1990;49(2):387-389. National Institute for Health and Clinical Excellence (NICE). Hepatol. Obes Surg. Laparoscopic Roux-en-Y gastric bypass for morbid obesity. The purpose of the study was to determine the safety and effectiveness of the device. These researchers summarized existing data on SILSG and checked the procedure's feasibility, technical details, safety, and, if possible, outcomes. This article was not and should not be the final word on SADI-S. Waltham, MA: UpToDate; reviewed October 2018. Dimitrokallis and colleagues (2017) noted that single-incision laparoscopic surgery has attracted a great deal of interest in the surgical community in recent years, including bariatric surgery. Am J Surg. This was a small study (n = 28) with shorter-term follow-up (12 months); its findings need to be validated by well-designed studies with larger sample size and longer follow-up. 2016;12(3):572-576. Verdam et al (2012) stated that the prevalence of obesity is increasing worldwide. The patient’s ability to lose weight prior to surgery makes surgical intervention easier and also provides an indication of the likelihood of compliance with the severe dietary restriction imposed on patients following surgery. 2010;(1):CD007340. Sovik TT, Aasheim ET, Taha O, et al. Spinos D, Skarentzos K, Esagian SM, et al. The average length of latest follow-up was 20.7 months. JAMA. Whitlock EP, O'Connor EA, Williams SB, et al. 2008;247(3):401-407. Arun et al (2007) stated that NAFLD is a chronic condition that can progress to cirrhosis and hepatocellular cancer. 2010;71(6):976-982. 16th Annual Meeting of the American Society for Bariatric Surgery. Regression analyses were performed for all follow-up weight loss data. Surg Obes Relat Dis. A total of 7 studies met inclusion criteria. In one series, symptoms resolved in 11 of 12 patients with this approach". Device-related complications occurred in 3 % of subjects. } Initial experience with endoscopic sleeve gastroplasty: Technical success and reproducibility in the bariatric population. A magnet-based system for creation of a gastrojejunostomy has published favorable findings from its pilot study. OL OL OL OL LI { This study was poorly reported, failing to discuss inclusion criteria for the trial and adverse events associated with the procedures. Diagnostic and therapeutic technology assessment. Gastroenterology. Co-morbidity resolution rate was 74.1 % for T2DM, 96.3 % for hypertension, 68.3 % for dyslipidemia, 63.3 % for OSA, and 87.5 % for GERD. After resection, 18 (94 %) patients had complete resolution of their symptoms (p < 0.001). Dramatic improvement in IIH headaches occurred by 4 months post-procedure and was maintained at 1 year, when she reached her weight plateau with a BMI of 35. No. A CRP of greater than or equal to 5 mg/dL had a sensitivity for a complication of 27 % and a specificity of 88 %. These researchers performed 22 SG to RYGB in their unit between August 2012 and April 2015 with a mean follow-up of 16 months. Late complications of bariatric surgical operations. Ann Surg. Abu Dayyeh BK, Lautz DB, Thompson CC. Laparoscopic technique for performing duodenal switch with gastric reduction. 2016;98-B(9):1160-1166. Ned Tijdschr Geneeskd. In a systematic review and meta-analysis Lee et al (2019) compared the safety and efficacy between single-anastomosis duodeno-ileal bypass (SADI) or BPD-DS versus RYGB as a revisional procedure for sleeve gastrectomy (SG). The negative predictive value (NPV) for a CRP level of less than 70 mg/L was 99.4 % overall and was 100 % and 98 % for LSG and LRYGB, respectively. Nevertheless, a 25-mm biopsy specimen without zone 3 cellular ballooning or fibrosis appears adequate to exclude the diagnosis of NASH. Among technology-based interventions, intervention components included computer- or web-based intervention modules, web-based self-monitoring, mobile phone–based text messages, smartphone applications, social networking platforms, or DVD learning (USPSTF, 2019; LeBlanc, et al., 2018). Single anastomosis duodenal switch: 1-year outcomes. Dargent J. Laparoscopic surgery in morbid obesity: Adjustable-ring gastroplasty. A total of 25 obese subjects, mean age of 48 years (range of 33 to 65) were included in this study. Systematic review and meta-analysis. A total of 4 patients (50 % female) were enrolled. There is active collaboration with multiple patient care disciplines including nutrition, anesthesiology, cardiology, pulmonary medicine, orthopedic surgery, diabetology, psychiatry, and rehabilitation medicine. The investigators analyzed data from the Scandanavian Obesity Registry on 22,327 patients undergoing primary gastric bypass from January 1, 2008, to June 30, 2012. When defining the term gastr/algia, define the suffix first. Obes Surg. Intragastric balloon for morbid obesity. Organs called gonads produce the gametes, along with the hormones that regulate human reproduction. McCullock DK. The authors concluded that SADS was a highly effective WL procedure with significant co-morbidity reduction at 1 year. Willbanks OL. Fobi MA, Lee H. SILASTIC ring vertical banded gastric bypass for the treatment of obesity: Two years of follow-up in 84 patients. Retrospective chart review was performed on 59 post-gastric bypass patients who underwent revision of gastric pouch using StomaphyX from 2007 to 2008. The overall rate of complication was 31 %; there were no mortalities. Technical issues with the device were infrequent and did not inhibit the ability to place sutures effectively. This paper aimed to assist readers in either selecting an appropriate therapy for their patient or deciding to incorporate these therapies into their practice. 2002;16(5):736-744. The DJBL was implanted endoscopically in 39 of 42 subjects (mean age of 36 +/- 10 years; 80 % female; mean weight of 109 +/- 18 kg; mean BMI of 43.7 +/- 5.9 kg/m); 24 completed 52 weeks of follow-up. The authors concluded that SADI, BPD-DS, and RYGB were safe and effective revisional surgeries for SG. London, UK: BMJ Publishing Group; May 2009. However, distension of the pouch, slippage of the band and entrapment of the foreign material by the stomach have been described and are worrisome. Mean follow-up was 56.1 ± 37.2 months for DS and 27.2 ± 18.9 months for SADI-S. Primary efficacy outcome was achieved by 22.2 % (10) with StomaphyX versus 3.4 % (1) with the sham procedure (p < 0.01). Publication of long-term safety and efficacy outcomes is still needed and is strongly encouraged, particularly with published details on SG size and common channel length. The authors concluded that the findings of this study established that AT is a safe, effective, and durable weight loss therapy in people with classes II and III obesity in a clinical setting. 2014;21(5):456-463. The mean baseline HbA1c concentration of 9.6 % indicated that this was a group of participants with relatively poorly controlled glycemia, so whether the results would be different with better controlled glycemia at baseline could not be determined. Bariatric surgery: Summary of INAHTA reviews. It is not known whether the benefits of obesity surgery in children and adolescents outweigh the increased risks. Where applicable, these investigators pooled data by meta-analyses. 2016;11(3):528-535. Data are still lacking about the longevity of these endobarriers and their outcomes once the barrier is removed". There was no statistically significant difference in outcomes such as superficial wound infection (RR 1.88; 95 % CI: 0.95 to 0.37), deep wound infection (RR 1.04; 95 % CI: 0.65 to 1.66), DVT (RR 0.57; 95 % CI: 0.13 to 2.44), PE (RR 0.51; 95 % CI: 0.03 to 8.26), revision surgery (RR 1.24; 95 % CI: 0.75 to 2.05) or mortality (RR 1.25; 95 % CI: 0.16 to 9.89) between the 2 groups. The latter were conducted due to a variety of medical reasons such as inadequate or excessive weight loss, malnutrition, and upper gastro-intestinal bleeding. Conference Report. The assessment found that open and laparoscopic RYGB induces similar amounts of weight loss. A total of 23,348 patients (657 who had undergone bariatric surgery, 22,691 who had not) were analyzed. These investigators performed a comprehensive literature search using the following databases: MEDLINE, EMBASE, PubMed, Scopus, Web of Sciences, and the Cochrane Library. Surve et al (2020b) stated that the long-term effectiveness of RYGB and SADI-S is unknown. Grover and Kothari (2015) stated that patient satisfaction with primary anti-reflux surgery is high, but a small percentage of patients experience recurrent reflux and dysphagia, requiring re-operation. Fasting is defined as no caloric intake for at least 8 hours, 2-hour plasma glucose (PG) >200 mg/dL (11.1 mmol/L) during an oral glucose tolerance test (OGTT). They carried out a comprehensive literature review through October 2016 to identify English studies on SADIS performed in human subjects. The authors concluded that as a modified bariatric procedure, SADIS has promising outcomes for weight loss and co-morbidity resolution in morbidly obese patients. Howard L, Malone M, Michalek A, et al. Gastric bypass had more serious AEs than did the lifestyle-medical management intervention, 66 events versus 38 events, most frequently GIl events and surgical complications such as strictures, small bowel obstructions, and leaks. Please check benefit plan descriptions for details. The authors concluded that surgery was very effective short-term in patients with T2DM and BMI 30 to 35. No mortality was reported in these studies and the rate of major complications requiring re-operation ranged from 0 % to 15.4 % (average of 3.7 %). Obesity as a risk factor after combined pancreas/kidney transplantation. Outcomes of interest were technical considerations, post-operative complications, weight loss outcome, co-morbidity resolution rate, and nutritional deficiency after SADIS. Our complete medical terminology list will help you learn some of the most common anatomical and surgical terms by looking at prefixes, suffixes, and roots. However, the sensitivity analysis using E-value methodology (relative risk) indicated that the observed 5-year HR of 0.60 for incident macrovascular disease could only be explained by an unmeasured confounder that was associated with both receipt of bariatric surgery and risk of macrovascular disease by a risk ratio of more than 2.72 above and beyond that of the confounders that were measured in this study (upper confidence bound, 1.60). Melissas J, Christodoulakis M, Spyridakis M, et al. Shoar S, Poliakin L, ubenstein R, Saber AA. Ellsmere JC. Influence of pouch and stoma size on weight loss after gastric bypass. Fobi, is a modification of gastric bypass surgery. Of 120 participants who were initially randomized (mean age, 49 years [SD, 8 years], 72 women [60 %]), 98 (82 %) completed 5 years of follow-up. Health Technology Inquiry Service (HTIS). 1999;53(6):467-471. The authors concluded that SILSG was safe and feasible. Reflux was the most common indication for revision and was often associated with a hiatal hernia. 1991;1:403-408. The authors concluded that laparoscopic adjustable gastric banded plication provides both restrictive and reductive effects and is reversible. These BMI thresholds should be reduced by 2.5 kg/m(2) for Asian patients. 1998;91(12):1143-1148. Decision memo for bariatric surgery for the treatment of morbid obesity (CAG-00250R). Waltham, MA: UpToDate; reviewed November 2015. Despite these impressive metabolic results, concerns remain about acute post-operative complications including need for re-operations and re-hospitalizations and rare, but potentially severe, adverse events; the long-term success rates in maintaining weight loss; and the reproducibility of the results in patients with an extensive history of diabetes or with a different surgical team. The medicine use and quality of life were solely improved in the surgical group. The 30-day emergency room (ER) visit, re-admission, and re-operation rates were 0.4 %, 1.1 %, and 1.1 %, respectively. After institutional review board approval, 2 methods were used to achieve laparoscopic gastric volume reduction. Obes Surg. Casillas and associates (2016) evaluated the indications and outcomes of revision of SG to laparoscopic RYGB (LRYGB) at a single community hospital. Tice JA. Does bariatric surgery prior to total hip or knee arthroplasty reduce post-operative complications and improve clinical outcomes for obese patients? The authors recommended routine liver biopsy during bariatric operations to determine the prevalence and natural history of NASH, which will have important implications in directing future therapeutics for obese patients with NASH and for patients undergoing bariatric procedures. The authors concluded that VBLOC was safe in obese DM2 subjects and associated with meaningful weight loss, early and sustained improvements in HbA1c, and reductions in BP in hypertensive DM2 subjects. Recent data demonstrate that surgeons are moving from simple gastroplasty procedures, favoring the more complex gastric bypass procedures as the surgical treatment of choice for the severely obese patient. The device does not change or alter the stomach’s natural anatomy. Complications were noted in 9.1 % of the patients. Furthermore, the percentage of patients with DM2 has increased over the last 5 to 10 years because more patients considered their diabetes to be a more significant health problem than obesity itself. Bariatric surgery for the treatment of idiopathic intracranial hypertension. Bumgardner GL, Henry ML, Elkhammas E, et al. Available at: http://www.ccohta.com. Electrodes were implanted laparoscopically on both vagi near the esophago-gastric junction to provide electrical block. Baltasar A, Bou R, Miro J, et al. Surg Obes Relat Dis. Picot J, Jones J, Colquitt JL, et al. San Francisco, CA: CTAF; October 13, 2010. Choban PS, Heckler R, Burge JC, Flancbaum L. Increased incidence of nosocomial infections in obese surgical patients. The author reported that the StomaphyX procedures lasted approximately 30 mins, were performed without any complications, and resulted in the resolution of the gastric leaks in both patients. Nguyen NT, Ho HS, Palmer LS, et al. Adjustable or non-adjustable banding (n = 61), vertical banded gastroplasty (n = 227), or gastric bypass (n = 55) procedures were performed in the surgery group, and usual obesity and diabetes care was provided to the control group. Rockville, MD: Agency for Healthcare Research and Quality (AHRQ); September 2008. Surgical treatment of severe obesity with a low-pressure adjustable gastric band: Experimental data and clinical results in 625 patients. The authors concluded that the results demonstrate that significant sampling variability exists in class 2 and 3 obese individuals undergoing screening liver biopsies for NAFLD. 2014;10(5):952-972. Building on this wealth of experience and the already vast storage of practical knowledge, awareness of this under-estimated complication after RYGB should be raised. The authors concluded that bariatric surgery patients with elevated post-operative CRP levels were at increased risk for 30-day complications. They stated that further prospective randomized studies with control groups and a larger number of participants are lacking within the published studies to date. Kallies and Rogers (2020) provided an updated statement on single-anastomosis duodenal switch by the American Society for Metabolic and Bariatric Surgery (ASMBS) in response to numerous inquiries made to the Society by patients, physicians, society members, hospitals, and others regarding single-anastomosis duodenal switch as a treatment for obesity and metabolic disease. Weiner R, Bockhorn H, Rosenthal R, et al. AETMIS 05-04 RE. Ann Surg. Prospective data on patients undergoing Roux-en-Y gastric bypass (RYGBP) was analyzed. Fobi MA, Lee H. The surgical technique of the Fobi-Pouch operation for obesity (the transected silastic vertical gastric bypass). , Santolaya J. obesity as a single stage bariatric procedure, it is often the first 2 GERD patients or... Database identifying SG operations done from February 2009 to June 2014, 2013 underwent LRYGB SADI-S was over. 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