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

{"title":"Comment on \"Biomechanical analysis of teeth movement during the repair of mandibular defects using transport disk distraction osteogenesis\".","authors":"Prajnasini Satapathy, Rachana Mehta, Ranjana Sah","doi":"10.1016/j.soard.2025.08.004","DOIUrl":"https://doi.org/10.1016/j.soard.2025.08.004","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":3.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984592","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 \"Evaluation of patients on immunosuppressants undergoing sleeve gastrectomy, Roux-en-Y gastric bypass, and duodenal switch: analysis of 19,414 patients\".","authors":"Prajnasini Satapathy, Rachana Mehta, Ranjana Sah","doi":"10.1016/j.soard.2025.08.005","DOIUrl":"https://doi.org/10.1016/j.soard.2025.08.005","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":3.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984544","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":"Revising the sleeve: a clearer picture emerges in the sleeve gastrectomy-to-roux-en-Y gastric bypass landscape.","authors":"Eric Velazquez","doi":"10.1016/j.soard.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.soard.2025.08.002","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":3.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056492","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":"Diabetes status and not preoperative glycemic control is associated with postoperative outcomes in metabolic/bariatric surgery.","authors":"Florina Corpodean, Michael Kachmar, Denise Danos, Philip R Schauer, Vance L Albaugh","doi":"10.1016/j.soard.2025.07.018","DOIUrl":"https://doi.org/10.1016/j.soard.2025.07.018","url":null,"abstract":"<p><strong>Background: </strong>Elevated hemoglobin A1C (HbA1C) is a surrogate for poor glycemic control, but its association with outcomes in metabolic surgery is not well established with respect to diabetes severity. This study aimed to extend prior evidence and evaluate the influence of preoperative HbA1C on postsurgical outcomes in patients undergoing primary laparoscopic sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB), hypothesizing that poor glycemic control and/or worse diabetes severity would lead to increased postoperative complications.</p><p><strong>Objectives: </strong>Identify the association of HbA1C or diabetes status on postoperative complications.</p><p><strong>Setting: </strong>Metabolic and Bariatric Surgery Accreditation Quality Improvement Project (MBSAQIP) database (2017-2022).</p><p><strong>Methods: </strong>Primary SG and RYGB cases were analyzed in patients with diabetes (n = 106,486), identified by a known diagnosis or preoperative HbA1C ≥ 6.5%. Multivariate logistic regression models with generalized estimating equations were used to assess the effects of preoperative HbA1C on clinical outcomes, controlling for demographics, procedure type, and co-morbidities.</p><p><strong>Results: </strong>Similar to smaller studies, no significant association was found between preoperative HbA1C levels and clinical outcomes for SG or RYGB. In contrast, subset analysis revealed increased odds ratios (ORs) for serious complications in both noninsulin-using (OR: 1.04, 95% confidence interval [CI]: 1.00-1.09) and insulin-using (OR: 1.07, 95% CI: 1.03-1.12) patients with diabetes. Insulin-using diabetes was also associated with an increased risk of infectious complications (OR: 1.05, 95% CI: 1.01-1.10). Stratification by procedure type showed that the association was significant only for RYGB (OR: 1.08, 95% CI: 1.02-1.14).</p><p><strong>Conclusions: </strong>Increased preoperative HbA1C levels are not associated with increased risk for complications overall; however, higher HbA1C in patients with insulin-using diabetes, which is suggestive of more advanced disease, is associated with an increased risk of serious and infectious complications following RYGB. While preoperative glycemic control does not lead to poor outcomes, this study demonstrates that patients with more severe diabetes do have slightly higher risk of complications but that risk is not modifiable and intrinsic to their chronic disease status.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056520","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":"From disability to productivity: the impact of metabolic and bariatric surgery on return to work.","authors":"Justin Dhyani, Samuel Wyman, Craig Wood, Arash Rahimi-Ardabily, Anthony Petrick, Ryan Horsley","doi":"10.1016/j.soard.2025.08.011","DOIUrl":"https://doi.org/10.1016/j.soard.2025.08.011","url":null,"abstract":"<p><strong>Background: </strong>Limited data exist on employment outcomes following metabolic and bariatric surgery (MBS), and no studies have specifically evaluated outcomes among patients unemployed specifically due to disability at the time of surgery.</p><p><strong>Objectives: </strong>To assess the impact of MBS on return to work (RTW) among patients who were unemployed due to disability preoperatively.</p><p><strong>Setting: </strong>Academic medical center in the United States.</p><p><strong>Methods: </strong>A prospectively maintained MBS database was used to identify patients with known preoperative employment status, age 18-59, who underwent primary MBS between 2006 and 2022. Employment status was extracted from the medical record to identify patients unemployed due to disability. The overall RTW was evaluated using Kaplan-Meier analysis and compared between demographic groups using LogRank tests.</p><p><strong>Results: </strong>Of the 6534 eligible patients, 9.6% (n = 625) self-reported as not working due to disability during the preoperative period. The rate of self-reported RTW was 10.5%, 17%, 44.3%, at 2, 4, and 10 years respectively. The median follow-up was 5.7 years. Younger age (P = .026) and private insurance (P = .0043) were associated with increased rates of RTW.</p><p><strong>Conclusion: </strong>More than 40% of patients unemployed due to disability returned to work within 10 years of MBS, with nearly 60% of patients under age 40 returning to work within 10 years. These findings suggest MBS may support long-term functional recovery and socioeconomic reintegration among disabled individuals.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260555","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 on sleeve to gastric bypass conversion: a multi-institutional study of 217 patients.","authors":"Enrico Facchiano, Emanuele Soricelli","doi":"10.1016/j.soard.2025.08.003","DOIUrl":"https://doi.org/10.1016/j.soard.2025.08.003","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":3.8,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984527","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":"Perioperative safety profile of single anastomosis duodeno-ileal bypass and Roux-en-Y gastric bypass after sleeve gastrectomy.","authors":"Emiliano G Manueli Laos, Lily Zhang, Reed Berger, Francesco Bianco, Khaled Abdelhady, Francisco Schlottmann, Mario A Masrur","doi":"10.1016/j.soard.2025.07.019","DOIUrl":"https://doi.org/10.1016/j.soard.2025.07.019","url":null,"abstract":"<p><strong>Background: </strong>Although metabolic and bariatric surgery (MBS) is highly effective for weight management, revisional procedures are often needed after sleeve gastrectomy (SG). While Roux-en-Y gastric bypass (RYGB) has historically been the most commonly performed revisional procedure, single anastomosis duodeno-ileal bypass (SADI) is a more recently endorsed alternative.</p><p><strong>Objective: </strong>To compare the safety profile of revisional RYGB and SADI after SG in the first postoperative 30 days.</p><p><strong>Setting: </strong>United States of America.</p><p><strong>Methods: </strong>Using the 2022-2023 MBSAQIP database, patients undergoing revisional RYGB or SADI after SG were identified and matched using propensity scores. Demographic, medical, and perioperative variables were analyzed, including length of stay, operative time, complications, and 30-day readmission, reoperation, and mortality rates.</p><p><strong>Results: </strong>After propensity score matching, a total of 6108 patients were included; 4581 (75.0%) to RYGB group and 1527 (25.0%) to SADI group. Operative times were longer for RYGB (P = .03). Mean length of stay was 1.57 ± 1.84 days for RYGB and 1.44 ± 1.28 days for SADI (P < .01) Postoperative bowel obstruction was more common after RYGB (.9% vs .3%, P = .01). RYGB 30-day readmission rate was 5.5% and reoperation rate was 1.8%. SADI 30-day readmission rate was 4.3% and reoperation rate was 2.2% (P = .06 for readmission rates; P = .3 for reoperation rates). Thirty-day mortality was similarly low in both groups (Group 1: .2%, Group 2: .1%, P > .7).</p><p><strong>Conclusion: </strong>Revisional RYGB and SADI after SG are both safe and associated with low morbidity in a short-term period. However, SADI may offer advantages over RYGB for its lower risk of postoperative bowel obstruction.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984530","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":"Response to the letter to the editor regarding \"role of bariatric surgery in patients with advanced heart failure\".","authors":"Darae Kim, In-Cheol Kim, Jong-Chan Youn, Jon A Kobashigawa","doi":"10.1016/j.soard.2025.08.009","DOIUrl":"https://doi.org/10.1016/j.soard.2025.08.009","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":3.8,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984581","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":"Comments on: prevalence of dysphagia after Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: a national propensity score study.","authors":"Samuel D Butensky, Saber Ghiassi","doi":"10.1016/j.soard.2025.08.006","DOIUrl":"https://doi.org/10.1016/j.soard.2025.08.006","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":3.8,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984578","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":"Accuracy of the Metabolic and Bariatric Surgery Accreditation Quality Improvement Program risk/benefit calculator in predicting outcomes of revisional bariatric surgery.","authors":"Qais AbuHasan, Bogdana Chesnova, Diala Sanduka, Sara Saeidi, Wentao Chang, Tarik K Yuce, Dimitrios Stefanidis","doi":"10.1016/j.soard.2025.06.019","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.019","url":null,"abstract":"<p><strong>Background: </strong>The Metabolic and Bariatric Surgery Accreditation Quality Improvement Program (MBSAQIP) risk/benefit calculator is an important tool used to counsel patients and predict postoperative risk and outcomes after bariatric surgery.</p><p><strong>Objectives: </strong>We aimed to assess the accuracy of the calculator in predicting outcomes after revisional bariatric procedures compared with primary procedures.</p><p><strong>Setting: </strong>Single-institution and national data.</p><p><strong>Methods: </strong>Postoperative outcomes (30-day complications and body mass index [BMI] at 6 months and 1 year) of patients undergoing primary and revisional bariatric procedures between 2016 and 2021 were recorded and compared with the predictions of the online calculator. Receiver operating characteristic curves were constructed to assess the predictive utility for binominal outcomes. For BMI, predictive error (predicted - actual BMI) was calculated. We also queried the MBSAQIP participant use files between 2021 and 2022 to examine the calculator use nationally.</p><p><strong>Results: </strong>Out of 1026 patients, 864 (84.2%) had primary, and 162 (15.8%) had revisional bariatric surgery. The area under the curve for any complication, serious complications, surgical site infections (SSIs), and readmissions were .63, .74, .67, and .52 for primary procedures, and .61, .73, .52, and .57 for revisions. The correlation coefficient of predicted and observed 1-year BMI was .74, P < .001 for primary procedures, and .55, P < .001 for revisions. The mean predictive error for 1-year BMI for revisions was higher than that for primary procedures (-3.8 ± 5.2 vs. -.30 ± 4.3, P < .001) with 75% of revisions having a negative predictive error. At the national level, the calculator was used in 18.4% of primary procedures and 16.1% (P < .001) of revisions.</p><p><strong>Conclusions: </strong>The MBSAQIP calculator is being used to counsel patients undergoing primary and revisional bariatric surgery. While calculator predictions for some outcomes are similar between primary and revisional cases, they are inaccurate for SSIs and weight loss outcomes after revisional surgeries. The development of a revision-specific calculator that provides more accurate estimates is recommended.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103231","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}