Obesity Surgery最新文献_第9页

Efficacy of Omentopexy on Complications of Laparoscopic Sleeve Gastrectomy. 网膜切除术对腹腔镜袖状胃切除术并发症的疗效

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1007/s11695-024-07363-6

Yalcin Burak Kara, Yahya Ozel, Samet Yardimci

{"title":"Efficacy of Omentopexy on Complications of Laparoscopic Sleeve Gastrectomy.","authors":"Yalcin Burak Kara, Yahya Ozel, Samet Yardimci","doi":"10.1007/s11695-024-07363-6","DOIUrl":"10.1007/s11695-024-07363-6","url":null,"abstract":"Background: Laparoscopic sleeve gastrectomy (LSG) is a commonly performed type of bariatric surgery. Early complications of LSG include bleeding, leakage, pulmonary embolism, and surgical site infections. Most surgeons try to implement preventive methods, such as omentopexy. Staple line-imbrication, which has a difficult learning curve, often prevents complications. This study aimed to evaluate the effect of omentopexy on patients with imbricated LSG.Material and methods: The study applied a retrospective data analysis design to patients who underwent LSG between 2020 and 2023. All patients' staple lines were imbricated, and patients were then divided into two groups: omentopexy group and control group. Patients' demographic features, such as age, gender, height, weight, body mass index(BMI), bleeding, leakage, and reoperations, were recorded and examined retrospectively.Results: A total of 1356 patients were included in the study (540 in omentopexy, 816 in control), of which the mean age was 37.9 ± 10.5 years, 82.3% were women, and mean BMI was 40.9 ± 5.8 kg/m2. The mean bleeding rate was 1.0% (1.3-0.7%), the mean leakage rate was 0.2% (0.2-0.2%, respectively), and the mean reoperation rate was 0.6% (0.7% and 0.5%, respectively). No statistically significant differences were observed.Conclusion: Omentopexy is a technique that is widely used to prevent staple line complications. According to our study, omentopexy applied to an imbricated stapler line increased the operation time but did not affect bleeding or leakage ratios. This is the first study to evaluate the effect of omentopexy on imbricated staple lines. The findings of the study indicate that omentopexy has no additional benefit on early complications when using staple-line imbrication.","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/PMC11349786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446671","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

Feasibility and Safety Study of the Use of a New Robot (Maestro™) for Laparoscopic Surgery. 使用新型机器人 (Maestro™) 进行腹腔镜手术的可行性和安全性研究。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-09-01 Epub Date: 2024-08-01 DOI: 10.1007/s11695-024-07409-9

Guy-Bernard Cadière, Jacques Himpens, Mathilde Poras, Nicolas Boyer, Benjamin Cadière

{"title":"Feasibility and Safety Study of the Use of a New Robot (Maestro™) for Laparoscopic Surgery.","authors":"Guy-Bernard Cadière, Jacques Himpens, Mathilde Poras, Nicolas Boyer, Benjamin Cadière","doi":"10.1007/s11695-024-07409-9","DOIUrl":"10.1007/s11695-024-07409-9","url":null,"abstract":"Background: In laparoscopic surgery, telerobotic systems such as Da Vinci™ were developed, among other things, to give back exposure and vision control to the operating surgeon. However, new limitations such as the separation of the operating surgeon from the operating table, cost, and size were unveiled. A new device, Maestro™, appears promising in addressing these limitations. The current work evaluates the feasibility, safety, and surgeon satisfaction with the assistance provided by the Maestro System.Methods: Non-consecutive patients who were candidates for laparoscopic digestive surgery were enrolled in a descriptive prospective, monocentric study. Case selection was solely based on the availability of the device, but not on the patient's characteristics. Surgery was performed by a leading surgeon with the help of one less experienced surgeon. Feasibility was defined by the maintenance of the initial surgical plan. Safety was assessed by the absence of serious adverse events related to the device and surgeon satisfaction was evaluated by a questionnaire following the intervention.Results: All 50 procedures were completed without conversion in laparotomy and without adjustment of the surgical team. Four complications were recorded during the study; however, none related to the use of the Maestro System. In 92% of the cases, the surgeon was satisfied with the assistance provided by the Maestro System.Conclusions: In standard elective digestive procedures by laparoscopy, the use of the Maestro System is feasible and safe. It is beneficial to the surgeon and operative room organization by limiting the size of the surgical team.","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/PMC11349797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875528","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

Scientifically Invalid: Evaluating the Safety of the Intragastric Balloon: Spanish Multicenter Experience in 20,680 Cases and with 12 Different Balloon Models : Obes Surg. Published online July 18, 2024. doi:10.1007/s11695-024-07342-x. 科学无效：评估胃内球囊的安全性：西班牙多中心 20,680 例和 12 种不同球囊型号的经验：Obes Surg.doi:10.1007/s11695-024-07342-x.

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-08-31 DOI: 10.1007/s11695-024-07482-0

Jeffrey Brooks

引用次数: 0

Role of GLP1-RA in Optimizing Weight Loss Post-Bariatric Surgery: A Systematic Review and Meta-Analysis. GLP1-RA 在优化减肥手术后体重减轻中的作用：系统回顾与元分析》。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-08-31 DOI: 10.1007/s11695-024-07486-w

Mable Pereira, Shenelle Menezes, Ancy Jenil Franco, Patricia Marcolin, Mark Tomera

引用次数: 0

Causes of Death After Bariatric Surgery: Long-Term Study of 10 Years. 减肥手术后的死亡原因：十年长期研究

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-08-31 DOI: 10.1007/s11695-024-07466-0

Nathaniel Rookes, Oday Al-Asadi, Sashi Yeluri, Peter Vasas, Nehemiah Samuel, Srinivasan Balchandra, Abdulzahra Hussain

{"title":"Causes of Death After Bariatric Surgery: Long-Term Study of 10 Years.","authors":"Nathaniel Rookes, Oday Al-Asadi, Sashi Yeluri, Peter Vasas, Nehemiah Samuel, Srinivasan Balchandra, Abdulzahra Hussain","doi":"10.1007/s11695-024-07466-0","DOIUrl":"https://doi.org/10.1007/s11695-024-07466-0","url":null,"abstract":"Background: There is a lack of up-to-date research addressing the causes of death and predictors of long-term mortality after bariatric surgery.Methods: This was a single-centre retrospective study. Trust records were used to identify deceased patients and their medical history. The demographic data, comorbidities, cause of death, and time since surgery were retrieved and tabulated. Data was recoded to allow for use in IBM SPSS.Results: There were 39 deaths amongst 891 patients who underwent bariatric surgery between 15th June 2010 to 18th September 2022. The main cause of death was pneumonia and respiratory causes with 15.4% of the cohort. A history of asthma/COPD had an association with the cause of death (p = 0.021). A history of hypertension, ischaemic heart disease (IHD), and smoking were all associated with a higher age at death, whilst a history of IHD was associated with a higher number of days from operation to death. Age at operation and number of comorbidities both correlated with age at death, and multiple linear regression of age at death with age at operation and number of comorbidities as predictors was significant (p < 0.001). A Cox regression found age at operation to have a significant effect on survival, with a hazard ratio of 1.063 (95% CI:1.027 to 1.100, p < 0.001).Conclusion: Pneumonia and respiratory causes are the largest causes of long-term mortality after bariatric surgery. The only factor found to have a detrimental effect on all-cause mortality was age at operation which reduced survival. Hypertension, IHD, and smoking are indirect factors that are associated with mortality.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110076","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

Correction: New Perspectives on Sleeve Gastroplasty Trials for Patients with Autonomic and Hypothalamic Obesity. 更正：针对自主神经和下丘脑肥胖症患者的袖状胃成形术试验的新视角。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-08-29 DOI: 10.1007/s11695-024-07484-y

Rajajeyakumar Manivel, Azhagu Madhavan Sivalingam

引用次数: 0

Disparities in Bariatric Surgery Outcomes: A Regional Analysis. 减肥手术结果的差异：地区分析。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-08-28 DOI: 10.1007/s11695-024-07470-4

Emiliano G Manueli Laos, Alessandro Martinino, Alberto Mangano, Alvaro Ducas, Francisco Schlottmann, Amber Pirzada, Mario A Masrur

{"title":"Disparities in Bariatric Surgery Outcomes: A Regional Analysis.","authors":"Emiliano G Manueli Laos, Alessandro Martinino, Alberto Mangano, Alvaro Ducas, Francisco Schlottmann, Amber Pirzada, Mario A Masrur","doi":"10.1007/s11695-024-07470-4","DOIUrl":"https://doi.org/10.1007/s11695-024-07470-4","url":null,"abstract":"Purpose: The success of metabolic and bariatric surgery (MBS) is impacted by significant pre-surgical attrition rates and poor postoperative follow-up. This study focused on geographic variations in attrition rates and surgical outcomes for MBS practice for which the patient population is drawn from nine Chicago neighborhoods, to examine whether suboptimal weight loss or reduced adherence to the program varied across neighborhoods.Methods: Patients who presented for their initial MBS consultation at the University of Illinois (UI) Health's program between January 2019 and December 2020 were identified from electronic medical records. Demographic and medical information was extracted, along with postoperative weight at 3, 6, and 12 months after surgery. The Chicago area was divided into nine geographic regions. The outcomes of interest were preoperative attrition rate, postoperative compliance to follow-up appointments, and postoperative weight loss for each group and by residential neighborhood.Results: A total of 1202 patients were included in this analysis, of whom 423 (35%) underwent surgery and 780 did not, representing a pre-surgical attrition rate of 64.9%. Age, sex, and race/ethnic distribution varied markedly across geographic regions. Postoperative weight loss varied significantly in neighborhoods with higher proportions of residents from racial/ethnic minority backgrounds. Preoperative attrition and postoperative compliance did not differ across geographic regions.Conclusion: Patients' residential neighborhoods may influence weight loss after MBS. Preoperative and postoperative compliance did not vary by residential neighborhood.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081152","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

Perioperative Renal Function Correlates with Postoperative Serum Urate Following Bariatric Surgery: An Observational Study. 减肥手术围手术期肾功能与术后血清尿酸盐的相关性：一项观察性研究

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-08-28 DOI: 10.1007/s11695-024-07483-z

Michael Whitehead, Daniel W Mills, Ajith James, Javed Sultan, Akheel A Syed

引用次数: 0

Correction: Evidence-Based Classification for Post-bariatric Weight Regain from a Benchmark Registry Cohort of 18,403 Patients and Comparison with Current Criteria. 更正：从基准登记队列的 18,403 名患者中得出的基于证据的减肥后体重恢复分类以及与现行标准的比较。

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-08-28 DOI: 10.1007/s11695-024-07479-9

R J Franken, A W van de Laar

引用次数: 0

Does Patient's Metabolic and Bariatric Surgery Knowledge Predict Optimal Clinical Outcomes? 患者的代谢和减肥手术知识能否预测最佳临床效果？

IF 2.9 3区医学

Obesity Surgery Pub Date : 2024-08-28 DOI: 10.1007/s11695-024-07474-0

Dvir Froylich, Daniella Pinkhasova, Elena Borisover, Eden Gerszman, Edress Khatib, Ahmad Mahamid, Riad Haddad, David Hazzan

{"title":"Does Patient's Metabolic and Bariatric Surgery Knowledge Predict Optimal Clinical Outcomes?","authors":"Dvir Froylich, Daniella Pinkhasova, Elena Borisover, Eden Gerszman, Edress Khatib, Ahmad Mahamid, Riad Haddad, David Hazzan","doi":"10.1007/s11695-024-07474-0","DOIUrl":"https://doi.org/10.1007/s11695-024-07474-0","url":null,"abstract":"Purpose: Preoperative evaluation and educational training are required before metabolic and bariatric surgery. This study evaluates patient's comprehension prior to the operation and identifies the relationship between certain sociodemographic parameters and surgery outcomes.Materials and methods: An analysis of patients who completed a preoperative questionnaire and underwent metabolic and bariatric surgery between 2019 and 2021 was performed. The questionnaire evaluated surgery preparation and factors influencing weight loss after surgery.Results: In total, 81 patients completed the preoperative questionnaire. Mean age was 44 ± 11.69 years, 63 females (77%). Mean BMI was 42.85 ± 5.72 kg/m2. Roux-en-Y gastric bypass, sleeve gastrectomy, and one anastomosis gastric bypass was performed in 10 (12.3%), 28 (34%), and 43 (53%) patients respectively. Out of the patients, 38 (47%) were Israeli born Jews, 14 (17.3%) were Russian born Jews, and 29 (35.8%) were Israeli born Arabs. Mean follow-up was 30.71 ± 8.66 months. Questionnaire scores average was 67.7 ± 16.15. Based on univariate analysis, younger, single, higher educated, fewer offspring, and Israeli born Jews significantly scored higher in the questionnaire (p = 0.03, 0.05, 0.01, 0.0002, 0.02 respectively). Postoperational weight loss was significantly inferior among older patients, revisional procedures, and patients with lower educational levels (p = 0.02, 0.006, 0.05 respectively). Patients with a higher BMI, and fewer offspring had a significantly higher weight loss postoperatively (p = 0.0001, 0.02 respectively).Conclusion: The number of factors can influence optimal weight loss following metabolic and bariatric surgery. Identifying groups with certain characteristics and addressing their weaknesses may improve weight loss outcomes.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081153","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