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Exploring the persistent questions regarding the long-term influence of bariatric surgery on psoriasis 探讨减肥手术对银屑病的长期影响这一顽固问题。
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2025-01-01 DOI: 10.1016/j.soard.2024.08.005
Wei-Zhen Tang M.D., Wei-Ze Xu M.D., Tai-Hang Liu Ph.D.
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引用次数: 0
Comment on: A review of brain structural and functional changes using MRI technology in patients who received bariatric surgery 评论:利用核磁共振成像技术回顾减肥手术患者的大脑结构和功能变化。
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2025-01-01 DOI: 10.1016/j.soard.2024.10.005
Serena D. Stevens Ph.D.
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引用次数: 0
Comment on: Conversion of sleeve gastrectomy to Roux-en-Y laparoscopic gastric bypass: a comprehensive 14-year follow-up study on efficacy and outcomes 评论:袖带胃切除术转为 Roux-en-Y 腹腔镜胃旁路术:关于疗效和结果的 14 年综合随访研究。
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2025-01-01 DOI: 10.1016/j.soard.2024.10.006
Marius Nedelcu M.D., Ramon Vilallonga M.D., Ph.D.
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引用次数: 0
Weight loss and health status 10 years after laparoscopic adjustable gastric band insertion in adolescents: a follow-up report from Teen-LABS 青少年腹腔镜可调节胃束带置入术后 10 年的体重减轻和健康状况:Teen-LABS 的随访报告。
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2025-01-01 DOI: 10.1016/j.soard.2024.10.015
Mark A. Fleming II M.D., M.S. , Todd M. Jenkins Ph.D., M.P.H. , Thomas H. Inge M.D., Ph.D. , Matthew Fenchel Ph.D. , Richard E. Boles Ph.D. , Anita Courcoulas M.D. , Marc P. Michalsky M.D., M.B.A. , Teen-LABS Consortium

Background

Metabolic and bariatric surgery is a safe and effective treatment strategy for severe childhood obesity, affecting 10% of US adolescents.

Objectives

This prospective observational study addresses knowledge gaps related to changes in weight, cardiometabolic risk, and weight-related quality of life (WRQOL) in adolescents 10 years after laparoscopic adjustable gastric band (LAGB) insertion.

Setting

Five Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) US centers.

Methods

Anthropometric, micronutrient, cardiometabolic risk, and WRQOL data were collected on 274 adolescents undergoing metabolic and bariatric surgery, of which 14 participants underwent LAGB insertion (2008–2011). Descriptive analyses compared outcomes from baseline to 10 years.

Results

Participants were mostly female (86%), White (71%), with a median age of 18.5 years and preoperative median BMI of 49. Baseline prevalence of type 2 diabetes, hypertension, and dyslipidemia were 1 of 14 (7%), 8 of 14 (57%), and 8 of 13 (62%), respectively, versus 10-year prevalence of 1 of 8 (13%), 4 of 10 (40%), and 3 of 9 (33%), respectively. Two participants underwent LAGB removal (years 2 and 3), whereas two converted from LAGB to Roux-en-Y gastric bypass (years 2 and 6). Following initial BMI reduction (−10%) at year 1, 10-year median BMI in the LAGB retention group was 51, representing a 9.2% increase versus baseline. Micronutrient abnormalities and WRQOL remained similar between baseline and 10 years. One participant (1 of 14) withdrew from the study at year 7.

Conclusions

Long-term follow-up of this cohort reveals that LAGB had minimal impact on BMI, cardiometabolic risk factors, and WRQOL among adolescents. These results confirm the limited efficacy of LAGB in the pediatric population.
背景:代谢和减肥手术是治疗严重儿童肥胖症的一种安全有效的方法,美国有10%的青少年患有肥胖症:这项前瞻性观察研究填补了有关青少年在腹腔镜可调节胃束带(LAGB)植入 10 年后体重变化、心脏代谢风险和体重相关生活质量(WRQOL)方面的知识空白:环境:美国五个青少年减肥手术纵向评估中心(Teen-LABS):收集了274名接受代谢和减肥手术的青少年的人体测量、微量营养素、心脏代谢风险和WRQOL数据,其中14名参与者接受了LAGB植入手术(2008-2011年)。描述性分析比较了从基线到10年的结果:参与者大多为女性(86%)、白人(71%),年龄中位数为 18.5 岁,术前体重指数中位数为 49。2型糖尿病、高血压和血脂异常的基线患病率分别为14人中1人(7%)、14人中8人(57%)和13人中8人(62%),而10年患病率分别为8人中1人(13%)、10人中4人(40%)和9人中3人(33%)。两名参与者接受了 LAGB 切除术(第 2 年和第 3 年),两名参与者从 LAGB 转为 Roux-en-Y 胃旁路术(第 2 年和第 6 年)。LAGB 保留组的 BMI 在第 1 年首次下降(-10%)后,10 年的中位数为 51,与基线相比增加了 9.2%。微量营养素异常和 WRQOL 在基线和 10 年间保持相似。一名参与者(14 人中的 1 人)在第 7 年退出了研究:对该队列的长期随访显示,LAGB 对青少年的体重指数、心脏代谢风险因素和 WRQOL 的影响微乎其微。这些结果证实了 LAGB 在儿科人群中的疗效有限。
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引用次数: 0
SOARD Category 1 CME Credit Featured Articles, Volume 21, January 2025
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2025-01-01 DOI: 10.1016/j.soard.2024.11.009
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引用次数: 0
Comment on: Cancer incidence following bariatric surgery in renal transplant recipients: a retrospective multicenter analysis 评论肾移植受者减肥手术后的癌症发病率:一项多中心回顾性分析。
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2024-12-01 DOI: 10.1016/j.soard.2024.08.003
Inyoung Lee M.D., M.S., Yeongkeun Kwon M.D., Ph.D., Sungsoo Park M.D., Ph.D.
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引用次数: 0
Sociodemographic factors related to bariatric follow-up appointment attendance and weight outcomes 与减肥复诊出席率和体重结果相关的社会人口因素
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2024-12-01 DOI: 10.1016/j.soard.2024.08.010
Emily M. Bartholomay Ph.D. , Stephanie Cox Ph.D. , Lawrence Tabone M.D. , Nova Szoka M.D. , Salim Abunnaja M.D. , Laura Aylward Ph.D.

Background

Follow-up care after bariatric surgery is essential in preventing postsurgical complications and promoting long-term weight loss maintenance. However, many patients do not attend postsurgical appointments with the bariatric team, which may contribute to poor surgical outcomes.

Objectives

This study sought to understand sociodemographic factors related to follow-up appointment attendance and weight outcomes. The first objective was to determine whether there was a relationship between 1-year follow-up appointment attendance and sociodemographic factors. The second objective was to determine whether patients from certain sociodemographic groups were more likely to attend a 2-year follow-up appointment. The third objective was to determine whether there were differences in weight outcomes for patients who attended follow-up appointments compared with those who did not attend.

Setting

University hospital, United States.

Methods

This study was a retrospective observational study. Participants included 841 adult patients who underwent bariatric surgery, of whom 505 (60.05%) attended a 1-year appointment with the bariatric team (348 attended a follow-up visit with another medical provider), and 398 (47.32%) who had any follow-up medical visit at 2 years after surgery. Sociodemographic variables were collected during a presurgical psychological evaluation. Weight-related variables were obtained through patients’ electronic medical records 12 and 24 months after surgery.

Results

Younger patients and those with lower education levels were less likely to attend the 1-year follow-up appointment with the bariatric team. People who attend 1-year follow-up with bariatric team have more favorable weight outcomes at 1 year and 2 years after surgery.

Conclusions

Follow-up appointment attendance with the bariatric team may be a critical factor in the effectiveness of bariatric surgery. Bariatric surgery teams should employ strategies to increase attendance at the 1-year follow-up visit with the surgical team. Additional strategies should be enacted to increase follow-up appointment attendance for patients with lower education levels.
减肥手术后的后续护理对于预防手术后并发症和促进长期减肥效果的维持至关重要。然而,许多患者在手术后并没有与减肥团队预约随访,这可能会导致手术效果不佳。本研究旨在了解与复诊出席率和体重结果相关的社会人口学因素。第一个目标是确定一年随访预约出席率与社会人口学因素之间是否存在关系。第二个目标是确定某些社会人口学群体的患者是否更有可能参加为期 2 年的复诊。第三个目标是确定参加随访的患者与未参加随访的患者在体重结果上是否存在差异。美国大学医院。该研究是一项回顾性观察研究。参与者包括 841 名接受减肥手术的成年患者,其中 505 人(60.05%)接受了减肥团队为期 1 年的随访(348 人接受了其他医疗机构的随访),398 人(47.32%)在术后 2 年接受了任何随访。社会人口学变量是在术前心理评估中收集的。与体重相关的变量通过患者术后 12 个月和 24 个月的电子病历获得。较年轻的患者和教育程度较低的患者较少参加减肥小组的 1 年随访。参加减肥小组 1 年随访的患者在术后 1 年和 2 年的体重结果更理想。参加减肥团队的随访可能是减肥手术效果的关键因素。减肥手术团队应采取策略,提高手术团队 1 年随访的出席率。还应制定其他策略,提高教育程度较低患者的随访出席率。
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引用次数: 0
Anastomotic metabolic and bariatric surgeries with same-day discharge: 30-day outcomes of a cohort from a high-volume center in Canada 当天出院的吻合代谢和减肥手术:来自加拿大一个高流量中心的一组患者的 30 天疗效
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2024-12-01 DOI: 10.1016/j.soard.2024.08.020
Alexis Deffain M.D. , Ronald Denis M.D. , Heba Alfaris M.D. , Karim Ataya M.D. , Samah Melebari M.D. , Marc Belliveau M.D. , Adam Di Palma M.D. , Pierre Y. Garneau M.D. , Anne-Sophie Studer M.D.

Background

On the basis of our extensive experience in same-day discharge (SDD) sleeve gastrectomy, we extended this management strategy to anastomotic metabolic and bariatric surgeries (MBS).

Objectives

To retrospectively analyze early outcomes (≤30 d) after anastomotic MBS with planned SDD (≤12 hr).

Setting

University Hospital, Canada; Public Practice.

Methods

SDD anastomotic MBS were proposed with strict preoperative criteria and included single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), and single-anastomosis sleeve ileal bypass (SASI). Enhanced recovery after bariatric surgery protocols and post-anesthesia care unit criteria were followed. Unplanned overnight stay, emergency department (ED) visit, readmission, morbidity-mortality, and reintervention rates were analyzed.

Results

Since 2021, 208 patients (191 female and 17 male) have undergone SDD anastomotic MBS, with 76% conversion procedures: 92 SADI-S, 72 RYGB, 35 OAGB, and 9 SASI (mean age = 41.4 yr and mean preoperative body mass index = 41.9 kg/m2). Unplanned overnight stays and ED visits were 4.8% and 4.3%, respectively. Readmission rate was 5.8% (5 SADI-S, 5 RYGB, 1 OAGB, and 1 SASI). Overall morbidity rate was 14.9%, including 3.9% major complications. Within 30 days postoperatively, there were 2 duodenal leaks, 1 intrabdominal collection, 1 common bile duct stenosis, and 1 acute appendicitis in the SADI-S group. There were 2 occlusions on the jejunojejunal anastomosis and 1 bleeding on the gastrojejunal anastomosis in the RYGB group. Five (2.4%) required reintervention with no mortality.

Conclusions

We report low and acceptable rates of unplanned overnight stay, readmission, and reintervention. Early outcomes suggest that SDD anastomotic MBS seems safe and feasible with an experienced team, selective criteria, and appropriate postoperative follow-up.
基于我们在当天出院(SDD)袖状胃切除术中积累的丰富经验,我们将这一管理策略推广到了吻合口代谢和减肥手术(MBS)中。回顾性分析吻合口 MBS 术后早期(≤30 天)的疗效,并计划 SDD(≤12 小时)。加拿大大学医院;公共实践。SDD吻合器MBS的提出有严格的术前标准,包括单吻合十二指肠-回肠旁路袖带胃切除术(SADI-S)、Roux-en-Y胃旁路术(RYGB)、单吻合胃旁路术(OAGB)和单吻合袖带回肠旁路术(SASI)。遵循减肥手术后强化恢复方案和麻醉后护理病房标准。对计划外过夜、急诊科就诊、再入院、发病率-死亡率和再干预率进行了分析。自 2021 年以来,共有 208 名患者(191 名女性和 17 名男性)接受了 SDD 吻合器 MBS,其中 76% 接受了转换手术:92 例 SADI-S、72 例 RYGB、35 例 OAGB 和 9 例 SASI(平均年龄 = 41.4 岁,术前平均体重指数 = 41.9 kg/m)。计划外过夜率和急诊就诊率分别为 4.8% 和 4.3%。再入院率为 5.8%(5 例 SADI-S、5 例 RYGB、1 例 OAGB 和 1 例 SASI)。总发病率为 14.9%,包括 3.9% 的主要并发症。术后 30 天内,SADI-S 组有 2 例十二指肠漏、1 例腹腔积液、1 例总胆管狭窄和 1 例急性阑尾炎。RYGB 组有 2 例空肠吻合口闭塞,1 例胃空肠吻合口出血。5例(2.4%)需要再次手术,无死亡病例。我们的报告显示,计划外过夜、再次入院和再次手术的发生率较低且可以接受。早期结果表明,只要有经验丰富的团队、选择性标准和适当的术后随访,SDD 吻合器 MBS 似乎是安全可行的。
{"title":"Anastomotic metabolic and bariatric surgeries with same-day discharge: 30-day outcomes of a cohort from a high-volume center in Canada","authors":"Alexis Deffain M.D. ,&nbsp;Ronald Denis M.D. ,&nbsp;Heba Alfaris M.D. ,&nbsp;Karim Ataya M.D. ,&nbsp;Samah Melebari M.D. ,&nbsp;Marc Belliveau M.D. ,&nbsp;Adam Di Palma M.D. ,&nbsp;Pierre Y. Garneau M.D. ,&nbsp;Anne-Sophie Studer M.D.","doi":"10.1016/j.soard.2024.08.020","DOIUrl":"10.1016/j.soard.2024.08.020","url":null,"abstract":"<div><h3>Background</h3><div>On the basis of our extensive experience in same-day discharge (SDD) sleeve gastrectomy, we extended this management strategy to anastomotic metabolic and bariatric surgeries (MBS).</div></div><div><h3>Objectives</h3><div>To retrospectively analyze early outcomes (≤30 d) after anastomotic MBS with planned SDD (≤12 hr).</div></div><div><h3>Setting</h3><div>University Hospital, Canada; Public Practice.</div></div><div><h3>Methods</h3><div>SDD anastomotic MBS were proposed with strict preoperative criteria and included single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), and single-anastomosis sleeve ileal bypass (SASI). Enhanced recovery after bariatric surgery protocols and post-anesthesia care unit criteria were followed. Unplanned overnight stay, emergency department (ED) visit, readmission, morbidity-mortality, and reintervention rates were analyzed.</div></div><div><h3>Results</h3><div>Since 2021, 208 patients (191 female and 17 male) have undergone SDD anastomotic MBS, with 76% conversion procedures: 92 SADI-S, 72 RYGB, 35 OAGB, and 9 SASI (mean age = 41.4 yr and mean preoperative body mass index = 41.9 kg/m<sup>2</sup>). Unplanned overnight stays and ED visits were 4.8% and 4.3%, respectively. Readmission rate was 5.8% (5 SADI-S, 5 RYGB, 1 OAGB, and 1 SASI). Overall morbidity rate was 14.9%, including 3.9% major complications. Within 30 days postoperatively, there were 2 duodenal leaks, 1 intrabdominal collection, 1 common bile duct stenosis, and 1 acute appendicitis in the SADI-S group. There were 2 occlusions on the jejunojejunal anastomosis and 1 bleeding on the gastrojejunal anastomosis in the RYGB group. Five (2.4%) required reintervention with no mortality.</div></div><div><h3>Conclusions</h3><div>We report low and acceptable rates of unplanned overnight stay, readmission, and reintervention. Early outcomes suggest that SDD anastomotic MBS seems safe and feasible with an experienced team, selective criteria, and appropriate postoperative follow-up.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1306-1313"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to letter regarding “Banded versus non-banded Roux-en-Y gastric bypass: short-, mid-, and long-term surgical outcomes—A systematic review and meta-analysis” 对有关 "带胃管与无胃管 Roux-en-Y 胃旁路术:短期、中期和长期手术效果--系统回顾和荟萃分析 "的信件的回复。
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2024-12-01 DOI: 10.1016/j.soard.2024.09.005
Giovanna Pavone M.D., Antonio Iannelli M.D., Ph.D.
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引用次数: 0
Development of predictive model for predicting postoperative BMI and optimize bariatric surgery: a single center pilot study 建立预测术后体重指数的模型,优化减肥手术 - 一项单中心试点研究
IF 3.5 3区 医学 Q1 SURGERY Pub Date : 2024-12-01 DOI: 10.1016/j.soard.2024.06.012
Vincent Ochs M.Sc. , Anja Tobler M.D. , Julia Wolleb Ph.D. , Florentin Bieder M.Sc. , Baraa Saad M.D. , Bassey Enodien M.D. , Laura E. Fischer M.D. , Michael D. Honaker M.D. , Susanne Drews M.D. , Ilan Rosenblum M.D. , Reinhard Stoll M.D. , Pascal Probst M.D. , Markus K. Müller M.D. , Joël L. Lavanchy M.D. , Stephanie Taha-Mehlitz M.D. , Beat P. Müller M.D. , Robert Rosenberg M.D. , Daniel M. Frey M.D. , Philippe C. Cattin Ph.D. , Anas Taha M.D.

Background

The pilot study addresses the challenge of predicting postoperative outcomes, particularly body mass index (BMI) trajectories, following bariatric surgery. The complexity of this task makes preoperative personalized obesity treatment challenging.

Objectives

To develop and validate sophisticated machine learning (ML) algorithms capable of accurately forecasting BMI reductions up to 5 years following bariatric surgery aiming to enhance planning and postoperative care. The secondary goal involves the creation of an accessible web-based calculator for healthcare professionals. This is the first article that compares these methods in BMI prediction.

Setting

The study was carried out from January 2012 to December 2021 at GZOAdipositas Surgery Center, Switzerland. Preoperatively, data for 1004 patients were available. Six months postoperatively, data for 1098 patients were available. For the time points 12 months, 18 months, 2 years, 3 years, 4 years, and 5 years the following number of follow-ups were available: 971, 898, 829, 693, 589, and 453.

Methods

We conducted a comprehensive retrospective review of adult patients who underwent bariatric surgery (Roux-en-Y gastric bypass or sleeve gastrectomy), focusing on individuals with preoperative and postoperative data. Patients with certain preoperative conditions and those lacking complete data sets were excluded. Additional exclusion criteria were patients with incomplete data or follow-up, pregnancy during the follow-up period, or preoperative BMI ≤30 kg/m2.

Results

This study analyzed 1104 patients, with 883 used for model training and 221 for final evaluation, the study achieved reliable predictive capabilities, as measured by root mean square error (RMSE). The RMSE values for three tasks were 2.17 (predicting next BMI value), 1.71 (predicting BMI at any future time point), and 3.49 (predicting the 5-year postoperative BMI curve). These results were showcased through a web application, enhancing clinical accessibility and decision-making.

Conclusion

This study highlights the potential of ML to significantly improve bariatric surgical outcomes and overall healthcare efficiency through precise BMI predictions and personalized intervention strategies.
该初步研究解决了预测减肥手术后预后的挑战,特别是体重指数(BMI)轨迹。这项任务的复杂性使得术前个性化肥胖治疗具有挑战性。目的开发和验证复杂的机器学习(ML)算法,该算法能够准确预测减肥手术后长达5年的BMI下降,旨在加强计划和术后护理。第二个目标涉及为医疗保健专业人员创建一个可访问的基于web的计算器。这是第一篇比较BMI预测方法的文章。该研究于2012年1月至2021年12月在瑞士GZOAdipositas手术中心进行。术前有1004例患者资料。术后6个月,1098例患者的数据可用。12个月、18个月、2年、3年、4年、5年随访人数分别为:971人、898人、829人、693人、589人和453人。方法:我们对接受减肥手术(Roux-en-Y胃旁路术或袖胃切除术)的成年患者进行了全面的回顾性研究,重点关注术前和术后资料。有一定术前条件和缺乏完整资料集的患者被排除在外。附加的排除标准是资料或随访不完整、随访期间妊娠或术前BMI≤30 kg/m2。结果本研究分析了1104例患者,其中883例用于模型训练,221例用于最终评估,通过均方根误差(RMSE)测量,研究获得了可靠的预测能力。三个任务的RMSE值分别为2.17(预测下一个BMI值)、1.71(预测未来任何时间点的BMI)和3.49(预测术后5年BMI曲线)。这些结果通过web应用程序展示,提高了临床可访问性和决策。结论:本研究强调了ML通过精确的BMI预测和个性化干预策略显著改善减肥手术结果和整体医疗效率的潜力。
{"title":"Development of predictive model for predicting postoperative BMI and optimize bariatric surgery: a single center pilot study","authors":"Vincent Ochs M.Sc. ,&nbsp;Anja Tobler M.D. ,&nbsp;Julia Wolleb Ph.D. ,&nbsp;Florentin Bieder M.Sc. ,&nbsp;Baraa Saad M.D. ,&nbsp;Bassey Enodien M.D. ,&nbsp;Laura E. Fischer M.D. ,&nbsp;Michael D. Honaker M.D. ,&nbsp;Susanne Drews M.D. ,&nbsp;Ilan Rosenblum M.D. ,&nbsp;Reinhard Stoll M.D. ,&nbsp;Pascal Probst M.D. ,&nbsp;Markus K. Müller M.D. ,&nbsp;Joël L. Lavanchy M.D. ,&nbsp;Stephanie Taha-Mehlitz M.D. ,&nbsp;Beat P. Müller M.D. ,&nbsp;Robert Rosenberg M.D. ,&nbsp;Daniel M. Frey M.D. ,&nbsp;Philippe C. Cattin Ph.D. ,&nbsp;Anas Taha M.D.","doi":"10.1016/j.soard.2024.06.012","DOIUrl":"10.1016/j.soard.2024.06.012","url":null,"abstract":"<div><h3>Background</h3><div>The pilot study addresses the challenge of predicting postoperative outcomes, particularly body mass index (BMI) trajectories, following bariatric surgery. The complexity of this task makes preoperative personalized obesity treatment challenging.</div></div><div><h3>Objectives</h3><div>To develop and validate sophisticated machine learning (ML) algorithms capable of accurately forecasting BMI reductions up to 5 years following bariatric surgery aiming to enhance planning and postoperative care. The secondary goal involves the creation of an accessible web-based calculator for healthcare professionals. This is the first article that compares these methods in BMI prediction.</div></div><div><h3>Setting</h3><div>The study was carried out from January 2012 to December 2021 at GZOAdipositas Surgery Center, Switzerland. Preoperatively, data for 1004 patients were available. Six months postoperatively, data for 1098 patients were available. For the time points 12 months, 18 months, 2 years, 3 years, 4 years, and 5 years the following number of follow-ups were available: 971, 898, 829, 693, 589, and 453.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive retrospective review of adult patients who underwent bariatric surgery (Roux-en-Y gastric bypass or sleeve gastrectomy), focusing on individuals with preoperative and postoperative data. Patients with certain preoperative conditions and those lacking complete data sets were excluded. Additional exclusion criteria were patients with incomplete data or follow-up, pregnancy during the follow-up period, or preoperative BMI ≤30 kg/m<sup>2</sup>.</div></div><div><h3>Results</h3><div>This study analyzed 1104 patients, with 883 used for model training and 221 for final evaluation, the study achieved reliable predictive capabilities, as measured by root mean square error (RMSE). The RMSE values for three tasks were 2.17 (predicting next BMI value), 1.71 (predicting BMI at any future time point), and 3.49 (predicting the 5-year postoperative BMI curve). These results were showcased through a web application, enhancing clinical accessibility and decision-making.</div></div><div><h3>Conclusion</h3><div>This study highlights the potential of ML to significantly improve bariatric surgical outcomes and overall healthcare efficiency through precise BMI predictions and personalized intervention strategies.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1234-1243"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Surgery for Obesity and Related Diseases
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