Article
Surgery
Michael O'Laughlin, Jorge Cornejo, Alba Zevallos, Alisa Coker, Michael Schweitzer, Gina Adrales, Christina Li, Raul Sebastian
Summary: Background: The rates of secondary bariatric surgery have increased, with sleeve gastrectomy to gastric bypass conversion being the most common. This study evaluates the outcomes of this conversion compared to primary Roux-en-Y gastric bypass (RYGB) surgery using MBSAQIP data. Methods: The study analyzed the data of patients who underwent sleeve gastrectomy to RYGB conversion and primary laparoscopic RYGB, matching them based on preoperative characteristics. Results: The analysis showed that the conversion from sleeve gastrectomy to RYGB was associated with higher readmissions, interventions, conversion to open surgery, longer hospital stay, and longer operative time compared to primary RYGB. However, there were no significant differences in mortality or rates of bariatric complications. Conclusion: The study concludes that conversion from sleeve gastrectomy to RYGB is a safe and feasible procedure with reasonable outcomes compared to primary RYGB.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Medicine, General & Internal
Marita Salame, Noura Jawhar, Amanda Belluzzi, Mohammad Al-Kordi, Andrew C. Storm, Barham K. Abu Dayyeh, Omar M. Ghanem
Summary: Marginal ulcers (MU) are a potential complication following Roux-en-Y gastric bypass (RYGB) surgery, with an average prevalence of 4.6%. Early identification and prompt intervention are crucial to prevent further complications. MU is a complex condition influenced by factors such as smoking, Helicobacter pylori infection, NSAID use, and pouch size. Diagnosis is typically made through endoscopy, and treatment involves modifying risk factors and medical therapy with proton pump inhibitors. Surgical intervention may be necessary for complicated ulcers, while endoscopic procedures and vagotomy may be considered for recurrent or challenging cases.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Endocrinology & Metabolism
Maria Jose Luesma, Jose Fernando, Irene Cantarero, Pilar Lucea, Sonia Santander
Summary: The prevalence of obesity has been increasing rapidly in recent decades, making it one of the most impacting diseases on global health. It is a chronic disease associated with various comorbidities that result in a reduced life expectancy and quality of life. The treatment of obesity requires a multidisciplinary approach by a specialized medical team and can be done through conservative or surgical treatments. Vertical gastrectomy, mixed techniques, and gastric bypass are the most commonly used surgical techniques. The choice of technique should consider the characteristics of each patient and the surgical team's experience.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Surgery
Samuel Hunter Dunn, Sanaa Tejani, Jaime P. Almandoz, Sarah E. Messiah, Jeffrey Schellinger, Elisa Morales Marroquin, Matthew Mathew, Jay Horton, Anna Tavakkoli
Summary: Transoral gastric outlet reduction (TORe) is a safe and effective treatment for post-prandial hypoglycemia and weight regain after Roux-en-Y gastric bypass (RYGB) in patients with symptoms refractory to medications and dietary changes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Samuel Hunter Dunn, Sanaa Tejani, Jaime P. Almandoz, Sarah E. Messiah, Jeffrey Schellinger, Elisa Morales Marroquin, Matthew Mathew, Jay Horton, Anna Tavakkoli
Summary: TORe is a safe and effective treatment for patients with refractory symptoms of post-prandial hypoglycemia and weight regain after RYGB.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Editorial Material
Endocrinology & Metabolism
Samuel Klein, Randy J. Seeley
Summary: Many individuals with obesity and type 2 diabetes experience diabetes remission after Roux-en-Y gastric bypass surgery, but there is disagreement regarding the underlying mechanisms. We present our perspective on conflicting datasets suggesting that the remission could be attributed solely to weight loss or weight loss-independent factors.
Article
Surgery
Brigitte Anderson, Bryan Robins, James A. Fraser, Luke Swaszek, Caroline Sanicola, Neil King, Aurora Pryor, Konstantinos Spaniolas, Renee Tholey, Sami Tannouri, Francesco Palazzo, Alec Beekley, Talar Tatarian
Summary: This study compared the weight loss and clinical outcomes of primary Roux-en-Y Gastric Bypass (P-RYGB), adjustable gastric banding to RYGB (B-RYGB), and sleeve gastrectomy to RYGB (S-RYGB). The results showed that primary RYGB had better short-term weight loss outcomes compared to secondary RYGB, with lower risks.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Endocrinology & Metabolism
Jorunn Sandvik, Kirsti Kverndokk Bjerkan, Hallvard Graeslie, Dag Arne Lihaug Hoff, Gjermund Johnsen, Christian Klockner, Ronald Marvik, Siren Nymo, Asne Ask Hyldmo, Bard Eirik Kulseng
Summary: Iron deficiency is a common long-term complication after Roux-en-Y gastric bypass (RYGB), with two-thirds of patients experiencing deficiency or insufficiency even after taking oral iron supplements.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Article
Surgery
Brigitte Anderson, Tingting Zhan, Luke Swaszek, Caroline Sanicola, Neil King, Aurora Pryor, Konstantinos Spaniolas, Renee Tholey, Francesco Palazzo, Alec Beekley, Talar Tatarian
Summary: This study evaluated the incidence of marginal ulcers (MUs) after primary and secondary Roux-en-Y Gastric Bypass (RYGB). The results showed that patients who underwent conversion of Sleeve Gastrectomy to RYGB had a higher incidence of MUs compared to those who had primary RYGB or Gastric Banding to RYGB. Furthermore, the time to MU development was significantly shorter in patients who underwent conversion surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Grace F. Chao, Jie Yang, Jyothi Thumma, Karan R. Chhabra, David E. Arterburn, Andrew Ryan, Dana A. Telem, Justin B. Dimick
Summary: The study found that patients who underwent laparoscopic RYGB by surgeons with lower volumes had slightly increased risks of complications and readmissions at 30 days and within 1 year, but overall, surgeon RYGB volume did not have a significant impact on patient outcomes. Patients can safely pursue RYGB in this early phase of the sleeve gastrectomy era.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Surgery
Salvatore Docimo, Jie Yang, Xiaoyue Zhang, Aurora Pryor, Konstantinos Spaniolas
Summary: The study findings suggest that One Anastomosis Gastric Bypass (OAGB) has a similar early safety profile compared to Roux-en-Y Gastric Bypass (RYGB) and that concerns about perioperative risks should not deter its adoption. However, OAGB does not appear to have a significantly improved safety profile over RYGB.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Ioannis I. Lazaridis, Marko Kraljevic, Julian Susstrunk, Thomas Kostler, Urs Zingg, Tarik Delko
Summary: LAGB may be a salvage option after failed RYGB, but the high rate of revisions after secondary LAGB needs to be taken into consideration.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Surgery
Karolina Bauraite, Deimante Mikuckyte, Rita Gudaityte, Ruta Petereit, Almantas Maleckas
Summary: After 12 years following RYGB surgery, the majority of patients reported good or very good quality of life despite some weight regain. Factors such as grazing habits and frequency of abdominal pain were found to be associated with weight regain and worse quality of life in this study.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Nutrition & Dietetics
Paolo Gentileschi, Leandro Siragusa, Federica Alicata, Michela Campanelli, Chiara Bellantone, Tania Musca, Emanuela Bianciardi, Claudio Arcudi, Domenico Benavoli, Bruno Sensi
Summary: The study found no significant difference in nutritional status at the 6-month follow-up between patients undergoing RYGB and OAGB surgery. Both procedures may lead to malnutrition, with OAGB potentially more effective in inducing remission of type II diabetes and hypertension. More large prospective studies are needed to confirm the impact of different bypass procedures on nutritional status.
Article
Surgery
Saniea F. Majid, Farah A. Husain, Yong Choi, Sujata Gill, Bruce Schirmer, Matthew Kroh, Marina Kurian
Summary: This article presents the top 10 seminal articles regarding Roux-en-Y gastric bypass (RYGB), focusing on operative safety, outcomes, surgical technique, and physiologic changes after the procedure. These articles aim to enhance surgeons' understanding and mastery of RYGB surgery, supporting its widespread acceptance and use.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Umashankkar Kannan, Brett L. Ecker, Rashikh Choudhury, Daniel T. Dempsey, Noel N. Williams, Kristoffel R. Dumon
SURGERY FOR OBESITY AND RELATED DISEASES
(2016)
Article
Immunology
Rashikh A. Choudhury, Peter P. Reese, David S. Goldberg, Roy D. Bloom, Deirdre L. Sawinski, Peter L. Abt
Article
Immunology
Xun Luo, Allan B. Massie, Christine E. Haugen, Rashikh Choudhury, Jessica M. Ruck, Ashton A. Shaffer, Sheng Zhou, Dorry L. Segev, Jacqueline M. Garonzik-Wang
Article
Oncology
Edmund K. Bartlett, Rashikh A. Choudhury, Robert E. Roses, Douglas L. Fraker, Rachel R. Kelz, Giorgos C. Karakousis
ANNALS OF SURGICAL ONCOLOGY
(2015)
Article
Gastroenterology & Hepatology
Bianca Bromberger, Paige Porrett, Rashikh Choudhury, Kristoffel Dumon, Kenric M. Murayama
JOURNAL OF GASTROINTESTINAL SURGERY
(2014)
Article
Gastroenterology & Hepatology
Rashikh A. Choudhury, K. M. Murayama, C. J. Neylan, G. Savulionyte, H. A. Glick, N. N. Williams, D. T. Dempsey, K. R. Dumon
JOURNAL OF GASTROINTESTINAL SURGERY
(2014)
Review
Surgery
Rashikh A. Choudhury, Kas Prins, Hunter B. Moore, Dor Yoeli, Adi Kam, Trevor L. Nydam
CLINICAL TRANSPLANTATION
(2019)
Article
Gastroenterology & Hepatology
Rashikh A. Choudhury, Gerard Hoeltzel, Kas Prins, Eric Chow, Hunter B. Moore, Peter J. Lawson, Dor Yoeli, Akshay Pratap, Peter L. Abt, Kristoffel R. Dumon, Kendra D. Conzen, Trevor L. Nydam
JOURNAL OF GASTROINTESTINAL SURGERY
(2020)
Article
Immunology
Amir Dagan, Rashikh A. Choudhury, Hillary Yaffe, Dor Yoeli, Hunter B. Moore, Kendra D. Conzen, Megan Adams, Michael Wachs, James J. Pomposelli, Elizabeth A. Pomfret, Trevor L. Nydam
Article
Surgery
Rashikh A. Choudhury, Kas Prins, Yoeli Dor, Hunter B. Moore, Hillary Yaffe, Trevor L. Nydam
CLINICAL TRANSPLANTATION
(2020)
Article
Gastroenterology & Hepatology
Rashikh A. Choudhury, M. Foster, G. Hoeltzel, H. B. Moore, H. Yaffe, D. Yoeli, K. Prins, C. Ghincea, N. Vigneshwar, K. R. Dumon, J. E. Rame, K. D. Conzen, J. J. Pomposelli, E. A. Pomfret, T. L. Nydam
Summary: The study found that compared to sleeve gastrectomy (SG) and medical weight management (MWM), Roux-en-Y gastric bypass (RYGB) can improve survival rates, with RYGB patients having higher rates of transplantation and increased long-term survival. RYGB patients gained 2.1 additional years of life compared to SG patients and 7.4 additional years compared to MWM patients. SG patients gained 5.3 years of life compared to MWM patients.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Surgery
Rashikh A. Choudhury, Dor Yoeli, Hunter B. Moore, Hillary Yaffe, Gerard D. Hoeltzel, Kristoffel R. Dumon, Noel N. Williams, Peter L. Abt, Kendra D. Conzen, Trevor L. Nydam
SURGERY FOR OBESITY AND RELATED DISEASES
(2020)
Letter
Emergency Medicine
Rashikh Choudhury, Christopher D. Barrett, Hunter B. Moore, Ernest E. Moore, Robert C. McIntyre, Peter K. Moore, Daniel S. Talmor, Trevor L. Nydam, Michael B. Yaffe
WORLD JOURNAL OF EMERGENCY SURGERY
(2020)
Article
Hematology
Hunter B. Moore, Angelo D'Alessandro, Ernest E. Moore, Matthew Wither, Peter J. Lawson, Benjamin R. Huebner, Kirk Hansen, Rashikh Choudhury, Trevor L. Nydam