Article
Endocrinology & Metabolism
Eugene Lucas, Okeefe Simmons, Beverly Tchang, Louis Aronne
Summary: Although bariatric surgery leads to significant long-term weight loss, weight gain after surgery affects a considerable percentage of patients. Additionally, some patients experience inadequate weight loss. The effectiveness of anti-obesity medications for post-operative weight gain has not been firmly established yet due to varying study populations and designs. Observational studies consistently show the benefits of medical weight management after bariatric surgery, particularly with liraglutide, topiramate, and phentermine/topiramate, while new anti-obesity medications are expected to be helpful for post-surgical weight optimization.
FRONTIERS IN ENDOCRINOLOGY
(2023)
Article
Surgery
Estella Y. Huang, Ryan C. Broderick, Jonathan Z. Li, Joaquin L. Serra, Pranav Ahuja, Samantha Wu, Michael Genz, Eduardo Grunvald, David C. Kunkel, Bryan J. Sandler, Santiago Horgan, Garth R. Jacobsen
Summary: Despite common assumptions, cannabis users did not experience inferior weight loss outcomes after bariatric surgery compared to non-users.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Neurosciences
Marinka M. G. Koenis, Pavlos K. Papasavas, Ronald J. Janssen, Darren S. Tishler, Godfrey D. Pearlson
Summary: This study found substantial variability in the percent total weight loss following bariatric surgery, with functional brain imaging showing more variance in post-surgical weight loss than psychological or metabolic information. The neuronal responses during anticipatory cues and receipt of drops of milkshake differed between individuals with severe obesity and healthy-weight controls, with changes in brain response related to a composite health index. Despite no correlation with post-surgical weight loss in the entire surgical group, participants who underwent Roux-en-Y gastric bypass (RYGB) showed predictive power in several regions and contrasts.
Review
Endocrinology & Metabolism
Darlene Larissa de Souza Vilela, Alessandra da Silva, Sonia Lopes Pinto, Josefina Bressan
Summary: This systematic review examined the relationship between macronutrient intake and weight loss after bariatric surgery (BS). Eight articles involving 2,378 subjects were included, and the results indicated that protein intake was positively associated with weight loss after BS. Prioritizing protein followed by carbohydrates and reducing lipid intake favored weight loss and weight stability after BS. The review suggests that a high-protein diet (>60 g to 90 g/day) may be beneficial for weight loss and maintenance after BS, but a balance of other macronutrients is also important.
Article
Nutrition & Dietetics
Isabella Gastaldo, Rosa Casas, Violeta Moize
Summary: This narrative review summarizes the existing research on the clinical impact of a Mediterranean diet before and after bariatric surgery, focusing on its effects on weight loss and improvement in comorbidities. Although the current knowledge is limited, the findings suggest that adopting a Mediterranean diet before and after bariatric surgery is of significant value.
Article
Endocrinology & Metabolism
Nawfal W. Istfan, Marine Lipartia, Wendy A. Anderson, Donald T. Hess, Caroline M. Apovian
Summary: This study presents a practical approach for early recognition of weight regain after bariatric surgery, including classification and treatment options. Emphasizing the importance of regular long-term follow-up for all bariatric surgery patients.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2021)
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
Sara Rurgo, Elena Cantone, Marcella Pesce, Eleonora Efficie, Mario Musella, Barbara Polese, Barbara De Conno, Marta Pagliaro, Luisa Seguella, Bruna Guida, Giuseppe Esposito, Giovanni Sarnelli
Summary: This study aimed to evaluate the basic taste identification, induced perception, and pleasantness in normal-weight controls and obese subjects before and after bariatric surgery. The findings revealed that the perception of basic tastes is similar in normal-weight and severely obese subjects. Sleeve-gastrectomy-induced weight loss significantly increases basic taste-induced intensity, and selectively reduces bitter-related pleasantness without affecting the ability to identify the tastes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Afnan Sameer Azhri, Asma Almuqati, Firas Azzeh, Nuha Alamro, Wedad Azhar, Alaa Qadhi, Khloud Ghafouri
Summary: A study was conducted on patients who underwent bariatric surgery to investigate the factors affecting weight loss and the effectiveness of prophylactic ursodeoxycholic acid against gallstone formation. It was found that weight loss was influenced by initial body weight, sex, and dietary intake. Rapid weight loss was associated with a higher incidence of cholelithiasis.
Review
Nutrition & Dietetics
Elena Gangitano, Noelia Martinez-Sanchez, Maria Irene Bellini, Irene Urciuoli, Stefania Monterisi, Stefania Mariani, David Ray, Lucio Gnessi
Summary: Sleep is important for survival, but the time dedicated to sleep has been reduced in industrialized countries. This reduction may contribute to the increase in obesity, diabetes, and cardiovascular disease. Conversely, obesity is associated with sleep disorders. Understanding the physiological and molecular pathways involved in sleep regulation and metabolic homeostasis could improve metabolic health. Strategies aimed at weight loss may benefit both cardiometabolic risk and sleep quality.
Review
Endocrinology & Metabolism
Paulina Ibacache-Saavedra, Daniel Jerez-Mayorga, Alejandro Carretero-Ruiz, Claudia Miranda-Fuentes, Marcelo Cano-Cappellacci, Enrique G. Artero
Summary: Bariatric surgery may lead to a decrease in absolute VO2max/peak in the short term, while relative VO2max/peak to body weight may increase. More high-quality studies are needed to evaluate the impact of surgery on cardiorespiratory fitness.
Article
Endocrinology & Metabolism
Rinki Murphy, Lindsay D. Plank, Michael G. Clarke, Nicholas J. Evennett, James Tan, David D. W. Kim, Richard Cutfield, Michael W. C. Booth
Summary: SR-LRYGB provided superior diabetes remission and weight loss compared with LSG at 5 years, with similar low risks of complications.
Letter
Surgery
A. Chierici, N. Chevalier, A. Iannelli
Summary: Revisional bariatric surgery is becoming more popular as long-term follow-up studies show a high failure rate of primary surgery. This study aimed to determine the best revisional procedure after failure of primary restrictive surgery. The results showed that biliopancreatic diversion with duodenal switch and single-anastomosis duodenoileal bypass were the most effective procedures in terms of weight loss.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Article
Medicine, General & Internal
Francisco Jose Sanchez-Torralvo, Luis Vazquez-Pedreno, Montserrat Gonzalo-Marin, Maria Jose Tapia, Fuensanta Lima, Eduardo Garcia-Fuentes, Pilar Garcia, Javier Moreno-Ruiz, Alberto Rodriguez-Canete, Sergio Valdes, Gabriel Olveira
Summary: Intragastric injection of BT-A is effective for weight loss, especially in extreme obesity. Its use before bariatric surgery enhances perioperative weight loss.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Andreea Ciudin, Enzamaria Fidilio, Liliana Gutierrez-Carrasquilla, Assumpta Caixas, Nuria Vilarrasa, Silvia Pellitero, Andreu Simo-Servat, Ramon Vilallonga, Amador Ruiz, Maricruz de la Fuente, Alexis Luna, Enric Sanchez, Mercedes Rigla, Cristina Hernandez, Eduardo Salas, Rafael Simo, Albert Lecube
Summary: By combining clinical variables and genetic testing, the study established a good predictive model for weight loss response after bariatric surgery, showing a higher predictability compared to using only clinical variables. This finding highlights the key role of personalized medicine in improving clinical practice cost-effectiveness.
JOURNAL OF PERSONALIZED MEDICINE
(2021)