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Intern Med J 2019 Mar;49(3):391-395

Planning, Funding and Outcomes Unit, Auckland and Waitemata District Health Boards, Auckland, New Zealand.

Inequitable access to bariatric surgery by geographical region has been reported internationally, but comparable data on provision of bariatric surgery have not previously been reported in New Zealand. We examined allocated funding and provision of bariatric surgery amongst different regions in New Zealand in the 2013/14 year, and found that there was large variation in both. This highlights that public funded bariatric surgery needs to take into account population prevalence of morbid obesity to reduce inequities by geographical region. Read More

Endocrinol Diabetes Metab Case Rep 2019 Mar 21;2019. Epub 2019 Mar 21.

Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Salerno, Italy.

Reduced intestinal absorption of levothyroxine (LT4) is the most common cause of failure to achieve an adequate therapeutic target in hypothyroid patients under replacement therapy. We present the case of a 63-year-old woman with autoimmune hypothyroidism previously well-replaced with tablet LT4 who became unexpectedly no more euthyroid. At presentation, the patient reported the onset of acute gastrointestinal symptoms characterized by nausea, loss of appetite, flatulence, abdominal cramps and diarrhea, associated with increase of thyrotropin levels (TSH: 11 mIU/mL). Read More

Rev Esp Enferm Dig 2019 Mar 21;111. Epub 2019 Mar 21.

Cirugía General, Hospital General Universitario Ciudad Real.

Background: small intestinal bacterial overgrowth (SIBO) and bacterial translocation across the intestinal wall have been allegedly associated with non-alcoholic fatty liver (NAFL). Our goal was to study such alleged association in morbidly obese patients.

Patients And Methods: patients with morbid obesity were consecutively included prior to bariatric surgery. Read More

Ann Surg 2019 Jan 29. Epub 2019 Jan 29.

GastroUnit, Surgical and Medical Division, Centre for Surgical Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.

Objective: To study long-term gastrointestinal surgical hospital burden (hospital readmissions and gastrointestinal surgical procedures) after laparoscopic gastric bypass.

Background: Little is known about gastrointestinal surgical hospital burden after laparoscopic gastric bypass.

Methods: Danish patients undergoing laparoscopic gastric bypass (BMI >35-50) from January 1, 2005 to December 31, 2013 were included (100% follow-up). Read More

Obes Surg 2019 Mar 21. Epub 2019 Mar 21.

Division of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Background: Bariatric surgery involves the risk of postoperative infectious complications, in particular, anastomotic leaks and intra-abdominal abscesses. C-reactive protein (CRP) is a nonspecific marker of inflammation which has gained attention as a test to predict postoperative infectious complications. This systematic review and meta-analysis evaluated the diagnostic value of CRP to detect postoperative infectious complications after bariatric surgery. Read More

Obes Surg 2019 Mar 21. Epub 2019 Mar 21.

Division of Nuclear Technology and Applications, Beijing Engineering Research Center of Radiographic Techniques and Equipment, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing, 100049, China.

Background: Lateral and medial hypothalamus (LH and MH) play important roles in energy balance. Changed hypothalamic function has been found in subjects with obesity. However, the effect of bariatric surgery on the function of the two sub-regions has been poorly investigated. Read More

Obes Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of Upper GI and bariatric Surgery, Luton and Dunstable University Hospital, Luton, UK.

Background: Secondary bariatric procedures represent a challenge to both patients and surgeons. The objective of this study was to explore the patterns of recurrence and modalities of secondary bariatric procedures in a tertiary bariatric centre.

Materials And Methods: A retrospective analysis of patients who underwent secondary bariatric procedures after laparoscopic adjustable gastric band (AGB), sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) from April 2007 to March 2017. Read More

Obes Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of General Surgery, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.

Background: Among the controversial points in laparoscopic sleeve gastrectomy (LSG) is how much of the antrum to be resected. This study aimed to evaluate food tolerance after preservation or resection of the antrum during LSG.

Methods: Prospective randomized study included 50 patients scheduled for LSG. Read More

Obes Surg 2019 Mar 20. Epub 2019 Mar 20.

Yale School of Medicine, New Haven, CT, USA.

Background: Postoperative hemorrhage is a rare complication in bariatric surgery. We aim to determine if differences in blood pressure or perioperative medication administration contribute to postoperative bleeding in patients who were hemodynamically stable intraoperatively.

Methods: This was a retrospective case-control study of all bariatric surgery patients from 2014 to 2017 at a high volume academic center. Read More

Obes Facts 2019 Mar 20;12(2):167-178. Epub 2019 Mar 20.

Department of Endocrinology and Metabolism, Medical Faculty, Istanbul University, Istanbul, Turkey.

Background: Obesity is the main obstacle for metabolic control in patients with type 2 diabetes. Turkey has the highest prevalence of obesity and type 2 diabetes in Europe. The effect of obesity on the metabolic control, and the macro- and microvascular complications of patients are not apparent. Read More

Curr Opin Clin Nutr Metab Care 2019 Mar 18. Epub 2019 Mar 18.

Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.

Purpose Of Review: Nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steato hepatitis have an increasing prevalence among liver diseases. Overweight and obesity are frequently associated conditions in patients with fatty liver. Skeletal muscle mass depletion may also coexist with chronic liver disease even in obese patients. Read More

Rev Med Suisse 2019 Mar;15(643):631-635

Consultation de prévention et traitement de l'obésité, Service d'endocrinologie, diabétologie et métabolisme, Département de médecine, CHUV, Rue Saint-Martin 3, 1003 Lausanne.

Bariatric surgery is considered an effective treatment against obesity. This intervention and the subsequent weight loss can affect several pharmacokinetic parameters leading to a possible need of dosing adjustment. Despite an increasing number of bariatric interventions, clinical recommendations are often based on theoretical principles and expert opinions. Read More

Rev Med Suisse 2019 Mar;15(643):626-630

Service de chirurgie viscérale, CHUV, 1011 Lausanne.

Bariatric surgery is the most effective long-term therapy for the management of patients with obesity but all bariatric surgical procedures have the potential to cause clinically significant micronutrient deficiencies due to reduced food intake, decreased gastric acid and intrinsic factor secretion, poor food choices and food intolerance. For clinicians, the acquisition of special knowledge is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present article, we summarize existing recommendations for monitoring and replacement of vitamins and minerals following bariatric surgery. Read More

Rev Med Suisse 2019 Mar;15(643):622-625

Service de chirurgie viscérale, CHUV, 1011 Lausanne.

Bariatric surgery, the most effective treatment for obesity, can lead to long-term complications. These may be of functional nature (dumping, hypoglycemia, reflux) or of surgical nature. Acute or chronic abdominal pain is not unusual after gastric bypass. Read More

Rev Med Suisse 2019 Mar;15(643):618-621

Hôpital de la Tour, avenue J.-D. Maillard, 1217 Meyrin.

Considering the growing epidemic of obesity worldwide, bariatric surgery is considered the most effective measure for significant weight loss and coping with comorbidities associated with obesity once it is established. Indications for bariatric surgery in Switzerland are clearly defined, but the type of intervention is often debated. As the gastric band gradually disappears, the number of sleeve gastrectomy (SG) is constantly increasing and has surpassed the traditional gastric bypass worldwide, because of the theoretically safer profile of this intervention. Read More

Clinics (Sao Paulo) 2019 Mar 14;74:e560. Epub 2019 Mar 14.

Unidade de Cirurgia Bariatrica e Metabolica, Disciplina de Cirurgia Gastrointestinal, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.

Objective: To analyze the changes in the body composition of morbidly obese patients induced by a very low-calorie diet.

Methods: We evaluated 120 patients selected from a university hospital. Body composition was assessed before and after the diet provided during hospitalization, and changes in weight, body mass index, and neck, waist and hip circumferences were analyzed. Read More

Transpl Int 2019 Mar 19. Epub 2019 Mar 19.

University of Michigan, Section of Transplant Surgery.

Obesity has become a landmark issue in the field of transplantation. In 2013, kidney donors with a body mass index (BMI) greater than thirty represented 25% of all living kidney donors in the United States. This stands in stark contrast to the 1970's, when 8% of donors had a BMI above thirty(1). Read More

J Obes 2019 12;2019:7295978. Epub 2019 Feb 12.

Obesity Research Center, College of Medicine, King Saud University, P.O. Box 2925 (98), Riyadh 11461, Saudi Arabia.

Bariatric surgery is considered to be an effective treatment for the resolution of severe obesity; however, in more than half of the bariatric surgery patients, weight reacquisition occurs as early as 18 months postsurgery, compromising the surgery's beneficial effects. Maintaining weight loss after surgery poses a great challenge, necessitating the identification of predicting factors. In the present study, we explored the association between weight regain and dietary habits and behavioral lifestyle practices in patients following bariatric surgery. Read More

New Microbes New Infect 2019 May 30;29:100508. Epub 2019 Jan 30.

IHU-Méditerranée Infection, Marseille, France.

A new bacterium, strain AT3, was isolated by microbial culturomics from a faecal sample from a Frenchman after bariatric surgery. The isolate exhibited 96.6% 16S ribosomal RNA gene nucleotide sequence similarity with strain WAL 14565 = CCUG 45055 = CIP 107754. Read More

Surg Technol Int 2019 Mar 18;34. Epub 2019 Mar 18.

Department of General and Visceral Surgery, Hospital Bietigheim-Vaihingen, Bietigheim-Vaihingen, Germany.

Background: While minimally invasive surgery is a growing sector in medicine, camera assistance remains a problem. Especially in bariatric surgery, the assistant holding the camera faces certain challenges. Furthermore, unless the surgeon controls the camera movement themselves, they will be challenged by an unstable image. Read More

Obes Surg 2019 Mar 19. Epub 2019 Mar 19.

Department of Surgery, Red Cross Hospital Beverwijk, Beverwijk, Netherlands.

Purpose: Weight loss before bariatric surgery with a low-calorie diet (LCD) has several advantages, including reduction of liver volume and an improved access to the lesser sac. Disadvantages include performing surgery in a state of undernutrition, side effects, costs and patient compliance. Omega-3 fatty acids may serve as an alternative to reduce liver steatosis. Read More

Obes Surg 2019 Mar 18. Epub 2019 Mar 18.

Massachusetts General Hospital Department of Psychiatry, 55 Fruit St., Boston, MA, 02114, USA.

Introduction: Health behaviors are critical for weight loss maintenance after weight loss surgery (WLS), and emotional factors often play a role in adherence. Positive psychological constructs (e.g. Read More

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of General Surgery, St. Vincent's University Hospital, Dublin 4, Ireland.

Background: Percutaneous cholecystostomy (PCT) is a safe method of gallbladder drainage in the setting of severe or complicated acute cholecystitis (AC), particularly in patients who are high-risk surgical candidates. Small case series suggest that PCT aids resolution of acute cholecystitis in up to 90% of patients. However, reluctance is observed in utilising PCT more frequently, due to concerns that we are committing comorbid patients to an interval surgical procedure for which they may not be suitable. Read More

J Surg Case Rep 2019 Mar 12;2019(3):rjz060. Epub 2019 Mar 12.

Royale Hayat Hospital, Jabriya, Kuwait.

Vertical banded gastroplasty (VBG) was one of the most common bariatric surgeries worldwide in the beginning of the 21st century. However, recently we have increasingly encountered its long-term complications. We present two cases of VBG mesh erosion, alongside videos for their management. Read More

Evid Based Nurs 2019 Mar 18. Epub 2019 Mar 18.

College of Nursing, Midwifery and Healthcare, University of West London, London, UK.

Nutrients 2019 Mar 16;11(3). Epub 2019 Mar 16.

German Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Im Neuenheimer Feld 581, 69120 Heidelberg, Germany.

Smaller cross-sectional studies and bariatric surgery trials suggest that weight loss may change the expression of genes in adipose tissue that have been implicated in the development of metabolic diseases, but well-powered intervention trials are lacking. In post hoc analyses of data from a 12-week dietary intervention trial initially designed to compare metabolic effects of intermittent vs. continuous calorie restriction, we analyzed the effects of overall weight loss on the subcutaneous adipose tissue (SAT) transcriptome. Read More

J Neuroendocrinol 2019 Mar 18:e12708. Epub 2019 Mar 18.

University of Michigan, Ann Arbor, MI, USA.

Bariatric surgery is our most effective strategy, to date, for the treatment of obesity and its comorbidities. However, given the enormity of the obesity epidemic, and sometimes variable results, it is not a feasible strategy for treatment for all obese patients. A simple Pubmed search for "bariatric surgery" reveals over 28,000 papers that have been published since the 1940's when the first bariatric surgeries were performed. Read More

Expert Opin Pharmacother 2019 Mar 18:1-9. Epub 2019 Mar 18.

d Universidad de Buenos Aires, Facultad de Medicina, Departamento de Toxicología y Farmacología , Tercera Cátedra de Farmacología , Buenos Aires , Argentina.

Introduction: The obesity epidemic continues to grow. Bariatric surgery is part of the arsenal to treat the disease. Surgery results in an effective option for patients with severe obesity but also when obesity is associated with significant comorbidities. Read More

Cardiovasc Diagn Ther 2019 Feb;9(1):100-103

Department of Endocrinology and Nutrition, Hospital del Mar, Paseo Marítimo, Barcelona, Spain.

Plast Reconstr Surg Glob Open 2019 Feb 25;7(2):e2156. Epub 2019 Feb 25.

Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, University of Rennes 1, Rennes, France.

Bariatric surgery induces massive weight loss, which results in global and complex skin deformities. Lower body lift procedure has become the gold standard for lower trunk reconstruction. The authors describe in this video the lipo-body lift technique in detail. Read More

Obes Surg 2019 Mar 18. Epub 2019 Mar 18.

Unité de Nutrition, Service d'Endocrinologie, CHU Rangueil, Toulouse, France.

This brief communication suggests that in patients who had bariatric surgery and in whom protein intake is lower than 60 g/d, the use of an application is likely to improve protein intake. Read More

J Pediatr Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Pediatric Surgery, Children's Hospital Colorado, Aurora, CO.

Background: Roux-en-Y gastric bypass (RYGB) and vertical sleeve gastrectomy (VSG) are effective for weight loss in adolescents with severe obesity. However, little is known about adverse gastrointestinal symptoms (GIS) following these operations in adolescents. The objective was to examine GIS over 5 years after surgery and differences by surgery type. Read More

Obes Surg 2019 Mar 16. Epub 2019 Mar 16.

National Centre for Cardiovascular Prevention and Outcomes, UCL Institute of Cardiovascular Science, Nomura House, 1 St Martin's le Grand, London, EC1A 4NP, UK.

Obes Surg 2019 Mar 16. Epub 2019 Mar 16.

Department of General Surgery, AZ Sint Jan Brugge-Oostende, B-8000, Brugge, Belgium.

Background: Deep neuromuscular block (NMB) and opioid-free anaesthesia (OFA) improve surgical workspace and reduce post-operative opioid consumption, but its impact on perioperative outcomes is unknown. This observational study compared complications and healthcare resource utilization after bariatric surgery, with or without continuous deep NMB or OFA.

Methods: We included all 9246 patients who underwent laparoscopic bariatric surgery at our institution from January 2009 to February 2017. Read More

Obes Facts 2019 Mar 15;12(2):157-166. Epub 2019 Mar 15.

Division of General Surgery, Department of Surgery, Vienna Medical University, Vienna, Austria.

Objective: Sleeve gastrectomy (SG) has recently become the most commonly applied bariatric procedure worldwide. Substantial regaining of weight or severe reflux might compromise quality of life (QOL) after SG in the long-term follow-up. Long-term data on patients' QOL is limited, even though the persistent improvement in QOL is one of the aims of bariatric surgery. Read More

J Gastrointest Surg 2019 Mar 15. Epub 2019 Mar 15.

Division of Thoracic Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA, 98104, USA.

Background: Hiatal dissection, restoration of esophageal intra-abdominal length, and crural closure are key components of successful antireflux surgery. The necessity of addressing these components prior to magnetic sphincter augmentation (MSA) has been questioned. We aimed to compare outcomes of MSA between groups with differing hiatal dissection and closure. Read More

Obes Surg 2019 Mar 15. Epub 2019 Mar 15.

İstanbul Bariatrics, Obesity and Advanced Laparoscopy Center, Hakkı Yeten Cad, Yeşil Çimen sok, Polat Tower, Şişli, 34394, İstanbul, Turkey.

Introduction: Obesity and metabolic syndrome (MetS) are associated with colorectal neoplasia (CRN) and carcinoma (CRC). Whether such subjects must undergo screening colonoscopy (SC) earlier, is unknown. Incidences of CRNs in 40-49- versus 50-65-year-old bariatric patients were compared by SC. Read More

Eur Spine J 2019 Mar 15. Epub 2019 Mar 15.

Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.

Objective: The objective of this research was to evaluate the prevalence of cervical and lumbar pain in obese patients eligible for bariatric surgery and to investigate possible changes in sagittal spine alignment in these patients.

Methods: The following parameters were compared in 30 obese patients and a control group of 25 non-obese volunteers: body mass index, prevalence of cervical and lumbar pain assessed by visual analog scale (VAS), Neck Disability Index [NDI] and Oswestry Disability Index [ODI], as well as radiographic parameters of the spine and pelvis measured with Surgimap software.

Results: The cervical and lumbar VAS and the NDI and ODI were significantly worse in obese patients. Read More

J Card Fail 2019 Mar 12. Epub 2019 Mar 12.

Cardiovascular Division, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.

Dietary guidance for patients with heart failure (HF) has traditionally focused on sodium and fluid intake restriction, but dietary quality is frequently poor in patients with HF and may contribute to morbidity and mortality. Restrictive dietary counselling can lead to inadequate intake of macronutrients and micronutrients by patients with HF, with the potential for deficiencies of calcium, magnesium, zinc, iron, thiamine, vitamins D, E, K, and folate. Although inadequate intake and low plasma levels of micronutrients have been associated with adverse clinical outcomes, evidence supporting therapeutic repletion is limited. Read More

Mol Metab 2019 Feb 27. Epub 2019 Feb 27.

Department of Medicine and the Naomi Berrie Diabetes Center, Columbia University, College of Physicians and Surgeons, New York, NY, 10032, USA. Electronic address:

Objective: We hypothesized that DA and L-DOPA derived from nutritional tyrosine and the resultant observed postprandial plasma excursions of L-DOPA and DA might affect glucose tolerance via their ability to be taken-up by beta cells and inhibit glucose-stimulated β-cell insulin secretion.

Methods: To investigate a possible circuit between meal-stimulated 3,4-dihydroxy-L-phenylalanine (L-DOPA) and dopamine (DA) production in the GI tract and pancreatic β-cells, we: 1) mapped GI mucosal expression of tyrosine hydroxylase (TH) and aromatic amino acid decarboxylase (AADC); 2) measured L-DOPA and DA content of GI mucosal tissues following meal challenges with different L-tyrosine (TYR) content, 3) determined whether meal TYR content impacts plasma insulin and glucose excursions; and 4) characterized postprandial plasma excursions of L-DOPA and DA in response to meal tyrosine content in rodents and a population of bariatric surgery patients. Next, we characterized: 1) the metabolic transformation of TYR and L-DOPA into DA in vitro using purified islet tissue; 2) the metabolic transformation of orally administrated stable isotope labeled TYR into pancreatic DA, and 3) using a nuclear medicine technique, we studied endocrine beta cells in situ release and binding of DA in response to a glucose challenge. Read More

Orv Hetil 2019 Mar;160(12):448-455

Magatartástudományi Intézet, Debreceni Egyetem, Népegészségügyi Kar Debrecen, Móricz Zs. krt. 22., 4032.

Nowadays, the number of bariatric surgery for treating morbid obesity is significant. There is strong evidence about the influence of mental state (depression, anxiety, eating disorder, etc.) on patient's cooperation with the medical team and the outcome, and on the short or long-term effectiveness of surgery. Read More

Biology (Basel) 2019 Mar 15;8(1). Epub 2019 Mar 15.

Translational Research Institute for Metabolism and Diabetes, Advent Health, 301 East Princeton Street, Orlando, FL 32804, USA.

Adipose tissue is critical to whole-body energy metabolism and has become recognized as a bona fide endocrine organ rather than an inert lipid reservoir. As such, adipose tissue is dynamic in its ability to secrete cytokines, free fatty acids, lipokines, hormones and other factors in response to changes in environmental stimuli such as feeding, fasting and exercise. While excess adipose tissue, as in the case of obesity, is associated with metabolic complications, mass itself is not the only culprit in obesity-driven metabolic abnormalities, highlighting the importance of healthy and metabolically adaptable adipose tissue. Read More

Int J Surg Case Rep 2019 Mar 5;57:19-21. Epub 2019 Mar 5.

Nephrology Unit, Internal Medicine Department, Hospital Universitario San Ignacio, Medical School, Pontificia Universidad Javeriana, Colombia.

Introduction: Morbid obesity in chronic kidney disease patients on hemodialysis limits access to renal transplantation. We report here a case of a surgical procedure for weight reduction in a hemodialysis patient and adjustment of dry weight through bioelectrical impedance.

Case Presentation: A 44-year-old male with CKD on hemodialysis for 26 years. Read More

Int J Surg Case Rep 2019 Mar 5;57:15-18. Epub 2019 Mar 5.

General and Emergency Surgery Unit of Fucito Hospital, University Hospital of Salerno, Italy. Electronic address:

Background: Obesity is showing a constant increase worldwide, making it the major public health problem. Bariatric surgery seems to be the best treatment for these to achieve a good excess weight loss. Gastric by-pass (GBP) is one the most important bariatric procedure, but there are a lot of complications as bowel obstruction for internal hernia, fistula and intussusception. Read More

JBI Database System Rev Implement Rep 2019 Mar;17(3):290-296

School of Nursing, University of Mississippi Medical Center, Jackson, USA.

Review Question: What is the association between ethnicity and changes in weight, blood pressure, blood glucose and lipid levels after bariatric surgery? Read More

Gen Dent 2019 Mar-Apr;67(2):59-63

The aim of this report is to present the clinical case of a patient with severe symptoms of dentinal hypersensitivity after bariatric surgery. A 40-year-old woman had a complaint of hypersensitivity in all teeth after bariatric surgery to treat morbid obesity. The patient had multiple sites of gingival recession associated with pain symptoms that were characteristic of dentinal hypersensitivity. Read More

Obes Surg 2019 Mar 14. Epub 2019 Mar 14.

Division of Bariatric Surgery, Clinic of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital, Liebigstrasse. 20, D-4015, Leipzig, Germany.

Introduction: Intraoperative pathologic findings during bariatric surgery are relatively rare. Gastrointestinal stromal tumors (GISTs) are commonly located in the stomach and account for < 1% of all neoplasms of the alimentary tract. Coincidental detection of GISTs during bariatric surgery has been reported around 0. Read More

J Clin Endocrinol Metab 2019 Mar 15. Epub 2019 Mar 15.

Endocrinologia e Diabetologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italia.

Objective: changes in bile flow after bariatric surgery may beneficially modulate secretion of insulin and incretins leading to diabetes remission. However, the exact mechanism(s) involved are still unclear. We here propose an alternative method to investigate the relation between alterations in physiological bile flow and insulin and incretin secretion by studying the changes in gut-pancreatic function in extrahepatic cholestasis in non-diabetic humans. Read More

Compr Physiol 2019 Mar 15;9(2):839-872. Epub 2019 Mar 15.

Hannover Medical School, Department of Gastroenterology, Hannover, Germany.

SLC26 family members are multifunctional transporters of small anions, including Cl , HCO , sulfate, oxalate, and formate. Most SLC26 isoforms act as secondary (coupled) anion transporters, while others mediate uncoupled electrogenic transport resembling Cl channels. Of the 11 described SLC26 isoforms, the SLC26A1,2,3,6,7,9,11 are expressed in the gastrointestinal tract, where they participate in salt and water transport, surface pH-microclimate regulation, affect the microbiome composition, the absorption, and secretion of oxalate and sulfate, and other functions that require further study. Read More

World J Plast Surg 2019 Jan;8(1):85-92

Laparoscopy research center, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Adherence has been defined as the degree to which a patient's voluntary behavior corresponds with the clinical recommendations of health care providers. The aim of this study was to predict self-management behaviors in obese patients undergoing surgery based on general and specific adherence scales.

Methods: All obese patients who underwent bariatric surgery in Ghadir Mother and Child Hospital, Shiraz, Iran from April 2017 to September 2017 were enrolled. Read More