Article
Medicine, General & Internal
Silvia Ferro, Viola Zulian, Massimiliano De Palma, Andrea Sartori, Anamaria Andreica, Marius Nedelcu, Sergio Carandina
Summary: This study retrospectively reviewed patients who underwent laparoscopic resizing of the gastric pouch (LPR) after weight regain (WR) following gastric bypass procedures. The results showed that LPR had good outcomes in terms of weight loss and improvement of comorbidities, with an acceptable rate of complications and operative time.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Nutrition & Dietetics
Celine Drai, Andrea Chierici, Luigi Schiavo, Tagleb S. Mazahreh, Anne-Sophie Schneck, Antonio Iannelli
Summary: Pouch resizing after Roux-en-Y gastric bypass (RYGB) results in a failure rate of 47% at the 10-year follow-up, while the resolution of comorbidities is maintained over time despite significant weight regain.
Article
Surgery
Karamollah Toolabi, Mahdieh Golzarand, Roya Farid
Summary: The study found that the clinical efficacy of LRYGB in managing obesity over 11 years was better than LSG. However, there were no statistically significant differences in weight loss and regain after 8 years post-surgery, and no significant disparities in surgery-related mortality and severe complications between the two procedures.
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)
Article
Surgery
Wadie Boshra Gerges, Hisham Omran, Fady Makram
Summary: Revisional LOAGB surgery is effective and safe for patients with weight loss failure after LSG. Patients with insufficient weight loss and persistent fundus anatomy tend to lose more weight compared to patients with weight regain and diffuse stomach dilation.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Bhavani Pokala, Edward Hernandez, Spyridon Giannopoulos, Dimitrios Athanasiadis, Lava Timsina, Nikki Sorg, Keith Makhecha, Sathvik Madduri, Dimitrios Stefanidis
Summary: The study found that patients with higher weight loss at 6 and 12 months after bariatric surgery may have a higher risk of weight regain at 4 years. Surgeons may need to closely monitor patients with significant early weight loss and offer additional treatment options to maximize their long-term success.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Christian Mouawad, Houssam Dahboul, Bilal Chamaa, Daniel Kazan, Michael Osseis, Roger Noun, Ghassan Chakhtoura
Summary: This study evaluated laparoscopic pouch and loop resizing (LPLR) as a revisional procedure for insufficient weight loss or weight regain after primary one-anastomosis gastric bypass (OAGB). The results showed that LPLR is an effective option for weight loss by enhancing the restrictive and malabsorptive effect of OAGB.
JOURNAL OF MINIMAL ACCESS SURGERY
(2023)
Article
Surgery
Sarah J. Guenthert, Aysegul Aksan, Oliver Schroeder, Gunther Meyer, Johannes Hausmann, Jurgen Stein, Christine Stier
Summary: Both RYGB and DJBL showed similar remission rates of hyperglycemia after one year in patients with obesity and T2DM, but RYGB induced more significant weight loss compared to DJBL.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Endocrinology & Metabolism
Rutger J. Franken, Josephine Franken, Nina R. Sluiter, Ralph de Vries, Sjoerd Euser, Victor E. A. Gerdes, Maurits de Brauw
Summary: A systematic review and meta-analysis were conducted to evaluate various revisional techniques for addressing weight regain and inadequate weight loss after Roux-en-Y gastric bypass. The results showed that endoscopic procedures resulted in short-term weight loss, while surgical revision techniques were more successful in achieving long-term weight loss, albeit with higher complication rates.
Review
Surgery
Pirjo Kakela, Tuomo Rantanen, Kirsi A. Virtanen
Summary: The narrative review discusses the potential optimization of outcomes in laparoscopic Roux-en-Y gastric bypass surgery by modifying the length of bypassed small intestine based on total small intestinal length. Due to the heterogeneity of included studies, the authors emphasize the importance of carefully selecting the excluded small intestine length for each individual patient to achieve efficient metabolic outcomes.
Article
Surgery
Paul H. Mcclelland, Mohsin Jawed, Krystyna Kabata, Michael E. Zenilman, Piotr Gorecki
Summary: This study prospectively reports weight loss and comorbidity resolution in patients undergoing LRYGB with at least 15-year follow-up. The results show durable weight loss and long-term resolution of obesity-related comorbidities after LRYGB for at least 15 years.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
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)
Article
Surgery
Reda F. Ali, Mohamed Tolba, Khalid Ismail, Taha Ismail, Ahmed Lamey, Mostafa F. Balbaa
Summary: This study assessed the changes in gastric reservoir volume 1 year after laparoscopic sleeve gastrectomy (LSG) and found a significant increase in volume. However, there was no significant association between the increase in gastric reservoir volume and weight loss.
INDIAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Karen Jacobs, Wouter Vleeschouwers, Isabelle Debergh, Dorien Haesen, Bruno Dillemans
Summary: Revisional LAGB may be considered a valid salvage procedure in patients with weight regain or inadequate weight loss after RYGB, achieving a total %EWL of 60.7 +/- 28%. Complications related to the band and port remain a notable concern.
Article
Surgery
Cristina Fiorani, Sophie R. Coles, Myutan Kulendran, Emma Rose McGlone, Marcus Reddy, Omar A. Khan
Summary: Both RYGB and SG have been shown to improve metabolic comorbidities and quality of life in obese population, with RYGB showing greater and more durable improvement in quality of life compared to SG.