Article
Medicine, General & Internal
Georgios-Ioannis Verras, Francesk Mulita, Sjaak Pouwels, Chetan Parmar, Nikolas Drakos, Konstantinos Bouchagier, Charalampos Kaplanis, George Skroubis
Summary: Morbid obesity is a chronic disease with a rising incidence, and surgical treatment has shown superior outcomes compared to conventional weight loss measures. This study evaluated the long-term weight loss outcomes, comorbidity reduction, and adverse effects of Roux-en-Y Gastric Bypass (RYGB), Biliopancreatic Diversion (BPD), and Sleeve Gastrectomy (SG) at 10 years. RYGB and BPD resulted in significant weight loss, with no observed differences in diabetes resolution and adverse outcomes. Longer follow-up reports are important for comparing the outcomes of different bariatric operations.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Jean-Eric Tarride, Aristithes G. Doumouras, Dennis Hong, J. Michael Paterson, Semra Tibebu, Francis Nguyen, Richard Perez, Valerie H. Taylor, Feng Xie, Vanessa Boudreau, Eleanor Pullenayegum, David R. Urbach, Mehran Anvari
Summary: This study compared 4-year health care expenditures after RYGB and sleeve gastrectomy, finding no significant differences in all-cause mortality and number of hospital admissions between the two procedures, but more frequent nonelective hospitalizations with RYGB. Patients who underwent RYGB had a lower rate of subsequent bariatric procedures.
Article
Surgery
Marta Guimaraes, Catarina Osorio, Diogo Silva, Rui F. Almeida, Antonio Reis, Samuel Cardoso, Sofia S. Pereira, Mariana P. Monteiro, Mario Nora
Summary: The study evaluated the long-term efficacy of Roux-en-Y Gastric Bypass (RYGB) surgery by assessing weight loss and comorbidity improvement in patients 10 years or more after the surgery. Results showed a significant decrease in body mass index (BMI) and successful comorbidity remission. Although a small proportion of patients required revision surgery for weight loss failure, RYGB was confirmed as an effective primary bariatric intervention.
Article
Medicine, General & Internal
Gisele Florencio, Aglecio Souza, Elinton Chaim, Allan Santos, Louise Duran, Camila Carvalho, Sarah Monte Alegre
Summary: This study evaluated the phase angle (PhA) and sarcopenia in young individuals pre- and post-Roux-en-Y gastric bypass surgery. The results showed that the postoperative group had significantly lower PhA and higher resistance (R). Handgrip strength and gait speed were negatively correlated with R, hs-CRP, and leptin. Appendicular lean mass was negatively correlated with reactance and R. Overall, PhA and other components of bioelectrical impedance analysis were found to be correlated with sarcopenia.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Jeremy Jen, Hau Phan, Brett Johnson, Corliann Blyn, Janet Lavrich, Krishna Mallem, Priya Kalsank Pai, Piotr Krecioch
Summary: Revisional surgery to convert sleeve gastrectomy (SG) to either Roux-en-Y gastric bypass (RYGB) or duodenal switch (DS) can lead to significant and sustained weight loss in the first 12 months. There was no significant difference in excess body weight loss between RYGB and DS patients at 6, 12, and 24 months, except for greater weight loss in RYGB patients at 3 months. Procedure length was significantly longer for DS compared to RYGB, with no significant differences in length of stay and 30-day readmission rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(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)
Article
Endocrinology & Metabolism
Antonella Santonicola, Luigi Ruggiero, Rossella Palma, Luigi Angrisani, Paola Iovino
Summary: Laparoscopic Roux-en-Y gastric bypass (RYGB) is the preferred surgical procedure for treating severe obesity and gastroesophageal reflux disease (GERD). It provides satisfactory weight loss and resolution of GERD symptoms in most patients, but about 24.4% of patients may experience GERD symptoms postoperatively.
INTERNATIONAL JOURNAL OF OBESITY
(2022)
Article
Surgery
Uri Kaplan, Hadar Aboody-Nevo, Ian M. Gralnek, Shiri Sherf-Dagan, Ron Dar, Shams-Eldin Mokary, Dan Hershko, Doron Kopelman, Nasser Sakran
Summary: This study compared the early outcomes and mid-term safety of One Anastomosis Gastric Bypass (OAGB) and primary Roux-en-Y Gastric Bypass (RYGB), finding comparable results in efficacy and adverse events. OAGB showed advantages in operative time and costs, while both procedures were similar in terms of weight outcomes and adverse events.
Article
Surgery
Robert A. Li, Liyan Liu, David Arterburn, Karen J. Coleman, Anita P. Courcoulas, David Fisher, Sebastien Haneuse, Eric Johnson, Mary Kay Theis, Tae K. Yoon, Heidi Fisher, James R. Fraser, Lisa J. Herrinton
Summary: This study compared the long-term risks of reintervention following sleeve gastrectomy and Roux-en-Y gastric bypass, and found that sleeve gastrectomy was associated with significantly lower risk of reintervention in all categories at the 5-year follow-up. Patients undergoing sleeve gastrectomy had better outcomes in subsequent interventions when compared with those undergoing Roux-en-Y gastric bypass.
Article
Surgery
Yo-Seok Cho, Ji-Hyeon Park, JeeSun Kim, Sa-Hong Kim, Min Kyu Kang, Yeon-Ju Huh, Yun-Suhk Suh, Seong-Ho Kong, Do-Joong Park, Han-Kwang Yang, Minseon Park, Young Min Cho, Hyuk-Joon Lee
Summary: This study evaluated the efficacy and safety of RRYGB surgery and compared it with SG surgery. The study found that the RRYGB group had better postoperative outcomes for diabetes and dyslipidemia without increasing surgical complications compared to the SG group. Therefore, RRYGB can be considered a safe and effective alternative in areas where gastric cancer is prevalent.
Review
Endocrinology & Metabolism
Isabelle Uhe, Jonathan Douissard, Michele Podetta, Mickael Chevallay, Christian Toso, Minoa Karin Jung, Jeremy Meyer
Summary: This study compared the outcomes of different bariatric procedures and found that Roux-en-Y gastric bypass (RYGB) is more effective in weight loss and remission of type 2 diabetes, while one-anastomosis gastric bypass (OAGB) is associated with greater excess weight loss.
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)
Article
Surgery
Adam Skidmore, Jonathon Holt
Summary: There is little difference in weight-loss results between Roux-en-Y gastric bypass (RYGB) and banded Roux-en-Y gastric bypass (BRYGB) with non-adjustable bands, and the use of non-adjustable bands may lead to significant complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Krista L. Haines, Benjamin P. Nguyen, Ioana Antonescu, Jennifer Freeman, Christopher Cox, Vijay Krishnamoorthy, Brad Kawano, Suresh Agarwal
Summary: This study found that the presence of advanced directives (ADs) among trauma patients is rare, particularly among African Americans and Asians. However, patients with ADs were associated with higher mortality rates, use of mechanical ventilation, admission to the ICU, withdrawal of life-sustaining measures, and selection of hospice care.
Article
Critical Care Medicine
Christopher E. Cox, Jessie Gu, Deepshikha Charan Ashana, Elias H. Pratt, Krista Haines, Jessica Ma, Maren K. Olsen, Alice Parish, David Casarett, Mashael S. Al-Hegelan, Colleen Naglee, Jason N. Katz, Yasmin Ali O'Keefe, Robert W. Harrison, Isaretta L. Riley, Santos Bermejo, Katelyn Dempsey, Kimberly S. Johnson, Sharron L. Docherty
Summary: This study aimed to describe trajectories of palliative care needs during ICU care and determine if changes in needs over 1 week were associated with similar changes in psychological distress symptoms at 3 months. The results showed that serious palliative care needs were common and persistent among families during ICU care, but improvement in needs did not alleviate psychological distress at 3 months.
CRITICAL CARE MEDICINE
(2023)
Article
Surgery
Bradley Kawano, Suresh Agarwal, Vijay Krishnamoorthy, Karthik Raghunathan, Joseph S. Fernandez-Moure, Krista L. Haines
Summary: This study aims to determine the association between state-level presence of restrictive firearm laws and suicide rates with firearms. The results showed that states with background checks and mandatory waiting periods were associated with lower suicide rates by all firearms and specific firearm types. This reduction could be due to firearm laws directly preventing people from accessing guns or existing concurrently with other suicide prevention measures.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Article
Critical Care Medicine
Kaushik Mukherjee, Sebastian D. Schubl, Gail Tominaga, Sarah Cantrell, Brian Kim, Krista L. Haines, Krista L. Kaups, Robert Barraco, Kristan Staudenmayer, Lisa M. Knowlton, Adam M. Shiroff, Zachary M. Bauman, Steven E. Brooks, Haytham Kaafarani, Marie Crandall, Raminder Nirula, Suresh K. Agarwal, John J. Como, Elliott R. Haut, George Kasotakis
Summary: Chest wall injury in older adults is a significant cause of morbidity and mortality. Non-surgical management strategies such as incentive spirometry, noninvasive positive pressure ventilation, and analgesia techniques have been explored, but no definite recommendations have been made. This study reviewed relevant literature and found that routine ICU admission is not recommended, IS and NIPPV are recommended, and there is no clear recommendation for the use of ketamine, epidural, or other locoregional analgesia.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Surgery
Hiba Abdel Aziz, Nikolay Bugaev, Gerard Baltazar, Zachary Brown, Krista Haines, Sameer Gupta, Lawrence Yeung, Joseph Posluszny, John Como, Jennifer Freeman, George Kasotakis
Summary: This study reviewed the management of renal trauma in the genitourinary system and provided important recommendations. It was concluded that no recommendation could be made regarding the use of angioembolization vs. observation in stable patients with ongoing bleeding. In unstable patients, it was conditionally recommended to avoid renal exploration in stable zone II hematomas, and kidney preserving techniques were favored over nephrectomy in expanding zone II hematomas. No optimal timing for repeat imaging in high-grade renal injury could be determined.
Review
Critical Care Medicine
Patrick B. Murphy, George Kasotakis, Elliott R. Haut, Anna Miller, Edward Harvey, Eric Hasenboehler, Thomas Higgins, Joseph Hoegler, Hassan Mir, Sarah Cantrell, William T. Obremskey, Meghan Wally, Basem Attum, Rachel Seymour, Nimitt Patel, William Ricci, Jennifer J. Freeman, Krista L. Haines, Brian K. Yorkgitis, Brandy B. Padilla-Jones
Summary: This study examined the efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) in treating acute pain related to traumatic fractures. The results showed that NSAIDs can reduce pain, decrease the need for opioids, and have a small effect on non-union in patients with traumatic fractures. Therefore, the use of NSAIDs in these patients is recommended.
TRAUMA SURGERY & ACUTE CARE OPEN
(2023)
Article
Medicine, General & Internal
Krista L. Haines, Tetsu Ohnuma, Chi Dang Hornik, Braylee Grisel, Harold Leraas, Charles N. Trujillo, Vijay Krishnamoorthy, Karthik Raghunathan, Paul E. Wischmeyer
Summary: This retrospective cohort study examined the outcomes of pediatric patients receiving different lipid emulsions for parenteral nutrition. The results showed that switching to a mixed-lipid formula (4-OLE) was associated with a significant decrease in hospital length of stay and urinary tract infection risk in pediatric patients, suggesting that the use of 4-OLE may improve clinical outcomes in this population.
Article
Nutrition & Dietetics
Krista L. Haines, Tetsu Ohnuma, Braylee Grisel, Vijay Krishnamoorthy, Karthik Raghunathan, Suela Sulo, Kirk W. Kerr, Beth Besecker, Bridget A. Cassady, Paul E. Wischmeyer
Summary: This study aimed to investigate the effects of early enteral nutrition (EN) on clinical outcomes and costs in critically ill mechanically ventilated (MV) patients. The results showed that early EN was associated with lower hospital mortality, higher discharge to home rate, shorter hospital and ICU length of stay, fewer MV days, and lower cost. These findings highlight the importance of early EN for the recovery of critically ill patients on MV.
CLINICAL NUTRITION ESPEN
(2023)
Meeting Abstract
Surgery
Anika Gnaedinger, Sameer Kunte, Alexandra Krez, Suresh Agarwal, Krista Haines
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Meeting Abstract
Surgery
Braylee N. Grisel, Alexander Gordee, Maggie Kuchibhatla, Zachary Ginsberg, Suresh Agarwal, Krista Haines
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Meeting Abstract
Surgery
Adrian Camarena, Alex Bartholomew, Ayman Ali, Krista Haines, Joseph S. Fernandez-moure, Suresh Agarwal
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Meeting Abstract
Surgery
Anika Gnaedinger, Sameer Kunte, Alexandra Krez, Suresh Agarwal, Krista Haines
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Meeting Abstract
Surgery
Braylee N. Grisel, Alexander Gordee, Maggie Kuchibhatla, Zachary Ginsberg, Suresh Agarwal, Krista Haines
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Article
Surgery
Anthony Eze, Harold Leraas, Oluebubechukwu Eze, Chinecherem Chime, Braylee Grisel, Lauren Moore, Marcelo Cerullo, Doreen Chang, Suresh Agarwal, Krista L. Haines
Summary: Firearm injury is a significant public health crisis, with the majority of victims belonging to underserved minority populations. This study examines the association between race, insurance status, and discharge disposition for gunshot wound-related trauma.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Laura Gorenshtein, Harold Leraas, Anthony Eze, Stephanie Lumpkin, Chinecherem Chime, Doreen Chang, Paul Wischmeyer, Suresh Agarwal, Joseph Fernandez, Krista L. Haines
Summary: The use of parenteral nutrition (PN) in adult trauma management varies based on insurance payer, race, and severity of injury, indicating the need for further examination into resource allocation based on patient socioeconomic status.
JOURNAL OF SURGICAL RESEARCH
(2024)