completed at the final study visit were analyzed using descriptive statistics, and free-text responses were examined using a content analysis approach.</p><p><strong>Results: </strong>A total of 79 participants (74.7% female; mean ± SD age 44.8 ± 10.8 years; mean BMI 42.1 ± 5.8 kg/m²) were randomly assigned to the BARI-LIFESTYLE program. The randomization refusal rate was 2%. The tele-counselling achieved high acceptability, as evidenced by a low refusal rate (1.3%), and high attendance (79%), with 96.8% reporting the sessions as useful. Qualitative data further highlighted its role in supporting post-bariatric surgery lifestyle adaptation. In contrast, the supervised exercise program exhibited moderate acceptability, with a higher refusal rate (21.6%) and an attendance rate of 72.4%. Despite this, 98.1% of regular attendees found the sessions beneficial, particularly for addressing physical and psychological barriers to exercise. Key barriers to participation in both interventions included competing demands and scheduling conflicts. To improve the acceptability of future interventions, recommendations include the integration of mobile technology, increasing the frequency of tele-counselling sessions, enhancing accessibility to exercise classes, and providing personalized exercise programs.</p><p><strong>Conclusions: </strong>Participant-reported outcomes suggest that the BARI-LIFESTYLE program provided holistic support, addressing diet, exercise, social, and psychological aspects of life after bariatric surgery.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192060","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}