Surgery for Obesity and Related Diseases最新文献

{"title":"Cartoon Dec2025","authors":"","doi":"10.1016/j.soard.2025.09.001","DOIUrl":"10.1016/j.soard.2025.09.001","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 11","pages":"Page 1292"},"PeriodicalIF":3.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145289996","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 21, October 2025","authors":"","doi":"10.1016/j.soard.2025.08.015","DOIUrl":"10.1016/j.soard.2025.08.015","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 10","pages":"Pages 1177-1179"},"PeriodicalIF":3.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026343","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: towards a better mouse model of vertical sleeve gastrectomy","authors":"Michael Kachmar D.O., Thomas H. Shin M.D., Ph.D., Jerry T. Dang M.D., Ph.D., Vance L. Albaugh M.D., Ph.D.","doi":"10.1016/j.soard.2025.08.019","DOIUrl":"10.1016/j.soard.2025.08.019","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages e33-e34"},"PeriodicalIF":3.8,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215023","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":"Moving beyond risk factors — a deeper look into weight regain after sleeve gastrectomy","authors":"Dimitrios I. Athanasiadis MD","doi":"10.1016/j.soard.2025.08.021","DOIUrl":"10.1016/j.soard.2025.08.021","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages e31-e32"},"PeriodicalIF":3.8,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103203","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: efficacy and safety comparison of single anastomosis sleeve ileal bypass versus one anastomosis gastric bypass: a systematic review and meta-analysis","authors":"Marius Nedelcu, Ramon Vilallonga","doi":"10.1016/j.soard.2025.08.020","DOIUrl":"10.1016/j.soard.2025.08.020","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages e29-e30"},"PeriodicalIF":3.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103224","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":"Reproductive health counseling, menstruation, contraception, and conception after sleeve gastrectomy: a cross-sectional study","authors":"Ahmad Badrieh M.D. ,&nbsp;Ram Elazary M.D. ,&nbsp;Tair Ben-Porat Ph.D. ,&nbsp;Shiri Sherf-Dagan Ph.D. ,&nbsp;Amihai Rottenstreich M.D.","doi":"10.1016/j.soard.2025.08.017","DOIUrl":"10.1016/j.soard.2025.08.017","url":null,"abstract":"<div><h3>Background</h3><div>Reproductive-aged women constitute a substantial proportion of patients undergoing weight loss procedures. Little is known regarding reproductive health outcomes among women after sleeve gastrectomy (SG).</div></div><div><h3>Objective</h3><div>We aim to explore reproductive health patterns and outcomes after SG.</div></div><div><h3>Setting</h3><div>University hospital.</div></div><div><h3>Methods</h3><div>A cross-sectional study performed among reproductive-aged women who underwent SG at a university hospital. Women were surveyed using a questionnaire developed as a collaborative, multidisciplinary effort of a maternal-fetal medicine expert, general gynecologist, and a bariatric surgeon.</div></div><div><h3>Results</h3><div>Overall, 1030 women of childbearing age (median 34 years) underwent SG at our center during the study period. Of them, 928 women completed the questionnaire (response rate of 90%) with a median follow-up duration of 8.4 years. Menstrual irregularity rate (11.9% vs. 43.5%, <em>P</em> &lt; .001) and duration of menstrual bleeding (median 5 vs. 6 days, <em>P</em> &lt; .001) were significantly reduced after surgery as compared to preoperatively. Only 632 (68.1%) women received contraceptive advice perioperatively, with oral contraception being the most commonly used method following surgery (n = 322, 34.7%). Most women (n = 867, 93.4%) received a recommendation to delay conception after surgery, however, 65 (7.5%) women were sexually active in the first year postoperatively without using any mode of contraception. Overall, 301 (32.4%) women delivered after surgery, with pregnancy reported as unintended by 22 (7.3%) women, most of them (n = 14) using oral contraception.</div></div><div><h3>Conclusions</h3><div>Menstrual cycle pattern significantly improves after SG. Adequate reproductive-health counseling is important after SG in order to inform optimal contraceptive care and potentially prevent unintended pregnancies particularly in the early period after surgery.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages 1357-1362"},"PeriodicalIF":3.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103260","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":"Revisional bariatric surgery in the elderly: a comprehensive review of the safety and efficacy profile","authors":"Noura Jawhar M.D. ,&nbsp;Jack W. Sample M.D. ,&nbsp;Agustina Pontecorvo M.D. ,&nbsp;Jorge Cornejo M.D. ,&nbsp;Lorna A. Evans M.D. ,&nbsp;Nour El Ghazal M.D. ,&nbsp;Simon J. Laplante M.D. ,&nbsp;Enrique F. Elli M.D. ,&nbsp;Omar M. Ghanem M.D.","doi":"10.1016/j.soard.2025.08.012","DOIUrl":"10.1016/j.soard.2025.08.012","url":null,"abstract":"<div><h3>Background</h3><div>Despite the well-known safety and efficacy of metabolic and bariatric surgery, certain patients require revisional bariatric surgery (RBS) due to weight-related and/or procedure-related complications. Date on long-term RBS outcomes remains limited in the elderly.</div></div><div><h3>Objectives</h3><div>To evaluate the safety and efficacy of RBS in the elderly.</div></div><div><h3>Setting</h3><div>Tertiary referral centers with prospectively maintained metabolic and bariatric surgery databases.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted for patients aged ≥ 60 years who underwent RBS between 2008 and 2023. Patient demographics, type of revisional procedure, postoperative outcomes, weight loss data, and nutritional parameters were collected. All patients had at least a 6-month follow-up and were followed at least 5 years after RBS when possible.</div></div><div><h3>Results</h3><div>201 patients were included. The most common indication for RBS was gastroesophageal reflux (37.8%). Conversion to Roux-en-Y gastric bypass was the most common RBS procedure (65.2%). This subgroup achieved significantly sustained mean percentage of total weight loss throughout follow-up. Conversion to sleeve gastrectomy subgroup only maintained a significant mean percentage of total weight loss at 6 months, 1 year, and 2 years postoperatively. The overall 30-day and late complication rates within the cohort were 17.4% and 26.9%, respectively. A .5% 30-day mortality rate and 0% long-term RBS-related morality rate were reported. For patients indicated for revision, RBS was successful in resolving malnutrition and did not result in recurrence of any nutritional deficiencies.</div></div><div><h3>Conclusions</h3><div>Our study demonstrated that RBS is safe and effective in elderly patients in the long term. Proper RBS procedure selection is integral to address revision indication and decrease the risk of long-term complications.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages 1293-1307"},"PeriodicalIF":3.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056496","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":"A prospective assessment of weight bias internalization in patients seeking body contouring after bariatric surgery","authors":"Ashley Dunford Ph.D ,&nbsp;Abigail Metzler B.A. ,&nbsp;Brian Pittman M.S. ,&nbsp;Michael Alperovich M.D. ,&nbsp;Gary Price M.D. ,&nbsp;Valentina Ivezaj Ph.D.","doi":"10.1016/j.soard.2025.06.020","DOIUrl":"10.1016/j.soard.2025.06.020","url":null,"abstract":"<div><h3>Background</h3><div>Weight bias internalization (WBI), or the internalization of “antifat” attitudes, is associated with greater eating-disorder psychopathology, body image, and mental health concerns in patients following bariatric surgery. Yet, WBI in patients seeking body contouring surgery (BCS) after bariatric surgery remains unstudied.</div></div><div><h3>Objectives</h3><div>This study prospectively examined the relationship between WBI, eating-disorder psychopathology, and depressive symptoms in patients seeking BCS after bariatric surgery.</div></div><div><h3>Setting</h3><div>Yale University School of Medicine, United States</div></div><div><h3>Methods</h3><div>Participants were 56 adults (93% female) seeking consultation for BCS after bariatric surgery; 42.9% (n = 24) went on to have BCS. Participants completed established measures assessing WBI, eating-disorder psychopathology, and depressive symptoms at baseline following the BCS consultation, then repeated at 1-month and 3-month follow-ups.</div></div><div><h3>Results</h3><div>WBI was positively associated with eating-disorder psychopathology and depression at all assessments (all <em>P</em> &lt; .01) including baseline (all <em>r</em> &gt; .40), 1-month (all <em>r</em> &gt; .33), and 3-month (all <em>r</em> &gt; .45) follow-ups. In a prospective analysis of WBI, a significant group by time interaction was observed (<em>P</em> = .03) owing to lower postbaseline levels among BCS at both 1-month (<em>P</em> = .03) and 3-months (<em>P</em> = .009) assessments. Groups with and without BCS did not differ significantly on body mass index (BMI), weight loss, or eating-disorder psychopathology.</div></div><div><h3>Conclusions</h3><div>WBI is associated significantly with greater eating-disorder psychopathology and depressive symptoms, but not BMI or weight loss, in patients seeking BCS after bariatric surgery. Group differences in WBI at 1-month and 3-month follow-ups suggest that BCS may help reduce WBI independent of BMI. Bariatric teams should be aware that higher WBI may persist for patients unable to obtain BCS.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages 1350-1356"},"PeriodicalIF":3.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056506","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":"Metabolic and bariatric surgery in adolescents compared to young adults: an MBSAQIP database analysis","authors":"Mark Shacker B.A. ,&nbsp;Stephanie D. Chao M.D. ,&nbsp;Justine O. Chinn M.D. ,&nbsp;Gillian L. Fell M.D., Ph.D. ,&nbsp;Claudia M. Mueller M.D., Ph.D. ,&nbsp;Janey S.A. Pratt M.D.","doi":"10.1016/j.soard.2025.08.010","DOIUrl":"10.1016/j.soard.2025.08.010","url":null,"abstract":"<div><h3>Background</h3><div>Metabolic and bariatric surgery (MBS) is a highly durable, safe and effective treatment for severe obesity in adults. However, MBS remains underutilized in the pediatric and adolescent population, likely due to safety concerns of elective surgery in children.</div></div><div><h3>Objectives</h3><div>We aimed to analyze whether the benefits of MBS outweigh the risks in adolescents when compared to young adults.</div></div><div><h3>Setting</h3><div>Multicenter, national database study.</div></div><div><h3>Methods</h3><div>Patients aged 10-39 who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). Patients with prior foregut surgery were excluded.</div></div><div><h3>Results</h3><div>556,628 patients were identified; 10,883 (2.0%) were aged 10-19 (adolescents), 161,938 (29.1%) were 20-29 (young adults), and 383,807 (69.0%) were 30-39 (adults). Preoperative body mass index (BMI) was clinically similar between groups, though statistically significant due to large sample size (10-19: 46, 20-29: 45, 30-39: 45 kg/m², <em>P</em> &lt; .001). SG was more common in younger cohorts (10-19: 86%, 20-29: 77%, 30-39: 75%, <em>P</em> &lt; .001). At 30 days postoperatively, adolescents demonstrated marginally greater BMI reduction (10-19: 2.91, 20-29: 2.69, 30-39: 2.53 kg/m², <em>P</em> &lt; .001). Adolescents had fewer postoperative complications, including surgical site infections, gastrointestinal bleeding, and blood transfusions (<em>P</em> &lt; .001). Among adolescents, SG (aOR: .39, CI: .31-.48, <em>P</em> &lt; .001) was associated with reduced postoperative complications.</div></div><div><h3>Conclusions</h3><div>Adolescents undergoing MBS have BMI reductions similar to those of young adults and have lower rates of complications and readmissions. MBS should be offered as a safe treatment for adolescents to treat morbid obesity with at least similar frequency as it is offered to adults.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages 1334-1341"},"PeriodicalIF":3.8,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058775","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":"Predictors of dehydration requiring outpatient intervention following bariatric surgery","authors":"Mélissa V. Wills M.D. ,&nbsp;Jack Loesch B.A. ,&nbsp;Juan S. Barajas-Gamboa M.D. ,&nbsp;Gabriela Restrepo-Rodas M.D. ,&nbsp;Pattharasai Kachornvitaya M.D. ,&nbsp;Andrew Strong M.D. ,&nbsp;Salvador Navarrete M.D. ,&nbsp;Jerry Dang M.D., Ph.D. ,&nbsp;Matthew Kroh M.D. ,&nbsp;Valentin Mocanu M.D., Ph.D.","doi":"10.1016/j.soard.2025.08.013","DOIUrl":"10.1016/j.soard.2025.08.013","url":null,"abstract":"<div><h3>Background</h3><div>Dehydration is a common cause of emergency department visits and readmissions following bariatric surgery. Despite the increasing use of outpatient rehydration therapy (ORT) to manage this complication, predictors of ORT utilization remain poorly understood.</div></div><div><h3>Objectives</h3><div>To identify independent predictors of ORT utilization following bariatric surgery and examine its relationship with same-day discharge (SDS) protocols.</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>We analyzed Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program data from 2020–2023 for adult patients who underwent primary laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass (RYGB). Multivariable logistic regression identified independent predictors of ORT utilization.</div></div><div><h3>Results</h3><div>Of 692,525 patients, 26,215 (3.8%) required ORT. These patients were younger (41.5 ± 11.3 versus 43.2 ± 11.8 years, <em>P</em> &lt; .001), had higher body mass index (45.3 ± 7.4 versus 45.1 ± 7.7 kg/m², <em>P</em> &lt; .001), and were more likely to be female (90.0% versus 81.8%, <em>P</em> &lt; .001). ORT rates were higher among RYGB versus sleeve gastrectomy patients (4.3% versus 3.6%, <em>P</em> &lt; .001). SDS patients comprised 7.5% of the cohort but 12.6% of those requiring ORT. Independent predictors of ORT included younger age (odds ratio [OR]: .86 per 10 years), female sex (OR: 1.94), SDS (OR: 2.04), Black race (OR: 1.25), and RYGB (OR: 1.19) (all <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Identifying predictors of ORT use supports effective implementation of SDS protocols through strategic resource allocation. ORT represents a cost-effective approach that enables the benefits of accelerated discharge pathways while preventing costly readmissions. These findings can help bariatric programs optimize outpatient hydration services for high-risk patients, enhancing the overall efficiency and value of care delivery.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages 1308-1315"},"PeriodicalIF":3.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093142","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}