Surgery for Obesity and Related Diseases最新文献

{"title":"The value of patient selection in same-day discharge implementation: insights from MBSAQIP database","authors":"Sara Saeidishahri M.D.,&nbsp;Amir Ebadinejad M.D.,&nbsp;Yin Wu Ph.D.,&nbsp;Tara McLaughlin Ph.D.,&nbsp;Edward Hannoush M.D., F.A.C.S.,&nbsp;Dale Bond Ph.D.,&nbsp;Darren Tishler M.D., F.A.C.S., F.A.S.M.B.S.,&nbsp;Pavlos Papasavas M.D.","doi":"10.1016/j.soard.2025.10.016","DOIUrl":"10.1016/j.soard.2025.10.016","url":null,"abstract":"<div><h3>Background</h3><div>Same-day discharge (SDD) in sleeve gastrectomy (SG) is becoming increasingly common but requires careful patient selection.</div></div><div><h3>Objectives</h3><div>To evaluate the risk profile of patients undergoing primary SG with SDD and assess 30-day serious adverse events (SAEs) in SDD and next-day discharge (NDD).</div></div><div><h3>Setting</h3><div>MBSAQIP 2020-2023 (United States).</div></div><div><h3>Methods</h3><div>SDD and NDD patients were categorized as low-risk (LR) [age&lt;65 years, body mass index [BMI] &lt;50 kg/m², and no history of foregut surgery, diabetes, sleep apnea, cardiovascular disease, kidney disease, immunosuppression or thromboembolic events], and high-risk (HR) [patients with at least one of these conditions]. Logistic regression models assessed odds of SAE (i.e., Comprehensive Complication Index ≥26.2) between SDD and NDD based on risk categories and cumulative number of risk factors (RFs).</div></div><div><h3>Results</h3><div>Forty thousand three hundred eighty-seven SDDs (50.4% LR, 49.6% HR) and 281,718 NDD (41.2% LR, 58.8% HR) were identified. The odds of HR patients experiencing SAE were higher in the SDD versus NDD (odds ratio [OR]: 1.26, confidence interval [CI]: 1.09-1.45, <em>P</em> &lt; .001). Among high-risk SDD, 66.9% patients had one RF, 25.7% had two and 7.4% had ≥ 3. Compared to patients with a single RF, those with 2 RFs and ≥3RFs were more likely to experience SAEs (OR = 1.40 and 2.10, respectively; <em>P</em> &lt; .01).</div></div><div><h3>Conclusions</h3><div>This study demonstrates that 50% of the SDD SG patients were considered high-risk and 32% had multiple RFs. Performing SG with SDD in high-risk patients is associated with a greater likelihood of SAE. Results warrant implementation of risk stratification models to ensure patient safety while maximizing the benefits of SDD.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 3","pages":"Pages 324-329"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746475","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}

{"title":"American Society of Metabolic and Bariatric Surgery review of gut microbiome and alterations related to weight loss treatment, by the Clinical Issues Committee","authors":"Brandon T. Grover D.O, F.A.C.S., F.A.S.M.B.S. ,&nbsp;Salvatore Docimo Jr. D.O. M.B.A., F.A.C.S., F.A.S.M.B.S. ,&nbsp;Thomas H. Shin M.D., PhD. ,&nbsp;Timothy Shope M.D., F.A.C.S., F.A.S.M.B.S ,&nbsp;Vance L. Albaugh M.D., PhD., F.A.C.S., F.A.S.M.B.S ,&nbsp;Rachel Byers M.P.H. ,&nbsp;Heather Passerini N.P ,&nbsp;C. Joe Northup M.D., F.A.C.S., F.A.S.M.B.S. ,&nbsp;R. Wesley Vosburg M.D., F.A.C.S., F.A.S.M.B.S.","doi":"10.1016/j.soard.2025.11.021","DOIUrl":"10.1016/j.soard.2025.11.021","url":null,"abstract":"<div><div>The gut microbiome is a critical mediator of metabolic health including obesity and type 2 diabetes. Microbial composition variation — driven by diet, genetics, environment, and host physiology — can influence insulin sensitivity, energy absorption, fat storage, and systemic inflammation. Metabolic and bariatric surgery (MBS) is associated with distinct shifts in gut microbiota that may contribute to weight loss and metabolic improvements. Changes in microbial diversity, bile acid metabolism, and enrichment of beneficial taxa have all been linked to favorable metabolic outcomes. Furthermore, the gut microbiome may interact with molecular signaling pathways including glucagon-like peptide-1 signaling. Despite probiotics and prebiotics showing potential modulation of the gut microbiota, their clinical impact on obesity management remains inconsistent. Understanding the complex interplay between MBS, the gut microbiome, and host metabolism may offer novel insights into future therapeutic targets. As the field advances, microbiome-based strategies may enhance procedure selection, improve patient outcomes after MBS, and contribute to more personalized, durable treatment approaches for obesity and its related diseases.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 3","pages":"Pages 317-323"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866971","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}

{"title":"SOARD Category 1 CME Credit Featured Articles, Volume 22, March 2026","authors":"","doi":"10.1016/j.soard.2026.02.001","DOIUrl":"10.1016/j.soard.2026.02.001","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 3","pages":"Pages 380-382"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192975","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}

{"title":"Outcomes of resleeve gastrectomy after primary sleeve gastrectomy: a MBSAQIP analysis of perioperative risk","authors":"Pattharasai Kachornvitaya M.D. ,&nbsp;Valentin Mocanu M.D., Ph.D. ,&nbsp;Mélissa V. Wills M.D. ,&nbsp;Juan S. Barajas-Gamboa M.D. ,&nbsp;Xinlei Zhu M.D. ,&nbsp;Ricard Corcelles M.D., Ph.D. ,&nbsp;Andrew Strong M.D. ,&nbsp;Suthep Udomsawaengsup M.D. ,&nbsp;Matthew Kroh M.D. ,&nbsp;Jerry Dang M.D., Ph.D. ,&nbsp;Salvador Navarrete M.D.","doi":"10.1016/j.soard.2025.10.010","DOIUrl":"10.1016/j.soard.2025.10.010","url":null,"abstract":"<div><h3>Background</h3><div>Resleeve gastrectomy (ReSG) is a surgical option for patients experiencing insufficient weight loss or weight regain after primary sleeve gastrectomy (P-SG). However, national-level data on the comparative perioperative safety of ReSG versus P-SG remain limited.</div></div><div><h3>Objectives</h3><div>To evaluate 30-day perioperative outcomes between ReSG and P-SG.</div></div><div><h3>Setting</h3><div>Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database across accredited bariatric surgical centers.</div></div><div><h3>Methods</h3><div>An analysis of the 2020–2023 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database was conducted to evaluate 30-day outcomes following ReSG. Univariate analysis and multivariable logistic regression identified independent predictors of serious postoperative complications.</div></div><div><h3>Results</h3><div>Among 496,405 patients, 493,187 underwent P-SG and 3218 underwent ReSG. ReSG patients were older, more likely female, and had a higher prevalence of gastroesophageal reflux disease but lower body mass index and comorbidity burden. ReSG was associated with significantly higher rates of serious complications (5.13% versus 2.03%, <em>P</em> &lt; .0001), including anastomotic leak, deep surgical site infection, and the need for reintervention. Multivariable analysis identified ReSG as the strongest independent predictor of serious complications (odds ratio: 2.26), followed by anticoagulant use, history of venous thromboembolism, insulin-dependent diabetes, hypertension, gastroesophageal reflux disease, and Black race. Mortality was low and comparable between groups (<em>P</em> = .360).</div></div><div><h3>Conclusions</h3><div>ReSG is associated with significantly higher rates of serious perioperative complications compared to P-SG despite similar short-term mortality. These findings underscore the importance of revisional strategy selection and alternative procedures may offer superior safety, more durable weight loss, and improved metabolic outcomes for revision after sleeve gastrectomy.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages 234-241"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145663095","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}

{"title":"Cartoon Feb 2026","authors":"","doi":"10.1016/j.soard.2025.11.018","DOIUrl":"10.1016/j.soard.2025.11.018","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Page 308"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146015820","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}

{"title":"Paired editorial: perioperative safety profile of single anastomosis duodeno-ileal bypass and Roux-en-Y gastric bypass after sleeve gastrectomy","authors":"Francesco Palazzo M.D., F.A.C.S., F.A.S.M.B.S.","doi":"10.1016/j.soard.2025.10.003","DOIUrl":"10.1016/j.soard.2025.10.003","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages e1-e2"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145447025","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}

{"title":"American Society for Metabolic and Bariatric Surgery systematic review of literature surrounding support groups and metabolic and bariatric surgery","authors":"Andrea Rigby Psy.D., M.E.D. ,&nbsp;Ninoska D. Peterson Ph.D. ,&nbsp;Lillian Craggs-Dino D.H.A., R.D.N., L.D.N. ,&nbsp;Larissa A. McGarrity Ph.D. ,&nbsp;Laura Aylward Ph.D.","doi":"10.1016/j.soard.2025.10.008","DOIUrl":"10.1016/j.soard.2025.10.008","url":null,"abstract":"<div><div>Patients seeking metabolic and bariatric surgery (MBS) are treated by an interdisciplinary team of surgeons and integrated health professionals before and after their surgery. Support groups are required as part of safety and quality of care programs seeking and maintaining accreditation; nevertheless, the research is limited regarding the efficacy and outcomes related to support group attendance. The intention of this systematic review is to summarize current literature surrounding MBS support groups, to identify gaps in the literature, and to provide recommendations for future research regarding support groups, as well as guidance for support group facilitators. Using Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines platform and database searches were conducted for MBS support groups from 1998 to present using PubMed (Medline); Ovid (Medline); APA PsycNet (PsychINFO). Inclusion criteria were English language, adults of any age and adolescents (ages 14-18), and private, hospital, or academic medical center live support groups that follow American Society for Metabolic and Bariatric Surgery standards. Eighteen studies were included in our review. Authors sought to examine the relationship between attendance at facilitator-led, in person or virtual and hybrid support groups and outcomes of weight loss, self-management, and barriers to attendance. Results showed that support group attendance was associated with better weight loss, self-management, and adherence following surgery. This review supports the ongoing need for support group to be part of the interdisciplinary care of patients undergoing MBS. Additional research is needed to address cited gaps in the literature surrounding selection bias, lack of comparison groups, and to determine the impact of hybrid and virtual support groups on patient outcomes.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages 189-197"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566599","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}

{"title":"Bariatric conversional surgery in younger adults ≤40: who gets converted and comparative risks of conversion to subsequent procedures","authors":"Jeremy Peabody M.D. ,&nbsp;Sukhdeep Jatana M.D.C.M. ,&nbsp;Kevin Verhoeff M.D., Ph.D. ,&nbsp;Valentin Mocanu M.D., Ph.D. ,&nbsp;Daniel W. Birch M.D., M.Sc. ,&nbsp;Shahzeer Karmali M.D. ,&nbsp;Noah J. Switzer M.D., M.P.H.","doi":"10.1016/j.soard.2025.10.013","DOIUrl":"10.1016/j.soard.2025.10.013","url":null,"abstract":"<div><h3>Background</h3><div>The incidence of bariatric surgery in younger adults, and subsequently conversional surgery, is increasing.</div></div><div><h3>Objectives</h3><div>We aim to describe patients ≤40 requiring conversion, operative details, and complications associated with different procedures.</div></div><div><h3>Setting</h3><div>MBSAQIP centers (United States and Canada).</div></div><div><h3>Methods</h3><div>We included patients ≤40 years from 2020 to 2022 undergoing a conversion procedure to sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), single anastomosis duodeno-ileal bypass (SADI-S), or biliopancreatic diversion-duodenal switch (BPD/DS). Baseline characteristics and bivariate complication rates were compared. Multivariate models were generated for 30-day complication for all patients undergoing conversion surgery from index adjustable gastric banding (AGB) or SG.</div></div><div><h3>Results</h3><div>Of 13,486 patients, 842 were converted to SG, 9812 to RYGB, 549 to SADI-S, and 2283 to BPD/DS. The most common reason for conversion to RYGB was gastroesophageal reflux disease (GERD) (48.7%) and to SADI-S and BPD/DS was insufficient weight loss/regain (89.6% and 88.1%, respectively). On multivariate analysis, conversion to RYGB (adjusted odds ratio [aOR] 2.14) and BPD/DS (aOR 2.30) were associated with increased risk compared to SG. After controlling for initial operation, conversion of AGB to RYGB had a higher likelihood of having 30-day serious complication compared to SG (aOR 2.18). For patients with an index SG, conversion to BPD/DS carried similar likelihood of 30-day complication to RYGB (aOR .78, <em>P</em> = .302), while conversion to SADI-S carried lower likelihood (aOR .47, <em>P</em> = .031).</div></div><div><h3>Conclusion</h3><div>Each conversion surgery is associated with differing rates of complications, and conversion from index AGB to SG versus RYGB and from index SG to SADI-S versus RYGB or BPD/DS may be associated with fewer complications.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages 255-263"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145644179","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}

{"title":"Heart failure is a major risk factor for postoperative venous thromboembolism in bariatric surgery patients","authors":"Zubaidah Nor Hanipah ,&nbsp;Florina Corpodean ,&nbsp;Michael Kachmar ,&nbsp;Michael R. Cook ,&nbsp;Vance L. Albaugh ,&nbsp;Philip R. Schauer","doi":"10.1016/j.soard.2025.10.007","DOIUrl":"10.1016/j.soard.2025.10.007","url":null,"abstract":"<div><h3>Background</h3><div>Identifying preoperative comorbidities predictive of postoperative thromboembolic events (e.g. deep vein thrombosis, DVT; pulmonary embolism, PE), may help target higher-risk patients for preventive measures. In 2023, the Metabolic and Bariatric Surgery Quality Improvement Project (MBSAQIP) began capturing preoperative heart failure, a known risk factor for DVT/PE.</div></div><div><h3>Objectives</h3><div>This study aimed to analyze the 2023 database to identify and rank preoperative factors including heart failure that are most strongly associated with postoperative DVT/PE risk in patients undergoing metabolic and bariatric surgery (MBS).</div></div><div><h3>Setting</h3><div>Metabolic and Bariatric Surgery Quality Improvement Project (MBSAQIP).</div></div><div><h3>Methods</h3><div>The 2023 MBSAQIP was queried (n = 217,952) and multivariable logistic regression modeling was used to assess factors predictive of postoperative DVT and PE, adjusting for demographics, preoperative comorbidities, and surgical factors.</div></div><div><h3>Results</h3><div>After a history of prior DVT/PE, a history of heart failure was associated with the second highest odds ratio (OR) for postoperative thromboembolic events (OR: 1.73 [95% CI: 1.12-2.57, <em>P</em> &lt; .01). Other significant risk factors venous thromboembolism (VTE) included older age, higher BMI, male sex, liver disease, and gastroesophageal reflux disease (GERD). Non-revisional (i.e. primary) surgery and therapeutic anticoagulation were identified as factors associated with risk reduction.</div></div><div><h3>Conclusions</h3><div>This large retrospective analysis demonstrated that patients with a history of heart failure are nearly 2 times as likely to develop VTE after bariatric surgery compared to those with no history of heart failure. Patients with a history of heart failure should be considered high risk for VTE and should be considered for similar VTE prophylaxis as patients with prior DVT/PE.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages 198-205"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145770454","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}

{"title":"The unasked questions in MBS innovation: from physiological plausibility to patient safety","authors":"Francesco Saverio Papadia M.D., F.A.C.S., F.E.B.S. (SurgOnc)","doi":"10.1016/j.soard.2025.11.016","DOIUrl":"10.1016/j.soard.2025.11.016","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages 301-302"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746452","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}