Metabolic and Bariatric surgery (MBS) has become an essential treatment for severe obesity and associated comorbidities, particularly type 2 diabetes mellitus (T2DM), with substantial benefits in weight loss, improved glycemic control, and cardiovascular risk reduction. The International Diabetes Federation (IDF) recognizes MBS as an effective option for individuals with obesity with T2DM due to its ability to improve insulin sensitivity and lower inflammation. These surgeries induce metabolic improvements through distinct mechanisms that affect gut hormone secretion, nutrient absorption, and energy balance. These interventions modulate key gut hormones like glucagon-like peptide-1 (GLP-1), ghrelin, and leptin, which influence appetite, glucose metabolism, and fat storage. Moreover, MBS alters the gut microbiome, contributing to enhanced metabolic function and the resolution of obesity-related conditions. Theories such as the Foregut-Hindgut Hypothesis, Ileal Brake Mechanism, and Gastric Center Hypothesis further try explain these metabolic changes. Understanding these theories and the physiological alterations they provoke is crucial for optimizing patient care and advancing the future of obesity treatments, offering insights into mechanisms that go beyond simple weight loss to address complex metabolic disorders.
{"title":"Theories and concepts of physiological mechanisms in metabolic and bariatric surgery, beyond restriction and malabsorption: a narrative review","authors":"Saleha Khan M.D. , Aleena Zobairi M.D. , Sjaak Pouwels M.D., Ph.D. (Mult.) , Alper Celik M.D., Ph.D. , Surendra Ugale M.D., Ph.D. , Chetan Parmar M.B.B.S.","doi":"10.1016/j.soard.2025.10.017","DOIUrl":"10.1016/j.soard.2025.10.017","url":null,"abstract":"<div><div>Metabolic and Bariatric surgery (MBS) has become an essential treatment for severe obesity and associated comorbidities, particularly type 2 diabetes mellitus (T2DM), with substantial benefits in weight loss, improved glycemic control, and cardiovascular risk reduction. The International Diabetes Federation (IDF) recognizes MBS as an effective option for individuals with obesity with T2DM due to its ability to improve insulin sensitivity and lower inflammation. These surgeries induce metabolic improvements through distinct mechanisms that affect gut hormone secretion, nutrient absorption, and energy balance. These interventions modulate key gut hormones like glucagon-like peptide-1 (GLP-1), ghrelin, and leptin, which influence appetite, glucose metabolism, and fat storage. Moreover, MBS alters the gut microbiome, contributing to enhanced metabolic function and the resolution of obesity-related conditions. Theories such as the Foregut-Hindgut Hypothesis, Ileal Brake Mechanism, and Gastric Center Hypothesis further try explain these metabolic changes. Understanding these theories and the physiological alterations they provoke is crucial for optimizing patient care and advancing the future of obesity treatments, offering insights into mechanisms that go beyond simple weight loss to address complex metabolic disorders.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages 290-300"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673212","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 : 2026-02-01Epub Date: 2025-11-22DOI: 10.1016/j.soard.2025.11.020
Mélissa V. Wills M.D., Matthew Kroh M.D.
{"title":"Comment on: effects of bariatric surgery on neurological disturbances and quality of life in patients with MASLD and severe obesity: a prospective longitudinal study","authors":"Mélissa V. Wills M.D., Matthew Kroh M.D.","doi":"10.1016/j.soard.2025.11.020","DOIUrl":"10.1016/j.soard.2025.11.020","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages e3-e4"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145807114","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 : 2026-02-01Epub 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":"2026-02-01","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 : 2026-01-01Epub Date: 2025-08-16DOI: 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 : 2026-01-01Epub Date: 2025-08-15DOI: 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 : 2026-01-01Epub Date: 2025-10-10DOI: 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 : 2026-01-01Epub Date: 2025-11-05DOI: 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 : 2026-01-01Epub Date: 2025-11-05DOI: 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 : 2026-01-01Epub Date: 2025-10-10DOI: 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 : 2026-01-01Epub Date: 2025-11-19DOI: 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}
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