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

{"title":"Effect of food environment on weight loss after bariatric surgery.","authors":"John Cord Helmken, Noelle Luzzi, Dawn Blackhurst, Jacqueline Grace Wallenborn, John D Scott","doi":"10.1016/j.soard.2025.04.469","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.469","url":null,"abstract":"<p><strong>Background: </strong>The impact of food environment on weight loss after Roux-en-Y gastric bypass and sleeve gastrectomy in South Carolina is not well studied. Specifically, there is a lack of evidence in the Upstate region of South Carolina regarding the efficacy of weight loss surgery in patients who live in a poor food environment.</p><p><strong>Objectives: </strong>Assess the relationship between food environment after bariatric surgery.</p><p><strong>Setting: </strong>South Carolina, USA.</p><p><strong>Methods: </strong>Our study is a single-center, retrospective review of 134 postbariatric surgery patients. We determined patients' food environments using the Center for Disease Control modified retail food environment index (mRFEI) and the South Carolina Department of Health and Environmental Control food desert map. We assessed weight loss using percent of total body weight loss (TBWL%).</p><p><strong>Results: </strong>We found no linear correlations between weight loss and food environment in bivariate analyses at 6 months (r = -.121; P = .165), 13 months (r = -.109; P = .275), 18 months (r = -.124; P = .326), or 36 months (r = -.331; P = .106) after bariatric surgery. At 24 months, there was a low negative correlation between weight loss and food environment (r = -.302; P = .041). In repeated measures multivariate analysis, adjusting for age, sex, race, payor status, and type of surgery, we found no statistically significant association between mRFEI and TBWL% (P = .214).</p><p><strong>Conclusions: </strong>Our data suggest there is no significant association between weight loss after bariatric surgery and living in an area with poor access to healthy food retailers. This study supports bariatric surgery as an effective method for weight loss regardless of patients' food environment.</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":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236352","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}

{"title":"Unveiling the cost-effectiveness of bariatric surgery: insights from a matched cohort study.","authors":"S Julie-Ann Lloyd, Elizabeth Wall-Wieler, Yuki Liu, Feibi Zheng, Teresa LaMasters","doi":"10.1016/j.soard.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.004","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a global health problem with alarming rates of morbidity and mortality. Although bariatric surgery is a proven safe and effective treatment for obesity, only a small fraction of eligible patients utilizes it.</p><p><strong>Objectives: </strong>Assess the economic impact of bariatric surgery costs within 2 years of the index date and identify factors associated with cost differences.</p><p><strong>Setting: </strong>U.S. national employer-based retrospective claims database.</p><p><strong>Methods: </strong>Adults with obesity (body mass index [BMI] ≥ 35 kilograms per square meter) were identified in the Merative claims database. Individuals who had a bariatric procedure between January 2017 and December 2019, inclusive, were matched 1:1 with nonsurgical patients, based on age, BMI, sex, comorbidities, and health care costs in the year before the index date. Total and clinical care-specific costs were compared in the 2 years after the index date (excluding the cost of surgery).</p><p><strong>Results: </strong>The study included 9432 surgical patients and 9432 well-matched controls. In the 2 years after the index date, follow-up was complete, and total health care costs were $5677 lower among surgical patients (P < .01). In 29 of 35 characteristics examined, health care costs were significantly reduced after surgery. The largest savings were noted among patients with type 2 diabetes ($15,270), steatohepatitis ($11,648), or ages 50-65 years ($11,105).</p><p><strong>Conclusions: </strong>Bariatric surgery is associated with an average 22.6% reduction in health care costs within 2 years postindex date. Differences in health care costs varied substantially by baseline demographics, health conditions, and health care usage, highlighting surgery's economic and clinical benefits.</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":"144251615","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":"Postoperative outcomes following revision or conversion surgery after primary sleeve gastrectomy: an analysis of the MBSAQIP database.","authors":"Karanbir Brar, Ranjan Sudan, Dana Portenier, Jacob A Greenberg, Shaina R Eckhouse, Keri A Seymour, James J Jung","doi":"10.1016/j.soard.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.soard.2025.04.003","url":null,"abstract":"<p><strong>Background: </strong>A significant proportion of patients that undergo primary sleeve gastrectomy (SG) require revision or conversion metabolic and bariatric surgery (MBS). Despite various procedures performed in practice, comparative analyses of short-term outcomes remain limited.</p><p><strong>Objectives: </strong>We conducted a retrospective comparative analysis of postoperative outcomes of revision or conversion MBS following primary SG.</p><p><strong>Setting: </strong>The 2020-2022 MBSAQIP database.</p><p><strong>Methods: </strong>We included patients who underwent any one of the following: revision SG (Re-SG), Roux-en-Y gastric bypass (SG-RYGB), biliopancreatic diversion/duodenal switch (SG-BPD/DS), single anastomosis duodenoileal bypass (SG-SADI), or one anastomosis gastric bypass (SG-OAGB). Our primary outcome was 30-day major complications, defined as Clavien-Dindo Grade≥ II.</p><p><strong>Results: </strong>Among 33,348 revision/conversion MBS, SG-RYGB was the most common (n = 27,393, 82.1%). Compared to SG-RYGB, the odds of 30-day major complications were lower in Re-SG (odds ratio [OR] .75, 95%- confidence interval [CI] .61-.90) and SG-SADI (OR .75, 95%-CI .57 - .97). However, both Re-SG and SG-SADI were associated with higher odds of anastomotic or staple line leak (OR 2.74; 95%-CI 1.78-4.12 and OR 2.44; 95%-CI 1.35-4.17, respectively). In addition, both Re-SG (mean difference 1.66 days, 95%-CI .44 - 2.88) and SG-SADI (MD 3.0 days, 95%-CI 1.31- 4.70) resulted in longer hospital stays upon readmission.</p><p><strong>Conclusions: </strong>In our analysis, Re-SG and SG-SADI had lower odds of 30-day major complications compared to SG-RYGB, but had significantly higher odds of anastomotic or staple line leak and had longer hospital stays on readmission. Given its limited indications and significant potential morbidity, Re-SG should not be routinely offered as a revisional procedure for primary SG.</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":"144046920","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":"Glucagon-like peptide-1 receptor agonists in conjunction with bariatric surgery: an alert regarding the less commonly perceived nonarteritic anterior ischemic optic neuropathy (NAION).","authors":"Maria S Varughese, Sushuma Kalidindi","doi":"10.1016/j.soard.2025.03.013","DOIUrl":"https://doi.org/10.1016/j.soard.2025.03.013","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":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061546","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}