Surgery for Obesity and Related Diseases最新文献

{"title":"Does routine upper gastrointestinal swallow study after metabolic and bariatric surgery lead to earlier diagnosis of leak?","authors":"","doi":"10.1016/j.soard.2024.02.005","DOIUrl":"10.1016/j.soard.2024.02.005","url":null,"abstract":"<div><h3>Background</h3><p><span>It is unclear whether routine upper gastrointestinal swallow study (SS) in the immediate postoperative period is associated with earlier diagnosis of gastrointestinal leak after </span>bariatric surgery.</p></div><div><h3>Objective</h3><p>To investigate the relationship between routine SS and time to diagnosis of postoperative gastrointestinal leak.</p></div><div><h3>Setting</h3><p>MBSAQIP-accredited hospitals in the United States and Canada.</p></div><div><h3>Methods</h3><p>We conducted an observational cohort study of adults who underwent laparoscopic primary Roux-en-Y gastric bypass (RYGB) (n = 82,510) and sleeve gastrectomy (SG) (n = 283,520) using the MBSAQIP 2015-2019 database. Propensity scores were used to match patient cohorts who underwent routine versus no routine SS. Primary outcome was time to diagnosis of leak. Median days to diagnosis of leak were compared. The Nelson–Aalen estimator was used to determine the cumulative hazards of leak.</p></div><div><h3>Results</h3><p>In our study, 36,280 (23%) RYGB and 135,335 (33%) SG patients received routine SS. Routine SS was not associated with earlier diagnosis of leak (RYGB routine SS median 7 [IQR 3-12] days v. no routine SS 6 [2-11] days, <em>P</em> = .9; SG routine SS 15 [9-22] days v. no routine SS 14 [8-21] days, <em>P</em> = .06) or lower risk of developing leak (RYGB HR 1.0, 95%-CI .8-1.2; SG HR 1.1, 95%-CI 1.0-1.4). More routine SS patients had a length of stay 2 days or greater (RYGB 78.3% v. 61.1%; SG 48.6% v. 40.3%).</p></div><div><h3>Conclusions</h3><p>Routine SS was not associated with earlier diagnosis of leaks compared to the absence of routine SS. Surgeons should consider abandoning the practice of routine SS for the purpose of obtaining earlier diagnosis of postoperative leaks.</p></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140017540","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":"Comment on: Early postoperative COVID infection is associated with a significantly increased risk of venous thromboembolism after metabolic and bariatric surgery","authors":"","doi":"10.1016/j.soard.2024.03.022","DOIUrl":"10.1016/j.soard.2024.03.022","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400700","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":"High prevalence of dysfunctional uterine bleeding in candidates for metabolic/bariatric surgery: increased endometrial cancer risk?","authors":"Maggie Ducote M.P.H. ,&nbsp;Teresa Schauer ,&nbsp;Robert Ross M.D., M.P.H. ,&nbsp;Laura M. Boyer F.N.P.-C. ,&nbsp;M. Patrick Stagg M.D. ,&nbsp;Emma Domangue ,&nbsp;Breyanah Graham ,&nbsp;Jesus Garcia M.D. ,&nbsp;Clinton Stillwell M.D. ,&nbsp;Kimberly L. Drews Ph.D. ,&nbsp;Philip R. Schauer M.D. ,&nbsp;Michael W. Cook M.D. ,&nbsp;Amelia Jernigan M.D. ,&nbsp;Vance L. Albaugh M.D., Ph.D.","doi":"10.1016/j.soard.2024.07.007","DOIUrl":"10.1016/j.soard.2024.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Endometrial cancer (EC) is the strongest obesity-associated malignancy and the fastest-growing cancer in young women. Early identification of EC and other endometrial pathology (malignant and nonmalignant) in women with severe obesity may improve treatment options and uterine preservation. Screening for endometrial pathology using abnormal or postmenopausal uterine bleeding (APUB) as a surrogate in women pursuing metabolic/bariatric surgery may be clinically beneficial, but data supporting this effort are limited.</div></div><div><h3>Objective</h3><div>To develop and institute a screening program for APUB as a surrogate for endometrial pathology in bariatric surgery candidates.</div></div><div><h3>Setting</h3><div>Two, academic metabolic/bariatric surgery programs in Louisiana, United States.</div></div><div><h3>Methods</h3><div>The Modified SAMANTA is a 10-item questionnaire that was implemented to identify patients with APUB, specifically combining tools designed to identify anovulatory/postmenopausal and heavy menstrual bleeding. Demographic (age, race), body mass index, and questionnaire data were analyzed with respect to positive screening using data from March 2021 through May 2023.</div></div><div><h3>Results</h3><div>Of 1371 eligible women presenting for surgical evaluation, 664 (48.4%) positive screens were identified and referred for gynecologic evaluation to rule out endometrial hyperplasia/cancer or other endometrial pathology. The likelihood of positive screening for APUB was associated with increasing BMI (<em>P</em> = .001) and Black/African American race (<em>P</em> = .003), as well as increasing SAMANTA score (<em>P</em> &lt; .001). In contrast, risk of positive screening was negatively associated with increasing age (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Women presenting for metabolic/bariatric surgery have a high prevalence of APUB and, given this dysfunctional bleeding and concurrent obesity, are at greater risk for underlying EC. Potential risk factors for APUB, given their associations with screening positive, include increased body mass index, younger age, and Black/African American race. Standardized screening with appropriate gynecologic referral should be a routine part of the overall evaluation for women with severe obesity.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853228","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":"Impact of COVID-19 Pandemic on Adolescents Undergoing Metabolic Bariatric Surgery","authors":"Nicholas Schmoke MD, Christopher Nemeh MD, Robert W. Crum MD, Emily C. McManus BS, Alexey Abramov MD, Chunhui Wang MD MPH, Paul Kurlansky MD, Jeffrey Zitsman MD","doi":"10.1016/j.soard.2024.07.012","DOIUrl":"https://doi.org/10.1016/j.soard.2024.07.012","url":null,"abstract":"While the lasting effect of the COVID-19 pandemic continues to unfold, the impact on adolescents undergoing bariatric surgery remains unseen. We examined the impact of the pandemic on adolescents undergoing metabolic bariatric surgery. Academic hospital, New York, NY. A single-institution review of prospectively collected data evaluated adolescents who underwent laparoscopic sleeve gastrectomy between 2010 and 2023, forming two cohorts: pre-COVID (before March 1, 2019) and COVID (after March 1, 2020). Absolute and percent weight loss and body mass index (BMI) change at 6 and 12 months post-surgery were compared between cohorts. Multivariable linear regression models were constructed to estimate the association between weight loss, adjusting for age, gender, ethnicity, and BMI. 358 patients were included: 245 in the pre-COVID cohort and 113 in the COVID cohort. There were no significant differences in baseline characteristics. There were no significant differences between cohorts at 6 months in weight loss (21.6 kg vs. 22.5 kg, p=0.43), percent weight loss (18% vs. 18%, p=0.63), and BMI change (8.0 vs. 8.4, p=0.39) which was maintained at 12 months. In multivariate models, after adjusting for age, gender, ethnicity, and baseline BMI, undergoing surgery during the pandemic was not associated with a difference in weight loss or BMI change at 6 and 12 months postoperatively. Despite the severe societal impact of the COVID-19 pandemic, laparoscopic sleeve gastrectomy remained a durable intervention for adolescent obesity, with no observed differences in weight loss in patients undergoing surgery during the pandemic compared to pre-pandemic.","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141771517","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 Long-Term Impact of Bariatric Surgery on Psoriasis Symptoms and Severity: A Prospective Observational Study","authors":"Ali Hosseininasab M.D, Hesam Mosavari M.D, Aghil Rostami M.Sc, Mansour Bahardoust M.Sc, Amirreza Izadi M.D, Ali Jaliliyan M.D, Seyed Ali Nabipoorashrafi M.D, Fatemeh Jahanshahi M.D, Mohadeseh Pishgahroudsari B.A, Aisa Talebi M.D, Somayyeh Mokhber M.D, Mohammadreza Ghasemi M.D, Foolad Eghbali M.D, Abdolreza Pazouki M.D","doi":"10.1016/j.soard.2024.07.011","DOIUrl":"https://doi.org/10.1016/j.soard.2024.07.011","url":null,"abstract":"Psoriasis is a common immune-mediated inflammatory skin disease associated with various comorbidities, including obesity. This study aimed to investigate changes to psoriasis symptoms, severity, and treatment agents in patients undergoing Metabolic and Bariatric Surgery (MBS). Rasool-E Akram University Hospital. This prospective observational study consisted of 32 adult patients with obesity and psoriasis who underwent MBS (e.g., Roux-en-Y gastric bypass, one anastomosis gastric bypass, sleeve gastrectomy) between January 2010 and December 2020. Patients with a history of prior MBS were excluded. All patients were examined by a board-certified dermatologist. Psoriasis severity was assessed with the Psoriasis Area and Severity Index (PASI). The majority of patients were female (n = 29). The mean age of the study population was 46.6 ± 10.8 years, and participants were followed-up for 70.6 ± 29.1 months. A significant decrease in BMI was observed postoperatively from 41.5 ± 4.7 to 30 ± 5.5 kg/m (p < 0.001). PASI score significantly decreased from a median (IQR) of 3.6 (5.90) to 1.20 (3.45) after MBS (p = 0.006). The number of patients who reported nail involvement significantly decreased following surgery (p = 0.039), although no significant difference in joint involvement was noted (p = 1.000). This study shows that MBS can reduce psoriasis severity and lower the number of needed treatments. Given psoriasis's complexity and varied individual responses, personalized treatment is essential. Further research is necessary to validate these findings in a larger population.","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141771663","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":"Psychological and behavioral predictors of weight recurrence after MBS","authors":"Leslie J. Heinberg Ph.D., F.A.S.B.M.S.-I.H., F.T.O.S., F.A.E.D.","doi":"10.1016/j.soard.2024.07.013","DOIUrl":"10.1016/j.soard.2024.07.013","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839275","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":"Comment on: The impact of COVID-19 pandemic on patient selection and access to care, approach type, and postoperative outcomes in bariatric surgery","authors":"Ramon Vilallonga M.D., Ph.D., Int. F.A.S.M.B.S.,&nbsp;Natalia Kwiatkowska M.D.","doi":"10.1016/j.soard.2024.07.009","DOIUrl":"10.1016/j.soard.2024.07.009","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842403","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":"Impact of progressive chronic kidney disease stage on postoperative outcomes in metabolic surgery—a propensity-matched analysis using the MBSAQIP database","authors":"Adisa Poljo M.D.,&nbsp;Jennifer M. Klasen M.D., Ph.D.,&nbsp;Marko Kraljević M.D.,&nbsp;Ralph Peterli M.D.,&nbsp;Adrian T. Billeter M.D., Ph.D.","doi":"10.1016/j.soard.2024.07.008","DOIUrl":"10.1016/j.soard.2024.07.008","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840604","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":"Response to “banded versus non-banded Roux-en-Y gastric bypass: short, mid, and long-term surgical outcomes—a systematic review and meta-analysis”","authors":"Kayleigh van Dam M.D., Geert Verkoulen M.D., Jan Willem Greve M.D. Ph.D., Evert-Jan Boerma M.D. Ph.D.","doi":"10.1016/j.soard.2024.07.003","DOIUrl":"https://doi.org/10.1016/j.soard.2024.07.003","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141771516","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":"Comment on: Bariatric surgery and COVID-19 outcomes: results from the PaTH to Health Diabetes Study","authors":"Megan Jenkins M.D.,&nbsp;Marina Kurian M.D.","doi":"10.1016/j.soard.2024.07.002","DOIUrl":"10.1016/j.soard.2024.07.002","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702293","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}