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

{"title":"Efficacy and safety comparison of single anastomosis sleeve ileal bypass versus one anastomosis gastric bypass: a systematic review and meta-analysis.","authors":"Josélio Rodrigues de Oliveira Filho, Pedro Bicudo Bregion, Rafaela Hamada Juca, Giulia Almiron da Rocha Soares, Victor Kenzo Ivano","doi":"10.1016/j.soard.2025.07.012","DOIUrl":"https://doi.org/10.1016/j.soard.2025.07.012","url":null,"abstract":"<p><strong>Background: </strong>Obesity and its associated medical problems are a global health concern. Combining metabolic and restrictive approaches may yield better results, as seen in one anastomosis gastric bypass (OAGB) and single anastomosis sleeve ileal (SASI) bypass, which evolved from Santoro's technique.</p><p><strong>Objectives: </strong>To compare the efficacy and safety of SASI bypass versus OAGB, focusing on weight loss, comorbidity remission, nutritional outcomes, and complications.</p><p><strong>Setting: </strong>A systematic review and meta-analysis of published observational studies.</p><p><strong>Methods: </strong>A literature search across PubMed, Scopus, Embase, and Cochrane databases identified 234 articles, with eight meeting inclusion criteria. Primary outcomes included obesity-related medical problem remission. Secondary outcomes assessed weight loss, complications, albumin, vitamin B12, and vitamin D levels.</p><p><strong>Results: </strong>A total of 232 SASI and 313 OAGB patients were included, with follow-ups from 6 to 60 months. Body mass index change was not statistically different (-.64, 95% confidence interval {CI} [-3.37; 2.10]). Percent total weight loss favored SASI (mean difference [MD] 3.87, 95% CI [.96; 6.78], P < .05). Obesity-related medical problem remission rates were similar, including type 2 diabetes (odds ratio [OR] .99, 95% CI [.25-3.94]), hypertension (OR .53, 95% CI [.19-1.45]), dyslipidemia (OR 1.05, 95% CI [.39-2.81]), and obstructive sleep apnea (OR 3.46, 95% CI [.49-24.20]). SASI had higher vitamin B12 levels (MD 99.78, 95% CI [26.61; 172.95], P < .01), while vitamin D and albumin levels were similar. Complications were higher in SASI (OR 2.57, 95% CI [1.34; 4.92], P = .004), mainly Clavien-Dindo I-II.</p><p><strong>Conclusion: </strong>Both OAGB and SASI yield high remission rates and sustained weight loss. SASI had slightly lower vitamin deficiencies but higher mild-to-moderate complications.</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":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984561","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":"Prevalence of dysphagia after Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: a national propensity score study.","authors":"Sherif Saleh, Michael Kurin, Mayada Ismail, Raj Shah, Katarina Greer","doi":"10.1016/j.soard.2025.06.015","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.015","url":null,"abstract":"<p><strong>Background: </strong>The comparative incidence of dysphagia after laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y gastric bypass (RYGB) is not well-studied.</p><p><strong>Objective: </strong>Examining the incidence and etiologies of dysphagia following LSG and RYGB in patients with obesity.</p><p><strong>Setting: </strong>A national database TriNetX, which brings together data from 70 US-health care organizations, was utilized.</p><p><strong>Methods: </strong>The incidence of dysphagia after RYGB and LSG versus patients with obesity who did not undergo bariatric surgery from 2014 to 2024. A 1:1 propensity score matching was performed to adjust for sleep apnea, proton pump inhibitor, reflux, age, tobacco, and alcohol abuse. The odds of developing dysphagia within 1 month, 1-3 months, 3-6 months, 6-12 months, 1-3 years, 3-5 years and 5-10 years after bariatric surgery was also examined. Patients with oropharyngeal dysphagia or those with dysphagia after a cerebrovascular incident were excluded from the study. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated.</p><p><strong>Results: </strong>2,761,563 patients with obesity were included. 2,616,988 did not undergo surgery, 8.53% developed dysphagia. Twenty-nine thousand two hundred forty-twounderwent RYGB, 14.6% developed dysphagia (RYGB versus No Surgery OR = 2.48, 95% CI 2.24- 2.49). 57,013 patients underwent LSG, 8.67% developed dysphagia (LSG versus No surgery OR = 1.5; 95%CI 1.42-1.52). In both surgical groups, the incidence of dysphagia was highest within 30 days after the surgery. After matching RYGB (OR = 1.57; 95%CI 1.48-1.67) and LSG (OR = 1.16, 95%CI 1.10-1.12) remained independent risk factors for dysphagia.</p><p><strong>Conclusion: </strong>The incidence of dysphagia is increased after both LSG and RYGB compared to patients with obesity who did not undergo surgery, though the increased incidence is more pronounced after RYGB.</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":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755537","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":"Sex, BMI, preoperative FIB-4 index, and iron supplementation were associated with postoperative anemia after laparoscopic sleeve gastrectomy among 619 Chinese patients: a retrospective cohort study.","authors":"Bo Xu, Yurou Xu, Yu Wang, Rong Hua, Qiwei Shen, Wen Zhang, Xing Liu, Qiyuan Yao","doi":"10.1016/j.soard.2025.06.010","DOIUrl":"https://doi.org/10.1016/j.soard.2025.06.010","url":null,"abstract":"<p><strong>Introduction: </strong>Laparoscopic sleeve gastrectomy (LSG) has become a common bariatric procedure in China, and the long-term risk of postoperative anemia remains to be estimated. This study aimed to investigate the incidence and risk factors of anemia at different times after LSG in Chinese population.</p><p><strong>Objectives: </strong>To investigate the incidence of postoperative anemia and its risk factors in a cohort of Chinese patients with obesity undergoing LSG.</p><p><strong>Setting: </strong>Huashan Hospital, Fudan University, Shanghai, China.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on 619 patients who underwent LSG at a tertiary hospital between 2012 and 2022. The incidence of anemia at different postoperative stages was reported, and risk factors were explored using multivariable logistic regression.</p><p><strong>Results: </strong>Among the 619 patients, 567, 436, and 189 participated in 0∼3, 3+∼12, and 12+∼60 months follow-up visits, respectively. The cumulative incidence of anemia for each period were 9.3%, 6.6%, and 9.1% for males, lower than those of 13.5%, 20.6%, and 39.2% for females. During the first 3 months of follow-up, preoperative iron deficiency was associated with a higher incidence of postoperative anemia (odds ratio [OR]: 3.67, 95% confidence interval [CI]: 1.11-12.16), and iron supplementation was associated with a lower risk of anemia among all patients (.46, .27-.77) and female patients (.49, .27-.87). In the period of 3+ - 12 months, females with advanced FIB-4 level (≥1.45, an index for liver fibrosis) had a higher incidence of anemia (5.72, 1.24-26.49). Among males, higher preoperative body mass index (BMI) was associated with a lower risk (.79, .64-.98), while weight loss was positively associated with anemia (1.26, 1.06-1.48).</p><p><strong>Conclusion: </strong>Postoperative anemia was frequent in Chinese patients undergoing LSG and was associated with female gender, lower BMI, advanced preoperative FIB-4 level, and a lack of iron supplementation after surgery.</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":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777448","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":"Assessing outcomes following magnetic duodenoileal anastomosis with sleeve gastrectomy.","authors":"Tauheed Akram, Benyamin Alam, Amir Reza Akbari","doi":"10.1016/j.soard.2025.05.012","DOIUrl":"https://doi.org/10.1016/j.soard.2025.05.012","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":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268310","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":"Sex difference in the safety and efficacy of bariatric procedures: a systematic review and meta-analysis.","authors":"Renata Risi, Giovanni Rossini, Rossella Tozzi, Silvia Pieralice, Lavinia Monte, Davide Masi, Lidia Castagneto-Gissey, Ida Francesca Gallo, Lidia Strigari, Giovanni Casella, Vincenzo Bruni, Silvia Manfrini, Lucio Gnessi, Dario Tuccinardi, Mikiko Watanabe","doi":"10.1016/j.soard.2022.03.022","DOIUrl":"10.1016/j.soard.2022.03.022","url":null,"abstract":"<p><p>With the prevalence of obesity alarmingly increasing, it is of primary interest to identify those factors predicting the success of anti-obesity therapeutic strategies currently adopted in clinical practice, and in particular, those of bariatric procedures showing the greatest success in terms of weight loss and maintenance in both the short and long term. Given sex-related differences in psychosocial status, hormonal homeostasis, and body fat distribution, it is likely that the response to different weight management strategies differs by sex. The objective was to elucidate the effect of sex on different bariatric procedures' efficacy and safety outcomes. Searches of PubMed, Cochrane, and Embase databases were performed, followed by hand-searching of reference lists from all relevant articles. We included all the studies evaluating the effect of bariatric procedures on body mass index loss (BMIL), and/or percentage excess weight loss (%EWL), and/or percentage excess body mass index loss, and/or percentage of responders, and/or short-/long-term complications and co-morbidity resolution, broken down by sex. Twenty-seven studies with a total of 114,919 patients were included. Men were more likely to achieve greater BMIL, consistent with higher male baseline BMI, and women were 2.87 times more likely to be classified as weight responders (95% confidence interval [CI]: 1.90-4.34), as well as to perform better in terms of %EWL (95% CI: .13-.54). Upon subgroup analysis based on bariatric procedure, women were more likely to be successful in terms of %EWL upon bioenteric intragastric balloon (BIB) placement (.72, 95% CI: .42-1.02). There was no sex difference regarding investigated co-morbidity resolution (hypertension, diabetes, and obstructive sleep apnea syndrome) or occurrence of short-term complications, whereas women were more likely to develop long-term complications, with an odds ratio of 1.97 (95% CI: 1.57-2.49). Sex does not have a clear effect on efficacy outcomes of bariatric procedures. Differentiating by procedure, BIB may be more effective in women, although results are discordant based on the weight loss outcome considered. If the short-term postoperative complication rate is similar across both sexes, long-term complications occur more frequently in women. To clarify the real effect of sex on bariatric procedure-derived health benefits, it is crucial to report sex-stratified results in future studies, as well as evaluate body composition changes that go beyond simple body weight reduction.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"6 1","pages":"983-996"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87653873","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":"Reply to \"One-anastomosis/mini gastric bypass: have we forgotten the lessons of the past?\"","authors":"S. Chiappetta, M. Kermansaravi","doi":"10.1016/j.soard.2022.05.006","DOIUrl":"https://doi.org/10.1016/j.soard.2022.05.006","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76041280","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":"American Society for Metabolic and Bariatric Surgery review on fasting for religious purposes after surgery.","authors":"Lillian Craggs-Dino, M. El Chaar, F. Husain, A. Rogers, A. Lima, M. Sadegh, Jumana Bashiti, Katie Chapmon","doi":"10.1016/j.soard.2022.04.020","DOIUrl":"https://doi.org/10.1016/j.soard.2022.04.020","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84896768","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":"Long-term results of revisional one-anastomosis gastric bypass.","authors":"S. Carandina, A. Soprani, M. Nedelcu","doi":"10.1016/j.soard.2022.05.004","DOIUrl":"https://doi.org/10.1016/j.soard.2022.05.004","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75933042","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":"After weight loss, what skin removal procedure has the most effect using Body Q metrics?","authors":"Matthias M. Aitzetmüller, Laura Raschke, Marie-Luise Klietz, M. Kueckelhaus, T. Hirsch, P. Wiebringhaus, K. Harati","doi":"10.1016/j.soard.2022.04.019","DOIUrl":"https://doi.org/10.1016/j.soard.2022.04.019","url":null,"abstract":"","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76654934","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}