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)
Review
Surgery
Mohammad Kermansaravi, Radwan Kassir, Rohollah Valizadeh, Chetan Parmar, Amir Hossein Davarpanah Jazi, Shahab Shahabi Shahmiri, Marine Benois
Summary: Complications like leaks after one-anastomosis gastric bypass (OAGB) should be managed properly, but there is limited data and no guidelines for leak management. A systematic review and meta-analysis of 46 studies involving 44,318 OAGB patients found a 1% prevalence of leaks. Surgical strategies varied, but about 62.1% of patients with leaks required additional surgery. The most common procedures for leak management were peritoneal washout and drainage, followed by conversion to Roux-en-Y gastric bypass. The mortality rate related to leaks was 1.95%.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Review
Surgery
Gunnar Wolfe, Vesta Salehi, Allen Browne, Renee Riddle, Erin Hall, John Fam, David Tichansky, Stephan Myers
Summary: Obesity is a major health concern for patients with Prader-Willi Syndrome. A systematic review found that metabolic and bariatric surgery led to significant reductions in body mass index (BMI) for up to 7 years in patients with PWS. Laparoscopic sleeve gastrectomy, gastric bypass, and biliopancreatic diversion were the three most common surgical procedures performed.
SURGERY FOR OBESITY AND RELATED DISEASES
(2023)
Article
Surgery
Stefan Wallen, Gustaf Bruze, Johan Ottosson, Claude Marcus, Johan Sundstrom, Eva Szabo, Torsten Olbers, Maria Palmetun-Ekback, Ingmar Naslund, Martin Neovius
Summary: This study aimed to compare the use of opioids in patients with obesity who underwent bariatric surgery versus those who underwent intensive lifestyle modification. The results showed that patients who underwent bariatric surgery had a higher proportion of opioid users and a larger total opioid dose, especially in those who received additional surgery during follow-up.
Article
Surgery
Eileen Roach, Simon Laplante, Shannon Stogryn, Azusa Maeda, Timothy Jackson, Allan Okrainec
Summary: The study aimed to determine the weight-loss outcomes of patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) after laparoscopic sleeve gastrectomy (LSG) and whether outcomes differed according to indications for conversion. The study found that patients who underwent LRYGB after previous LSG had a consistent weight-loss outcome regardless of the reason for conversion.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Mohammad Kermansaravi, Shahab Shahabi Shahmiri, Amir Hossein Davarpanah Jazi, Rohollah Valizadeh, Rudolf A. Weiner, Sonja Chiappetta
Summary: The prevalence of OAGB/MGB reversal is 1% with a complication rate of 10.9%. Protein-energy malnutrition is the most common etiology, highlighting the need for special attention to the nutritional status of OAGB/MGB patients.
SURGERY FOR OBESITY AND RELATED DISEASES
(2021)
Article
Surgery
Marc Beisani, Fatima Sabench Pereferrer, Ramon Vilallonga, Oscar Gonzalez Lopez, Alicia Molina Lopez, Daniel del Castillo Dejardin, Amador Garcia Ruiz de Gordejuela, Jose Manuel Fort Lopez-Barajas, Manel Armengol Carrasco
Summary: This study aimed to replicate the methodology used for determining %AWL and proposed a new metric %MAWL, with results showing that using a reference point of 18 instead of 13 produced initial-weight-independent outcomes in Mediterranean patients.
Article
Multidisciplinary Sciences
Giovanni Scavone, Federica Castelli, Daniele Carmelo Caltabiano, Maria Vittoria Raciti, Corrado Ini, Antonio Basile, Luigi Piazza, Antonio Scavone
Summary: MGB/OAGB is a recent low-risk bariatric surgical procedure commonly used in the treatment of severe obesity. Diagnostic imaging plays a significant role in evaluating treatment outcomes and detecting potential complications in the postoperative period.
Review
Pediatrics
Valeria Calcaterra, Vittoria Carlotta Magenes, Francesca Destro, Paola Baldassarre, Giustino Simone Silvestro, Chiara Tricella, Alessandro Visioli, Elvira Verduci, Gloria Pelizzo, Gianvincenzo Zuccotti
Summary: Severe obesity is a major symptom of PWS, and controlling weight is crucial in the treatment of this syndrome. This article provides an overview of different patterns of weight control in PWS, discusses the mechanisms involved in obesity development and preventive strategies. Early diagnosis, controlled diet, regular physical activity, multidisciplinary follow-up, and hormonal treatment improve weight management. Surgery can be considered in some cases. Controlling weight in PWS is a challenge for pediatricians, and consulting different healthcare specialists from neonatal and pediatric age is important in preventing and managing obesity.
Article
Surgery
Piotr Gorecki, Paul H. McClelland, Krystyna Kabata, Elizabeth Khusid, Michael E. Zenilman
Summary: This study reports on the long-term weight loss and remission of type 2 diabetes mellitus in 576 consecutive patients who underwent primary LRYGB. Results showed that LRYGB provided durable weight loss and successful remission of DM2 at 10 years. More long-term follow-up studies are needed to evaluate the late outcomes of LRYGB, especially in younger patients with longer life expectancies.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Surgery
Mohammad Kermansaravi, Shahab Shahabi Shahmiri, Amir Hossein DavarpanahJazi, Rohollah Valizadeh, Giovanna Berardi, Antonio Vitiello, Mario Musella, Miguel Carbajo
Summary: OAGB/MGB as a revisional procedure after restrictive bariatric procedures shows promising outcomes in reducing BMI, improving T2DM remission rates, and increasing GERD remission/improvement rates, but potential complications such as leakage should be noted.
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
Surgery
Foolad Eghbali, Mansour Bahardoust, Abdolreza Pazouki, Gelayol Barahman, Adnan Tizmaghz, Amir Hajmohammadi, Reza Karami, Fatemeh Sadat Hosseini-Baharanchi
Summary: The study found that Roux-en-Y gastric bypass surgery is the most effective and durable weight loss treatment. However, not all patients achieve the expected weight loss. Preoperative BMI and the presence of diabetes significantly affect the weight loss rate after surgery.
Article
Endocrinology & Metabolism
Brendan J. Nolan, Joseph Proietto, Priya Sumithran
Summary: The study aimed to evaluate the safety, tolerability, and efficacy of intensive medical weight loss interventions in individuals with PWS. The results showed that very-low-energy diets and pharmacotherapy can achieve substantial weight loss in some PWS patients, but non-adherence to the treatment plan leads to significant weight regain.
Article
Surgery
Erman Akpinar, Ronald S. L. Liem, Simon Nienhuijs, Jan Willem M. Greve, Perla J. Marang-van de Mheen
Summary: This study compared the extent of weight recurrence between patients who received Sleeve Gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) after adequate weight loss at 1-year follow-up. The results showed that patients undergoing SG had a higher likelihood of weight recurrence up to 5 years and were less likely to achieve remission of comorbidities such as type 2 diabetes, hypertension, dyslipidemia, gastroesophageal reflux, and obstructive sleep apnea syndrome.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Marco Milone, Maurizio Degiuli, Nunzio Velotti, Michele Manigrasso, Sara Vertaldi, Domenico D'Ugo, Giovanni Domenico De Palma
Summary: The study showed no significant differences between minimally invasive surgery and conventional open surgery in terms of oncological long-term outcomes and postoperative complications in the treatment of transverse colon cancer. However, minimally invasive surgery demonstrated significant advantages in recovery outcomes compared to open surgery, with robotic surgery showing even better results for certain recovery parameters. Intracorporeal anastomosis was also found to be preferred over other approaches for its better recovery outcomes and lower complication rates.
UPDATES IN SURGERY
(2022)
Article
Oncology
Leonardo Solaini, Maria Bencivenga, Alessia D'ignazio, Marco Milone, Elisabetta Marino, Stefano De Pascale, Fausto Rosa, Michele Sacco, Uberto Fumagalli Romario, Luigina Graziosi, Giovanni De Palma, Daniele Marrelli, Paolo Morgagni, Giorgio Ercolani
Summary: This study aimed to investigate the benefits of staging laparoscopy for gastric cancer patients. The results showed that tumor type, tumor location, and staging could provide additional diagnostic information for patients undergoing laparoscopic surgery. The study concluded that staging laparoscopy is a useful tool to guide the most appropriate treatment strategy for gastric cancer patients.
Article
Surgery
Mario Musella, Antonio Vitiello, Antonio Susa, Francesco Greco, Maurizio De Luca, Emilio Manno, Stefano Olmi, Marco Raffaelli, Marcello Lucchese, Sergio Carandina, Mirto Foletto, Francesco Pizza, Ugo Bardi, Giuseppe Navarra, Angelo Michele Schettino, Paolo Gentileschi, Giuliano Sarro, Sonja Chiappetta, Andrea Tirone, Giovanna Berardi, Nunzio Velotti, Diego Foschi, Marco Zappa, Luigi Piazza, Giulia Bagaglini, Domenico Benavoli, Amanda Belluzzi, Cosimo Callari, Mariapaola Giusti, Enrico Facchiano, Leo Licari, Giuseppe Lovino, Giacomo Piatto, Francesco Stanzione, Matteo Uccelli, Gastone Veroux, Costantino Voglino
Summary: The findings demonstrate an acceptable rate of revision after OAGB/MGB, with conversion to RYGB being the most frequent choice.
Letter
Surgery
Mario Musella, Antonio Vitiello
Correction
Surgery
Marco Milone, Ugo Elmore, Michele Manigrasso, Monica Ortenzi, Emanuele Botteri, Alberto Arezzo, Gianfranco Silecchia, Mario Guerrieri, Giovanni Domenico De Palma, Ferdinando Agresta
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Medicine, General & Internal
Francesco Maione, Alessia Chini, Rosa Maione, Michele Manigrasso, Alessandra Marello, Gianluca Cassese, Nicola Gennarelli, Marco Milone, Giovanni Domenico De Palma
Summary: Barrett's Esophagus is a common condition associated with chronic gastroesophageal reflux disease and has a higher risk of developing esophageal adenocarcinoma. Low and high-grade dysplasia precede neoplastic transformation in this condition. The evaluation of low-grade dysplastic esophageal mucosa is still controversial, but endoscopic surveillance and minimally invasive endoscopic treatments such as endoscopic mucosal resection and radiofrequency ablation are available options. Cryotherapy ablation and argon plasma coagulation are novel endoscopic treatments with high eradication rates and fewer complications and post-procedural pain.
Review
Gastroenterology & Hepatology
Alessia Chini, Michele Manigrasso, Grazia Cantore, Rosa Maione, Marco Milone, Francesco Maione, Giovanni Domenico De Palma
Summary: Optical colonoscopy (OC) and computed tomography colonography (CTC) are commonly used methods for screening colorectal lesions. CTC has emerged as a potential screening method with high accuracy in detecting colorectal lesions. However, its clinical application as a screening technique is limited due to its poor performance in detecting lesions smaller than 5 mm or flat lesions.
CLINICAL ENDOSCOPY
(2022)
Article
Oncology
Giorgio Romano, Giuseppe Di Buono, Massimo Galia, Francesco Agnello, Gabriele Anania, Mario Guerrieri, Marco Milone, Gianfranco Silecchia, Salvatore Buscemi, Antonino Agrusa
Summary: Preoperative radiological assessment using CT angiography and advanced imaging techniques can reduce surgical difficulty and intraoperative complications, resulting in improved short-term outcomes in right colonic resections.
Article
Surgery
Ugo Elmore, Marco Milone, Paolo Parise, Nunzio Velotti, Andrea Cossu, Francesco Puccetti, Lavinia Barbieri, Sara Vertaldi, Francesco Milone, Giovanni Domenico De Palma, Riccardo Rosati
Summary: This study describes the experience in managing complications following laparoscopic gastrectomy for gastric cancer. The results show that among the patients who underwent reintervention, 34.3% required conversion to open surgery. The findings also indicate that recovery outcomes were significantly better for patients who completed the reoperation through laparoscopy.
UPDATES IN SURGERY
(2023)
Review
Gastroenterology & Hepatology
Marco Milone, Gaetano Gallo, Ugo Grossi, Patrizia Pelizzo, Anna D'Amore, Michele Manigrasso, Roberto Perinotti, Marco La Torre, Giovanni Domenico De Palma, Luigi Basso
Summary: This systematic review examines endoscopic techniques for pilonidal disease and evaluates their differences and outcomes. The study finds that reporting on technical aspects of interventions is inadequate and highlights the need for better quality control of surgical techniques.
COLORECTAL DISEASE
(2023)
Article
Surgery
Mario Musella, Giovanna Berardi, Nunzio Velotti, Vincenzo Schiavone, Cristina Manetti, Antonio Vitiello
Summary: This study compared the perioperative outcomes of One Anastomosis/Mini Gastric Bypass (OAGB/MGB) performed by an experienced laparoscopic surgeon during the learning curve to global benchmark cut-offs. The results showed that OAGB/MGB is a feasible procedure, but at least 100 cases are needed to reduce operative time and hospital stay.
UPDATES IN SURGERY
(2023)
Article
Surgery
Marco Milone, Anna D'Amore, Sergio Alfieri, Maria Raffaella Ambrosio, Jacopo Andreuccetti, Luca Ansaloni, Adelmo Antonucci, Marco Arganini, Gianluca Baiocchi, Mirko Barone, Lapo Bencini, Maria Bencivenga, Luigi Boccia, Luigi Boni, Marco Braga, Fabio Cianchi, Chiara Cipollari, Alessandro Contine, Christian Cotsoglou, Simone D'Imporzano, Giovanni De Manzoni, Stefano De Pascale, Nicola De Ruvo, Maurizio Degiuli, Annibale Donini, Ugo Elmore, Giorgio Ercolani, Giovanni Ferrari, Romario Uberto Fumagalli, Gianluca Garulli, Roberta Gelmini, Luigina Graziosi, Monica Gualtierotti, Alfredo Guglielmi, Marco Inama, Federica Maffeis, Francesco Maione, Michele Manigrasso, Federico Marchesi, Daniele Marrelli, Andrea Massobrio, Gianluigi Moretto, Aballah Moukachar, Giuseppe Navarra, Giuseppe Nigri, Stefano Olmi, Raffaele Palaia, Davide Papis, Paolo Parise, Corrado Pedrazzani, Roberto Petri, Giusto Pignata, Michele Pisano, Stefano Rausei, Rossella Reddavid, Giuseppe Rocco, Fausto Rosa, Riccardo Rosati, Luca Rossit, Matteo Rottoli, Franco Roviello, Stefano Santi, Stefano Scabini, Stefano Scaringi, Leonardo Solaini, Fabio Staderini, Lucio Taglietti, Beatrice Torre, Paolo Ubiali, Matteo Uccelli, Fabio Uggeri, Sara Vertaldi, Jacopo Vigano, Giovanni Domenico De Palma, Simone Giacopuzzi
Summary: Italian upper gastrointestinal surgeons have a propensity for performing minimally invasive surgery for both early and advanced gastric cancer. The study found that the use of minimally invasive techniques in advanced cases increased with the volume of surgical procedures performed per year.
UPDATES IN SURGERY
(2022)
Editorial Material
Health Care Sciences & Services
Marco Milone, Paolo Pietro Bianchi
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Surgery
Pietro Anoldo, Michele Manigrasso, Anna D'Amore, Mario Musella, Giovanni Domenico De Palma, Marco Milone
Summary: This study retrospectively analyzed the clinical results of a robotic technique for treating patients with simultaneous inguinal and umbilical hernia. The results showed optimal postoperative outcomes and provided technical details for surgeons performing multiquadrant robotic surgery for abdominal hernias.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2023)
