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Obes Surg 2019 Feb 15. Epub 2019 Feb 15.

Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Suite 435E (MC 958), Chicago, IL, 60612, USA.

Laparoscopic gastric greater curvature plication (LGGCP) has been presented as an alternative to laparoscopic sleeve gastrectomy (LSG) for reversible reduction of stomach capacity without gastric reduction or stapling. We present a case of a 51-year-old Hispanic female with a BMI of 41.91 kg/m, who underwent (LGGCP) 5 years previously at another institution. Read More

Obes Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Pathology, Isfahan University of Medical Sciences, Isfahan, Iran.

Introduction: One of the most acceptable procedures in bariatric surgery is laparoscopic gastric bypass. Laparoscopic Roux-en-Y gastric bypass (RYGB) is a common technique used in bariatric surgery. Recently, one anastomosis gastric bypass (OAGB) has been suggested as a simple, fast, and effective technique for obesity treatment. Read More

Wideochir Inne Tech Maloinwazyjne 2019 Jan 19;14(1):86-89. Epub 2018 Aug 19.

Department of Endoscopic and Metabolic Surgery, Pro-Familia Specialized Hospital, Rzeszow, Poland.

Introduction: As obesity has become a major health problem in Poland and bariatric procedures are the best way of treatment, an increasing trend has been observed in Polish bariatric surgery for the last decade.

Aim: Our purpose was to provide an updated overview of the bariatric surgical procedures performed in Polish institutions in comparison to the situation in Europe as well as to analyze the trends in Polish bariatric surgery over the last decades.

Material And Methods: A questionnaire about the number and type of bariatric procedures performed in 2016 was sent to all Polish surgical departments. Read More

J Laparoendosc Adv Surg Tech A 2019 Feb 13. Epub 2019 Feb 13.

2 Department of Pediatric Surgery, Cairo University, Cairo, Egypt.

Background: Traditionally, Billroth I procedure or bypass gastrojejunostomy were the recommended approaches for management of postcorrosive complete gastric outlet obstruction (GOO), whereas Heineke Mickulicz pyloroplasty was recommended for moderate mucosal injury with partial cicatrization. In this study, laparoscopic diamond antroduodenostomy was carried out as an alternative minimally invasive approach for cases with pyloric cicatricial obstruction.

Patients And Methods: Between January and December 2017, children who were referred to Pediatric Surgery Department, Cairo University Hospital, with GOO as a consequence of caustic liquid ingestions were included in this study. Read More

Obes Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Surgery, AZ Sint-Jan Brugge-Oostende AV, Campus Sint-Jan, Ruddershove 10, 8000, Bruges, Belgium.

Background: Conversional bariatric surgery has relatively high rates of complications. We aimed to analyze our single-center experience with patients requiring conversional laparoscopic Roux-en-Y gastric bypass (LRYGB) following a failed primary open or laparoscopic vertical banded gastroplasty (OVBG or LVBG, respectively).

Methods: The records of patients who underwent LRYGB as a conversional procedure after VBG between November 2004 and December 2017 were reviewed. Read More

Am Surg 2018 Oct;84(10):1679-1683

Kaiser Permanente Fontana Medical Center, Fontana, California, USA.

Same-day endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy (LC) could potentially reduce hospital length of stay (HLOS). Patients undergoing same-day procedures (N = 164) between 2012 and 2014 were compared with different-day procedures performed in the second half of 2014 (N = 276), in the Kaiser Permanente Southern California database. Both groups had comparable baseline characteristics. Read More

Am Surg 2018 Oct;84(10):1600-1603

Department of Surgery, University of California Irvine Medical Center, 333 City Building, West, Suite 1600, Orange, CA 92868, USA.

There have been limited data on the safety of laparoscopic bariatric surgery in the elderly. To compare outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) between elderly (≥65 years) and nonelderly (18-64 years) patients. Using the 2011 to 2015 NSQIP database, we analyzed severely obese patients who underwent LRYGB or LSG. Read More

Am Surg 2018 Nov;84(11):1756-1761

Internal hernias are one of the most devastating late, postsurgical complications associated with laparoscopic Roux-en-Y gastric bypass (LRYGB). The objective of this study was to determine whether placement of a bioabsorbable tissue matrix in soft tissue defects after gastric bypass resulted in a lower incidence of internal hernia development. Prospective database was used to identify all patients who underwent LRYGB between January 2002 and January 2016. Read More

Obes Surg 2019 Feb 11. Epub 2019 Feb 11.

Assistance Publique-Hôpitaux de Paris (AP-HP), Department of Digestive and Metabolic Surgery, Avicenne University Hospital, Centre intégré Nord Francilien de la prise en charge de l'Obésité (CINFO), Université Paris XIII-UFR SMBH « Léonard de Vinci », 125 route de Stalingrad, 93000, Bobigny, France.

Background: Severe post-operative malnutrition (SM) is a dreaded complication after gastric bypass often related to the short bowel syndrome consecutive limb length mismeasurement or intestinal resections. Patients with rapid weight loss or malnutrition can experience liver failure with cirrhosis and require liver transplantation (LT). Malnutrition can constitute a contraindication to LT since it negatively impacts on postoperative morbidity. Read More

Surg Obes Relat Dis 2019 Jan 11. Epub 2019 Jan 11.

Department of Surgery, Faculty of Medicine and Dentistry, 2D, Walter C Mackenzie Health Sciences Centre, University of Alberta, Edmonton, Canada; Centre for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandra Hospital, Edmonton, Canada.

Background: Complications arising from laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are not insignificant and can necessitate additional invasive interventions or reoperations.

Objectives: In this study, we identify early complications that result in nonoperative and operative interventions after LSG and LRYGB, the timeframe within which to expect them, and factors that influence the likelihood of their occurrence.

Setting: Multi-institutional database from across North America. Read More

Ann Transl Med 2018 Dec;6(24):479

Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China.

Background: The aim of this study was to evaluate the medium-term metabolic results of laparoscopic sleeve gastrectomy (LSG) in Chinese patients.

Methods: We performed a retrospective study of our LSG results between February 2011 and February 2015, and conducted a literature review of stenosis after LSG during a recent 10-year period.

Results: Of 142 patients in our study, the mean initial body mass index (BMI) was 38. Read More

Int J Surg Case Rep 2019 Feb 1;55:156-159. Epub 2019 Feb 1.

Department of General Surgery, Fatebenfratelli Hospital, Piazzale Principessa Clotilde, 3, 20121, Milano, MI, Italy. Electronic address:

Introduction: Roux-an-Y gastric bypass (RYGP) is one of the most important bariatric procedures and its results are well known in terms of weight loss and comorbid improvement. The major limitation of this technique is the difficult exploration of the excluded stomach and duodenum. Some Authors are performing the gastric bypass with fundectomy and, according to Literature, it is feasible and effective, with major advantage of explorable gastric pouch. Read More

Surg Obes Relat Dis 2019 Jan 25. Epub 2019 Jan 25.

Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden. Electronic address:

Background: The use of circular staplers with a low staple height is associated with a lower risk for complication when used to construct the gastroenterostomy in laparoscopic gastric bypass surgery. The influence of staple height on outcome when using linear staplers has not been studied.

Objectives: To investigate the influence of staple height when constructing the gastric pouch and gastroenterostomy using a linear stapler in laparoscopic gastric bypass surgery. Read More

Obes Surg 2019 Feb 8. Epub 2019 Feb 8.

2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501, Kraków, Poland.

Background: Few investigations have been conducted that compared blood glucose in patients with diabetes mellitus (DM2) and morbid obesity who had undergone laparoscopic sleeve gastrectomy (LSG) or gastric bypass (LRYGB). We aimed to compare the effects of these procedures using continuous glucose monitoring (CGM).

Methods: We prospectively studied patients that had qualified for LSG or LRYGB. Read More

Surg Obes Relat Dis 2018 Dec 22. Epub 2018 Dec 22.

Division of Foregut and Bariatric Surgery, Geisinger Medical Center, Danville, Pennsylvania. Electronic address:

Background: Bariatric surgery is the most effective treatment of obesity. There are few studies evaluating long-term outcomes in elderly patients.

Objectives: Our study was designed to evaluate the safety and long-term outcomes of bariatric surgery in the elderly compared with a contemporary medically managed cohort. Read More

Obes Surg 2019 Feb 6. Epub 2019 Feb 6.

Digestive and Bariatric Surgery Unit, Hôpital Joseph Ducuing, 15 Rue Varsovie, 31027, Toulouse, France.

Purpose: Few data exist in the literature concerning leaks after one-anastomosis gastric bypass (OAGB). Our aim was to describe the incidence, presentation, and management of leaks after OAGB.

Setting: A private clinic in France. Read More

Obes Surg 2019 Feb 6. Epub 2019 Feb 6.

Surgeon Esophagogastric Unit, Hospital Fundación Jiménez Díaz, Madrid, Spain.

Background: Up to 22% of the patients, after laparoscopic Roux-en-Y gastric bypass (LRYGB) can complain about gastroesophageal reflux disease (GERD) symptoms, there is little evidence about the most effective treatment of this situation.

Materials And Method: This video shows a laparoscopic reintervention after a LRYGB in a 42-year-old woman presenting with untreatable GERD. GERD was treated with maximum doses of PPIs with no effect on the symptoms; the patient had a 24-h pH and impedance manometry that showed an acid and non-acid reflux, and for that reason, we decided to perform a laparoscopic fundoplication. Read More

Obes Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Surgery, Sint-Dimpna Hospital, Geel, Belgium.

Obes Surg 2019 Feb 5. Epub 2019 Feb 5.

Department of Gastro-Intestinal Surgery, Elisabeth-TweeSteden Hospital, Dr. Deelenlaan 5, 5042 AD, Tilburg, the Netherlands.

This study reviews a single institution's experience with simultaneous (redo) laparoscopic Roux-en-Y gastric bypass (LRYGB) and primary large paraesophageal hernia (PEH) repair. A retrospective review was done of all 13 patients who underwent simultaneous LRYGB and large PEH repair between February 2014 and December 2017 at our institution. All patients had a large type III or IV PEH. Read More

Surg Obes Relat Dis 2019 Jan 11. Epub 2019 Jan 11.

Department of Surgery, Queen's University, Kingston, Ontario, Canada. Electronic address:

Background: An incidental finding of intestinal nonrotation at the time of bariatric surgery poses the following 2 dilemmas: (1) which operation to perform, and (2) whether an appendectomy should be performed concurrently.

Objectives: To review the experience of 2 Bariatric Centers of Excellence with laparoscopic sleeve gastrectomy (LSG) in patients with intestinal nonrotation, and to perform a systematic review of the literature on this topic.

Setting: Two Bariatric Centers of Excellence as designated by the Ontario Bariatric Network. Read More

Surg Obes Relat Dis 2019 Jan 9. Epub 2019 Jan 9.

Department of Clinical Investigations, Dwight D. Eisenhower Army Medical Center, Fort Gordon, Georgia.

Background: Bariatric surgery provides sustained weight loss and improves comorbidities. However, long term data has shown that patients gradually regain weight after 1 year. Several factors have been associated with poor weight loss after bariatric surgery. Read More

Obes Surg 2019 Feb 2. Epub 2019 Feb 2.

Cancer Institute, Imam Khomeini Hospital Complex, Division of Surgical Oncology, Department of Surgery, Tehran University of Medical Science, Tehran, Iran.

Background: Efforts continue to understand the underlying mechanism of weight loss after bariatric surgery. Taste perception has shown to be a contributing factor. However, the alteration pattern in different taste domains and among bariatric procedures has not been sufficiently investigated. Read More

Surg Obes Relat Dis 2019 Jan 9. Epub 2019 Jan 9.

Gundersen Health System, La Crosse, Wisconsin.

Background: The number of patients undergoing bariatric surgery in the United States is growing. While gastric bypass surgery is an important tool in the management of obesity, it requires lifelong metabolic monitoring and medical management. Data describing compliance with recommended laboratory follow-up are limited, particularly in long-term and primary care settings. Read More

Clin Obes 2019 Feb 1:e12297. Epub 2019 Feb 1.

Department of General Surgery, Gundersen Health System, La Crosse, WI, USA.

As the rate of obesity continues to rise, primary care providers (PCPs) must be aware and informed of the treatment options available. Bariatric surgery is the most effective long-term treatment for weight loss and improvement of obesity-related comorbidities. The aim of this study was to assess patients' perception of their PCP's opinion, support and knowledge of bariatric surgery and changes over time. Read More

J Minim Invasive Gynecol 2019 Jan 29. Epub 2019 Jan 29.

Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil. Electronic address:

Objective: to determine the effect of bariatric surgery (BS) on the prevalence of pelvic floor dysfunctions (PFD), specifically on urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI) DATA SOURCES: a systematic review (PROSPERO registration CRD42017068452) with literature search was performed using PubMed, Scopus and Scielo databases for all publications related to BS and PFD, with no language restrictions from inception to September 2018.

Methods Of Study Selection: two authors screened for study eligibility and extracted data. Only prospective cohorts assessing women with morbid obesity and the prevalence of PFD before and after bariatric surgery in multiple academic and private centers were included. Read More

JAMA Netw Open 2019 Feb 1;2(2):e187673. Epub 2019 Feb 1.

Cedars-Sinai Center for Outcomes Research and Education (CS-CORE), Cedars-Sinai Medical Center, Los Angeles, California.

Importance: Early postoperative ambulation is vital to minimizing length of stay (LOS), but few hospitals objectively measure ambulation to predict outcomes. Wearable activity monitors have the potential to transform assessment of postoperative ambulation, but key implementation data, including whether digitally monitored step count can identify patients at risk for poor efficiency outcomes, are lacking.

Objectives: To define the distribution of digitally measured daily step counts after major inpatient surgical procedures, to assess the accuracy of physician assessment and ordering of ambulation, and to quantify the association of digitally measured step count with LOS. Read More

Obes Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, Bariatric and Metabolic Surgery Unit, Santa Maria Nuova Hospital, Piazza Santa Maria Nuova, 50122, Florence, Italy.

Surg Endosc 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, American University of Beirut Medical Center, Riad El Solh, PO Box 11-0236, 1107 2020, Beirut, Lebanon.

Background: Intraoperative endoscopy (IOE) has been proposed to decrease serious complications following bariatric surgeries such as leaks, bleeding, and stenosis. Such complications can lead to sepsis and eventually can be fatal. We aim to compare major postoperative complications in patients with and without IOE. Read More

Int J Surg Case Rep 2019 Jan 19;55:66-68. Epub 2019 Jan 19.

Digestive Surgery Department, School of Medicine, Pontifical Catholic University of Chile, Santiago, Chile. Electronic address:

Introduction: Venous thromboembolism (VTE) in bariatric surgery is a low incidence disease; however, it is the first cause of morbimortality in this group of patients.

Presentation Of The Case: We present the case of a female patient with morbid obesity who was readmitted due to an acute submassive bilateral pulmonary embolism (PE) nineteen days after a laparoscopic Roux-en-Y gastric bypass (RYGB). After diagnosis, anticoagulation was initiated, and decision to add mechanical and pharmacological thrombolysis was made with the patient been successfully treated, as shown by normalization of pulmonary hypertension. Read More

Obes Surg 2019 Jan 29. Epub 2019 Jan 29.

Department of Surgery, Central Clinic Hospital, Taipei, Taiwan.

Background: Laparoscopic gastric clip (GC), a novel pure restrictive procedure, is a safe and effective treatment for morbid obesity. However, whether adding a proximal jejunal bypass (PJB) to this procedure might increase the efficacy is unknown.

Methods: Outcomes of 74 (43 women and 31male) obese patients who had undergone PJB-GC (41) or GC (33) for the treatment of type 2 diabetes mellitus (T2D) with 1 year follow-up were assessed. Read More

J Surg Res 2019 Apr 5;236:345-351. Epub 2019 Jan 5.

Department of Surgery, Bariatric and Minimally Invasive Surgery, Stanford School of Medicine, Stanford, California. Electronic address:

Background: Previous studies have demonstrated that ethnic minority patients experience significant metabolic improvements after bariatric surgery but less so than non-Hispanic whites. Previous research has primarily investigated differences between non-Hispanic white and black patients. Thus, there remains a need to assess differences in diabetic outcomes among other ethnic groups, including Hispanic and Asian patient populations. Read More

Obes Surg 2019 Jan 29. Epub 2019 Jan 29.

Surgical Oncology Unit, Treviglio Hospital, Piazzale Ospedale 1, 24047, Treviglio, Bergamo, Italy.

Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are the most common bariatric operations performed worldwide. Quality of life (QoL) is a crucial outcome metric. An electronic systematic search using PubMed, EMBASE, and Web of Science of studies comparing QoL after LSG and LRYGB was performed. Read More

Surg Endosc 2019 Jan 28. Epub 2019 Jan 28.

Department of Surgery, Stanford University, 300 Pasteur Drive, Stanford, CA, 94305, USA.

Background: Undetected bowel perforations occur in 0.3-1% of laparoscopic surgical procedures with an associated mortality rate of 5.3%. Read More

Obes Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgery, Faculty of Medicine and Health, Örebro University, SE-70185, Örebro, Sweden.

Background: Routine closure of mesenteric defects is generally considered standard part of laparoscopic gastric bypass surgery today. Controversy still exists regarding the optimal method for mesenteric defects closure. The objective was to compare different methods for mesenteric defects handling in laparoscopic gastric bypass surgery. Read More

JSLS 2019 Jan-Mar;23(1)

Chicago Institute of Minimally Invasive Surgery, Skokie, Illinois, USA.

Background: The main indications for revision of bariatric surgery are inadequate weight loss, weight regain, or complications. The objective of revision is to restore the restrictive component and/or add a malabsorptive component.

Objectives: To evaluate the effectiveness of revisional laparoscopic bariatric surgery for loss of weight and assess the risks and benefits associated with these technically demanding procedures. Read More

Obes Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Digestive, Esogastric and Bariatric Surgery, Bichat-Claude Bernard University Hospital, 46 rue Henri Huchard, F-75018, Paris, France.

Introduction: Roux-en-Y gastric bypass (RYGB) is considered as the gold standard for surgical management of morbid obesity due to its good results on weight loss and correction of comorbidities related to obesity and its few complication rates. Here, we describe a present strategy for dealing with an unusual complication after RYGB, responsible for chronic pain, as a chronic dilatation of excluded stomach.

Methods: The video shows our laparoscopic treatment of an excluded gastric fundus dilatation. Read More

Case Rep Surg 2018 19;2018:8965930. Epub 2018 Dec 19.

New York Presbyterian-Queens, 56-45 Main Street, Flushing NY 11355, USA.

Primary enterolithiasis is a relatively uncommon but important cause of small bowel obstruction. We present a case of a 69-year-old male with a history of laparoscopic Roux-en-Y gastric bypass and asymptomatic duodenal diverticulum diagnosed with small bowel obstruction. CT imaging showed an obstruction distal to the jejunojejunostomy, and surgical intervention was warranted. Read More

Obes Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India.

Introduction: The data on the role of OAGB in super obese patients and its direct comparison with LSG in super obese patients is scarce.

Objectives: To compare weight loss, impact on comorbidities and nutritional parameters between LSG and OAGB in super obese patients.

Methods: Prospectively collected data of 75 matched patients with BMI > 50, who underwent either laparoscopic sleeve gastrectomy (LSG) or one anastomosis gastric bypass (OAGB), was analyzed retrospectively. Read More

Obes Surg 2019 Jan 15. Epub 2019 Jan 15.

Department of General surgery, The First Hospital Affiliated to Army Medical University, P.O. Box 400038, Chongqing, China.

Objectives: To explore the risk factors for relapse of hyperglycemia in obese patients with type II diabetes mellitus (T2DM) who received laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery.

Methods: A retrospective analysis was performed on all obese patients with T2DM who underwent a LRYGB during the period 2011-2013. Demographics, preoperative body mass index (BMI), preoperative glycated hemoglobin A1c (HbA1c), adherence to lifestyle intervention, preoperative medication of insulin, and the time interval between surgery and diagnosis of T2DM were investigated and compared. Read More

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

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

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

J Minim Access Surg 2019 Jan 4. Epub 2019 Jan 4.

Sunderland Royal Hospital, Newcastle Upon Tyne, UK.

Introduction: Despite many challenges, the benefit of bariatric surgery in super-obese population remains irrefutable with significant improvement in metabolic syndrome and quality of life. There are currently no published data from Malaysia on this topic.

Objective And Methodology: A single-centre retrospective study aimed at analysing the outcome of laparoscopic bariatric surgery on super-obese Malaysians with type 2 diabetes mellitus (T2DM) at 12 months following surgery. Read More

Obes Surg 2019 Jan 6. Epub 2019 Jan 6.

Department of Human Nutrition and Food, Division of Animal and Nutritional Sciences, Davis College of Agriculture, Natural Resources, and Design, West Virginia University, G25 Agriculture Sciences Building, 333 Evansdale Dr, Morgantown, WV, 26506, USA.

Background: Most effective treatment for morbid obesity and its comorbidities is bariatric surgery. However, research is limited on weight loss and associated outcomes among patients in Appalachia. The objective of this study was to examine demographic and comorbidity influence on surgical outcomes of this population including age, sex, race, state of residence, education, marital status, body mass index (BMI kg/m), excess body weight (EBW), percent excess weight loss (%EWL), blood pressure, diagnosed depression, diagnosed type 2 diabetes (T2D), Beck Depression Inventory-II (BDI-II), and laboratory values (i. Read More

Ann Transl Med 2018 Nov;6(Suppl 1):S83

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

Ann Transl Med 2018 Nov;6(Suppl 1):S69

School of Agricultural, Computational and Environmental Sciences, International Centre for Applied Climate Sciences and Centre for Health Sciences Research, University of Southern Queensland, Toowoomba, Australia.

Obes Surg 2019 Jan 4. Epub 2019 Jan 4.

The Obesity Clinic at Hospital General Tláhuac, Avenida la Turba # 655, Col. Villa Centroamericana y del Caribe, Delegación Tláhuac, Zip 13250, México City, Mexico.

Background: Bariatric surgery is considered a safe therapy to treat obesity. Postoperative complications are well known; however, there is a lack of data describing intraoperative complications and/or unexpected findings, and if there is further impact on outcomes.

Methods: Retrospective study with patients operated between 2013 and 2016 at a single institution. Read More

Surg Obes Relat Dis 2018 Nov 14. Epub 2018 Nov 14.

Department of Surgery. Bariatric Surgery Unit. University Hospital Rey Juan Carlos, Madrid, Spain.

Background: The essence of enhanced recovery after surgery (ERAS) program is the multimodal approach, and many authors have demonstrated safety and feasibility in fast-track bariatric surgery.

Objectives: The aim of this study was to evaluate the postoperative pain after the implementation of an ERAS protocol in Roux-en-Y gastric bypass and to compare it with the application of a standard care protocol.

Setting: University Hospital Rey Juan Carlos, Madrid, Spain. Read More

Obes Surg 2019 Jan 2. Epub 2019 Jan 2.

Department of General, Visceral and Transplant Surgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.

Background: Obesity is a predisponing factor for gallstone formation with a prevalence > 10% in patients undergoing gastric bypass procedure. Although there is a strong recommendation for concomitant cholecystectomy in patients with symptomatic gallstones, the evidence level for patients with asymptomatic gallstones is weak. According to recent literature, up to 21% of asymptomatic gallstones become symptomatic after bariatric surgery. Read More

Ann R Coll Surg Engl 2019 Jan 3:e1-e3. Epub 2019 Jan 3.

Minimally Invasive Surgery Research Center, Iran University of Medical Sciences , Tehran , Iran.

A 39-year-old woman was admitted with colicky left upper-quadrant pain, dyspnoea, low-grade fever, tachycardia and a subtle left upper-quadrant tenderness without leucocytosis. Computed tomography revealed a distended gastric remnant due to small-bowel loop herniation at the trocar site. The patient underwent a diagnostic laparoscopy as her general condition worsened. Read More