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J Laparoendosc Adv Surg Tech A 2019 Apr 23. Epub 2019 Apr 23.

Department of General and Oncological Surgery, Policlinico San Marco, Zingonia, Italy.

Although laparoscopic one anastomosis gastric bypass (LOAGB) is a promising bariatric procedure, a large number of surgeons have strong objections mainly because of risk of bile reflux, marginal ulceration, malnutrition, and long-term risk of gastric and esophageal cancer. Lateral enteroenterostomy placed distally to a gastrojejunal anastomosis shows efficacy in preventing bile reflux after gastric resection and gastrojejunal anastomosis, but at present its efficacy in a bariatric surgery context has not been evaluated. From January 2013 to December 2018, 100 patients have been admitted to our department to be treated by performing LOAGB. Read More

Surg Obes Relat Dis 2019 Mar 20. Epub 2019 Mar 20.

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

Background: Follow-up after bariatric surgery is important if we are to identify long-term complications at an early stage and thereby improve long-term outcome. Despite great efforts, many patients are lost to follow-up. Definition of characteristics of patients failing to attend follow-up could help in defining a specific group for whom extra resources may be applied to improve the situation. Read More

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of Surgery, University of North Carolina-Chapel Hill, 4035 Burnett-Womack, Campus Box 7081, Chapel Hill, NC, 27599-7081, USA.

Background: Laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding have been popular alternatives to laparoscopic Roux-en-Y gastric bypass due to their technical ease and lower complication rates. Comprehensive longitudinal data are necessary to guide selection of the appropriate bariatric procedures for individual patients.

Methods: We used the Truven Heath Analytics MarketScan® database between 2000 and 2015 to identify patients undergoing bariatric surgery. Read More

Surg Obes Relat Dis 2019 Mar 20. Epub 2019 Mar 20.

Department of Surgery, Division of General Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address:

Background: There is no consensus regarding the optimal venous thromboembolism (VTE) prevention strategy following bariatric surgery. Post-discharge chemoprophylaxis is frequently recommended for high-risk patients with little supporting data.

Objectives: To define practices related to post-discharge chemoprophylaxis in the United States. Read More

Obes Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Bariatric and Foregut Surgery, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA, 17822, USA.

Background: Previous studies have evaluated the safety of post-operative day one (POD #1) discharge after laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery. Few studies, however, have evaluated the impact of a standardized POD #1 discharge pathway on peri-operative outcomes. This study aims to evaluate peri-operative outcomes after implementation of an enhanced recovery pathway for RYGB patients. Read More

Obes Surg 2019 Apr 17. Epub 2019 Apr 17.

Department of Surgery, Min-Sheng General Hospital, Taoyuan, Taiwan.

Background: Gastroesophageal reflux disease (GERD) is the major drawback of laparoscopic sleeve gastrectomy (LSG). Conversion to Roux-en-Y bypass is recommended but might not be suitable for all patients.

Methods: We retrospectively reviewed the data of patients who underwent laparoscopic hiatal repair and gastropexy for intractable GERD after LSG between 2015 and 2017. Read More

Eur J Anaesthesiol 2019 Apr 9. Epub 2019 Apr 9.

From the Department of Anesthesiology & Critical Care, Brabois University Hospital, University de Lorraine, CHRU Nancy (TF-B, DS, LH, CM), the Clinical Research Support Facility PARC, Brabois University Hospital (CB), the Multidisciplinary Unit of Bariatric Surgery, UMCO, Brabois University Hospital, University de Lorraine, CHRU Nancy (CN-C, LB), University de Lorraine, INSERM U954, Faculty of Medicine, Nancy, France (LB), and Department of Anesthesiology, Université Libre de Bruxelles, CHU Brugmann, Bruxelles, Belgium (DS).

Background: There is a controversy in the literature whether deep compared with moderate neuromuscular block (NMB) improves surgical conditions for laparoscopic surgery.

Objectives: The primary outcome measure was to examine whether switching from moderate to deep NMB improves surgical conditions for laparoscopic surgery in the obese; secondary outcome measures were changes in intra-abdominal pressure, time required to perform the gastrojejunal anastomosis and peri-operative surgical complications.

Design: A single-centre, randomised controlled study. Read More

Obes Surg 2019 Apr 10. Epub 2019 Apr 10.

Unit of Clinical Surgery, Department of Medicine and Surgery, Parma University Hospital, Parma, Italy.

Introduction: In Roux-en-Y reconstructions, choledocholithiasis could represent a really challenging condition to treat which can be treated by a surgical-assisted ERCP. Only six cases of transjejunal laparoscopic-assisted ERCP (LAERCP) can be found in literature to date and no large series are present.

Methods: A young woman who had undergone a laparoscopic Roux-en-Y gastric bypass 2 years earlier came complaining recurrent abdominal pain. Read More

Obes Surg 2019 Apr 10. Epub 2019 Apr 10.

Carolinas Bariatic/MIS Fellowship Program, Carolinas Weight Management, Carolinas Medical Center, Charlotte, NC, USA.

Introduction: Since it was first described in 2001, the one anastomosis gastric bypass (OAGB) has been gaining popularity in the Middle East region and worldwide. We designed a survey to evaluate the trends, techniques, and outcomes of OAGB in our region.

Methods: A questionnaire to study OAGB was sent to the members of the IFSO MENA chapter. Read More

Trials 2019 Apr 8;20(1):202. Epub 2019 Apr 8.

Department of Laparoscopic & Bariatric Surgery of Astana Medical University, Beybitshilik street 49A, 010000, Nur-Sultan, Kazakhstan.

Background: To date, surgeons and physicians have found positive results treating metabolic syndrome with surgical and non-surgical weight loss therapies. The purpose of this study was to evaluate changes in telomere length in patients with metabolic syndrome after weight loss.

Methods/design: This study is a three-arm randomized controlled trial. Read More

Am Surg 2019 Mar;85(3):e162-e163

Am Surg 2019 Mar;85(3):273-279

In an era of rising obesity and an aging population, there are conflicting data regarding outcomes of laparoscopic weight loss surgery in older Americans. The aim of this study was to characterize the short-term outcomes of laparoscopic weight loss surgery in the elderly. The ACS NSQIP database was queried for obese patients aged ≥40 years undergoing laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy. Read More

Am Surg 2019 Mar;85(3):252-255

Polycystic ovary syndrome (PCOS) is a common disease among the bariatric population. However, there are limited data regarding the impact of laparoscopic sleeve gastrectomy (SG) on these patients. The study was conducted at University Hospital, United States. Read More

Endocrine 2019 Apr 3. Epub 2019 Apr 3.

Obesity Center, Endocrinology Unit, University Hospital of Pisa, Pisa, Italy.

Purpose: Expression of IGFBP-2 in mice is regulated by leptin. Over-expression of IGFBP-2 is associated with reduced caloric intake and resistance to weight gain. Hormonal variations contributing to weight loss occur very early after bariatric surgery but have not been fully elucidated. Read More

Obes Surg 2019 Apr 2. Epub 2019 Apr 2.

Department of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates.

Background: Although enhanced recovery after bariatric surgery (ERABS) has proven to be safe and cost-effective, this concept is relatively new in the Middle East.

Methods: A retrospective analysis of consecutive registered cohorts of patients who underwent primary and purely laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) were compared before introduction of ERABS (2010-2014) and after ERABS (2015-2017) at Tawam Hospital/Johns Hopkins, the UAE.

Results: A total of 462 eligible bariatric patients (LSG 414 and LRYGB 48) were operated on before and 1602 (LSG 1436 and LRYGB 166) after introduction of the ERABS. Read More

Obes Surg 2019 Mar 30. Epub 2019 Mar 30.

DAICIM Foundation (Asistencia, Docencia e Investigación en Cirugía Invasiva Mínima), Buenos Aires, Argentina.

Background: Bariatric surgery offers the only effective long-term weight loss therapy for morbidly obese patients. Numerous studies have demonstrated a mortality and morbidity reduction associated with weight loss surgery, but these interventions also have significant rates of complications. It is important for the bariatric surgeons to recognize these complications and acknowledge which of them can be solved in a minimally invasive manner in order to offer to patients the best treatment. Read More

Surg Obes Relat Dis 2019 01 24;15(1):33-35. Epub 2018 Nov 24.

University Hospital Federico II, Naples, Italy.

Basic Clin Pharmacol Toxicol 2019 Mar 27. Epub 2019 Mar 27.

Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.

There is a lack of information about the changes in drug pharmacokinetics and cytochrome P450 (CYP) metabolism after bariatric surgery. Here, we investigated the effects of laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery on pharmacokinetics of nine drugs given simultaneously which may reveal changes in the activities of the main CYPs. Eight obese subjects undergoing LRYGB received an oral cocktail containing nine drugs, substrates of various CYPs: melatonin (CYP1A2), nicotine (CYP2A6), bupropion (CYP2B6), repaglinide (CYP2C8), losartan (CYP2C9), omeprazole (CYP2C19/CYP3A4), dextromethorphan (CYP2D6), chlorzoxazone (CYP2E1) and midazolam (CYP3A). Read More

Obes Surg 2019 Mar 22. Epub 2019 Mar 22.

Department of Surgery, Gastrointestinal Section, Yale University, New Haven, CT, USA.

Background: Excessive opioid prescribing creates risk for abuse and adverse effects, but must be balanced against individualized pain control. Minimal literature exists to guide providers in the postoperative bariatric surgical setting.

Study Design: We compare opioid prescribing practice for minimally invasive bariatric surgery in a university hospital with self-reported patient use and satisfaction. Read More

Gastrointest Endosc 2019 04;89(4):904-905

Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan.

Acta Chir Belg 2019 Mar 22:1-4. Epub 2019 Mar 22.

a Department of Abdominal Surgery , University Hospital , Antwerp , Belgium.

Background: Roux-en-Y gastric bypass is a frequently carried out bariatric procedure, proven to be effective in the management of obesity and its accompanying health issues. Following its popularity, admission to the emergency department for abdominal pain is often seen with known early and late onset causes. We present a case of a young woman with vague abdominal pain years after her gastric bypass, who eventually underwent a resection of a 'candy cane' like biliopancreatic blind loop. Read More

Rozhl Chir Winter 2019;98(2):77-80

Laparoscopic gastric plication (LGCP) is a relatively new bariatric-metabolic operation. The greater gastric curvature is invaginated into the gastric lumen, resulting in a shape similar to that obtained after sleeve gastrectomy. In our paper, we report two interesting cases of patients with gastric plication who presented specific findings - food bezoar and gastric diverticulum. 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.

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

Cir Esp 2019 Mar 16. Epub 2019 Mar 16.

Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Reina Sofía, Murcia, España; Departamento de Cirugía, Pediatría y Obstetricia, Facultad de Medicina, Universidad de Murcia, Murcia, España.

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

J Visc Surg 2019 Mar 15. Epub 2019 Mar 15.

IRCAD, Research institute against cancer of the digestive system, 67000 Strasbourg, France; IHU-Strasbourg, institute for image-guided surgery, 67000 Strasbourg, France; Department of digestive surgery, university hospital of Strasbourg, 67000 Strasbourg, France.

Introduction: Common bile duct lithiasis after Roux-en-Y gastric bypass (RYGB) or upper gastrointestinal stenosis has become a challenging problem nowadays, especially as obesity surgery is increasing. In this study, we assess the feasibility and performance of laparoscopy-assisted transgastric endoscopic retrograde cholangiopancreatography (LAERCP) and describe its technique.

Methods: A retrospective review of a prospectively collected database of consecutive patients undergoing a LAERCP between February 2014 and May 2015 was performed at a single institution. Read More

Obes Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of General Surgery, Beijing Friendship Hospital, Capital Medical University and National Clinical Research Center for Digestive Diseases, No.95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.

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

Obes Surg 2019 Mar 12. Epub 2019 Mar 12.

Department of Surgery and Department of Clinical and Experimental Medicine, Linköping University, Linkoping, Sweden.

To compare circular stapler (CS) with linear stapler (LS) in a meta-analysis concerning operative time, anastomotic leaks, wound infections, strictures, and length of stay. Pubmed, Medline, and Scopus were searched for articles published since 2006. Four hundred and five articles were assessed, and 13 articles of which only one was a randomized controlled trial were included in all 49,331 patients from different regions of the world. Read More

Surg Obes Relat Dis 2019 Feb 1. Epub 2019 Feb 1.

Centre for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandra Hospital, Edmonton, Alberta, Canada.

Background: Bariatric surgery is an effective treatment for severe obesity. However, there has been an evolving role for bariatric surgery as a primary treatment in the management of class I obesity.

Objectives: We aimed to assess the safety of surgery by directly comparing surgical outcomes of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in class I obesity (body mass index [BMI] 30-35 kg/m) with those with class II obesity (BMI 35-40 kg/m) and higher (BMI >40 kg/m) using an analysis of a large-scale matched-patient cohort analysis. Read More

Am Surg 2018 Aug;84(8):e320-e322

Surg Obes Relat Dis 2019 Jan 31. Epub 2019 Jan 31.

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

Background: Laparoscopic sleeve gastrectomy (SG) is one of the most commonly performed bariatric procedure worldwide. There is currently no consensus on which revisional procedure is best after an initial SG.

Objectives: To compare the efficacy and safety between single-anastomosis duodeno-ileal bypass (SADI) or biliopancreatic diversion with duodenal switch (BPD-DS) versus Roux-en-Y gastric bypass (RYGB) as a revisional procedure for SG. Read More

Ann Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Surgery, Dong-A University Hospital, Busan.

Objective: The aim of the study was to evaluate the short-term outcomes of KLASS-02-RCT, a multicenter randomized controlled trial comparing laparoscopic distal gastrectomy (LDG) with D2 lymphadenectomy with open distal gastrectomy (ODG).

Summary Background Data: Although several benefits of laparoscopic gastric cancer surgery have been reported, strong evidence is still limited, especially in locally advanced gastric cancer which requires extensive lymph node dissection.

Methods: Enrollment criteria included histologically confirmed cT2-4a and N0-1 gastric adenocarcinoma. Read More

Rev Esp Enferm Dig 2019 Mar 4;111. Epub 2019 Mar 4.

General Surgery, Clínica Universidad de Navarra, España.

Purpose: to assess the long-term benefits of bariatric surgery in super-obese (body mass index [BMI] ≥ 50) and in elderly obese (age > 60 years) populations.

Methods: one hundred and twenty one patients who underwent laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy in a university hospital were retrospectively subdivided into the following groups: BMI < 50 vs ≥ 50 and age < 60 vs ≥ 60 years. Weight loss, body composition and comorbidity outcomes were registered after one and six months and one, two, three and five years with 100%, 93%, 89%, 80%, 75% and 60% successful follow-up. Read More

Surg Obes Relat Dis 2019 Feb 1. Epub 2019 Feb 1.

Neuropsychiatric Research Institute, Fargo, North Dakota.

Background: Long-term, longitudinal data are limited on mental disorders after bariatric surgery.

Objective: To report mental disorders through 7 years postsurgery and examine their relationship with changes in weight and health-related quality of life.

Setting: Three U. Read More

Surg Obes Relat Dis 2019 Feb 10. Epub 2019 Feb 10.

Department of Gastrointestinal Surgery, Eastern Hospital, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Affiliated Hospital of the University of Electronic Science and Technology, Chengdu, China.

Background: Laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass (LRYGB) are 2 widely used procedures performed in bariatric surgery. However, their long-term weight loss effects have not been well compared.

Objectives: To evaluate the long-term outcome of 2 procedures for treating morbid obesity. Read More

Surg Obes Relat Dis 2019 Jan 31. Epub 2019 Jan 31.

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

Background: Socioeconomic factors may influence the outcome of certain surgical procedures, but it is not known whether such factors influence the risk for postoperative complication after bariatric surgery.

Objectives: Determining whether different socioeconomic factors influence the risk for postoperative complication after laparoscopic gastric bypass surgery.

Setting: Nationwide in Sweden. Read More

Surg Obes Relat Dis 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, West Virginia University - School of Medicine, Morgantown, West Virginia. Electronic address:

Background: Dexmedetomidine (DMET), a selective a2-adrenergic agonist, is an opioid-sparing adjuvant sedative that avoids respiratory depression and has been shown to be beneficial in bariatric surgery patients. Although benefit has been shown, prior studies have not evaluated the pain control effects of a single intraoperative bolus.

Objectives: To evaluate the postoperative effects of a single intraoperative dose of DMET. Read More

Obes Surg 2019 Feb 28. Epub 2019 Feb 28.

Sanford Center for Bio-behavioral Research, Fargo, ND, USA.

Background: Although bariatric surgery is an effective intervention for severe obesity, a subset of patients demonstrates suboptimal weight outcomes. Postoperative loss of control eating (LOCE) and binge eating may influence weight outcomes, though research has not examined differences by surgical procedure, or factors that predict postoperative LOCE. This study aimed to [1] characterize LOCE and binge eating disorder (BED) over a 7-year period following bariatric surgery; [2] examine concurrent, prospective, and cumulative relationships between LOCE and weight loss; [3] assess whether these associations are moderated by surgery type; and [4] evaluate predictors of LOCE. Read More

J Visc Surg 2019 Feb 25. Epub 2019 Feb 25.

Department of Digestive Surgery, Grenoble Alps University Hospital, CS 10 2017, 38043 Grenoble cedex, France.

Surg Obes Relat Dis 2019 Feb 6. Epub 2019 Feb 6.

Hospital Clinico San Carlos, Complutense University of Madrid, Madrid, Spain.

J Pediatr Surg 2019 Feb 2. Epub 2019 Feb 2.

Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.

Purpose: An interdisciplinary obesity management program was established in 2007 at our quaternary hospital, including bariatric surgery for selected adolescent patients. We report the evolution of surgical management within the program and outcomes following bariatric surgery.

Methods: This was a retrospective review of adolescents who underwent bariatric surgery between 2007 and 2017. Read More

Obes Surg 2019 Feb 26. Epub 2019 Feb 26.

Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.

Background: Obesity is associated with disturbances in the gut microbiota which is a risk factor for Clostridium difficile infection (CDI). Bariatric surgery can induce substantive changes to the gut microbiota which may affect the risk of developing CDI.

Methods: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program captures variables specific to bariatric surgery from 832 centers. Read More

Surg Endosc 2019 Feb 25. Epub 2019 Feb 25.

Department of Gastroenterology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.

Background: Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y gastric bypass (RYGB) anatomy is technically challenging. Device-assisted enteroscopy and laparoscopic-assisted methods suffer from high failure rates and/or post-procedural complications. A novel endoscopic technique termed EUS-Directed Transgastric ERCP (EDGE) or Gastric Access Temporary for Endoscopy (GATE) has recently emerged, demonstrating excellent technical and therapeutic success. Read More

Surg Endosc 2019 Feb 25. Epub 2019 Feb 25.

Division of General Surgery, Department of Surgery, Medical College of Wisconsin, 8701 Watertown Plank Rd, HUB, 6th floor, Milwaukee, WI, 53226, USA.

Background: Various surgical techniques exist to create the gastrojejunostomy during laparoscopic Roux-en-Y gastric bypass (LRYGB). Linear-stapled anastomosis (LSA) and circular-stapled anastomosis (CSA) are two commonly employed techniques. We hypothesized that CSA is associated with an increased rate of surgical site infection (SSI) and gastrojejunostomy stenosis when compared to LSA. Read More

Surg Obes Relat Dis 2019 Jan 31. Epub 2019 Jan 31.

Medical College of Wisconsin, Department of Surgery, Division of General Surgery, Milwaukee, Wisconsin.

Background: Surgical site infection (SSI) is an important marker of postoperative morbidity and overall quality of care. Transfusion-related immunomodulation can lead to weakened immunity in response to blood transfusion and predispose patients to SSIs.

Objectives: The aim of this study was to determine the impact of perioperative blood transfusions on SSIs in bariatric surgery patients. Read More

J Surg Case Rep 2019 Feb 19;2019(2):rjz042. Epub 2019 Feb 19.

Penn Medicine Princeton Medical Centre, Bariatric and Metabolic Surgery, Suite 275, 5 Plainsboro road, Plainsboro, NJ 08536, USA.

Internal hernias (IH) are one of the dreadful complications of laparoscopic Roux En Y gastric bypass (LGBP). Commonly reported internal hernias (IH) following Roux En Y gastric bypass (LGBP) in the literature are meso-colic, meso jejunal and Peterson's space hernias. These patients may not have any definitive symptoms. Read More

Surg Obes Relat Dis 2019 Feb 24;15(2):200-210. Epub 2018 Nov 24.

Franciscus Hospital, Rotterdam, the Netherlands.

Background: Current methods for weight loss assessment after bariatric surgery do not meet the high standards required to accurately judge patient outcome in a fair and evidence-based way.

Objectives: To build an evidence-based, versatile tool to assess weight loss and weight regain and identify poor responders up to 7 years after laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG), for any preoperative body mass index (BMI).

Setting: Multicenter, observational study. Read More