Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery最新文献

{"title":"Comment on \"outcomes of hiatal hernia repair after Roux-en-Y gastric bypass: largest retrospective cohort study to date\" [SOARD 24-456R1].","authors":"Abdelrahman Nimeri","doi":"10.1016/j.soard.2025.06.013","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.013","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bariatric surgery leads to long term lower urinary tract symptoms (LUTS) improvement in male patients with severe obesity: 5-year results from a prospective within-subject cohort study.","authors":"Alex Qinyang Liu, Phoebe Cheuk-Lam Lam, Steven Chi-Ho Leung, Chi-Hang Yee, Peter Ka-Fung Chiu, Jeremy Yuen-Chun Teoh, Carol Man-Sze Lai, Candice Chuen-Hing Lam, Shirley Yuk-Wah Liu, Chi-Fai Ng","doi":"10.1016/j.soard.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.006","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a known risk factor for lower urinary tract symptoms (LUTS). Current literature has not described the long-term effect of bariatric surgery on male LUTS.</p><p><strong>Objectives: </strong>To investigate the 5-year long-term follow-up data on the effect of bariatric surgery on LUTS improvement in male patients with severe obesity.</p><p><strong>Setting: </strong>University Hospital, Hong Kong.</p><p><strong>Methods: </strong>This is a prospective cohort study. All consecutive male patients from 2010-2020 undergoing bariatric surgery were recruited, with prospective collection of preoperative and postoperative International Prostate Symptom Score (IPSS), anthropometric measurements, metabolic syndrome parameters, and blood parameters. Within-subject analysis was performed to compare the changes in IPSS over time.</p><p><strong>Results: </strong>One hundred seventy-three male patients were included. There was statistically significant IPSS total symptom score improvement up to 4 years after bariatric surgery in all patients (6.87 versus 5.63, P = .037) and up to 5 years in patients with moderate-to-severe baseline LUTS (13.53 versus 10.03, P = .001). The quality-of-life score was statistically significantly improved up to 5 years. Both voiding and storage symptom showed statistically significant improvement. Univariate and multivariable logistic regression showed percentage change in waist circumference to be a significant predictor of a clinically significant IPSS improvement of 3 or more.</p><p><strong>Conclusions: </strong>This is the largest cohort with the longest follow-up duration demonstrating the lasting effect of bariatric surgery on the improvement of male LUTS in male patients with severe obesity. Statistically and clinically significant improvement in IPSS symptoms, both voiding and storage, were observed, especially in patients with baseline moderate-to-severe LUTS.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of five-year physical outcomes in patients undergoing laparoscopic sleeve gastrectomy plus jejunojejunal bypass versus Roux-en-Y gastric bypass.","authors":"Wei Guan, Shibo Lin, Jiajia Shen, Ruiping Liu, Ningli Yang, Hui Liang","doi":"10.1016/j.soard.2025.06.008","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.008","url":null,"abstract":"<p><strong>Background: </strong>Sleeve gastrectomy plus jejunojejunal bypass (SG + JJB) is increasingly accepted as a surgical treatment for severe obesity. However, data on the long-term results of this procedure are limited, and studies comparing it with other bariatric procedures are scarce.</p><p><strong>Objectives: </strong>The objective of this study was to compare 5-year outcomes following SG + JJB and Roux-en-Y gastric bypass (RYGB).</p><p><strong>Setting: </strong>The study was conducted at University Hospital, P.R. China.</p><p><strong>Methods: </strong>We compared all SG + JJB and RYGB cases handled at our institution between June 2015 and December 2018. We included 329 patients: 167 underwent SG + JJB, and 162 underwent RYGB. All patients completed assessments at presurgery and 5 years after surgery. The data were analyzed using the χ2 test and independent sample t test, with P < .05 denoting statistical significance.</p><p><strong>Results: </strong>There was no statistically significant difference between the SG + JJB and RYGB groups in terms of weight loss or remission of most associated metabolic complications, such as hypertension, type 2 diabetes mellitus (T2DM), nonalcoholic fatty liver disease (NAFLD), hyperuricemia, and obstructive sleep apnea syndrome (OSAS), although the remission rate of hyperlipidemia was higher in the RYGB group (P < .01). Compared with RYGB, SG + JJB results in lower incidences of dumping syndrome, cholelithiasis, anemia, and gastrointestinal dysfunction (P < .01), and a higher rate of gastroesophageal reflux disease (GERD) (P < .01).</p><p><strong>Conclusions: </strong>SG + JJB results in sustained weight loss and co-morbidity control after 5 years, yielding a low incidence of adverse events. Like RYGB, SG + JJB seems to be a safe and effective surgical procedure for treating obesity and related diseases.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of weight loss on epicardial adipose tissue after laparoscopic sleeve gastrectomy: a CT-based quantitative analysis using ITK-SNAP.","authors":"Peng Ronggang, Meng Weilun, Du Lei, Qu Shen, Xu Yawei, Gao Changzheng, Gao Qizhong, Wang Xiaoyan","doi":"10.1016/j.soard.2025.06.003","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.003","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is an effective method for weight reduction, and epicardial adipose tissue (EAT) is a recognized marker of cardiovascular disease risk. However, the impact of weight loss on EAT and the correlation between reduced body weight and changes in EAT remain unclear.</p><p><strong>Objective: </strong>This study examines the impact of weight loss following laparoscopic sleeve gastrectomy (LSG) on EAT volume and its correlation with body mass index (BMI) reduction.</p><p><strong>Setting: </strong>This study was conducted at 2 hospitals in China: the Affiliated Hospital of Jiangnan University and Shanghai 10th People's hospital.</p><p><strong>Method: </strong>Consecutive patients who underwent LSG were screened for inclusion between August 2016 and December 2024. EAT parameters were assessed both preoperatively and 12 months postsurgery using the ITK-SNAP CT imaging technique. Additionally, indicators of cardiac structure and function were collected.</p><p><strong>Results: </strong>A total of 88 patients were included. After 12 months, significant reductions were observed in EAT volume (402.73 ± 52.80 ml to 372.14 ± 51.70 ml, P < .001), left atrial diameter (LAD; 37.66 ± 3.70 mm to 35.03 ± 3.65 mm, P < .001), interventricular septum thickness (IVS; 10.18 ± .94 mm to 9.52 ± .88 mm, P < .001), and left ventricular mass (LVmass; 262.27 ± 59.59 g to 235.55 ± 47.99 g, P < .001). No significant changes were observed in left ventricular ejection fraction (LVEF; 64.43 ± 5.00% to 65.35 ± 3.03%, P = .084). Moreover, changes in BMI were positively correlated with changes in EAT (r = .509, P < .001), LAD (r = .219, P = .040), and IVS (r = .262, P = .014).</p><p><strong>Conclusion: </strong>Significant improvement in EAT and cardiac structural remodeling occurs after LSG surgery, which strongly correlates with BMI reduction. EAT serves as a novel mediator in the relationship between obesity and cardiovascular disease, and bariatric surgery has the potential to mitigate cardiovascular risk by targeting this therapeutic focus.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent metabolic and bariatric surgery in 2025: evidence, urgency, and a call to action.","authors":"Thomas Inge, Justin Ryder, Marc Michalsky, Mark Wulkan, Stephanie Walsh","doi":"10.1016/j.soard.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.009","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: postoperative outcomes following revision or conversion surgery after primary sleeve gastrectomy: an analysis of the MBSAQIP database.","authors":"Qi Xu, Yuwan Gao","doi":"10.1016/j.soard.2025.05.018","DOIUrl":"https://doi.org/10.1016/j.soard.2025.05.018","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of bariatric surgery in patients with advanced heart failure.","authors":"Saraswati Sah, Rachana Mehta, Ranjana Sah","doi":"10.1016/j.soard.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.002","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of taste and smell perception on weight loss induced by sleeve gastrectomy and its association with gut microbiota.","authors":"Carolina Gutiérrez-Repiso, B Vanessa Díaz-González, María José García-López, Jacqueline Álvarez-Pérez, Lourdes Garrido-Sánchez, Isabel Moreno-Indias, Inmaculada Bautista-Castaño, Lluis Serra-Majem, Francisco J Tinahones","doi":"10.1016/j.soard.2025.05.016","DOIUrl":"https://doi.org/10.1016/j.soard.2025.05.016","url":null,"abstract":"<p><strong>Background: </strong>Eating behavior has been suggested to be influenced by the interplay between chemosensory perception and gut microbiota. Although both factors have been suggested to be altered in obesity and modified by bariatric surgery, there is little evidence about the influence of preoperative smell and taste perception on weight loss outcomes following bariatric surgery, as well as their association with gut microbiota.</p><p><strong>Objectives: </strong>To assess the predictive role of smell and taste perception in weight loss trajectory after sleeve gastrectomy.</p><p><strong>Setting: </strong>Vithas Santa Catalina Hospital in Las Palmas, Spain.</p><p><strong>Methods: </strong>This study included 35 patients who underwent sleeve gastrectomy. Smell and taste assessments and gut microbiota composition analysis were performed before bariatric surgery and 18 months postsurgery. Patients were classified according to the 50th percentile (50P) of the total taste score and olfactory Threshold-Discrimination-Identification (TDI) score.</p><p><strong>Results: </strong>Patients with TDI>50P showed significantly higher percentage of excess weight loss (%EWL) (P = .035) and their gut microbiota was enriched in Flavonifractor, Ruminococcaceae (genus Incertae Sedis), Eggerthella, Sellimonas, and GCA-900,066,575, whilst patients with TDI<50P showed an enrichment in Eubacterium ruminantium group and Lachnospiraceae UCG-001. %EWL was significantly higher in patients with total taste score >50P (P = .049) and their microbiota were enriched in Sutterellaceae, Barnesiellaceae, Roseburia, Lachnospiraceae_UCG-004, Bilophila, Bilophila wadsworthia, Monoglobaceae and Monoglobus, whilst patients with total taste score <50P showed an enrichment in Lactobacillaceae, Lactobacillus, Klebsiella, Klebsiella pneumoniae, and Streptococcus parasanguinis.</p><p><strong>Conclusions: </strong>Chemosensory perception could play a role in weight loss trajectory after sleeve gastrectomy through the microbiota-gut-brain axis.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating safety and outcomes of concurrent cholecystectomy in revisional and conversion bariatric surgery: an Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program case cohort analysis of 72,189 patients.","authors":"Thomas H Shin, Valentin Mocanu, Donovan Hui, Leighton Matthews, Juan S Barajas-Gamboa, Melissa Wills, Cullen Carter, Peter Hallowell, Bruce Schirmer, Jerry Dang","doi":"10.1016/j.soard.2025.05.017","DOIUrl":"10.1016/j.soard.2025.05.017","url":null,"abstract":"<p><strong>Background: </strong>Symptomatic cholelithiasis in altered foregut anatomy can have significant clinical repercussions and modify risk-benefit calculations surrounding a concurrent cholecystectomy (CC) at time of bariatric surgery.</p><p><strong>Objectives: </strong>To characterize trends in CC during revisional and conversion bariatric surgery and evaluate its subsequent risk profile.</p><p><strong>Setting: </strong>Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database from 2020 to 2022 was used to identify 72,189 adult laparoscopic bariatric revisions (16,335 cases, 22.6%) and conversions (55,854 cases, 77.4%) METHODS: Multivariable logistic regressions were completed to calculate odds of 30-day postoperative complications, reintervention, reoperation, and conversion to open surgery associated with CC. Sensitivity analyses identified drivers of complication rates and differences in complication risk by conversion type.</p><p><strong>Results: </strong>Multivariable analysis showed significantly increased odds of 30-day complications (odds ratio [OR] 1.45, P = .022) in revisions and conversions with CC, but not reinterventions, readmission, or conversion to open. Cases with CC had significantly higher incidences of postoperative hemorrhage (2.37% versus 1.59%, P = .008), cardiac events (.32% versus .13%, P = .021), and acute kidney injury (.32% versus .13%, P = .024). Selecting for the most performed conversions in 2020-2022 MBSAQIP, multivariable analyses reveal significantly increased odds of 30-day serious complications in adjustable gastric band (AGB) to Roux-en-Y gastric bypass (RYGB; OR 2.62, P = .038). Odds of 30-day serious complications in other leading sleeve gastrectomy and AGB conversions did not reach statistical significance.</p><p><strong>Conclusions: </strong>While CC significantly increases odds of 30-day complications, risks and benefits of CC at time of revisions and conversions must be weighed carefully, particularly in AGB to RYGB conversions and clinical contexts with elevated risk of bleeding, cardiac events, and renal injury.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paired Editorial: Efficacy of combined sleeve gastrectomy and Nissen fundoplication for weight loss and prevention of postoperative gastroesophageal reflux disease in patients with obesity: a systematic review and meta-analysis.","authors":"Ruth Lopez-Gonzalez, Alyssa Ritchie, Ricard Corcelles","doi":"10.1016/j.soard.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.soard.2025.05.009","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}