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
Deemantha G. Fernando, Fatima L. Saravia, Samantha N. Atkinson, Matthew Barron, John R. Kirby, Tammy L. Kindel
Summary: Roux-en-Y gastric bypass (RYGB) induces significant changes in the gut microbiome, and the use of a single peri-operative antibiotic leads to unique and persistent changes in the gut microbiome.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Medicine, General & Internal
Marita Salame, Noura Jawhar, Amanda Belluzzi, Mohammad Al-Kordi, Andrew C. Storm, Barham K. Abu Dayyeh, Omar M. Ghanem
Summary: Marginal ulcers (MU) are a potential complication following Roux-en-Y gastric bypass (RYGB) surgery, with an average prevalence of 4.6%. Early identification and prompt intervention are crucial to prevent further complications. MU is a complex condition influenced by factors such as smoking, Helicobacter pylori infection, NSAID use, and pouch size. Diagnosis is typically made through endoscopy, and treatment involves modifying risk factors and medical therapy with proton pump inhibitors. Surgical intervention may be necessary for complicated ulcers, while endoscopic procedures and vagotomy may be considered for recurrent or challenging cases.
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
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
Endocrinology & Metabolism
D. Moriconi, M. L. Manca, M. Anselmino, E. Rebelos, R. Bellini, S. Taddei, E. Ferrannini, M. Nannipieri
Summary: This study assessed the impact of bariatric surgery on remission and relapse of type 2 diabetes mellitus (T2DM) and analyzed predictive factors. The results showed that bariatric surgery significantly improved BMI, fasting glucose, and haemoglobin A1c (HbA1c). The remission rates at 1 and 10 years post-surgery were 74% and 53% respectively. T2DM duration, baseline HbA1c, and ensuing insulin therapy were identified as the strongest predictors of remission. Short T2DM duration and good glycemic control before surgery were essential for long-lasting remission, while weight loss did not impact the long-term relapse of T2DM.
DIABETES & METABOLISM
(2022)
Article
Surgery
Brigitte Anderson, Bryan Robins, James A. Fraser, Luke Swaszek, Caroline Sanicola, Neil King, Aurora Pryor, Konstantinos Spaniolas, Renee Tholey, Sami Tannouri, Francesco Palazzo, Alec Beekley, Talar Tatarian
Summary: This study compared the weight loss and clinical outcomes of primary Roux-en-Y Gastric Bypass (P-RYGB), adjustable gastric banding to RYGB (B-RYGB), and sleeve gastrectomy to RYGB (S-RYGB). The results showed that primary RYGB had better short-term weight loss outcomes compared to secondary RYGB, with lower risks.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
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
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.
Article
Endocrinology & Metabolism
Jorunn Sandvik, Kirsti Kverndokk Bjerkan, Hallvard Graeslie, Dag Arne Lihaug Hoff, Gjermund Johnsen, Christian Klockner, Ronald Marvik, Siren Nymo, Asne Ask Hyldmo, Bard Eirik Kulseng
Summary: Iron deficiency is a common long-term complication after Roux-en-Y gastric bypass (RYGB), with two-thirds of patients experiencing deficiency or insufficiency even after taking oral iron supplements.
FRONTIERS IN ENDOCRINOLOGY
(2021)
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
Brigitte Anderson, Tingting Zhan, Luke Swaszek, Caroline Sanicola, Neil King, Aurora Pryor, Konstantinos Spaniolas, Renee Tholey, Francesco Palazzo, Alec Beekley, Talar Tatarian
Summary: This study evaluated the incidence of marginal ulcers (MUs) after primary and secondary Roux-en-Y Gastric Bypass (RYGB). The results showed that patients who underwent conversion of Sleeve Gastrectomy to RYGB had a higher incidence of MUs compared to those who had primary RYGB or Gastric Banding to RYGB. Furthermore, the time to MU development was significantly shorter in patients who underwent conversion surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Abel Boerboom, Mellody Cooiman, Edo Aarts, Theo Aufenacker, Eric Hazebroek, Frits Berends
Article
Surgery
Laura Heusschen, Wendy Schijns, Nadine Ploeger, Laura N. Deden, Eric J. Hazebroek, Frits J. Berends, Edo O. Aarts
Article
Surgery
M. I. Cooiman, L. Kleinendorst, E. O. Aarts, I. M. C. Janssen, H. K. Ploos van Amstel, A. I. Blakemore, E. J. Hazebroek, H. J. Meijers-Heijboer, B. van der Zwaag, F. J. Berends, M. M. van Haelst
Letter
Surgery
Frits Berends, Edo Oscar Aarts
Article
Surgery
Abel Boerboom, Edo Aarts, Volker Lange, Andreas Plamper, Karl Rheinwalt, Katja Linke, Ralph Peterli, Frits Berends, Eric Hazebroek
Article
Nutrition & Dietetics
Wendy Schijns, Abel Boerboom, Margot de Bruyn Kops, Christel de Raaff, Bart van Wagensveld, Frits J. Berends, Ignace M. C. Janssen, Cees J. H. M. van Laarhoven, Hans de Boer, Edo O. Aarts
CLINICAL NUTRITION
(2020)
Article
Surgery
Malou A. H. Nuijten, Valerie M. Monpellier, Thijs Eijsvogels, Ignace M. C. Janssen, Eric J. Hazebroek, Maria T. E. Hopman
Article
Health Care Sciences & Services
Valerie M. Monpellier, Luella W. Smith, Vera Voorwinde, Ignace M. C. Janssen, Maartje M. van Stralen
QUALITY OF LIFE RESEARCH
(2020)
Article
Surgery
Pascal M. Burger, Valerie M. Monpellier, Laura N. Deden, Laurens B. R. Kooiman, Ronald S. L. Liem, Eric J. Hazebroek, Ignace M. C. Janssen, Jan Westerink
SURGERY FOR OBESITY AND RELATED DISEASES
(2020)
Article
Surgery
Anne Jacobs, Ronald S. L. Liem, Ignace M. C. Janssen, Rob A. E. M. Tollenaar, Valerie M. Monpellier
Summary: This study concluded that delaying qualification for bariatric surgery compared with immediate qualification does not have a clinically relevant impact on postoperative weight loss 3 years after surgery.
SURGERY FOR OBESITY AND RELATED DISEASES
(2021)
Review
Endocrinology & Metabolism
Malou A. H. Nuijten, Thijs M. H. Eijsvogels, Valerie M. Monpellier, Ignace M. C. Janssen, Eric J. Hazebroek, Maria T. E. Hopman
Summary: The meta-analysis revealed significant loss of lean body mass and fat-free mass within the first year post-bariatric surgery, with a majority of the losses occurring within the first 3 months post-surgery. Interventions should be implemented perioperatively to mitigate these losses.
Article
Surgery
Claire E. E. de Vries, Dennis J. S. Makarawung, Valerie M. Monpellier, Ignace M. C. Janssen, Steve M. M. de Castro, Ruben N. van Veen
Summary: The study found that the RAND-36 was not sufficiently validated in patients undergoing bariatric surgery in the Netherlands, making it unable to accurately assess the HRQoL of these patients. Future research should utilize PROMs specifically designed for assessing HRQoL in patients undergoing bariatric surgery.
Article
Surgery
Malou A. H. Nuijten, Onno M. Tettero, Rens J. Wolf, Esmee A. Bakker, Thijs M. H. Eijsvogels, Valerie M. Monpellier, Eric J. Hazebroek, Ignace M. C. Janssen, Maria T. E. Hopman
Summary: This study found that bariatric patients who successfully improved their physical activity had better body composition, fitness, and quality of life at 2 years post-surgery. This highlights the importance of perioperative bariatric care programs in changing lifestyle and achieving sustainable improvements in physical activity levels.
Article
Endocrinology & Metabolism
Karlijn J. Vermeer, Valerie M. Monpellier, Wiepke Cahn, Ignace M. C. Janssen