Pub Date : 2026-01-23DOI: 10.1016/j.soard.2026.01.001
{"title":"SOARD Category 1 CME Credit Featured Articles, Volume 22, February 2026","authors":"","doi":"10.1016/j.soard.2026.01.001","DOIUrl":"10.1016/j.soard.2026.01.001","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages 305-307"},"PeriodicalIF":3.8,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146015819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.soard.2025.08.011
Justin Dhyani M.D. , Samuel Wyman B.S. , Craig Wood M.S. , Arash Rahimi-Ardabily M.D. , Anthony Petrick M.D. , Ryan Horsley D.O.
Background
Limited data exist on employment outcomes following metabolic and bariatric surgery (MBS), and no studies have specifically evaluated outcomes among patients unemployed specifically due to disability at the time of surgery.
Objectives
To assess the impact of MBS on return to work (RTW) among patients who were unemployed due to disability preoperatively.
Setting
Academic medical center in the United States.
Methods
A prospectively maintained MBS database was used to identify patients with known preoperative employment status, age 18-59, who underwent primary MBS between 2006 and 2022. Employment status was extracted from the medical record to identify patients unemployed due to disability. The overall RTW was evaluated using Kaplan–Meier analysis and compared between demographic groups using LogRank tests.
Results
Of the 6534 eligible patients, 9.6% (n = 625) self-reported as not working due to disability during the preoperative period. The rate of self-reported RTW was 10.5%, 17%, 44.3%, at 2, 4, and 10 years respectively. The median follow-up was 5.7 years. Younger age (P = .026) and private insurance (P = .0043) were associated with increased rates of RTW.
Conclusion
More than 40% of patients unemployed due to disability returned to work within 10 years of MBS, with nearly 60% of patients under age 40 returning to work within 10 years. These findings suggest MBS may support long-term functional recovery and socioeconomic reintegration among disabled individuals.
{"title":"From disability to productivity: the impact of metabolic and bariatric surgery on return to work","authors":"Justin Dhyani M.D. , Samuel Wyman B.S. , Craig Wood M.S. , Arash Rahimi-Ardabily M.D. , Anthony Petrick M.D. , Ryan Horsley D.O.","doi":"10.1016/j.soard.2025.08.011","DOIUrl":"10.1016/j.soard.2025.08.011","url":null,"abstract":"<div><h3>Background</h3><div>Limited data exist on employment outcomes following metabolic and bariatric surgery (MBS), and no studies have specifically evaluated outcomes among patients unemployed specifically due to disability at the time of surgery.</div></div><div><h3>Objectives</h3><div>To assess the impact of MBS on return to work (RTW) among patients who were unemployed due to disability preoperatively.</div></div><div><h3>Setting</h3><div>Academic medical center in the United States.</div></div><div><h3>Methods</h3><div>A prospectively maintained MBS database was used to identify patients with known preoperative employment status, age 18-59, who underwent primary MBS between 2006 and 2022. Employment status was extracted from the medical record to identify patients unemployed due to disability. The overall RTW was evaluated using Kaplan–Meier analysis and compared between demographic groups using LogRank tests.</div></div><div><h3>Results</h3><div>Of the 6534 eligible patients, 9.6% (n = 625) self-reported as not working due to disability during the preoperative period. The rate of self-reported RTW was 10.5%, 17%, 44.3%, at 2, 4, and 10 years respectively. The median follow-up was 5.7 years. Younger age (<em>P</em> = .026) and private insurance (<em>P</em> = .0043) were associated with increased rates of RTW.</div></div><div><h3>Conclusion</h3><div>More than 40% of patients unemployed due to disability returned to work within 10 years of MBS, with nearly 60% of patients under age 40 returning to work within 10 years. These findings suggest MBS may support long-term functional recovery and socioeconomic reintegration among disabled individuals.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 151-156"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.soard.2025.08.007
Leela Kumaran, Sheifali Gupta
{"title":"Letter to the editor regarding “Impact of high-protein bariatric diet on the prevention of postoperative nausea and vomiting”","authors":"Leela Kumaran, Sheifali Gupta","doi":"10.1016/j.soard.2025.08.007","DOIUrl":"10.1016/j.soard.2025.08.007","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 180-181"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145461037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.soard.2025.08.027
Shuai Li M.M. , Yanping Zhang M.M. , Yanxia Zhang M.M. , Jiping Xue M.M. , Chunsong Kang M.M.
Background
Obesity is associated with impaired left ventricular myocardial function. Metabolic and bariatric surgery (MBS) is a potential intervention to improve cardiac function in individuals with obesity.
Objectives
This study aimed to assess changes in left ventricular myocardial work in individuals with obesity following MBS using the pressure-strain loop method, providing a foundation for guiding clinical interventions.
Setting
The study was conducted at a medical facility specializing in MBS and cardiovascular assessments.
Methods
A total of 68 individuals with obesity (mean age 32.9 ± 6.0 years; 32 males) scheduled for MBS were prospectively enrolled, along with 48 healthy volunteers matched for age and sex (mean age 31.6 ± 5.6 years; 22 males) as the control group. Conventional echocardiographic parameters, global longitudinal strain (GLS), and myocardial work (MW) parameters were assessed for all participants both prior to MBS and 12 months postoperatively. MW parameters included global constructive work (GCW), global work index (GWI), global wasted work (GWW), and global work efficiency (GWE).
Results
Twelve months postsurgery, reductions were observed in body mass index (BMI), blood pressure, blood glucose, blood lipids, and left ventricular mass index in the obesity group, although these remained higher than the control group. Improvements were noted in GLS, GCW, GWI, and GWE within the obesity group but remained lower than those of the control group. Conversely, GWW decreased but was still higher than that of the control group.
Conclusions
MBS led to improvements in left ventricular systolic function due to weight reduction and metabolic enhancements; however, these improvements did not fully restore normal levels within 12 months postsurgery.
{"title":"Assessment of changes in left ventricular myocardial work using the pressure strain loop after metabolic and bariatric surgery: a prospective nonrandomized cohort study","authors":"Shuai Li M.M. , Yanping Zhang M.M. , Yanxia Zhang M.M. , Jiping Xue M.M. , Chunsong Kang M.M.","doi":"10.1016/j.soard.2025.08.027","DOIUrl":"10.1016/j.soard.2025.08.027","url":null,"abstract":"<div><h3>Background</h3><div>Obesity is associated with impaired left ventricular myocardial function. Metabolic and bariatric surgery (MBS) is a potential intervention to improve cardiac function in individuals with obesity.</div></div><div><h3>Objectives</h3><div>This study aimed to assess changes in left ventricular myocardial work in individuals with obesity following MBS using the pressure-strain loop method, providing a foundation for guiding clinical interventions.</div></div><div><h3>Setting</h3><div>The study was conducted at a medical facility specializing in MBS and cardiovascular assessments.</div></div><div><h3>Methods</h3><div>A total of 68 individuals with obesity (mean age 32.9 ± 6.0 years; 32 males) scheduled for MBS were prospectively enrolled, along with 48 healthy volunteers matched for age and sex (mean age 31.6 ± 5.6 years; 22 males) as the control group. Conventional echocardiographic parameters, global longitudinal strain (GLS), and myocardial work (MW) parameters were assessed for all participants both prior to MBS and 12 months postoperatively. MW parameters included global constructive work (GCW), global work index (GWI), global wasted work (GWW), and global work efficiency (GWE).</div></div><div><h3>Results</h3><div>Twelve months postsurgery, reductions were observed in body mass index (BMI), blood pressure, blood glucose, blood lipids, and left ventricular mass index in the obesity group, although these remained higher than the control group. Improvements were noted in GLS, GCW, GWI, and GWE within the obesity group but remained lower than those of the control group. Conversely, GWW decreased but was still higher than that of the control group.</div></div><div><h3>Conclusions</h3><div>MBS led to improvements in left ventricular systolic function due to weight reduction and metabolic enhancements; however, these improvements did not fully restore normal levels within 12 months postsurgery.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 26-37"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145461015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.soard.2025.11.003
Byron Faler M.D., F.A.C.S.
{"title":"Comment on: “Effects of neoadjuvant glucagon-like-peptide 1 receptor agonists on weight loss after bariatric surgery”","authors":"Byron Faler M.D., F.A.C.S.","doi":"10.1016/j.soard.2025.11.003","DOIUrl":"10.1016/j.soard.2025.11.003","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 23-24"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.soard.2025.11.004
Mario A. Masrur M.D., Francisco Schlottmann M.D., M.P.H.
{"title":"Comment on: “Assessment of changes in left ventricular myocardial work using the pressure strain loop after metabolic and bariatric surgery: a prospective nonrandomized cohort study”","authors":"Mario A. Masrur M.D., Francisco Schlottmann M.D., M.P.H.","doi":"10.1016/j.soard.2025.11.004","DOIUrl":"10.1016/j.soard.2025.11.004","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 38-39"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.soard.2025.09.008
Elizabeth N. Dougherty Ph.D. , Matthew F. Murray Ph.D. , Leslie A. Laam Ph.D. , Gail A. Kerver Ph.D. , Taylor B. Stanley M.A. , Afton M. Koball Ph.D. , Kristine J. Steffen Pharm.D., Ph.D. , Leslie J. Heinberg Ph.D. , Debra L. Safer M.D. , Dale S. Bond Ph.D. , Stephen A. Wonderlich Ph.D. , Scott G. Engel Ph.D.
Background
Loss of control eating (LOCE) is associated with adverse clinical outcomes after metabolic and bariatric surgery (MBS); however, current understanding of factors that predict LOCE is incomplete. This study is the first to investigate boredom and stress as predictors of LOCE following MBS.
Objectives
To use ecological momentary assessment (EMA) to evaluate boredom and stress as predictors of LOCE over 3 years following MBS.
Setting
University hospitals; United States.
Methods
Adults (N = 150) who underwent MBS completed a study visit followed by a 1-week EMA protocol at 1-year, 2-year, and 3-years post-MBS (with 143 participants contributing data at year 1, 110 at year 2, and 91 at year 3). During the EMA protocol, participants provided ratings of boredom, stress, and LOCE five times per day.
Results
Stress and boredom were associated with LOCE when controlling for year since surgery. Regarding variability in associations over time, at the within-person level, momentary boredom predicted more severe LOCE, but only at 2 years post-MBS. Momentary stress predicted more severe LOCE at 2- and 3-years post-MBS, with no change between these years. At the between-person level, participants with higher boredom reported more severe LOCE during the EMA protocol at 2- and 3-years post-MBS, with the strongest association 3-years post-MBS. Participants with higher stress reported more severe LOCE during the EMA protocol each year following MBS, with the strongest association at 2-years post-MBS.
Conclusions
Boredom and stress predict more severe LOCE, particularly 2-3 years post-MBS, highlighting this period as an opportunity for intervention.
{"title":"Boredom and stress as momentary predictors of loss of control eating after metabolic and bariatric surgery: a longitudinal investigation","authors":"Elizabeth N. Dougherty Ph.D. , Matthew F. Murray Ph.D. , Leslie A. Laam Ph.D. , Gail A. Kerver Ph.D. , Taylor B. Stanley M.A. , Afton M. Koball Ph.D. , Kristine J. Steffen Pharm.D., Ph.D. , Leslie J. Heinberg Ph.D. , Debra L. Safer M.D. , Dale S. Bond Ph.D. , Stephen A. Wonderlich Ph.D. , Scott G. Engel Ph.D.","doi":"10.1016/j.soard.2025.09.008","DOIUrl":"10.1016/j.soard.2025.09.008","url":null,"abstract":"<div><h3>Background</h3><div>Loss of control eating (LOCE) is associated with adverse clinical outcomes after metabolic and bariatric surgery (MBS); however, current understanding of factors that predict LOCE is incomplete. This study is the first to investigate boredom and stress as predictors of LOCE following MBS.</div></div><div><h3>Objectives</h3><div>To use ecological momentary assessment (EMA) to evaluate boredom and stress as predictors of LOCE over 3 years following MBS.</div></div><div><h3>Setting</h3><div>University hospitals; United States.</div></div><div><h3>Methods</h3><div>Adults (<em>N</em> = 150) who underwent MBS completed a study visit followed by a 1-week EMA protocol at 1-year, 2-year, and 3-years post-MBS (with 143 participants contributing data at year 1, 110 at year 2, and 91 at year 3). During the EMA protocol, participants provided ratings of boredom, stress, and LOCE five times per day.</div></div><div><h3>Results</h3><div>Stress and boredom were associated with LOCE when controlling for year since surgery. Regarding variability in associations over time, at the within-person level, momentary boredom predicted more severe LOCE, but only at 2 years post-MBS. Momentary stress predicted more severe LOCE at 2- and 3-years post-MBS, with no change between these years. At the between-person level, participants with higher boredom reported more severe LOCE during the EMA protocol at 2- and 3-years post-MBS, with the strongest association 3-years post-MBS. Participants with higher stress reported more severe LOCE during the EMA protocol each year following MBS, with the strongest association at 2-years post-MBS.</div></div><div><h3>Conclusions</h3><div>Boredom and stress predict more severe LOCE, particularly 2-3 years post-MBS, highlighting this period as an opportunity for intervention.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 92-98"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.soard.2025.10.001
Salvatore Docimo Jr. D.O., M.B.A. , Rodolfo J. Oviedo M.D. , Cheguevara Afaneh M.D. , Bruce Schirmer M.D. , Fady Moustarah M.D. , Karen Grothe Ph.D. , R.Wesley Vosburg M.D. , Jonathan Carter M.D. , Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery
Background
Endoscopic bariatrics is a growing area of interest in the battle against obesity. This systematic review provides a review of the pertinent endoluminal approaches to bariatrics. The purpose of this review is to describe the current indications, clinical outcomes, safety profile, and the progress of endoluminal bariatric therapies for both primary and revisional indications.
Methods
We conducted a systematic review based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). A review of databases were performed and all studies were then evaluated based on inclusion and exclusion criteria: all studies with participants over the age of 18 years, a meta-analysis design, a randomized trial design, or a cohort study design were included. All case reports, letters, comments, and animal and in vitro studies were excluded.
Results
A total of 9586 articles were retrieved from our search. After removing duplicates, 7778 studies remained. After applying inclusion and exclusion criteria, and adding one study from our review of citations, a total of 46 studies were included in our study (Fig. 1).
Discussion
This review was conducted utilizing all aspects of the PRISMA model for systematic review. The 46 studies included summaries the various approaches to endoluminal bariatrics and provides a thorough overview of outcomes and complications.
{"title":"American Society for Metabolic and Bariatric Surgery review of endobariatric procedures","authors":"Salvatore Docimo Jr. D.O., M.B.A. , Rodolfo J. Oviedo M.D. , Cheguevara Afaneh M.D. , Bruce Schirmer M.D. , Fady Moustarah M.D. , Karen Grothe Ph.D. , R.Wesley Vosburg M.D. , Jonathan Carter M.D. , Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery","doi":"10.1016/j.soard.2025.10.001","DOIUrl":"10.1016/j.soard.2025.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Endoscopic bariatrics is a growing area of interest in the battle against obesity. This systematic review provides a review of the pertinent endoluminal approaches to bariatrics. The purpose of this review is to describe the current indications, clinical outcomes, safety profile, and the progress of endoluminal bariatric therapies for both primary and revisional indications.</div></div><div><h3>Methods</h3><div>We conducted a systematic review based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). A review of databases were performed and all studies were then evaluated based on inclusion and exclusion criteria: all studies with participants over the age of 18 years, a meta-analysis design, a randomized trial design, or a cohort study design were included. All case reports, letters, comments, and animal and in vitro studies were excluded.</div></div><div><h3>Results</h3><div>A total of 9586 articles were retrieved from our search. After removing duplicates, 7778 studies remained. After applying inclusion and exclusion criteria, and adding one study from our review of citations, a total of 46 studies were included in our study (Fig. 1).</div></div><div><h3>Discussion</h3><div>This review was conducted utilizing all aspects of the PRISMA model for systematic review. The 46 studies included summaries the various approaches to endoluminal bariatrics and provides a thorough overview of outcomes and complications.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 1-17"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.soard.2025.11.014
Nicole L. Petcka M.D., Elizabeth M. Hechenbleikner M.D.
{"title":"Comment on: kidney transplantation after bariatric surgery – outcomes from a 30-year experience","authors":"Nicole L. Petcka M.D., Elizabeth M. Hechenbleikner M.D.","doi":"10.1016/j.soard.2025.11.014","DOIUrl":"10.1016/j.soard.2025.11.014","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 65-66"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145663173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nutritional deficiencies are frequent after metabolic and bariatric surgery (MBS) and systematic addition of vitamin B12, iron, calcium, and vitamin D to standard multivitamin tablets is recommended. However, there are still uncertainties because supporting data are few and compliance with a large number of tablets is low.
Objectives
To assess the need for additional supplements using a supplementation based on biological assays after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).
Methods
Consecutive patients (N = 313: 179 RYGB/134 SG; 86% women, mean age 44.1 ± 10.3 years, Body mass index 43.5 ± 6.6 kg/m2) who underwent a nutritional assessment, before and at 6, 12, and 36 months after MBS, were studied. Multivitamin tablets were systematically prescribed after MBS, and additional supplements were introduced following a standardized protocol in the case of deficiency.
Setting
University Hospital, France.
Results
Although the number of patients taking additional supplements increased by more after RYGB than after SG (58.7% vs 43.3%, P < .01), the mean number of deficits did not increase and was similar at 3 years (3.7 vs 3.4, Ns). The frequency of nutritional symptoms was also similar after both procedures, the most common being hair loss, while neurological symptoms were unusual and mild. Anemia was infrequent, but secondary hyperparathyroidism was frequent after RYGB (23% vs 9% after SG, P < .01).
Conclusions
A personalized supplementation strategy adapted to biological parameters, in patients followed regularly up to 3 years after MBS, may reduce the number of nutritional supplements without increasing the number of deficiencies. However, vigilance must be maintained, particularly regarding bone and neurological risks.
背景：代谢和减肥手术（MBS）后经常出现营养缺乏，建议在标准复合维生素片中系统添加维生素B12、铁、钙和维生素D。然而，由于支持数据很少，并且大量平板电脑的依从性很低，因此仍然存在不确定性。目的：评估Roux-en-Y胃旁路（RYGB）和袖式胃切除术（SG）后使用基于生物测定的补充物的额外补充的必要性。方法：研究连续患者（N = 313: 179 RYGB/134 SG； 86%女性，平均年龄44.1±10.3岁，体重指数43.5±6.6 kg/m2），在MBS之前和6、12和36个月后进行营养评估。在MBS后系统地开了复合维生素片，在缺乏的情况下，根据标准化的方案引入了额外的补充剂。地点：法国大学医院。结果：尽管RYGB后服用额外补充剂的患者数量比SG后增加更多（58.7% vs 43.3%, P < 0.01），但平均缺陷数没有增加，并且在3年内相似（3.7 vs 3.4, Ns）。两种手术后出现营养症状的频率也相似，最常见的是脱发，而神经症状不寻常且轻微。贫血不常见，但RYGB术后继发性甲状旁腺功能亢进发生率较高（23% vs 9%, P < 0.01）。结论：在MBS后定期随访3年的患者中，适应生物学参数的个性化补充策略可能会减少营养补充的数量，而不会增加缺乏症的数量。然而，必须保持警惕，特别是对骨骼和神经系统的风险。
{"title":"Pragmatic strategy for vitamin and micronutrient supplementation after metabolic and bariatric surgery","authors":"Hélène Chappard M.D. , Ouidad Sami M.D. , Imen Sakka M.D. , Suzette Coelho , Thierry Dupré M.D. , Muriel Coupaye M.D. , David Moszkowicz M.D., Ph.D. , Séverine Ledoux M.D., Ph.D.","doi":"10.1016/j.soard.2025.08.023","DOIUrl":"10.1016/j.soard.2025.08.023","url":null,"abstract":"<div><h3>Background</h3><div>Nutritional deficiencies are frequent after metabolic and bariatric surgery (MBS) and systematic addition of vitamin B12, iron, calcium, and vitamin D to standard multivitamin tablets is recommended. However, there are still uncertainties because supporting data are few and compliance with a large number of tablets is low.</div></div><div><h3>Objectives</h3><div>To assess the need for additional supplements using a supplementation based on biological assays after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).</div></div><div><h3>Methods</h3><div>Consecutive patients (N = 313: 179 RYGB/134 SG; 86% women, mean age 44.1 ± 10.3 years, Body mass index 43.5 ± 6.6 kg/m<sup>2</sup>) who underwent a nutritional assessment, before and at 6, 12, and 36 months after MBS, were studied. Multivitamin tablets were systematically prescribed after MBS, and additional supplements were introduced following a standardized protocol in the case of deficiency.</div></div><div><h3>Setting</h3><div>University Hospital, France.</div></div><div><h3>Results</h3><div>Although the number of patients taking additional supplements increased by more after RYGB than after SG (58.7% vs 43.3%, <em>P</em> < .01), the mean number of deficits did not increase and was similar at 3 years (3.7 vs 3.4, Ns). The frequency of nutritional symptoms was also similar after both procedures, the most common being hair loss, while neurological symptoms were unusual and mild. Anemia was infrequent, but secondary hyperparathyroidism was frequent after RYGB (23% vs 9% after SG, <em>P</em> < .01).</div></div><div><h3>Conclusions</h3><div>A personalized supplementation strategy adapted to biological parameters, in patients followed regularly up to 3 years after MBS, may reduce the number of nutritional supplements without increasing the number of deficiencies. However, vigilance must be maintained, particularly regarding bone and neurological risks.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 67-75"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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