Article
Surgery
Mateusz Wierdak, Edyta Korbut, Magdalena Hubalewska-Mazgaj, Marcin Surmiak, Katarzyna Magierowska, Dagmara Wojcik-Grzybek, Michal Pedziwiatr, Tomasz Brzozowski, Marcin Magierowski
Summary: This study evaluates the short- and long-term effects of combined intragastric balloon and vagotomy on obesity, and finds that the combined treatment can effectively reduce body weight, alter eating behaviors, and modulate enterohormone release. Vagotomy may play a role in improving the effectiveness of bariatric procedures for obesity treatment.
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.
Article
Endocrinology & Metabolism
Ville A. Palomaki, Petri Lehenkari, Sanna Merilainen, Tuomo J. Karttunen, Vesa Koivukangas
Summary: This case-control study analyzed the macrophage infiltration in subcutaneous adipose tissue after bariatric surgery or conservative treatment of obesity, and investigated whether these features could predict weight loss outcome. The study found a significant decline in crown-like structures (CLS) density after surgery, regardless of weight loss. However, surgery had no effect on the infiltration of single-cell macrophages, and the abundance of these macrophage populations before surgery did not predict weight loss or response to surgery.
Article
Medicine, General & Internal
Brianna N. Lauren, Francesca Lim, Abraham Krikhely, Elsie M. Taveras, Jennifer A. Woo Baidal, Brandon K. Bellows, Chin Hur
Summary: This study evaluated the cost-effectiveness of medical therapy, sleeve gastrectomy (SG), and Roux-en-Y gastric bypass (RYGB) in patients with severe obesity and type 2 diabetes (T2D). The results showed that RYGB is the most cost-effective treatment strategy, resulting in the highest number of quality-adjusted life-years (QALYs) gained.
Article
Endocrinology & Metabolism
Dag Holmberg, Giola Santoni, Joonas H. Kauppila, Sheraz R. Markar, Jesper Lagergren
Summary: This study compared the long-term survival rates of sleeve gastrectomy and gastric bypass in obese patients and found that the overall survival rate of sleeve gastrectomy is comparable to gastric bypass and may even be better in recent years. Additionally, patients with diabetes had a higher all-cause mortality rate after sleeve gastrectomy compared to gastric bypass.
Article
Nutrition & Dietetics
Karolina Hoffmann, Anna Paczkowska, Wieslaw Bryl, Kinga Marzec, Jonas Raakow, Matthias Pross, Rafael Berghaus, Elzbieta Nowakowska, Krzysztof Kus, Michal Michalak
Summary: This study compares the level of discrimination among obese patients in Poland and Germany and finds that obesity significantly affects the social and economic well-being of patients. The study suggests the need to reduce weight stigma and alleviate the socioeconomic and psychological burden of obesity.
Article
Endocrinology & Metabolism
Hans Jorgen Nielsen, Bjorn Gunnar Nedrebo, Alexander Fossa, John Roger Andersen, Jorg Assmus, Vigdis Halvorsen Dagsland, Simon Nitter Dankel, Oddrun Anita Gudbrandsen, Johan Ferno, Iren Hjellestad, Marianne Jensen Hjermstad, Ronette L. Kolotkin, Havard Luong Thorsen, Gunnar Mellgren, Tone Nygaard Flolo
Summary: This study compared the long-term outcomes of sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) for severe obesity, showing that RYGB resulted in higher weight loss and remission rates of main obesity-related comorbidities, while SG had fewer major early complications.
INTERNATIONAL JOURNAL OF OBESITY
(2022)
Article
Medicine, General & Internal
Mengyi Li, Yang Liu, Wei-Jei Lee, Scott A. Shikora, Maud Robert, Weu Wang, Simon Kin Hung Wong, Yuanyuan Kong, Daniel King Hung Tong, Chun Hai Tan, Na Zeng, Shaihong Zhu, Cunchuan Wang, Pin Zhang, Yan Gu, Rixing Bai, Fanqiang Meng, Zhongqi Mao, Xiangwen Zhao, Liangping Wu, Yanjun Liu, Songhai Zhang, Peng Zhang, Zhongtao Zhang
Summary: This study aims to compare the efficacy and safety of OAGB and RYGB in the treatment of T2D. The study will last for 5 years and evaluate diabetes remission rate, complications, and weight loss. The study has received ethical approval, and the results are expected to be available in 2025.
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)
Article
Gastroenterology & Hepatology
Jessica X. Yu, Russell D. Dolan, Sean Bhalla, Laura Mazer, Lydia Watts, Allison R. Schulman
Summary: Sleeve gastrectomy is a commonly performed bariatric surgery, with rising prevalence of gastric sleeve stenosis (GSS). Management with pneumatic dilation is successful but underused due to lack of diagnostic criteria. This study aimed to develop quantifiable endoscopic criteria for GSS diagnosis, finding an association between narrowest to widest gastric lumen diameter ratio and presence of bilious fluid with EndoFLIP and gastric lumen morphology diagnosis. Further studies are needed to validate these criteria.
GASTROINTESTINAL ENDOSCOPY
(2021)
Article
Medicine, General & Internal
Regina Sierzantowicz, Jerzy R. Ladny, Krzysztof Kurek, Jolanta Lewko
Summary: This study aimed to analyze the pathologies on preoperative EGD in patients qualified for bariatric surgeries. The results showed that patients with obesity had a higher prevalence of esophageal pathologies compared to the control group, while the control group was more likely to have duodenal pathologies. Additionally, patient sex was a significant predictor of duodenal pathologies.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
Mohamed Abdelgawad, Ahmed Elgeidie, Mohamed El Sorogy, Mohamed Elrefai, Hosam Hamed, El-Sayed Abou El-Magd
Summary: This study aimed to investigate the long-term consequences of laparoscopic gastric plication (LGP) in obese patients. The results showed a significant reduction in BMI at 2 years, but a plateau at 3 and 4 years, with a significant BMI increase at 6 years. Weight regain was observed in 35 patients at the 6-year mark, resulting in a high rate of revisions. Predictors for weight regain included disrupted plication fold, increased hunger, and non-adherence to regular exercise.
Review
Surgery
Po-Chih Chang, Kai-Hua Chen, Ivy Ya-Wei Huang, Chih-Kun Huang, Chung-Yen Chen, Ming-Yu Wang, Ting-Wei Chang
Summary: Experienced bariatric surgeons can feasibly conduct laparoscopic revisional surgery with concomitant gastric clipping removal for patients who require revisional surgery after initial gastric clipping.
Article
Gastroenterology & Hepatology
Russell D. Dolan, Pichamol Jirapinyo, Christopher C. Thompson
Summary: This study aimed to compare serious adverse event rates and weight loss profiles between endoscopic and surgical revisional techniques over a 5-year period. The results showed that endoscopic revision of the GJA is associated with significantly fewer total and serious AEs and similar long-term weight loss compared with surgical revision.
GASTROINTESTINAL ENDOSCOPY
(2021)
Article
Gastroenterology & Hepatology
Medhat Helmy Khalil, Gad M. Behairy, Ahmed M. Farrag, Mohab G. Elbarbary
Summary: This study found that converting failed Vertical banded gastroplasty (VBG) to Roux-en-Y gastric bypass (RYGB) surgery is an effective repair method with low short-term complication and reoperation rates, and it has a significant positive impact on weight loss.