Article
Surgery
Natalia Dowgiallo-Gornowicz, Michal Janik, Pawel Lech, Grzegorz Kowalski, Piotr Major
Summary: AGB, once the preferred treatment for morbid obesity, is now becoming outdated due to its disappointing effects. This study aimed to compile the available data on revisional bariatric surgery (RBS) after AGB among Polish patients.
Article
Surgery
Bao-Ngoc Nasri, Linda Trainor, Daniel B. Jones
Summary: Laparoscopic adjustable gastric band (LAGB) is effective for most patients with long-term durability, but approximately one fifth of patients will require reoperation, with inadequate weight loss accounting for only one fifth of these cases, and band slippage/prolapse being the most common non weight-related indication for reoperation.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Mojgan Nazari, Carolyn Jameson, Brendan Ryan, Anthony Brancatisano
Summary: This study compared the safety and efficacy of sleeve gastrectomy (SG) and one anastomosis gastric bypass (OAGB) as conversion surgical procedures for patients who had adjustable gastric band (LAGB) and experienced suboptimal response or weight recurrence. The results showed that both procedures resulted in significant weight loss and similar remission of comorbidities, but OAGB had a higher complication rate compared to SG.
Article
Surgery
Sue Benson-Davies, Ann M. Rogers, Warren Huberman, Nathaniel Sann, William F. Gourash, Karen Flanders, Christine Ren-Fielding
Summary: This study aims to reach a consensus on the management of laparoscopic adjustable gastric band (LAGB), with consensus reached on 25 out of 34 statements. The consensus statements are intended to guide practice but do not involve credentialing.
SURGERY FOR OBESITY AND RELATED DISEASES
(2022)
Article
Surgery
Edward Phillips, Jaime Ponce, Sunil Bhoyrul, Scott A. Cunneen, Eddie Gomez, Moises Jacobs, Mark Kipnes, Robert T. Marema, Michael Schwiers, Jason R. Waggoner, Janet DeMarchi
Summary: The study presented the long-term safety results of REALIZE adjustable gastric band in patients with morbid obesity, showing a reoperation rate of 8.9% due to serious adverse events at 5 years, with band slippage being the most common issue affecting 6.9% of the population. No new safety concerns were identified during the 5 years of follow-up, and although the predefined safety criteria were not met, the safety profile and long-term effectiveness observed in this study are consistent with those in the current literature.
SURGERY FOR OBESITY AND RELATED DISEASES
(2021)
Article
Surgery
Panagiotis Drakos, Panagiotis Volteas, Alisa Khomutova, Jie Yang, Lizhou Nie, Aurora D. Pryor, Salvatore Docimo, Kinga A. Powers, Konstantinos Spaniolas
Summary: Revisional sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) have better long-term durability compared to primary surgery in terms of revision or conversion.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Biochemistry & Molecular Biology
Zvi H. Perry, Uri Netz, Sharon Tzelnick, Ofri Berar, Shahar Atias, Leonid Lantsberg, Eliezer Avinoach, Solly Mizrahi
Summary: Obesity is a worldwide epidemic that is strongly associated with comorbid diseases such as diabetes mellitus (DM). Laparoscopic Adjustable Gastric Banding (LAGB) is an effective surgical treatment for morbid obesity and can improve control of DM and hypertension (HTN).
Article
Surgery
Konstantinos Spaniolas, Jie Yang, Chencan Zhu, Altieri Maria, Andrew T. Bates, Salvatore Docimo, Mark Talamini, Aurora D. Pryor
Summary: This study compared the safety of single- versus two-stage conversion of adjustable gastric band (AGB) to gastric bypass (RYGB) or sleeve gastrectomy (SG) procedures, and found that single-stage conversion was associated with lower morbidity. Conversion to SG appeared to be safer than RYGB.
Article
Surgery
Mohamed Hany, Iman El Sayed, Ahmed Zidan, Mohamed Ibrahim, Ann Samy Shafiq Agayby, Bart Torensma
Summary: This study compared the outcomes of one-stage Roux-en-Y gastric bypass (RRYGB) and primary Roux-en-Y gastric bypass (PRYGB) after Laparoscopic adjustable gastric banding (LAGB). The results showed that one-stage RRYGB after LAGB is safe and effective, with comparable rates of complications, re-interventions, and resolution of associated comorbid conditions compared to PRYGB.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Hugo Santos-Sousa, Jorge Nogueiro, Luis Lindeza, Maria Neves Carmona, Filipe Amorim-Cruz, Fernando Resende, Andre Costa-Pinho, John Preto, Bernardo Sousa-Pinto, Silvestre Carneiro, Eduardo Lima-da-Costa
Summary: This study compared the short-term outcomes of primary and revisional bariatric surgeries. The results showed that primary surgeries were associated with better weight loss outcomes and resolution of obesity-related comorbidities compared to revisional surgeries. Revisional RYGB resulted in more weight loss than revisional SG. Revisional surgeries were effective and safe in treating obesity and related comorbidities after a failed AGB.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
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
Endocrinology & Metabolism
Samir Abu-Gazala, Michael Bergel, Yhara Arad, Liron Hefetz, Shira Azulai, Aaron Baker, Arnon Haran, Hadar Israeli, Doron Kleiman, Itia Samuel, Uria Tsubary, Anna Permyakova, Joseph Tam, Rachel Ben-Haroush Schyr, Danny Ben-Zvi
Summary: A mouse model for one anastomosis gastric bypass (OAGB) surgery was generated and characterized in this study. The results showed that OAGB-operated mice exhibited significant differences in weight, blood parameters, and energy metabolism compared to sham-operated mice. This model provides a basis for studying the effects of OAGB surgery.
AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM
(2022)
Article
Surgery
Andre Pereira, Andre Costa Pinho, Hugo Santos Sousa, Eduardo Lima da Costa, Sara Rodrigues, Elisabete Barbosa, John Preto
Summary: This study compared medium-term outcomes of primary and revisional bariatric procedures, finding that revisional surgeries may have better outcomes in improving comorbidities. While weight loss outcomes may be inferior in revisional surgeries, they are still safe and effective choices for this difficult set of patients.
Article
Surgery
Anagi Wickremasinghe, Yit Leang, Yazmin Johari, Prem Chana, Megan Alderuccio, Kalai Shaw, Cheryl Laurie, Peter Nottle, Wendy Brown, Paul Burton
Summary: This study comprehensively evaluated the long-term outcomes of laparoscopic sleeve gastrectomy (LSG) as a revisional procedure after laparoscopic adjustable gastric banding (LAGB) and identified predictors of outcomes. The results showed that revision LSG provided long-term weight loss, but had significantly more complications and higher re-operation rates compared to primary LSG. Predictors of worse outcomes included eroded band, multiple prior bands, severe esophageal dysmotility, and elevated baseline weight.
Letter
Medicine, General & Internal
Ryan Howard, Jie Yang, Jyothi Thumma, Anne Ehlers, Sean O'Neill, Dana Telem, Justin B. Dimick
Summary: This study examines the healthcare utilization and occurrence of adverse events up to 5 years after bariatric surgery in adolescents with severe obesity insured by Medicaid.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2022)
Article
Surgery
Yazmin Johari, William Catchlove, Madeleine Tse, Kalai Shaw, Eldho Paul, Richard Chen, Damien Loh, Andrew Packiyanathan, Paul Burton, Peter Nottle, Samantha Ellis, Wendy Brown
Summary: In this study, a classification system based on CT findings was developed to predict the outcomes of sleeve gastrectomy leaks. The system showed good agreement and could help guide patient management and interventions.
Article
Peripheral Vascular Disease
Nina Eikelis, John B. Dixon, Elisabeth A. Lambert, Geula Hanin, Yonat Tzur, David S. Greenberg, Hermona Soreq, Francine Z. Marques, Michael T. Fahey, Geoffrey A. Head, Markus P. Schlaich, Gavin W. Lambert
Summary: The study revealed an association between miR-132 and markers of cardiovascular and metabolic disease, suggesting that reduction of miR-132 may be a target for regulating liver lipid homeostasis and controlling obesity-related blood pressure.
JOURNAL OF HUMAN HYPERTENSION
(2022)
Article
Anesthesiology
Jennifer R. Reilly, Carolyn Deng, Wendy A. Brown, Dianne Brown, Belinda J. Gabbe, Carol L. Hodgson, Paul S. Myles
Summary: In Australia, there is a need to improve the utilization of perioperative electronic medical record data. Establishing a national perioperative outcomes registry can help address the gap in data utilization and facilitate multicenter research and quality assurance.
ANAESTHESIA AND INTENSIVE CARE
(2022)
Review
Surgery
Wendy A. Brown, Susannah Ahern, Andrew D. MacCormick, Jennifer R. Reilly, Julian A. Smith, David A. Watters
Summary: Clinical quality registries (CQRs) are tools that systematically collect data to assess the quality of care. Despite successful examples in Australia and New Zealand, there are still significant barriers to the implementation and function of CQRs, including challenges in data capture, ethical review, and funding.
ANZ JOURNAL OF SURGERY
(2022)
Article
Surgery
William Catchlove, Yazmin Johari, Edward Forrest, Amos Au, Kalai Shaw, Peter Nottle, Samantha Ellis, Wendy A. Brown, Paul Burton
Summary: This study compared the treatment methods for sleeve gastrectomy leaks and found no significant difference in outcomes between intraluminal occlusion and repeated debridement. The initial radiologic appearance was predictive of length of stay and complication severity.
SURGERY FOR OBESITY AND RELATED DISEASES
(2022)
Article
Surgery
Jennifer Richelle Reilly, Darren Wong, Wendy Ann Brown, Belinda Jane Gabbe, Paul Stewart Myles
Summary: This study aimed to investigate the external validity of Surgical Outcome Risk Tool (SORT) in predicting in-hospital mortality in the Australian context. The results showed that SORT may significantly under-predict 30-day mortality in a dataset with low perioperative mortality rate.
ANZ JOURNAL OF SURGERY
(2022)
Article
Clinical Neurology
Anna L. L. Hatton, Katrina Williams, Mark D. D. Chatfield, Sheree Hurn, Jayishni N. N. Maharaj, Elise M. M. Gane, Thomas Cattagni, John Dixon, Keith Rome, Graham Kerr, Sandra G. G. Brauer
Summary: Innovative shoe insoles designed to enhance sensory information on the plantar surface of the feet could improve walking in people with Multiple Sclerosis. However, a study comparing the effects of textured and smooth insoles found no differences in gait, foot sensation, and patient-reported outcomes. Further investigation is needed to explore optimal insole design.
Article
Psychology, Clinical
Daniel J. van den Hoek, Clint T. Miller, Steve F. Fraser, Steve E. Selig, Toni Rice, Mariee Grima, Carolina Ika Sari, Gavin W. Lambert, John B. Dixon
Summary: This study explored the effects of dietary weight loss intervention, with and without exercise, on health-related quality of life, depressive symptoms, and anxiety in premenopausal women. The results showed that the addition of exercise to energy restriction had a significant positive impact on health-related quality of life, depressive symptoms, and state and trait anxiety scores. Exercise can improve mental health and quality of life in women with severe obesity without further weight loss.
JOURNAL OF BEHAVIORAL MEDICINE
(2023)
Review
Surgery
Henry Richard Edward Drysdale, David Allan Watters, Yit Leang, Benjamin N. J. Thomson, Wendy Ann Brown, Andrew Wilson, Victorian Surgical Directors Grp
Summary: Victoria experienced three major waves of COVID-19, with Melbourne being locked down for 267 days. The state implemented strict social restrictions, contact tracing, furlough, escalating PPE guidance, and respiratory protection measures, which effectively reduced healthcare worker infections.
ANZ JOURNAL OF SURGERY
(2023)
Article
Surgery
Chiara Chadwick, Paul R. R. Burton, Dianne Brown, Jennifer F. F. Holland, Angus Campbell, Jenifer Cottrell, Jennifer Reilly, Andrew D. D. MacCormick, Ian Caterson, Wendy A. A. Brown
Summary: This study aimed to define the expected average length of stay (ALOS) of bariatric surgery in Australia and to identify factors that influence ALOS. The study found that increased patient age, diabetes, rural living, procedural complications, and surgeon and hospital case volume all contributed to a small increase in ALOS following bariatric surgery.
ANZ JOURNAL OF SURGERY
(2023)
Letter
Dermatology
A. J. Dixon, H. K. Steinman, A. Kyrgidis, H. Smith, M. Sladden, C. Zouboulis, G. Argenziano, Z. Apalla, A. Lallas, C. Longo, A. Nirenberg, C. Popescu, J. B. Dixon, T. Tzellos, C. Zachary, L. Cleaver, S. Anderson, S. Zagarella, J. M. Thomas
JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
(2023)
Article
Surgery
John B. Dixon, Stuart J. Anderson, Jeffery Hamdorf
Letter
Surgery
John B. Dixon
Article
Surgery
Karen D. D. Coulman, Katy Chalmers, Jane Blazeby, John Dixon, Lilian Kow, Ronald Liem, Dimitri J. J. Pournaras, Johan Ottosson, Richard Welbourn, Wendy Brown, Kerry Avery
Summary: This study developed a Core Registry Set (CRS) - core data to include in bariatric surgery registries globally, which is the first step towards unifying bariatric surgery registries internationally. We recommend the CRS is included as a minimum dataset in all bariatric registries worldwide. Adoption of the CRS will enable meaningful international comparisons of bariatric operations.
Article
Surgery
Stephen W. Bell, Joseph C. H. Kong, David A. Clark, Peter Carne, Stewart Skinner, Stephen Pillinger, Paul Burton, Wendy Brown
Summary: This study evaluated the NASA Task Load Index (TLX) as an objective measure of technical difficulty of an operation. The results showed that the NASA TLX score correlated significantly with operative duration, blood loss, previous abdominal surgery, and the surgeon's assessment of difficulty. This tool could be used in research and teaching settings to assess surgical difficulty and monitor a trainee's proficiency over time.
ANZ JOURNAL OF SURGERY
(2022)