28,763 results match your criteria Bariatric Surgery


Drain amylase monitoring for early diagnosis of anastomotic leakage in sleeve gastrectomy An animal study.

Ann Ital Chir 2018 ;89:562-568

Background: Sleeve gastrectomy(SG) is a popular bariatric surgery procedure with rare but dreaded complications. Although drain amylase levels are a reliable early predictor of anastomosis leakage in oesophagectomy and pancreaticoduodenectomy, for SG have not yet been studied. We aimed to monitor drain amylase levels to ascertain their applicability for early diagnosis of gastric leakage in SG. Read More

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January 2018

Minimally invasive approach to the adrenal gland in obese patients with Cushing's syndrome.

Minim Invasive Ther Allied Technol 2019 Jan 19:1-7. Epub 2019 Jan 19.

a Clinica Chirurgica , Universita Politecnica delle Marche , Ancona , Italy.

Introduction: The combination of Cushing's syndrome and obesity, one of the most common manifestations of the syndrome itself, may be associated with the worsening of post-operative outcomes in case of laparoscopic adrenalectomy. This study focused on the laparoscopic treatment of Cushing's syndrome with the purpose to identify any relevant difference between morbidly obese, mildly obese and non-obese patients.

Material And Methods: Patients were retrospectively divided into three groups according to their Body Mass Index (BMI). Read More

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http://dx.doi.org/10.1080/13645706.2018.1536669DOI Listing
January 2019

Effects of sleeve gastrectomy on lipid and energy metabolism in ZDF rats via PI3K/AKT pathway.

Am J Transl Res 2018 15;10(11):3713-3722. Epub 2018 Nov 15.

Laboratory of Molecular Neuropharmacology, School of Pharmacy East China University of Science and Technology 130 Meilong Road, Shanghai 200237, P. R. China.

Sleeve Gastrectomy (SG), as the most effective bariatric surgery, has been using to chronically lose weight and control glucose metabolism in Type 2 diabetes mellitus patients. However, the underlining mechanism is still unclear. In this study, we performed SG on Zucker diabetes fatty (ZDF) rat and investigated visceral lipid metabolism and energy metabolism. Read More

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November 2018

Opioids and bariatric surgery: A review and suggested recommendations for assessment and risk reduction.

Surg Obes Relat Dis 2018 Nov 23. Epub 2018 Nov 23.

North Dakota State University, Fargo, North Dakota.

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http://dx.doi.org/10.1016/j.soard.2018.11.019DOI Listing
November 2018

Interleukin-1β and prostaglandin-synthesizing enzymes as modulators of human omental and subcutaneous adipose tissue function.

Prostaglandins Leukot Essent Fatty Acids 2019 Feb 29;141:9-16. Epub 2018 Nov 29.

Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Québec, QC, Canada; École de nutrition - Université Laval, Québec, QC, Canada; Centre hospitalier universitaire de Québec - Université Laval, Québec, QC, Canada. Electronic address:

IL-1β stimulates expression of prostaglandin (PG)-synthesizing enzymes cyclooxygenase (COX)-2 and aldo-keto reductase (AKR)1B1 in human preadipocytes. We aimed to examine the impact of IL-1β, COX-2 and AKR1B1 on markers of human visceral and subcutaneous adipose tissue function, and to assess whether PG synthesis by these enzymes mediates IL-1β effects. Omental and subcutaneous fat samples were obtained from bariatric surgery patients. Read More

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http://dx.doi.org/10.1016/j.plefa.2018.11.015DOI Listing
February 2019

Effects of Bariatric Surgery Versus Medical Therapy on the 24-Hour Ambulatory Blood Pressure and the Prevalence of Resistant Hypertension.

Hypertension 2019 Jan 21:HYPERTENSIONAHA11812290. Epub 2019 Jan 21.

Heart Hospital (HCor), São Paulo, Brazil; Hypertension Unit, Renal Division, University of São Paulo Medical School, Brazil (S.d.B., L.F.D.).

Bariatric surgery is an effective strategy for blood pressure (BP) reduction, but most of the evidence relies on office BP measurements. In this study, we evaluated the impact of bariatric surgery on 24-hour BP profile, BP variability, and resistant hypertension prevalence. This is a randomized trial including obese patients with grade 1 and 2 using at least 2 antihypertensive drugs at maximal doses or >2 at moderate doses. Read More

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http://dx.doi.org/10.1161/HYPERTENSIONAHA.118.12290DOI Listing
January 2019

Preoperative Transversus Abdominis Plane (TAP) Block with Liposomal Bupivacaine for Bariatric Patients to Reduce the Use of Opioid Analgesics.

Obes Surg 2019 Jan 19. Epub 2019 Jan 19.

Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 Copeland Dr, 1st Floor, Orlando, FL, USA.

Introduction: Postoperative pain remains the most common challenge following inpatient and outpatient surgeries, and, therefore, opioid analgesics are widely used during the perioperative period. The aim of this study is to examine the efficiency of transversus abdominis plane (TAP) block using liposomal bupivacaine in reducing the use of opioid analgesics during the perioperative period of bariatric procedures.

Material And Methods: A retrospective chart review was performed on 191 patients who underwent a laparoscopic bariatric procedure between September 13, 2017, and February 26, 2018. Read More

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http://dx.doi.org/10.1007/s11695-018-03668-5DOI Listing
January 2019

Gastric remnant perforation in a gastric bypass patient secondary to splenic artery pseudoaneurysm: radiologic-surgical correlation.

Clin Imaging 2019 Jan 8;54:159-162. Epub 2019 Jan 8.

Department of Radiology, Keck School of Medicine of the University of Southern California, Los Angeles, California, United States of America. Electronic address:

One of the more common effective surgical procedures performed today for obesity is the Roux-en-Y gastric bypass. Though effective, both early and late complications do occur. Gastric remnant hemorrhage after gastric bypass is an uncommon late complication, posing both diagnostic and therapeutic difficulties. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.006DOI Listing
January 2019

The L cell transcriptome is unaffected by vertical sleeve gastrectomy but highly dependent upon position within the gastrointestinal tract.

Peptides 2019 Jan 17. Epub 2019 Jan 17.

Laboratory of Organic Chemistry, ETH Zurich, Schorenstrasse 16, 8603, Schwerzenbach, Switzerland. Electronic address:

Altered GLP-1 secretion from L cells has been implicated in the development of type 2 diabetes mellitus and its resolution following bariatric surgery. However, changes in L cell gene expression, which may form the basis for altered functionality after high fat diet (HFD) or bariatric surgery, have either not been investigated or have given conflicting results. We developed a gcg-DTR-eGFP reporter mouse to isolate ileal and colonic L cells from HFD fed insulin resistant mice and mice showing improved glucose tolerance following vertical sleeve gastrectomy (VSG). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01969781193000
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http://dx.doi.org/10.1016/j.peptides.2019.01.001DOI Listing
January 2019
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Association of Bariatric Surgery Status with Reduced HER2+ Breast Cancers: a Retrospective Cohort Study.

Obes Surg 2019 Jan 19. Epub 2019 Jan 19.

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, Massachusetts, 02115, United States.

Background: Bariatric surgery is associated with a reduced risk of developing certain malignancies, particularly in women. However, the impact of bariatric surgery on tumor characteristics, cancer treatment, and oncologic outcomes is unknown.

Method: In a retrospective cohort study, 42 subjects diagnosed with breast cancer after bariatric surgery (1989-2014) were matched to 84 subjects with breast cancer (1984-2012) who did not undergo bariatric surgery, based on age, body mass index (BMI), and menopausal status at the time of breast cancer diagnosis, as well as the date of cancer diagnosis. Read More

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http://link.springer.com/10.1007/s11695-018-03701-7
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http://dx.doi.org/10.1007/s11695-018-03701-7DOI Listing
January 2019
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Trocar Site Hernias in Bariatric Surgery-an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis.

Obes Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, Heidelberg University, Mannheim, Germany.

The reported incidence of trocar site hernias in bariatric surgery ranges between 0.5 and 3%. The best available evidence derives from retrospective studies analysing prospective databases, thus including only patients who presented with symptoms or received surgical treatment due to trocar site hernias after a laparoscopic bariatric procedure. Read More

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http://dx.doi.org/10.1007/s11695-018-03687-2DOI Listing
January 2019

Maternal nutritional status and related pregnancy outcomes following bariatric surgery: A systematic review.

Surg Obes Relat Dis 2018 Nov 23. Epub 2018 Nov 23.

Department of Nutrition, Hadassah-Hebrew University Medical Center, Ein-Kerem Campus, Jerusalem, Israel.

Up to 80% of patients who undergo bariatric surgery are women of childbearing age. Coupled with improved fertility in women with obesity after bariatric surgery, pregnancy postbariatric surgery has become increasingly more common. Although numerous studies have evaluated associations of bariatric surgery with pregnancy outcomes, the effect of maternal nutritional status on maternal and perinatal outcomes is not well established. Read More

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http://dx.doi.org/10.1016/j.soard.2018.11.018DOI Listing
November 2018

Intestinal failure after bariatric surgery: Treatment and outcome at a single-intestinal rehabilitation and transplant center.

Surg Obes Relat Dis 2018 Nov 28. Epub 2018 Nov 28.

The Dumont UCLA Transplant Center, Division of Liver and Pancreas Transplantation, Department of Surgery, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, California. Electronic address:

Background: Though intestinal failure (IF) after bariatric surgery (BS) is uncommon, its prevalence is increasing. However, data on the outcomes for these patients are limited.

Objectives: To analyze the outcomes of treatment for patients with IF after BS. Read More

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http://dx.doi.org/10.1016/j.soard.2018.10.014DOI Listing
November 2018

Duodenal-jejunal lining increases postprandial unconjugated bile acid responses and disrupts the bile acid-FXR-FGF19 axis in humans.

Metabolism 2019 Jan 15. Epub 2019 Jan 15.

Amsterdam UMC, University of Amsterdam, department of Endocrinology and Metabolism, Amsterdam Gastroenterology & Metabolism research institute, Meibergdreef 9, Amsterdam, the Netherlands. Electronic address:

Background And Aims: Placement of the duodenal-jejunal bypass liner (DJBL) leads to rapid weight loss and restoration of insulin sensitivity in a similar fashion to bariatric surgery. Increased systemic bile acid levels are candidate effectors for these effects through postprandial activation of their receptors TGR5 and FXR. We aimed to quantify postprandial bile acid, GLP-1 and FGF19 responses and assess their temporal relation to the weight loss and metabolic and hormonal changes seen after DJBL placement. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00260495193000
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http://dx.doi.org/10.1016/j.metabol.2018.12.009DOI Listing
January 2019
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Bariatric surgery reduces elevated urinary mitochondrial DNA copy number in obese patients.

J Clin Endocrinol Metab 2019 Jan 16. Epub 2019 Jan 16.

Division of Nephrology, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Republic of Korea.

Purpose: Obesity is an independent risk factor for chronic kidney disease. Recently, urinary mitochondrial DNA (mtDNA) has been used as a surrogate marker of mitochondrial damage in various kidney diseases. However, there are no data regarding its use in obese patients or the change in urinary mtDNA copy number after surgery. Read More

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http://dx.doi.org/10.1210/jc.2018-01935DOI Listing
January 2019

Changes in lean mass, absolute and relative muscle strength, and physical performance after gastric bypass surgery.

J Clin Endocrinol Metab 2019 Jan 16. Epub 2019 Jan 16.

Division of Endocrinology and Metabolism, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.

Context: Bariatric surgery results in reduced muscle mass as weight is lost, but postoperative changes in muscle strength and performance are incompletely understood.

Objective: To examine changes in body composition, strength, physical activity, and physical performance 12 months following Roux-en-Y gastric bypass (RYGB).

Design, Participants, Outcomes: In a prospective cohort of 47 obese adults (37 women, 10 men) aged 45 ± 12 years (mean ±SD) and BMI 44 ± 8 kg/m2, we measured body composition by DXA, handgrip strength, physical activity and physical performance (chair stand time, gait speed, 400-meter walk time) before and 6 and 12 months after RYGB. Read More

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http://dx.doi.org/10.1210/jc.2018-00952DOI Listing
January 2019

Fertility, Pregnancy and Lactation After Bariatric Surgery - a Consensus Statement from the OEGGG.

Geburtshilfe Frauenheilkd 2018 Dec 14;78(12):1207-1211. Epub 2018 Dec 14.

Universitätsklinik für Frauenheilkunde, Klinische Abteilung für Geburtshilfe und feto-maternale Medizin, Medizinische Universität, Wien, Austria.

Bariatric surgery is recommended when other weight loss interventions, such as lifestyle modification or medications, have failed. A considerable number of women undergoing bariatric surgery are of childbearing age; hence, it is necessary to be aware of the effects of bariatric surgery on pregnancy for managing these patients. Although bariatric surgery is associated with positive effects on cardiovascular and metabolic parameters, side effects such as anaemia, the risk of developing internal hernia, altered glucose metabolism and the risk of small for gestational age offspring have to be considered. Read More

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http://dx.doi.org/10.1055/a-0706-7578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6294640PMC
December 2018

Improvement in racial disparity among patients undergoing panniculectomy after bariatric surgery.

Am J Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, South Pavilion 14th Floor, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA. Electronic address:

Background: A disparity exists in patients receiving panniculectomies. We evaluated this disparity and assessed if it persists once patients are integrated into the healthcare system through bariatric surgery.

Methods: All patients who received bariatric surgery (n = 2528), panniculectomies (n = 1333) and panniculectomies after bariatric surgery (n = 48) at the University of Pennsylvania between January 1, 2012 and March 1, 2017 were retrospectively identified. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.01.002DOI Listing
January 2019

Spanish consensus document on bariatric endoscopy. Part 2: specific endoscopic treatments.

Rev Esp Enferm Dig 2019 Jan 18. Epub 2019 Jan 18.

Aparato Digestivo, Clínica Universidad de Navarra.

During the last years we have been witnessing a significant increase in the number and type of bariatric endoscopic techniques: we have different types of balloons, suture systems, injection of substances and malabsorptive prosthesis, etc. Also, some endoscopic revisional procedures for patients with weight regain after bariatric surgery have been incorporated. This makes it necessary to protocolize, position and regularize all these techniques, through a consensus that allows their clinical application with the maximum medical rigor and scientific evidence available. Read More

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https://online.reed.es/fichaArticulo.aspx?iarf=684769746235-
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http://dx.doi.org/10.17235/reed.2019.4922/2017DOI Listing
January 2019
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Associations between Lifetime Adversity and Obesity Treatment in Patients with Morbid Obesity.

Obes Facts 2019 Jan 17;12(1):1-13. Epub 2019 Jan 17.

Department of Endocrinology, Akershus University Hospital HF, Lørenskog,

Background: Bariatric surgery is associated with greater and more sustainable weight loss compared with lifestyle intervention programs. On the other hand, bariatric surgery may also be associated with physical and psychosocial complications. The influence of psychological evaluation on treatment choice, however, is not known. Read More

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http://dx.doi.org/10.1159/000494333DOI Listing
January 2019

Bariatric surgery in older adults: Should there be an age limit?

Medicine (Baltimore) 2019 Jan;98(3):e13824

Department of Surgery "A", Meir Medical Center, Kfar-Saba.

Obesity has become one of the most significant health problems worldwide, affecting more than one-third of the global population. The elderly population is not immune to this proportional increase in obesity. To date, there is no cure for obesity, but surgery is the most effective treatment available today. Read More

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http://Insights.ovid.com/crossref?an=00005792-201901180-0000
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http://dx.doi.org/10.1097/MD.0000000000013824DOI Listing
January 2019
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One stage onlay hernia repair with abdominoplasty in patients following gastric bypass surgery

Pol Przegl Chir 2018 10;90(6):1-7

Uniwersytet Medyczny w Łodzi Klinika Chirurgii Ogólnej i Transplantacyjnej.

Purpose: 1. Evaluation of results after one-time incisional hernia repair (IHR) modo on-lay and abdominoplasty (Ab-pl) in patients after loss of weight following previous Roux-en-Y Gastric Bypass – RYGB. 2. Read More

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https://ppch.pl/gicid/01.3001.0012.7027
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http://dx.doi.org/10.5604/01.3001.0012.7027DOI Listing
October 2018
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Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery.

Obes Surg 2019 Jan 16. Epub 2019 Jan 16.

Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.

Background: Adherence to post-bariatric surgery nutritional supplements can be poor and is associated with higher micronutrient deficiency rates. There is currently no available study specifically seeking patients' perspectives on the reasons behind poor adherence and how to address it.

Methods: Bariatric surgery patients living in the UK were invited to take part in an anonymous survey on SurveyMonkey®. Read More

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http://dx.doi.org/10.1007/s11695-019-03711-zDOI Listing
January 2019

Prophylactic IVC filter placement in bariatric surgery patients: results from a prospective filter registry.

CVIR Endovasc 2018 15;1(1):13. Epub 2018 Nov 15.

Division of Vascular and Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3651, Stanford, CA 94305-5642 USA.

Background: Bariatric surgery patients are at increased risk for VTE, but potential risks versus benefits of IVC filters in this group remain unclear. Indwelling filters may increase risk of VTE, and removal of filters in obese patients can be challenging. This study evaluated the incidence of VTE in select bariatric patients receiving prophylactic IVC filters, their risk of filter-related complications, and outcomes from attempted filter retrieval. Read More

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https://CVIRendovasc.springeropen.com/articles/10.1186/s4215
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http://dx.doi.org/10.1186/s42155-018-0021-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319537PMC
November 2018
1 Read

Metabolic Health in Severely Obese Subjects: A Descriptive Study.

Metab Syndr Relat Disord 2019 Jan 16. Epub 2019 Jan 16.

3 Steno Diabetes Center Copenhagen, Gentofte, Denmark.

Background: The prevalence of metabolically healthy obese (MHO) subjects among morbidly obese subjects is poorly described.

Aim: To describe the prevalence of metabolically healthy subjects in a group of morbidly obese referred for bariatric surgery.

Methods: Descriptive cross-sectional study, 1209 subjects (825 women/384 men) mean body mass index (BMI) of 45. Read More

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http://dx.doi.org/10.1089/met.2018.0083DOI Listing
January 2019

Evidence-Based Abdominoplasty Review with Body Contouring Algorithm.

Aesthet Surg J 2019 Jan 14. Epub 2019 Jan 14.

Stanford University, CA, and a Plastic Surgery Specialist Registrar, London, UK.

Abdominal contour deformities are an aesthetic challenge to the plastic surgeon. Patients present with diverse clinical histories, multiple co-morbidities, and unique aesthetic demands. Weight loss, previous pregnancy, and aging are three principal indications for abdominoplasty. Read More

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http://dx.doi.org/10.1093/asj/sjz013DOI Listing
January 2019

Continuous Noninvasive Arterial Pressure Monitoring in Obese Patients During Bariatric Surgery: An Evaluation of the Vascular Unloading Technique (Clearsight system).

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

From the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine.

Background: Continuous monitoring of arterial pressure is important in severely obese patients who are at particular risk for cardiovascular complications. Innovative technologies for continuous noninvasive arterial pressure monitoring are now available. In this study, we compared noninvasive arterial pressure measurements using the vascular unloading technique (Clearsight system; Edwards Lifesciences Corp, Irvine, CA) with invasive arterial pressure measurements (radial arterial catheter) in severely obese patients during laparoscopic bariatric surgery. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003943DOI Listing
January 2019

Assessment of Safety and Outcome of Lateral Hypothalamic Deep Brain Stimulation for Obesity in a Small Series of Patients With Prader-Willi Syndrome.

JAMA Netw Open 2018 Nov 2;1(7):e185275. Epub 2018 Nov 2.

Division of Functional Neurosurgery of Institute of Psychiatry, Department of Neurology, University of São Paulo Medical School, São Paulo, Brazil.

Importance: Deep brain stimulation (DBS) has been investigated for treatment of morbid obesity with variable results. Patients with Prader-Willi syndrome (PWS) present with obesity that is often difficult to treat.

Objective: To test the safety and study the outcome of DBS in patients with PWS. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.5275DOI Listing
November 2018
1 Read

Neural Responsivity to Food Cues in Patients With Unmedicated First-Episode Psychosis.

JAMA Netw Open 2019 Jan 4;2(1):e186893. Epub 2019 Jan 4.

Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Importance: Schizophrenia is associated with a reduced life expectancy of 15 to 20 years owing to a high prevalence of cardiometabolic disorders. Obesity, a key risk factor for the development of cardiometabolic alterations, is more prevalent in individuals with schizophrenia. Although obesity is linked to the altered reward processing of food cues, no studies have investigated this link in schizophrenia without the confounds of antipsychotics and illness chronicity. Read More

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http://jamanetworkopen.jamanetwork.com/article.aspx?doi=10.1
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http://dx.doi.org/10.1001/jamanetworkopen.2018.6893DOI Listing
January 2019
3 Reads

Endoscopic vacuum therapy (EVT) for early infradiaphragmal leakage after bariatric surgery-outcomes of six consecutive cases in a single institution.

Langenbecks Arch Surg 2019 Jan 15. Epub 2019 Jan 15.

Division of Gastroenterology and Hepatology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

Purpose: Anastomotic leakages or staple line defects after Roux-en-Y gastric bypass (RYGB) and primary laparoscopic sleeve gastrectomy (LSG), respectively, with consecutive bariatric revisional surgery are associated with relevant morbidity and mortality rates. Endoscopic vacuum therapy (EVT) with or without stent-over-sponge (SOS) has been shown to be a promising therapy in foregut wall defects of various etiologies and may therefore be applied in the treatment of postbariatric leaks.

Methods: We report the results of six consecutive patients treated with EVT (83% in combination with SOS) for early postoperative leakages in close proximity to the esophagogastric junction (EGJ) after LSG (n = 2) and RYGB (n = 4) from May 2016 to May2018. Read More

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http://dx.doi.org/10.1007/s00423-019-01750-9DOI Listing
January 2019

Treatment of obesity in older persons-A systematic review.

Obes Rev 2019 Jan 15. Epub 2019 Jan 15.

Department of Medicine (Austin Health), University of Melbourne, Heidelberg, Victoria, Australia.

The study aims to systematically review the available evidence regarding weight loss interventions (lifestyle, surgical, and pharmacological) for obesity in adults aged over 60 years. A search of prospective, randomized studies took place in January 2018, on Medline (Web of Science) and PubMed databases. Search terms included the following: elderly, obese, hypocaloric, pharmacotherapy, and bariatric surgery. Read More

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http://dx.doi.org/10.1111/obr.12815DOI Listing
January 2019

Cost Analysis and Supply Utilization of Laparoscopic Cholecystectomy.

Minim Invasive Surg 2018 10;2018:7838103. Epub 2018 Dec 10.

University of Vermont Medical Center, Department of Surgery, Burlington, VT, USA.

Laparoscopic cholecystectomy (LC) is one of the highest volume surgeries performed annually. We hypothesized that there is a statistically significant intradepartmental cost variance with supply utilization variability amongst surgeons of different subspecialty. This study sought to describe laparoscopic cholecystectomy cost of care among three subspecialties of surgeons. Read More

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http://dx.doi.org/10.1155/2018/7838103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311257PMC
December 2018

Impact of preoperative wireless pH monitoring in the evaluation of esophageal conditions prior to bariatric surgery in a severely obese patient population.

Surg Obes Relat Dis 2018 Nov 23. Epub 2018 Nov 23.

Department of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, Florida. Electronic address:

Background: Sleeve gastrectomy (SG) is currently the most commonly performed bariatric procedure in the United States; however, it can be associated with development of de novo gastroesophageal reflux (GERD) or worsening of existing GERD. Preoperative esophagogastroduodenoscopy (EGD) and findings of esophagitis are commonly used as screening tool, but the alternative use of preoperative objective measurement of acid reflux has not been studied.

Objective: The aim of this study was to evaluate if preoperative objective measurement of acid reflux by using wireless pH monitoring (WPHM) could have an impact on surgical planning and outcomes. Read More

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http://dx.doi.org/10.1016/j.soard.2018.11.014DOI Listing
November 2018
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Comment on: Bariatric surgery improves the employment rate in people with obesity: 2-year analysis.

Surg Obes Relat Dis 2018 Dec 12. Epub 2018 Dec 12.

Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania.

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http://dx.doi.org/10.1016/j.soard.2018.12.010DOI Listing
December 2018

Urinary Incontinence and Pelvic Organ Prolapse Knowledge, Care-Seeking, and Embarrassment in Women Planning Bariatric Surgery: A Cross-sectional Study.

Female Pelvic Med Reconstr Surg 2019 01 11. Epub 2019 Jan 11.

The Johns Hopkins University School of Medicine, Department of Urology, Baltimore, MD.

Objective: The objective of this study was to assess whether patients seeking bariatric surgery were at least as proficient in urinary incontinence (UI) and pelvic organ prolapse (POP) knowledge as the general population. Our secondary objective was to determine care-seeking and impact of embarrassment on knowledge of pelvic floor disorders (PFDs).

Methods: An anonymous survey was administered to adult women who attended a bariatric surgery information session from May 2015 to January 2016. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000688DOI Listing
January 2019
1 Read

PYY plays a key role in the resolution of diabetes following bariatric surgery in humans.

EBioMedicine 2019 Jan 11. Epub 2019 Jan 11.

Oxford Centre for Diabetes, Endocrinology and Metabolism, Churchill Hospital, University of Oxford, Oxford, UK. Electronic address:

Background: Bariatric surgery leads to early and long-lasting remission of type 2 diabetes (T2D). However, the mechanisms behind this phenomenon remain unclear. Among several factors, gut hormones are thought to be crucial mediators of this effect. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S23523964183061
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http://dx.doi.org/10.1016/j.ebiom.2018.12.040DOI Listing
January 2019
2 Reads

The pathogenesis of obesity.

Metabolism 2019 Jan 9. Epub 2019 Jan 9.

Department of Endocrinology and Metabolism, Amsterdam University Medical Centers, location Academic Medical Center, Amsterdam, the Netherlands. Electronic address:

Body fat mass increases when energy intake exceeds energy expenditure. In the long term, a positive energy balance will result in obesity. The worldwide prevalence of obesity has increased dramatically, posing a serious threat to human health. Read More

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http://dx.doi.org/10.1016/j.metabol.2018.12.012DOI Listing
January 2019

American Association of Hip and Knee Surgeons Annual Meeting Symposium: Management of the Bariatric Patient. What Are the Implications of Obesity and Total Joint Arthroplasty: The Orthopedic Surgeon's Perspective?

Authors:
Bryan D Springer

J Arthroplasty 2018 Dec 24. Epub 2018 Dec 24.

OrthoCarolina Hip and Knee Center, Charlotte, NC.

Background: Obesity in the United States has reached epidemic proportions. It is associated with multiple higher rates of osteoarthritis of the hip and knee and thus an increasing need for total hip and knee arthroplasty. The demand for total joint arthroplasty among obese patients has increased and outpaces that of a non-obese cohort. Read More

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http://dx.doi.org/10.1016/j.arth.2018.12.021DOI Listing
December 2018

Prevalence of Dumping Syndrome After Laparoscopic Sleeve Gastrectomy and Comparison with Laparoscopic Roux-en-Y Gastric Bypass.

Obes Surg 2019 Jan 11. Epub 2019 Jan 11.

Mather Hospital Northwell Health, 625 Belle Terre Road, Port Jefferson, NY, 11777, USA.

Background: Dumping syndrome is a well-known side effect of laparoscopic gastric bypass (LRYGB), and it is commonly believed that dumping syndrome is less likely to occur after laparoscopic sleeve gastrectomy (LSG), due to the preservation of the pyloric sphincter. However, it is not uncommon for patients undergoing LSG at our center to report symptoms suggestive of dumping syndrome.

Objective: To assess the prevalence of symptoms of dumping syndrome after LSG compared with LRYGB. Read More

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http://dx.doi.org/10.1007/s11695-018-03699-yDOI Listing
January 2019
1 Read

Weight Loss After Bariatric Surgery Predicts an Improvement in the Non-alcoholic Fatty Liver Disease (NAFLD) Fibrosis Score.

Obes Surg 2019 Jan 11. Epub 2019 Jan 11.

Department of Bariatric Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, 768828, Singapore.

Purpose: Non-alcoholic fatty liver disease (NAFLD) is present in up to 90% of bariatric surgery patients. Previous literature has demonstrated an improvement in liver steatosis and fibrosis in post-bariatric surgery patients. Our study aims to investigate if bariatric surgery results in an improvement in NAFLD fibrosis scores, and if this correlates with weight loss. Read More

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http://link.springer.com/10.1007/s11695-018-03676-5
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http://dx.doi.org/10.1007/s11695-018-03676-5DOI Listing
January 2019
1 Read

Short-Term Outcomes of Sleeve Gastrectomy plus Jejunojejunal Bypass: a Retrospective Comparative Study with Sleeve Gastrectomy and Roux-en-Y Gastric Bypass in Chinese Patients with BMI ≥ 35 kg/m.

Obes Surg 2019 Jan 11. Epub 2019 Jan 11.

Department of General surgery, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, Jiangsu, China.

Background: Bariatric surgery represents the most effective treatment for obesity and its related comorbidities. The present study aims to evaluate the efficacy and safety of sleeve gastrectomy plus jejunojejunal bypass (SG + JJB).

Methods: This retrospective study included 244 obese patients with BMI ≥ 35 kg/m undergoing SG + JJB (n = 83), SG (n = 82), and Roux-en-Y gastric bypass (RYGB) (n = 79). Read More

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http://link.springer.com/10.1007/s11695-018-03688-1
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http://dx.doi.org/10.1007/s11695-018-03688-1DOI Listing
January 2019
3 Reads

Results of conversion of gastric banding to gastric bypass in patients between 50 and 60 years of age are similar to those observed in younger patients.

Am J Surg 2019 Jan 3. Epub 2019 Jan 3.

Department of Surgery, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem, Israel.

Background: The effect of age and gender on outcomes of revisional bariatric surgery has not been assessed.

Methods: A retrospective analysis of patients undergoing revision from laparoscopic adjustable gastric banding (LAGB) to laparoscopic roux en Y gastric bypass (LRYGB) between 2007 and 2017 was performed. Patients were divided according to gender and age (<50 and ≥ 50 years), and the outcomes of the subgroups were compared. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.12.064DOI Listing
January 2019
1 Read

Bariatric surgery for prospective living kidney donors with obesity?

Am J Transplant 2019 Jan 11. Epub 2019 Jan 11.

Department of Transplant Surgery, University of Michigan, Ann Arbor, MI, USA.

The obesity epidemic has gripped the transplant community. With nearly 40% of adults in the United States being obese (body mass index ≥30 kg/m ) and 20% being morbidly-obese (body mass index ≥35 kg/m ), the implications for both donors and recipients of solid organs continue to grow [1]. Nowhere is this more impactful than the candidacy of living kidney donors (LKD). Read More

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http://dx.doi.org/10.1111/ajt.15260DOI Listing
January 2019

Influence of Preoperative Weight Loss on Outcomes of Bariatric Surgery for Patients Under the Enhanced Recovery After Surgery Protocol.

Obes Surg 2019 Jan 10. Epub 2019 Jan 10.

2nd Department of General Surgery, Jagiellonian University Medical College, ul. Kopernika 21, 30-501, Krakow, Poland.

Introduction: The enhanced recovery after surgery (ERAS) protocol, which emphasizes preoperative interventions, is safely implemented in patients undergoing bariatric surgery. Patients are additionally encouraged to achieve weight loss preoperatively. We aimed to identify factors contributing to preoperative weight loss and assess their influence on outcomes of bariatric surgery among patients under the ERAS protocol. Read More

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http://link.springer.com/10.1007/s11695-018-03660-z
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http://dx.doi.org/10.1007/s11695-018-03660-zDOI Listing
January 2019
3 Reads

Laparoscopic vagal nerve blocking device explantation: case series and report of operative technique.

Surg Endosc 2019 Jan 10. Epub 2019 Jan 10.

Department of Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Mail Code L223A, Portland, OR, 97239, USA.

Background: Vagal nerve blockade with the vBloc device (ReShape Lifesciences, St. Paul, MN) has been shown to provide durable 2-year weight loss in patients with moderate obesity. These devices may require removal. Read More

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http://link.springer.com/10.1007/s00464-018-06643-4
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http://dx.doi.org/10.1007/s00464-018-06643-4DOI Listing
January 2019
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Non-invasive prediction of non-alcoholic steatohepatitis in Japanese patients with morbid obesity by artificial intelligence using rule extraction technology.

World J Hepatol 2018 Dec;10(12):934-943

Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo 102-0084, Japan.

Aim: To construct a non-invasive prediction algorithm for predicting non-alcoholic steatohepatitis (NASH), we investigated Japanese morbidly obese patients using artificial intelligence with rule extraction technology.

Methods: Consecutive patients who required bariatric surgery underwent a liver biopsy during the operation. Standard clinical, anthropometric, biochemical measurements were used as parameters to predict NASH and were analyzed using rule extraction technology. Read More

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https://www.wjgnet.com/1948-5182/full/v10/i12/934.htm
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http://dx.doi.org/10.4254/wjh.v10.i12.934DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323515PMC
December 2018
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The Case for a Bariatric-Centered Approach to Chronic Kidney Disease Care.

Authors:
Allon N Friedman

Clin J Am Soc Nephrol 2019 Jan 10. Epub 2019 Jan 10.

Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana

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http://dx.doi.org/10.2215/CJN.12061018DOI Listing
January 2019

Re-Sleeve Gastrectomy for Failed Primary Laparoscopic Sleeve Gastrectomy.

Authors:
Bayrak Mehmet

J Coll Physicians Surg Pak 2019 Jan;29(1):62-65

Department of General Surgery, Adana Ozel Ortadogu Hospital, 01360, Turkey.

Objective: To investigate the effectiveness of re-sleeve gastrectomy (LRSG) in patients who had insufficient weight loss or weight regain after laparoscopic sleeve gastrectomy (LSG).

Study Design: Descriptive study.

Place And Duration Of Study: Ortadogu Private Hospital, Turkey, between March 2013 and January 2017. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.01.62DOI Listing
January 2019

Outcomes of the Learning Curve in Our First 100 Consecutive Laparoscopic Gastrectomies.

Surg Laparosc Endosc Percutan Tech 2019 Jan 8. Epub 2019 Jan 8.

Department of Surgery, Division of Esophagogastric and Bariatric Surgery, Ramón y Cajal University Hospital, Madrid, Spain.

Introduction: Laparoscopic surgery has been increasingly used for treatment of gastric cancer. However, standardization of this minimally invasive approach has not been reached yet because of its technical difficulties and the concern about oncological safety. The aim of the study was to analyze the outcomes of our learning curve in this complex surgical technique. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000622DOI Listing
January 2019