Article
Surgery
Joshua H. Clapp, Jeremy T. Gaskins, Farid J. Kehdy
Summary: This study compared the outcomes of robotic pyloroplasty (RP) and per-oral endoscopic myotomy (POP) for the treatment of gastroparesis. The results showed that RP had a superior response in improving symptoms compared to POP, but both procedures had similar complication rates and POP had a shorter operative time.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
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
Marta Guimaraes, Catarina Osorio, Diogo Silva, Rui F. Almeida, Antonio Reis, Samuel Cardoso, Sofia S. Pereira, Mariana P. Monteiro, Mario Nora
Summary: The study evaluated the long-term efficacy of Roux-en-Y Gastric Bypass (RYGB) surgery by assessing weight loss and comorbidity improvement in patients 10 years or more after the surgery. Results showed a significant decrease in body mass index (BMI) and successful comorbidity remission. Although a small proportion of patients required revision surgery for weight loss failure, RYGB was confirmed as an effective primary bariatric intervention.
Review
Surgery
Gwen M. C. Masclee, Daniel Keszthelyi, Jose M. Conchillo, Joanna W. Kruimel, Nicole D. Bouvy, Ad A. M. Masclee
Summary: The efficacy and safety of sleeve gastrectomy and Roux-en-Y gastric bypass surgery were systematically evaluated in patients with refractory gastroparesis. Studies showed that both surgeries improved symptoms and gastric emptying in patients with refractory gastroparesis. These surgical interventions may be considered as an effective treatment option for a small group of patients when other therapies have failed.
SURGERY FOR OBESITY AND RELATED DISEASES
(2023)
Article
Surgery
Mauricio Gonzalez-Urquijo, David E. Hinojosa-Gonzalez, Ale Gibran Alam Gidi, Sofia Hurtado Arellano, Eduardo Flores-Villalba, Javier Rojas-Mendez
Summary: Revisional gastric bypass surgery for failed gastric banding patients showed higher complication rates compared to primary RYGB. Despite a greater postoperative weight increase in the revisional group at 12-month follow-up, the difference was not statistically significant. Changes in weight and BMI did not differ significantly between the two groups.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Mohamed M. Abdelfatah, Alan Noll, Neil Kapil, Rushikesh Shah, Lianyong Li, Rosemary Nustas, Baiwen Li, Hui Luo, Huimin Chen, Liang Xia, Parit Mekaroonkamol, Nikrad Shahnavaz, Steven Keilin, Field Willingham, Jennifer Christie, Qiang Cai
Summary: A retrospective analysis of 90 patients who underwent GPOEM for refractory gastroparesis showed that 81.1% had a clinical response at initial follow-up. One year after GPOEM, 69.1% of all patients had a clinical response and 85.2% of initial responders maintained a clinical response. Patients maintained a clinical response and improved quality of life for as long as 3 years after the procedure, with high BMI and long duration gastroparesis associated with failure of GPOEM.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2021)
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
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)
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
David Moszkowicz, Germano Mariano, Heithem Soliman, Daniela Calabrese, Benoit Coffin, Henri Duboc
Summary: This study describes the treatment of severe refractory gastroparesis (GP) with Roux-en-Y gastric bypass (RYGB). The results suggest that RYGB is feasible, safe, and effective for reducing vomiting and abdominal pain in malnourished patients with severe and refractory GP.
SURGERY FOR OBESITY AND RELATED DISEASES
(2022)
Review
Surgery
Salvatore Docimo, Jie Yang, Xiaoyue Zhang, Aurora Pryor, Konstantinos Spaniolas
Summary: The study findings suggest that One Anastomosis Gastric Bypass (OAGB) has a similar early safety profile compared to Roux-en-Y Gastric Bypass (RYGB) and that concerns about perioperative risks should not deter its adoption. However, OAGB does not appear to have a significantly improved safety profile over RYGB.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Medicine, General & Internal
Gisele Florencio, Aglecio Souza, Elinton Chaim, Allan Santos, Louise Duran, Camila Carvalho, Sarah Monte Alegre
Summary: This study evaluated the phase angle (PhA) and sarcopenia in young individuals pre- and post-Roux-en-Y gastric bypass surgery. The results showed that the postoperative group had significantly lower PhA and higher resistance (R). Handgrip strength and gait speed were negatively correlated with R, hs-CRP, and leptin. Appendicular lean mass was negatively correlated with reactance and R. Overall, PhA and other components of bioelectrical impedance analysis were found to be correlated with sarcopenia.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Asad Jehangir, Zubair Malik, Roman V. Petrov, Henry P. Parkman
Summary: This study found that pyloric through-the-scope (TTS) balloon dilation could improve symptoms in about a third of gastroparesis patients with refractory symptoms after pyloromyotomy/pyloroplasty. Patients with symptom improvement had lower pre-dilation pyloric EndoFLIP distensibility.
DIGESTIVE DISEASES AND SCIENCES
(2021)
Article
Endocrinology & Metabolism
Marco Castellana, Filippo Procino, Elisa Biacchi, Roberta Zupo, Luisa Lampignano, Fabio Castellana, Rodolfo Sardone, Andrea Palermo, Roberto Cesareo, Pierpaolo Trimboli, Gianluigi Giannelli
Summary: This study compared the efficacy of RYGB and SG for T2D remission and found that RYGB had a higher chance of achieving remission at 1 year compared to SG, while only showing a significant difference in achieving broad criteria for remission at 5 years. No other differences were found between the two procedures.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2021)
Article
Medicine, Research & Experimental
Sakkarapalayam M. Mahalingam, Fernando Dip, Marco Castillo, Mayank Roy, Steven D. Wexner, Raul J. Rosenthal, Philip S. Low
MOLECULAR PHARMACEUTICS
(2018)
Article
Surgery
David Gutierrez-Blanco, David Romero Funes, Marco Castillo, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal
SURGERY FOR OBESITY AND RELATED DISEASES
(2019)