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

{"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}

{"title":"The practice of preoperative patient education in metabolic bariatric surgery: results of a national survey.","authors":"Karen Diane Groller, Brenna Curley, William Gourash","doi":"10.1016/j.soard.2025.05.006","DOIUrl":"https://doi.org/10.1016/j.soard.2025.05.006","url":null,"abstract":"<p><strong>Background: </strong>Few evidence-based studies addressing metabolic and bariatric surgery patient education (MBS-PE) practices exist.</p><p><strong>Objective: </strong>To examine how preoperative MBS-PE is provided nationally.</p><p><strong>Setting: </strong>National Certification Program.</p><p><strong>Methods: </strong>Descriptive analysis of an internet survey distributed in 2021 to integrated health professionals of American Society for Metabolic and Bariatric Surgery and active Certified Bariatric Nurses.</p><p><strong>Results: </strong>The sample (n = 269), representing 43 states, was divided into 2 groups: nurses (65.8%) and other integrated health professionals (OIHPs) (34.2%). More than 74% in both groups rated 15 education content areas as \"very important\" or \"extremely important.\" Content areas were developed \"most of time\" or \"always\" (by nurses and OIHP) using clinical experience (79.0% and 75.0%), implementing information from literature (69.3% and 75.3%), and theory (55.4% and 76.1%). Educational materials were delivered through printed materials (95.2%), website/portal (69.5%), and social media (53.2%). Delivery methods (used by nurses and OIHP) included didactic presentation (71.2%, 77.2%), behavioral modification (60.5%, 77.2%), and motivational interviewing delivery (47.5%, 69.6%). Delivery settings were \"most of the time\" or \"always\" conducted individually by nurses (76.3%) and OIHP (66.3%). The effectiveness of MBS knowledge acquired through education was evaluated by 62.1%. Informal discussions, written tests, and quality metrics were used predominantly to identify knowledge gaps. A majority perceived preoperative MBS-PE to be moderately or highly related to surgical outcomes.</p><p><strong>Conclusions: </strong>Results provide insights on preoperative MBS-PE practices from integrated health professionals, offering opportunities for clinicians to reflect on, incorporate recommended practice changes, and research patient education practices using educational constructs of content, delivery methods, knowledge measurement, and clinical outcomes.</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":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201231","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":"A call to action: Paired editorial for \"Payor status differences in 30-day and 1-year outcomes after primary laparoscopic bariatric surgery\".","authors":"Matthew Brengman","doi":"10.1016/j.soard.2025.05.010","DOIUrl":"https://doi.org/10.1016/j.soard.2025.05.010","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":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144218001","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":"Morbidity and mortality of incisional hernia repairs in patients with obesity: a retrospective bicentric study on the impact of an initial bariatric surgery approach.","authors":"Clément Louis-Gaubert, Marie de Montrichard, David Jacobi, Alya Zouaghi Bellemin, David Moszkowicz, Claire Blanchard","doi":"10.1016/j.soard.2025.04.468","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.468","url":null,"abstract":"<p><strong>Background: </strong>Abdominal hernias are a prevalent complication of abdominal surgery, occurring in 13% of midline laparotomy. The recurrence rate is considerable, reaching 28% within 2 years postrepair. The most significant factor contributing to recurrence after hernia repair and complications is obesity.</p><p><strong>Objectives: </strong>This study assesses the impact of a two-stage approach, comprising initial bariatric surgery (BS) followed by hernia repair, on morbidity and mortality associated with hernia surgery.</p><p><strong>Setting: </strong>Bicentric retrospective study conducted at two university hospitals (France).</p><p><strong>Methods: </strong>Patients with obesity who were eligible for BS and underwent incisional hernia repair (IHR) between January 2013 and August 2023 were divided into two groups: those who underwent IHR alone and those who received initial BS followed by IHR. Data included demographic, anthropometric, and procedural details, as well as short- and long-term complications.</p><p><strong>Results: </strong>The 140 patients were divided into two groups: 103 undergoing IHR alone (body mass index [BMI] 40.5kg/m²) and 37 in the BS-then-IHR group (BMI reduction from 43.7kg/m² to 32.4kg/m²). Intraoperative data showed a lower incidence of complications in the BS-first group (0%) than in the IHR-group (13.7%), even after excluding emergency surgeries (P < .05). Postoperative morbidity was lower in the two-stage group, with intensive care unit admissions at 5.4% versus 17.5% and no mortalities. Median hospital stay was shorter (4.5 days vs. 7 days, P < .05). Three-year clinical recurrence was 8.3% versus 19.8%.</p><p><strong>Conclusion: </strong>A two-stage approach may improve IHR outcomes by reducing recurrence, hospital stay, and postoperative morbidity and mortality. This approach should be considered if the patient is eligible for BS.</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":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188755","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":"Commentary on: Challenges in diagnosing gestational diabetes after Roux-en-Y gastric bypass: a comparative analysis of OGTT, SMBG, and CGM.","authors":"Florina Corpodean","doi":"10.1016/j.soard.2025.04.466","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.466","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":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083064","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":"The relationship between bariatric surgery and risk of hip or knee replacement in severe osteoarthritis is obesity class-specific.","authors":"Julien Paccou, Soxna Faatimatu Kiné Fall, Xavier Lenne, Didier Theis, François Pattou, Amélie Bruandet","doi":"10.1016/j.soard.2025.04.467","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.467","url":null,"abstract":"<p><strong>Background: </strong>In patients with osteoarthritis, bariatric surgery is associated with diminished joint pain and improved functionality.</p><p><strong>Objectives: </strong>To evaluate the relationship between the risk of total joint replacement (TJR) and the fact of having undergone bariatric surgery (yes or no) in people living with obesity.</p><p><strong>Settings: </strong>Data from the French National Hospitals Database.</p><p><strong>Methods: </strong>This case-control study was conducted to identify hospitalizations for TJR. The main exposure of interest was having undergone (or not) a bariatric surgery procedure between January 2017 and December 2021. After a 6-month run-in phase, data on hospitalizations for the first TJR (i.e., hip or knee) from July 2017 to December 2023 were classified by obesity class and surgical type.</p><p><strong>Results: </strong>One hundred sixty thousand seven hundred seventy-three patients who had undergone bariatric surgery (mean age: 40.8 years, 79.5% females) and 160,773 matched controls were identified. The most frequent surgical technique was sleeve gastrectomy (72.2%), followed by gastric bypass (27.8%). The average follow-up was 4.7 years. An increase in the overall risk of TJR, with a hazard ratio (HR) of 1.09 (95% confidence interval [CI], 1.03-1.15), was observed. Depending on obesity class, patients with body mass index (BMI) < 40 kg/m² had a lower risk of TJR (HR: 5.85; 95% CI: .78-.93), whereas a higher risk was observed in patients with BMI ≥40 kg/m² (HR: 5 1.25; 95% CI: 1.16-1.34).</p><p><strong>Conclusions: </strong>In France, hospitalizations for TJR following bariatric surgery were associated with an increase of 25% in patients with BMI ≥ 40 kg/m², whereas it was associated with a decrease of 15% in patients with BMI < 40 kg/m².</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":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113239","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: Single-anastomosis duodenal-ileal bypass with sleeve gastrectomy for diabetes: predictors of remission and metabolic outcomes in a multicenter study.","authors":"R Wesley Vosburg","doi":"10.1016/j.soard.2025.04.465","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.465","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":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061163","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: Distressed community index as a predictor of metabolic and bariatric surgery outcomes.","authors":"Genna F Hymowitz, Brooke A Duarte, Jessica K Salwen-Deremer","doi":"10.1016/j.soard.2025.04.464","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.464","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":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083063","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":"Rethinking revisional bariatric surgery: a dual approach for long-term weight control after RYGB. Paired editorial to: \"Addressing recurrent weight gain after Roux-en-Y gastric bypass: efficacy of a dual surgical approach - Short term results of a single center cohort study\".","authors":"Sergio Carandina, Antonio Iannelli","doi":"10.1016/j.soard.2025.03.011","DOIUrl":"https://doi.org/10.1016/j.soard.2025.03.011","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":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059308","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 postoperative conversion trends in the elderly: an Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program-based analysis of bariatric surgery outcomes.","authors":"Juan S Barajas-Gamboa, Gabriela Restrepo-Rodas, Valentin Mocanu, Thomas Shin, Gustavo Romero-Velez, Andrew T Strong, Salvador Navarrete, John Rodriguez, Ricard Corcelles, Matthew Kroh, Jerry T Dang","doi":"10.1016/j.soard.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.002","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is increasingly common among elderly patients, yet postoperative conversion trends remain underexplored in this population.</p><p><strong>Objectives: </strong>Utilizing the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database, this study aims to provide a comprehensive analysis of conversion trends postbariatric surgery in the elderly.</p><p><strong>Setting: </strong>MBSAQIP national database.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of conversional bariatric surgeries reported in the MBSAQIP database from 2020 to 2022. The percentage of cases, demographics, indications, complications, and mortality for conversional procedures in elderly patients were analyzed. Elderly was defined as patients older than 65 years of age.</p><p><strong>Results: </strong>Out of 51,138 conversional bariatric surgery patients, 3746 elderly patients underwent conversions during 2020-2022. The primary surgical procedures included 1479 (39.4%) sleeve gastrectomy (SG), 2086 (55.6%) adjustable gastric banding (AGB), and 181 (4.8%) vertical banded gastroplasty (VBG) conversions, respectively. The mean age was 68.43 ± 3.0 for AGB, 68.44 ± 3.0 years for the SG, and 68.81 ± 3.0 for the VBG. Baseline comorbidities were similar between groups. The most common indications in all groups were weight gain and gastroesophageal reflux disease (GERD). AGBs were converted mostly to SG (57.6%), primary SG and VBG were converted mostly to Roux-en-Y gastric bypass (RYGB) (91.9% and 92.8%, respectively). Conversions of AGB to RYGB were associated with a higher rate of serious complications and death than conversions of AGB to other techniques (P = .02). Conversions of VBG to RYGB had the highest rate of serious complications (18.4% versus 7.6% for VBG to SG) and death (4.1% versus 0% for VBG to SG), though these differences were not statistically significant (P = .32 and P = .45, respectively).</p><p><strong>Conclusions: </strong>Our results suggest different patterns for conversional bariatric surgery in the elderly. This study shows that procedures were safe, although complication rates and mortality were higher in the VBG conversion procedures.</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":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049305","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}