Surgery for Obesity and Related Diseases最新文献

{"title":"Modified bariatric frailty score to predict postoperative outcomes in elderly patients following sleeve gastrectomy and Roux-en-Y gastric bypass","authors":"Raul Sebastian M.D. ,&nbsp;Alba Zevallos M.D. ,&nbsp;Oscar Tuesta M.D. ,&nbsp;Adrian Riva M.D. ,&nbsp;Jorge Cornejo M.D. ,&nbsp;Tarek Hassab M.D. ,&nbsp;Gina Adrales M.D., M.P.H. ,&nbsp;Christina Li M.D. ,&nbsp;Michael Schweitzer M.D.","doi":"10.1016/j.soard.2025.10.002","DOIUrl":"10.1016/j.soard.2025.10.002","url":null,"abstract":"<div><h3>Background</h3><div>Elderly patients undergo bariatric surgery less frequently than younger patients due to several factors such as increased complication risk. Obesity exacerbates frailty among elderly patients through sarcopenia and metabolic dysfunction. Therefore, specific preoperative risk assessment in elderly patients is crucial.</div></div><div><h3>Objectives</h3><div>We created the modified Bariatric Frailty Score (mBFS) and compared the 30-day outcomes between low versus high mBFS in elderly patients after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB).</div></div><div><h3>Setting</h3><div>2015–2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database.</div></div><div><h3>Methods</h3><div>Patients aged ≥ 60 years who underwent SG and RYGB were included. 14 variables of the Canadian Study of Health and Aging-Frailty Index were mapped onto 9 variables of Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (each component equals 1 point). Correlations and multivariate logistical regression analysis were performed between mBFS and 7 postoperative outcomes (nonhome discharge, mortality, prolonged hospital stay, intensive care unit admissions, cardiac complications, pulmonary complications, and renal complications). Finally, a propensity score matching between low mBFS (0–4) and high mBFS (5–9) was performed for SG and RYGB.</div></div><div><h3>Results</h3><div>A total of 90,239 and 40,272 patients were included for SG and RYGB, respectively. The increasing mBFS was strongly correlated with linear regression. In the multivariate analysis, scores of 5, 6, 7, and 8 strongly predicted the 7 postoperative outcomes of interest. After the propensity score matching, the matched cohorts for SG and RYGB were 3337 and 1655, respectively. A high mBFS (5–9) was associated with an increased rate of postoperative complications in the SG and RYGB groups.</div></div><div><h3>Conclusions</h3><div>Our mBFS is a better predictor of nonhome discharge, prolonged hospital stays, 30-day mortality, unplanned intensive care unit admissions, and cardiac, pulmonary, and renal complications than the American Society of Anesthesiologists score of III, American Society of Anesthesiologists score of IV–V, renal insufficiency, or smoker status. Our study validated the cumulative deficit theory in elderly bariatric surgery patients.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 2","pages":"Pages 206-218"},"PeriodicalIF":3.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145447014","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":"Erratum to ‘Virtual care ending the stigma of obesity: insights from surgical and nonsurgical patients’ [Surgery for obesity and related diseases 21/6S (2025) pages S144-S145]","authors":"Robin McDermott,&nbsp;Laure DeMattia Do DABFM, DABOM,&nbsp;Rachel Fehl MSN, RN, FNP-C, CHC,&nbsp;Payal Sharma DNP, MSN, RN, FNP-BC, CBN","doi":"10.1016/j.soard.2025.08.001","DOIUrl":"10.1016/j.soard.2025.08.001","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Page 1371"},"PeriodicalIF":3.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145532632","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: from disability to productivity: the impact of metabolic and bariatric surgery on return to work","authors":"Mélissa V. Wills MD,&nbsp;Matthew Kroh MD","doi":"10.1016/j.soard.2025.09.002","DOIUrl":"10.1016/j.soard.2025.09.002","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 12","pages":"Pages e37-e38"},"PeriodicalIF":3.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282451","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 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.,&nbsp;Thomas H. Shin M.D., Ph.D.,&nbsp;Jerry T. Dang M.D., Ph.D.,&nbsp;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,&nbsp;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}