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Effect of Sarcopenic Obesity on Weight Loss Outcomes and Quality of Life after Laparoscopic Sleeve Gastrectomy: A Retrospective Cohort Study Obes. Surg. (IF 2.9) Pub Date : 2024-03-15
Abstract Background Sarcopenic obesity may affect the health outcome of people with obesity after laparoscopic sleeve gastrectomy (LSG). To assess the impact of sarcopenic obesity (SO) on weight loss outcomes and improvement of quality of life after LSG. Materials and Methods This observational study included patients who underwent LSG with SO (99 patients) or without SO (146 patients) from a single
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Overview of the Last 71 Years of Metabolic and Bariatric Surgery: Content Analysis and Meta-analysis to Investigate the Topic and Scientific Evolution Obes. Surg. (IF 2.9) Pub Date : 2024-03-15 Erica L. Corrêa, Luís F. P. Cotian, Jordam W. Lourenço, Caroline M. Lopes, Deborah R. Carvalho, Rodrigo Strobel, Osiris C. Junior, Kamyla M. Strobel, Jones L. Schaefer, Elpídio O. B. Nara
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Midterm Outcome of Early Pregnancy Versus Late Pregnancy After Laparoscopic Sleeve Gastrectomy Obes. Surg. (IF 2.9) Pub Date : 2024-03-14 Awadh Alqahtani, Mohammad Almayouf, Amina Butt, Mohammed A. Bawahab, Srikar Billa, Beenish Maqsood, Ashley Vergis
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Incidence of Post-operative Gastro-esophageal Reflux Disorder in Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Systematic Review and Meta-analysis Obes. Surg. (IF 2.9) Pub Date : 2024-03-14 Ander Bengoechea Trujillo, Drishti Sagar, Amoolya Rao Amaravadhi, Devika Muraleedharan, Muhammad Zauraiz Malik, Kofi Effa-Ababio, Mugisha Nsengiyumva, Tadele Tesfaye, Maciej Walędziak, Anna Różańska-Walędziak
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Acceptability and Feasibility of the Telehealth Bariatric Behavioral Intervention to Increase Physical Activity Before Bariatric Surgery: A Single-Case Experimental Study (Part I) Obes. Surg. (IF 2.9) Pub Date : 2024-03-14 Aurélie Baillot, Marine Asselin, Paquito Bernard, Josyanne Lapointe, Dale S. Bond, Ahmed Jérôme Romain, Pierre Y. Garneau, Laurent Biertho, André Tchernof, Patricia Blackburn, Marie-France Langlois, Jennifer Brunet
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Improvement in Pulmonary Hypertension Following Metabolic and Bariatric Surgery: a Brief Review and Meta-analysis Obes. Surg. (IF 2.9) Pub Date : 2024-03-13
Abstract We reviewed the available evidence on the outcome of metabolic and bariatric surgery (MBS) in patients with pulmonary hypertension (PH). Five studies examining 174 patients were included; the mean age was 54.5 ± 9.27 years; the mean BMI before surgery and at the end of follow-up were 47.2 ± 5.95 kg/m2 and 37.4 ± 2.51 kg/m2, respectively. Furthermore, the results showed a significant decrease
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Nomogram for Predicting Remission of Metabolic Syndrome 1 Year after Sleeve Gastrectomy Surgery in Chinese Patients with Obesity Obes. Surg. (IF 2.9) Pub Date : 2024-03-13 Yunhui Pan, Xiaodong Han, Yinfang Tu, Pin Zhang, Haoyong Yu, Yuqian Bao
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Indications and Coverage of Metabolic and Bariatric Surgery: A Worldwide IFSO Survey Comparing Different National Guidelines Obes. Surg. (IF 2.9) Pub Date : 2024-03-13
Abstract Introduction Knowing how metabolic and bariatric surgery (MBS) is indicated in different countries is essential information for the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Aim To analyze the indications for MBS recommended by each of the national societies that comprise the IFSO and how MBS is financed in their countries. Methods All IFSO societies
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Impact of Sleeve Gastrectomy on Menstrual Irregularity: a Meta-regression Analysis Obes. Surg. (IF 2.9) Pub Date : 2024-03-12 Kuo-Chuan Hung, Li-Chen Chang, Pei-Han Fu, I-Wen Chen
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The Impact of Preoperative Dexamethasone Administration on Quality of Recovery Following Laparoscopic Sleeve Gastrectomy: A Prospective Observational Study Obes. Surg. (IF 2.9) Pub Date : 2024-03-12 Mehmet Gokhan Taflan, Yasemin Burcu Ustun, Esra Turunc, Cengiz Kaya, Burhan Dost, Sezgin Bilgin, Emine Ozdemir, Gokhan Selcuk Ozbalci
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Frequency of Clinically Significant Findings in the Surgical Pathology Specimen Following Laparoscopic Sleeve Gastrectomy and Concordance with Preoperative Endoscopy: Insights from a Large Single-Center Experience Obes. Surg. (IF 2.9) Pub Date : 2024-03-12 Christopher K. Owen, Melissa M. Felinski, Kulvinder S. Bajwa, Peter A. Walker, Sheilendra S. Mehta, Erik B. Wilson, Stefanie Boodoo, Vishal Kudav, Shaan J. Akhtar, Shinil K. Shah, M. Elaine Kling
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Patient Complications and Device Issues Associated With FDA-Approved Intragastric Balloons Available in the USA: A Maude Database Study Obes. Surg. (IF 2.9) Pub Date : 2024-03-11 Morgan C. Goodman, Patrick Chang, William Minteer, Denis Nguyen, Kalpana Gopalkrishnan, Jennifer Phan
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Pregnancy After Bariatric Surgery—Experience from a Tertiary Center Obes. Surg. (IF 2.9) Pub Date : 2024-03-11 Helena Urbano Ferreira, Madalena von Hafe, Helena Dias, Juliana Gonçalves, Sandra Belo, Joana Queirós
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Developing a Decision Aid for Clinical Obesity Services in the Real World: the DACOS Nationwide Pilot Study Obes. Surg. (IF 2.9) Pub Date : 2024-03-11 Evan Atlantis, Nic Kormas, Milan Piya, Mehdi Sahebol-Amri, Kathryn Williams, Hsin-Chia Carol Huang, Ramy Bishay, Viral Chikani, Teresa Girolamo, Ante Prodan, Paul Fahey
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Vitamin D and the Metabolic Phenotype in Weight Loss After Bariatric Surgery: A Longitudinal Study Obes. Surg. (IF 2.9) Pub Date : 2024-03-08 Suelem Pereira da Cruz, Sabrina Pereira da Cruz, Silvia Pereira, Carlos Saboya, Andréa Ramalho
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Obstructive Sleep Apnea: The Effect of Bariatric Surgery After Five Years—A Prospective Multicenter Trial Obes. Surg. (IF 2.9) Pub Date : 2024-03-08 Pipsa Peromaa-Haavisto, Markku Luostarinen, Risto Juusela, Henri Tuomilehto, Jyrki Kössi
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Laparoscopic One Anastomosis Gastric Bypass for Class 3 Obesity in Patient with Situs Inversus Totalis Obes. Surg. (IF 2.9) Pub Date : 2024-03-07 Hadar Aboody Nevo, Mohamad Hamoud, Wail Khuri, Shams-Eldin Mokary, Samih Zoabi, Nasser Sakran
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Asia’s Growing Contribution to Obesity Surgery Research: A 40-year Bibliometric Analysis Obes. Surg. (IF 2.9) Pub Date : 2024-03-07 Ziyun Liu, Haiqin Wang, Dazhi Fan, Tingting Xu, Fuzhen Wan, Qing Xia
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Assessing the Impact of Bariatric Surgery on Retinol-Binding Protein 4 (RBP4): A Systematic Review and Meta-Analysis Obes. Surg. (IF 2.9) Pub Date : 2024-03-07
Abstract This study aimed to analyze changes in retinol-binding protein 4 (RBP4) levels before and after bariatric surgery in obese individuals. Bariatric surgery is a safe and effective treatment for morbid obesity, impacting molecules like RBP4. A systematic review and meta-analysis of 12 relevant studies were conducted, utilizing databases such as PubMed, Cochrane Central, Web of Science, and Scopus
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Success Predictors of Endoscopic Sleeve Gastroplasty Obes. Surg. (IF 2.9) Pub Date : 2024-03-07 Maria Valeria Matteo, Vincenzo Bove, Gabriele Ciasca, Giorgio Carlino, Riccardo Di Santo, Laila Vinti, Giulia Polidori, Valerio Pontecorvi, Massimiliano Papi, Cristiano Spada, Ivo Boškoski
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Obituary for Ken Loi (7/7/69–28/10/23) Obes. Surg. (IF 2.9) Pub Date : 2024-03-06 Lilian Kow, Mark Magdy
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Effect of Corrective Exercise on Static Balance, Food Consumption, and Body Composition in the Early Period After Bariatric Surgery Obes. Surg. (IF 2.9) Pub Date : 2024-03-06
Abstract Purpose To determine the impact of corrective exercise program applied during the period of rapid weight loss following bariatric surgery on static balance, dietary intake, and body composition. Materials and Methods Participants who had undergone Sleeve Gastrectomy (SG) surgery were divided into as Corrective Exercise Group (CEG), and Control Group (CG). CEG underwent a 12-week supervised
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Weight Loss After Weight-Loss Surgery: The Mediating Role of Dichotomous Thinking Obes. Surg. (IF 2.9) Pub Date : 2024-03-05 Chloe Marshall, Robert Reay, Alan R. Bowman
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IFSO Worldwide Survey 2020–2021: Current Trends for Bariatric and Metabolic Procedures Obes. Surg. (IF 2.9) Pub Date : 2024-03-04
Abstract Purpose This IFSO survey aims to describe the current trends of metabolic and bariatric surgery (MBS) reporting on the number and types of surgical and endoluminal procedures performed in 2020 and 2021, in the world and within each IFSO chapter. Methods All national societies belonging to IFSO were asked to complete the survey form. The number and types of procedures performed (surgical and
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Economic Evaluations of Anti-obesity Interventions in Obese Adults: An Umbrella Review Obes. Surg. (IF 2.9) Pub Date : 2024-03-04 Faezeh Valaei Sharif, Nazila Yousefi, Zahra Sharif
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Efficacy and Safety of Bariatric Surgery in Dutch People Living with HIV: a Retrospective Matched Cohort Analysis Obes. Surg. (IF 2.9) Pub Date : 2024-03-04 Leena Zino, Rou Qing Chen, Laura Deden, Eric Hazebroek, Olivier Richel, Angela Colbers, David M Burger
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Adjuvant Glucose-Like Peptide 1 Receptor Agonist Therapy for Suboptimal Weight Loss After Bariatric Surgery: a Systematic Review Obes. Surg. (IF 2.9) Pub Date : 2024-03-04
Abstract Addressing suboptimal weight loss post-bariatric surgery poses a challenge. While glucagon-like peptide 1 receptor agonists (GLP1-RA) show promise in managing obesity, their role as an adjuvant treatment after bariatric surgery remains uncertain. We conducted a systematic literature review focused on the efficacy and safety of GLP1-RA in bariatric surgery patients with insufficient weight
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Metabolic Recovery with the Persistence of Proinflammatory Leucocyte Dysfunction After Bariatric Intervention for Obesity Obes. Surg. (IF 2.9) Pub Date : 2024-03-04 Arturo Cérbulo-Vázquez, Libier Cabrera-Rivera, Ismael Mancilla-Herrera, Denisse Castro-Eguiluz, Francisco J. Sánchez-García, Eduardo A. Ferat-Osorio, Lourdes A. Arriaga-Pizano
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Bariatric Surgery and New-Onset Substance Use Disorders: A Systematic review and Meta-analysis Obes. Surg. (IF 2.9) Pub Date : 2024-03-02 Silvia Martinelli, Niccolò Petrucciani, Luca Regazzi, Maria Rosaria Gualano
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The impact of Aprepitant on Nausea and Vomiting following Laparoscopic Sleeve Gastrectomy: A Blinded Randomized Controlled Trial Obes. Surg. (IF 2.9) Pub Date : 2024-03-02
Abstract Introduction Laparoscopic sleeve gastrectomy (LSG) is associated with postoperative nausea and vomiting (PONV). We aimed to compare the effects of aprepitant on the incidence of PONV after LSG. Methods In this double-blind, randomized controlled trial, the case group received the standard care regimen for PONV (dexamethasone 10 mg, ondansetron 4 mg, and metoclopramide 10 mg) plus prophylactic
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Semaglutide and Tirzepatide for the Management of Weight Recurrence After Sleeve Gastrectomy: A Retrospective Cohort Study Obes. Surg. (IF 2.9) Pub Date : 2024-03-02 Mohammad Jamal, Mohsen Alhashemi, Carol Dsouza, Sara Al-hassani, Wafa Qasem, Sulaiman Almazeedi, Salman Al-Sabah
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Mid-Term Diabetes Remission Outcome in Patients with BMI ≤ 30 kg/m2 Following Sleeve Gastrectomy Obes. Surg. (IF 2.9) Pub Date : 2024-02-26 Jian Wang, Yuxiao Chu, Jian Hong, Xiaocheng Zhu, Jason Widjaja, Libin Yao
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Experiences and Outcomes of Indigenous Patients Undergoing Bariatric Surgery: a Mixed-Method Scoping Review Obes. Surg. (IF 2.9) Pub Date : 2024-02-24 Marta Whyte, Felicia Daeninck, Janice Linton, Melinda Fowler-Woods, Amanda Fowler-Woods, Geraldine Shingoose, Ashley Vergis, Wenjing He, Krista Hardy
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Effects of Preoperative Quadruple Therapy for Helicobacter pylori on Bariatric Surgery Metabolic Outcomes Obes. Surg. (IF 2.9) Pub Date : 2024-02-24 Albert Goday, Andrea Bagán, Anna Casajoana, Carme Serra, Manuel Pera, Montserrat Villatoro, Teresa Legido, Helena Julià, Elisenda Climent, Olga Castañer, Juana A Flores Le Roux, Miguel Olano, Juan Pedro-Botet, David Benaiges
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A New Procedure-Based Assessment of Operative Skills in Gastric Bypass Surgery, Evaluated by Video Fragment Rating Obes. Surg. (IF 2.9) Pub Date : 2024-02-24 Mirjam A. Kaijser, Gabrielle H. van Ramshorst, Bart A. van Wagensveld, Nic J. G. M. Veeger, Jean-Pierre E. N. Pierie
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The Management of Biliary Disease in Patients with Severe Obesity Undergoing Metabolic and Bariatric Surgery—An International Expert Survey Obes. Surg. (IF 2.9) Pub Date : 2024-02-24 Mohammad Kermansaravi, Scott Shikora, Bruno Dillemans, Marina Kurian, Teresa LaMasters, Ramon Vilallonga, Gerhard Prager, Sonja Chiappetta
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Long-Term Protective Effects and Mechanisms of Gastric Bypass Surgery on the Kidneys in Hypertensive Obese Rat Obes. Surg. (IF 2.9) Pub Date : 2024-02-23 Yuan Zhang, Xiangxin Kong, Ke Song, Ming He, Yin Xian, Xing Xie, Junming Cheng, Rubing Bai, Yixing Ren
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Correlation of T2DM and Anthropometric Measures with Total Small Bowel Length and Its Effects on Diabetes Remission After Bariatric Surgery Obes. Surg. (IF 2.9) Pub Date : 2024-02-23 Zhiya Liu, Zhilian Huang, Yu Zhang, Lilian Gao, Ying Yang, Xiaomei Chen, Wane Zhao, Linlin Ma, Yanwen Wang, Zhiyong Dong, Cunchuan Wang, Yuxiu Qian, Wah Yang
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Convincing 10-Year Follow-up Results of the Banded Roux-en-Y Gastric Bypass Obes. Surg. (IF 2.9) Pub Date : 2024-02-23 Marijn T. F. Jense, Nina Meuwissen, Abdelrahman M. Galal, Evelien De Witte, Sofie Fransen, Pieter P. H. L. Broos, Jan Willem M. Greve, Evert-Jan G. Boerma
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Analysis of 16s rRNA Gene Sequencing in Feces: The Impact of Bariatric Surgery on the Gut Microbiota in Patients with Obesity Obes. Surg. (IF 2.9) Pub Date : 2024-02-22 Lijun Zhang, Xiaolei Cheng, Lianli Xia, Na Liu, Liyin Liu, Shujuan Liu, Shaojia Wang, Jianhui Yin
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Factors Associated with Statin Discontinuation Following Metabolic and Bariatric Surgery: A Retrospective Analysis of 2012–2021 Electronic Medical Records Network Data Obes. Surg. (IF 2.9) Pub Date : 2024-02-22 Abdulrahman A Alsuhibani, Omar A Al-Obeed, Patricia R. Wigle, Mohammed M. Alsultan, Jeff J Guo, Alex C. Lin, Marepalli B Rao, Ana L. Hincapie
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Sleeve Gastrectomy Reduces the Need for Liver Transplantation in Patients with Obesity and Non-Alcoholic Steatohepatitis: a Predictive Model Obes. Surg. (IF 2.9) Pub Date : 2024-02-20 Armaun D. Rouhi, Rose E. Castle, Gerard D. Hoeltzel, Noel N. Williams, Kristoffel R. Dumon, Maria Baimas-George, Michael Wachs, Trevor L. Nydam, Rashikh A. Choudhury
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A Scoping Review: Bariatric Providers’ Knowledge and Behaviors Related to Contraceptive Counseling Obes. Surg. (IF 2.9) Pub Date : 2024-02-20 Sameeha Shaikh, Kiana Cruz, Antonia F. Oladipo, Melissa M. Figueroa
Bariatric surgery is a common treatment for obesity, and about half of patients undergoing these procedures are patients of reproductive age. Following bariatric procedures, rapid weight loss and an increase in fertility occur. Guidelines recommend pregnancy delay for 12–24 months postoperatively. It is important that patients capable of pregnancy undergoing bariatric procedures receive preoperative
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Smoking Is Correlated to Internal Hernia After Gastric Bypass Surgery: a Post hoc Analysis of Data from a Randomized Clinical Trial Obes. Surg. (IF 2.9) Pub Date : 2024-02-20 Marlene F. Bossen, Johanne Gormsen, Sara D. Kristensen, Frederik Helgstrand
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A Simple Way to Estimate a Difficult Sleeve Gastrectomy Prior to Operating Obes. Surg. (IF 2.9) Pub Date : 2024-02-19 Yalcin Burak Kara, Halil Buluc, Mehmet Elgezen, Edanur Yildiz, Samet Yardimci
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The Effects of Sleeve Gastrectomy on the Appetitive Domain of Taste Using the Progressive Ratio Task Obes. Surg. (IF 2.9) Pub Date : 2024-02-19 Noura K. Althukair, Ghalia N. Abdeen, Carel W. le Roux, Alex D. Miras, Aayed R. Alqahtani
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Transferrin Saturation, Serum Ferritin, and C-Reactive Protein vs. Serum Ferritin for an optimal Iron Deficiency Diagnosis in Candidates for Bariatric Surgery Obes. Surg. (IF 2.9) Pub Date : 2024-02-17 M. Patricia Sánchez Muñoz, Zuleyma P. Bello Ramirez, Eduardo L. Martínez Rodriguez, José D. Reyes Blandón, Soledad Aldana Aguiñaga, César A. Ortiz Orozco, Allison R. Esparza Yáñez
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A Prospective Multicenter Standard of Care Study of Outpatient Laparoscopic Sleeve Gastrectomy Obes. Surg. (IF 2.9) Pub Date : 2024-02-17 Amit Surve, Daniel Cottam, Aurora Pryor, Samuel Cottam, Robert Michaelson, Thomas Umbach, Michael Williams, Hossein Bagshahi, Laura July, Racquel Bueno, Devorah Chock, Matthew Apel, Christopher Hart, William Johnson, Brendon Curtis, Amy Rosenbluth, Konstantinos Spaniolas, Walter Medlin, Whitney Wright, Ciara Lee, Christy Lee, Rachael Trujeque, Deborah Rinker
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Single Anastomosis Duodeno-Ileal bypass (SADI-S) as Primary or Two-Stage Surgery: Mid-Term Outcomes of a Single Canadian Bariatric Center Obes. Surg. (IF 2.9) Pub Date : 2024-02-16 Alexis Deffain, Ronald Denis, Radu Pescarus, Pierre Y. Garneau, Henri Atlas, Anne-Sophie Studer
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Characterization of Early Small Bowel Obstructions Following Elective Bariatric Surgery Obes. Surg. (IF 2.9) Pub Date : 2024-02-16 Cheynne McLean, Valentin Mocanu, Daniel W. Birch, Shahzeer Karmali, Noah J. Switzer
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Impact of Bariatric Surgery on Circulating Metabolites and Cognitive Performance Obes. Surg. (IF 2.9) Pub Date : 2024-02-16 Jessica M. V. Pino, Vitória F. Silva, Raquel M. S. Campos, Marcos Mônico-Neto, Kaique A. de Araujo, Danielle C. Seva, Melissa Y. Kato, Thales D. Galvão, Lia R. A. Bitterncourt, Sergio Tufik, Kil S. Lee
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The Impact of Helicobacter pylori on Laparoscopic Sleeve Gastrectomy Postoperative Complications: Insights and Limitations Obes. Surg. (IF 2.9) Pub Date : 2024-02-15 I-Wen Chen, Chia-Li Kao, Kuo-Chuan Hung
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Marginal Ulcer Incidence and the Population of Gastrin Producing G cells Retained in the Gastric Pouch after Roux-en-Y Gastric Bypass: Is There a Relationship? Obes. Surg. (IF 2.9) Pub Date : 2024-02-14 Luiz H. Capaverde, Eduardo N. Trindade, Carine Leite, Carlos T. S. Cerski, Manoel R. M. Trindade
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Safety and Efficacy of LSG Versus LRYGB on Patients with Obesity: a Systematic Review and Meta-analysis from RCTs Obes. Surg. (IF 2.9) Pub Date : 2024-02-14 Shadike Apaer, Zulifeiye Aizezi, Xinling Cao, Jing Wu, Yunfei Zhang, Adudusalamu Tuersunmaimaiti, Jinming Zhao, Tao Li, Wah Yang, Tuerhongjiang Tuxun
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Perforated Ischemic Ulcer at the Jejuno-Jejunal Anastomosis 9 Years Post-laparoscopic Roux-en-Y Gastric Bypass—a Case Report Obes. Surg. (IF 2.9) Pub Date : 2024-02-13 Osama A. Elhardello, Mohammad N. Athamnah, Gaber H. ElSeify
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Bariatric Surgery Improves Cognition Function in the Patients with Obesity: A Meta-Analysis Obes. Surg. (IF 2.9) Pub Date : 2024-02-12 Boyu Tao, Peirong Tian, Zhen Hao, Zitian Qi, Jingyu Zhang, Jia Liu, Jingli Liu, Mengyi Li, Zhongtao Zhang, Peng Zhang
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Empowering Pacific Patients on the Weight Loss Surgery Pathway: A Co-designed Evaluation Study Obes. Surg. (IF 2.9) Pub Date : 2024-02-12 Tamasin Ariana Taylor, Grant Beban, Elaine Yi, Michael Veukiso, Genevieve Sang-Yum, Ofa Dewes, Wendy Wrapson, Nalei Taufa, Andrew R. T. Campbell, Richard J. Siegert, Peter Shepherd
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Surgical Aspects of Sleeve Gastrectomy Are Related to Weight Loss and Gastro-esophageal Reflux Symptoms Obes. Surg. (IF 2.9) Pub Date : 2024-02-08 Hannu S. Lyyjynen, John R. Andersen, Ronald S. L. Liem, Tom Mala, Simon W. Nienhuijs, Johan Ottosson, Magnus Sundbom, Anders Thorell, Villy Våge
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Variation in HbA1c in Patients with Obesity and type 2 Diabetes Mellitus 12 months after Laparoscopic One-Anastomosis Gastric Bypass and Laparoscopic Roux-en-Y Gastric Bypass: a Retrospective Matched Cohort Study Obes. Surg. (IF 2.9) Pub Date : 2024-02-06
Abstract Background Glycemic control is an important goal of bariatric surgery in patients with type 2 diabetes mellitus (T2DM) and obesity. The laparoscopic one-anastomosis gastric bypass (OAGB) has potential metabolic benefits over the laparoscopic Roux-en-Y gastric bypass (RYGB). Aim of this study is to examine whether RYGB or OAGB grants better glycemic control 12 months post-surgery. Methods For
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Nissen Sleeve as a Redo Surgery Post Gastric Banding for Non-responders to Weight Loss and Therapy-Resistant Reflux Obes. Surg. (IF 2.9) Pub Date : 2024-02-03
Abstract Roux-en-Y gastric bypass (LRYGB) would be the procedure of choice for non-responders of weight loss and patients with reflux symptoms (GERD). However, not every patient is a candidate for RYGB, and sometimes, the patient can insist only on alternatives other than malabsorption procedures, as was the case with our patient. We report a case with symptomatic GERD who underwent a successful Nissen