Article
Surgery
Marko Kraljevic, Vanessa Cordasco, Romano Schneider, Thomas Peters, Marc Slawik, Bettina Wolnerhanssen, Ralph Peterli
Summary: LSG surgery shows a long-term %EBMIL of 51-54% beyond 10 years and significant improvement in comorbidities, while also experiencing a high incidence of inadequate weight loss, new-onset reflux, and reoperations.
Article
Endocrinology & Metabolism
Dag Holmberg, Giola Santoni, Joonas H. Kauppila, Sheraz R. Markar, Jesper Lagergren
Summary: This study compared the long-term survival rates of sleeve gastrectomy and gastric bypass in obese patients and found that the overall survival rate of sleeve gastrectomy is comparable to gastric bypass and may even be better in recent years. Additionally, patients with diabetes had a higher all-cause mortality rate after sleeve gastrectomy compared to gastric bypass.
Article
Surgery
Roxane Vital, Julie Navez, Seda Gunes, Camille Tonneau, Abdelilah Mehdi, Imad El Moussaoui, Jean Closset
Summary: The study aimed to evaluate outcomes 10 years after laparoscopic sleeve gastrectomy (LSG). The results showed that 80% of patients experienced inadequate weight loss after 10 years, and 30% of patients required a revisional bariatric procedure. Further studies are needed to identify good candidates for LSG and improve long-term outcomes.
Article
Surgery
Romulo Lind, Karl Hage, Muhammad Ghanem, Meera Shah, Robert A. Vierkant, Muhammad Jawad, Omar M. Ghanem, Andre F. Teixeira
Summary: Sleeve gastrectomy (SG) is an effective procedure for weight loss, but a significant number of patients experience weight recurrence or fail to respond to the surgery. In this study, we aim to report the rate of weight recurrence/non-responders in patients who underwent SG and had more than 5 years of follow-up.
Article
Surgery
Rafael Alvarez, Joseph Youssef, Jonathan Zadeh, Anuja Sarode, Richard Barger, Mujjahid Abbas, Leena Khaitan
Summary: This study found that the relationship between sleeve gastrectomy (SG) morphology and long-term weight-loss and gastroesophageal reflux disease (GERD) outcomes is unclear. The results showed that SG morphology is associated with long-term weight loss but not with GERD outcomes. Current technical standards may have limitations in reproducing the same SG morphology.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Irit Oved, Ronit Endevelt, Limor Mardy-Tilbor, Asnat Raziel, Shiri Sherf-Dagan
Summary: The study found that eating 3-6 meals per day, not having the urge to eat after dinner, separating liquids from solids, avoiding carbonated beverages, and engaging in physical activity were associated with better weight-loss outcomes following sleeve gastrectomy. However, having a frequent need for eating sweets, binge eating, and feeling guilty or sad after eating were linked to worse weight-loss outcomes. Minority of patients reported taking multivitamins and attending follow-up meetings after more than 1 year post-surgery.
Article
Surgery
Amanda S. S. Dirnberger, Julian Susstrunk, Romano Schneider, Adisa Poljo, Jennifer M. M. Klasen, Marc Slawik, Adrian T. T. Billeter, Beat P. P. Mueller-Stich, Ralph Peterli, Marko Kraljevic
Summary: The purpose of this study was to evaluate the mid-term results of patients who underwent conversion surgery after sleeve gastrectomy (SG). The findings showed that conversion to short biliopancreatic limb Roux-en-Y gastric bypass (short BPL RYGB) and biliopancreatic diversion with duodenal switch (BPD/DS) led to additional weight loss. Conversion to RYGB also effectively controlled GERD symptoms.
Article
Surgery
Nasser Sakran, Kim Soifer, Keren Hod, Shiri Sherf-Dagan, Sharon Soued, Yafit Kessler, Dana Adelson, Reut Biton, J. N. Buchwald, David Goitein, Asnat Raziel
Summary: This study examined the outcomes and subjective experience of patients who underwent long-term laparoscopic sleeve gastrectomy (LSG). The results showed that LSG was associated with satisfactory weight and health outcomes in the long term, although weight regain was notable.
Article
Surgery
Amin Andalib, Hussam Alamri, Yousef Almuhanna, Philippe Bouchard, Sebastian Demyttenaere, Olivier Court
Summary: This study evaluated the short-term outcomes of various revisional bariatric surgeries after failed primary sleeve gastrectomy. Results showed that biliopancreatic diversion with duodenal switch (BPD/DS) resulted in the largest weight loss, while Roux en-Y gastric bypass (RYGB) and BPD/DS had similar rates of major complications. Overall, revisional procedures offer further weight loss for patients with failed primary SG.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Nutrition & Dietetics
Alicia A. Sorgen, Anthony A. Fodor, Kristine J. Steffen, Ian M. Carroll, Dale S. Bond, Ross Crosby, Leslie J. Heinberg
Summary: Metabolic and bariatric surgery (MBS) is the most effective long-term treatment for Class III obesity. This study examined the relationship between dietary intake and weight loss over 24 months following Roux-en-Y Gastric Bypass and Sleeve Gastrectomy. The study found significant associations between weight loss and energy, protein, and total fat intake at 12 months post-surgery, but these associations were no longer significant at 24 months.
Article
Surgery
Juan S. Barajas-Gamboa, Soon Moon, Gustavo Romero-Velez, Andrew T. Strong, Matthew Allemang, Salvador Navarrete, Ricard Corcelles, John Rodriguez, Matthew Kroh, Jerry T. Dang
Summary: This study compared the 30-day rate of serious complications and mortality between primary single anastomosis duodeno-ileal bypass (p-SADI-S) and sleeve gastrectomy (SG) to SADI conversions (SG-SADI). The results showed that SG-SADI conversions had a lower mean body mass index (BMI) at the time of surgery and longer operative times compared to p-SADI-S. However, there was no significant difference in the rate of serious complications between the two groups.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Juan S. Barajas-Gamboa, Soon Moon, Gustavo Romero-Velez, Andrew T. Strong, Matthew Allemang, Salvador Navarrete, Ricard Corcelles, John Rodriguez, Matthew Kroh, Jerry T. Dang
Summary: This study compared the 30-day rates of serious complications and mortality between primary SADI-S and conversions from SG to SADI. The results showed that there were similar rates of complications and mortality between SG-SADI and p-SADI-S, indicating that conversion from SG to SADI is safe.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
David E. Arterburn, Eric Johnson, Karen J. Coleman, Lisa J. Herrinton, Anita P. Courcoulas, David Fisher, Robert A. Li, Mary Kay Theis, Liyan Liu, James R. Fraser, Sebastien Haneuse
Summary: Among patients with severe obesity undergoing SG and RYGB, significantly more weight loss was observed at 5 years compared to nonsurgical patients. Weight regain was common after surgery, but regain to within 5% of baseline was rare.
Article
Medicine, General & Internal
Birkan Birben, Gokhan Akkurt, Mesut Tez, Baris Dogu Yildiz
Summary: This study aimed to evaluate the correlation between preoperative and postoperative serum uric acid levels and body mass index, body weight, and excess weight loss in patients undergoing sleeve gastrectomy. The results showed that weight loss associated with sleeve gastrectomy led to a reduction in postoperative serum uric acid levels.
TURKISH JOURNAL OF MEDICAL SCIENCES
(2023)
Article
Surgery
Liang Wang, Qing Sang, Xuejing Zheng, Dexiao Du, Nengwei Zhang, Dongbo Lian
Summary: This study confirms the long-term safety and efficacy of LSG for morbidly obese Chinese patients. The %EWL at 6 months post-surgery is a predictive factor for weight maintenance up to 5 years after LSG, with over half of the patients achieving successful weight loss.
Article
Gastroenterology & Hepatology
Emanuele Rondonotti, Cesare Hassan, Giacomo Tamanini, Giulio Antonelli, Gianluca Andrisani, Giovanni Leonetti, Silvia Paggi, Arnaldo Amato, Giulia Scardino, Dhanai Di Paolo, Giovanna Mandelli, Nicoletta Lenoci, Natalia Terreni, Alida Andrealli, Roberta Maselli, Marco Spadaccini, Piera Alessia Galtieri, Loredana Correale, Alessandro Repici, Francesco Maria Di Matteo, Luciana Ambrosiani, Emanuela Filippi, Prateek Sharma, Franco Radaelli
Summary: The present study demonstrates that real-time artificial intelligence (AI)-assisted optical diagnosis is accurate and useful for the diagnosis of diminutive rectosigmoid polyps (DRSPs), especially for nonexperts.
Review
Gastroenterology & Hepatology
Marco Spadaccini, Edoardo Vespa, Viveksandeep Thoguluva Chandrasekar, Madhav Desai, Harsh K. Patel, Roberta Maselli, Alessandro Fugazza, Silvia Carrara, Andrea Anderloni, Gianluca Franchellucci, Alessandro De Marco, Cesare Hassan, Pradeep Bhandari, Prateek Sharma, Alessandro Repici
Summary: This paper summarizes the current evidence, recent research advancements, and future perspectives regarding advanced imaging technology and artificial intelligence (AI) in Barrett's esophagus (BE). It stresses the importance of comprehensive endoscopic assessment and computer-aided diagnosis in improving diagnostic outcomes.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Gastroenterology & Hepatology
Laura Lamonaca, Francesco Auriemma, Danilo Paduano, Mario Bianchetti, Federica Spatola, Piera Galtieri, Roberta Maselli, Alessandro Repici, Benedetto Mangiavillano
Summary: The aim of this study was to evaluate the clinical and technical success of rectal band ligation (RBL) in the treatment of severe or recurrent hemorrhagic chronic radiation proctitis (CRP). The results showed that all patients achieved success after an average of 1.8 RBL sessions. RBL can be considered as a first-line option for the treatment of severe or extensive CRP, as well as a viable rescue treatment after failed argon plasma coagulation (APC).
ENDOSCOPY INTERNATIONAL OPEN
(2022)
Review
Gastroenterology & Hepatology
Alessandro Fugazza, Antonio Capogreco, Annalisa Cappello, Rosangela Nicoletti, Leonardo Da Rio, Piera Alessia Galtieri, Roberta Maselli, Silvia Carrara, Gaia Pellegatta, Marco Spadaccini, Edoardo Vespa, Matteo Colombo, Kareem Khalaf, Alessandro Repici, Andrea Anderloni
Summary: Nutritional support is crucial for patients with limited ability to maintain body weight, and oral feeding is the primary approach. When physiological nutrition is not possible, nasogastric, nasojejunal tubes, or other percutaneous devices can be used as alternatives. Percutaneous endoscopic gastrostomy (PEG) is a suitable option for patients requiring nutritional support for more than 4 weeks.
WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY
(2022)
Review
Gastroenterology & Hepatology
Edoardo Vespa, Gaia Pellegatta, Viveksandeep T. Chandrasekar, Marco Spadaccini, Harsh Patel, Roberta Maselli, Piera A. Galtieri, Elisa Carlani, Prateek Sharma, Cesare Hassan, Alessandro Repici
Summary: Long-term clinical efficacy of POEM persisted in 87% of patients with achalasia. Post-POEM symptomatic reflux remained stable over time. The risk for Barrett's esophagus and peptic strictures appeared minimal.
News Item
Gastroenterology & Hepatology
Alessandro Repici, Antonio Capogreco, Spadaccini Marco, Roberta Maselli, Piera Alessia Galtieri, Alessandro Fugazza, Silvia Carrara, Matteo Colombo, Guido Schachschal, Anna Creutzfeldt, Shahila Perveen Aslam, Asma Alkandari, Pradeep Bhandari, Alexander Meining, Cesare Hassan, Thomas Roesch
Article
Gastroenterology & Hepatology
Glenn Koleth, James Emmanue, Marco Spadaccini, Pietro Mascagni, Kareem Khalaf, Yuichi Mori, Giulio Antonelli, Roberta Maselli, Silvia Carrara, Piera Alessia Galtieri, Gaia Pellegatta, Alessandro Fugazza, Andrea Anderloni, Carmelo Selvaggio, Michael Bretthauer, Alessio Aghemo, Antonino Spinelli, Victor Savevski, Prateek Sharma, Cesare Hassan, Alessandro Repici
Summary: The application of AI in gastroenterology focuses on the detection and characterization of colorectal neoplasia in gastrointestinal endoscopy. There is a swift conversion from observational to interventional studies, with most being single-center studies in Asia and Europe.
ENDOSCOPY INTERNATIONAL OPEN
(2022)
Article
Nutrition & Dietetics
Maurizio De Luca, Marco Antonio Zappa, Monica Zese, Ugo Bardi, Maria Grazia Carbonelli, Francesco Maria Carrano, Giovanni Casella, Marco Chianelli, Sonja Chiappetta, Angelo Iossa, Alessandro Martinino, Fausta Micanti, Giuseppe Navarra, Giacomo Piatto, Marco Raffaelli, Eugenia Romano, Simone Rugolotto, Roberto Serra, Emanuele Soricelli, Antonio Vitiello, Luigi Schiavo, Iris Caterina Maria Zani, Giulia Bandini, Edoardo Mannucci, Benedetta Ragghianti, Matteo Monami
Summary: Development and methodological aspects of Italian clinical practice guidelines on bariatric and metabolic surgery. The guidelines were developed by the Italian Society of Bariatric and Metabolic Surgery for Obesity, using the GRADE methodology and the PICO framework. A panel of experts proposed 37 questions and reached consensus on most of them, covering indications, types of surgery, and management. The choice between surgical and non-surgical approaches was discussed for determining the therapeutic strategy and indications.
Review
Infectious Diseases
Lidia Castagneto-Gissey, Maria Francesca Russo, James Casella-Mariolo, Angelo Serao, Rosa Marcellinaro, Vito D'Andrea, Massimo Carlini, Giovanni Casella
Summary: This study systematically assessed the antibiotic prophylactic strategies for preventing anastomotic leaks (ALs) in colorectal surgery. The meta-analysis of 13 randomized clinical trials showed that antibiotic prophylaxis significantly reduced the risk of ALs and surgical site infections (SSIs).
Review
Medicine, General & Internal
Roberta Maselli, Roberto de Sire, Alessandro Fugazza, Marco Spadaccini, Matteo Colombo, Antonio Capogreco, Torsten Beyna, Alessandro Repici
Summary: Ampullary neoplastic lesions are a rare form of cancer that can be sporadic or related to genetic syndromes. They are often asymptomatic but can cause symptoms such as jaundice and pain. Endoscopy, endoscopic ultrasound, and magnetic resonance cholangiopancreatography play a crucial role in the evaluation of these lesions. Endoscopic papillectomy is recognized as an effective treatment.
Meeting Abstract
Gastroenterology & Hepatology
A. Capogreco, M. Spadaccini, R. Maselli, P. A. Galtieri, G. Pellegatta, A. Fugazza, A. Anderloni, E. C. Ferrara, S. Carrara, E. Vespa, N. Pugliese, T. Parigi, G. Schachschal, A. Creutzfeldt, C. Hassan, P. Bhandari, A. Meining, T. Roesch, A. Repici
DIGESTIVE AND LIVER DISEASE
(2022)
Meeting Abstract
Gastroenterology & Hepatology
G. Gibiino, M. Sbrancia, C. Binda, C. Coluccio, L. Saragoni, R. Maselli, A. Repici, C. Fabbri
DIGESTIVE AND LIVER DISEASE
(2022)
Meeting Abstract
Gastroenterology & Hepatology
C. Hassan, M. Spadaccini, L. Alfarone, L. Da Rio, V Solitano, S. Ferretti, V Poletti, R. Maselli, S. Carrara, P. A. Galtieri, G. Pellegatta, A. Fugazza, A. Anderloni, E. C. Ferrara, P. Spaggiari, L. M. Terracciano, A. Repici
DIGESTIVE AND LIVER DISEASE
(2022)
Meeting Abstract
Gastroenterology & Hepatology
M. Spadaccini, C. Hassan, Y. Mori, A. Facciorusso, R. Maselli, K. Khalaf, L. Alfarone, M. Colombo, A. Capogreco, P. A. Galtieri, G. Pellegatta, S. Carrara, A. Fugazza, A. Anderloni, P. Sharma, A. Repici
DIGESTIVE AND LIVER DISEASE
(2022)
Meeting Abstract
Gastroenterology & Hepatology
M. Spadaccini, C. Hassan, L. Alfarone, L. Da Rio, R. Maselli, S. Carrara, P. A. Galtieri, G. Pellegatta, A. Fugazza, G. Koleth, J. Emmanuel, A. Anderloni, Y. Mori, M. B. Wallace, P. Sharma, A. Repici
DIGESTIVE AND LIVER DISEASE
(2022)