keyword
https://read.qxmd.com/read/38515282/laparoscopic-sleeve-gastrectomy-combined-with-toupet-fundoplication-t-sleeve-a-short-report-of-a-japanese-obesity-patient-with-gastroesophageal-reflux-disease
#1
JOURNAL ARTICLE
Kohei Uno, Takahiro Masuda, Atsushi Watanabe, Kazuhide Sato, Naoko Fukushima, Yoshitaka Ishikawa, Keita Takahashi, Yoshihiro Shirai, Koichiro Haruki, Masami Yuda, Muneharu Fujisaki, Yuichiro Tanishima, Fumiaki Yano, Ken Eto
Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed procedure in bariatric-metabolic surgery (BMS) worldwide, accounting for approximately 90% of BMS procedures in Japan. While numerous studies have reported on the safety and efficacy of LSG, gastroesophageal reflux disease (GERD) remains a major postoperative complication. Although Roux-en-Y gastric bypass (RYGB) is preferred for severe obesity with GERD, it is less suitable for Japanese patients who have a higher risk of gastric cancer due to the remnant stomach which is difficult to observe with esophago-gastro-duodenoscopy...
April 2024: Asian Journal of Endoscopic Surgery
https://read.qxmd.com/read/38503559/from-adjustable-gastric-banding-to-roux-en-y-gastric-bypass-case-report
#2
JOURNAL ARTICLE
E Koblihová, M Kasalický, J Pažin, K Havlová, R Pohnán
INTRODUCTION: Adjustable gastric banding (AGB) used to be a popular bariatric procedure. However, it fails in more than half of those operated on in the long term, becomes ineffective and must be removed. Therefore, the use of AGB has been in decline globally. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most used bariatric revision surgeries when AGB is removed. CASE REPORT: We present the case of a woman after AGB removal and conversion to SG who developed a stenosis of the sleeve...
2024: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/38451369/success-predictors-of-endoscopic-sleeve-gastroplasty
#3
JOURNAL ARTICLE
Maria Valeria Matteo, Vincenzo Bove, Gabriele Ciasca, Giorgio Carlino, Riccardo Di Santo, Laila Vinti, Giulia Polidori, Valerio Pontecorvi, Massimiliano Papi, Cristiano Spada, Ivo Boškoski
OBJECTIVE: Endoscopic sleeve gastroplasty (ESG) is a minimally invasive procedure that proved to be safe and effective in obesity treatment. However, not all subjects respond to treatment in the same way, and, with a view to personalized care, it is essential to identify predictors of success or failure. METHODS: A retrospective 2-year followed-up cohort of ESG subjects was analyzed to investigate the presence of any baseline or early indicators of long-term optimal or suboptimal ESG outcomes...
March 7, 2024: Obesity Surgery
https://read.qxmd.com/read/38448343/american-society-for-metabolic-and-bariatric-surgery-2022-estimate-of-metabolic-and-bariatric-procedures-performed-in-the-united-states
#4
REVIEW
Benjamin Clapp, Jaime Ponce, John Corbett, Omar M Ghanem, Marina Kurian, Ann M Rogers, Richard M Peterson, Teresa LaMasters, Wayne J English
BACKGROUND: Metabolic and bariatric surgery (MBS), despite being the most effective durable treatment for obesity, remains underused as approximately 1% of all qualified patients undergo surgery. The American Society for Metabolic and Bariatric Surgery established a Numbers Taskforce to specify the annual rate of obesity treatment interventions utilization and to determine if patients in need are receiving appropriate treatment. OBJECTIVE: To provide the best estimated number of metabolic and bariatric procedures being performed in the United States in 2022...
February 1, 2024: Surgery for Obesity and Related Diseases
https://read.qxmd.com/read/38421026/outcomes-and-management-of-re-establishing-bariatric-patients
#5
JOURNAL ARTICLE
Pourya Medhati, Omnia S Saleh, Abdelrahman Nimeri, Caroline Apovian, Christopher Thompson, Pichamol Jirapinyo, Eric G Sheu, Ali Tavakkoli
BACKGROUND: Lifelong follow-up after metabolic/bariatric surgery (MBS) is necessary to monitor for patient outcomes and nutritional status. However, many patients do not routinely follow up with their MBS team. We studied what prompted MBS patients to seek bariatric care after being lost to follow-up and the subsequent treatments they received. STUDY DESIGN: A retrospective cohort study of patients after MBS who had discontinued regular MBS follow-up but represented to the MBS clinic between July 2018 and December 2022 to re-establish care...
February 29, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38415023/practice-patterns-and-outcomes-of-endoscopic-sleeve-gastroplasty-based-on-provider-specialty
#6
JOURNAL ARTICLE
Khushboo Gala, Vitor Brunaldi, Christopher McGowan, Reem Z Sharaiha, Daniel Maselli, Brandon VanderWel, Prashant Kedia, Michael B Ujiki, Erik Wilson, Eric J Vargas, Andrew C Storm, Barham K Abu Dayyeh
Background and study aims Endoscopic sleeve gastroplasty (ESG) is performed in clinical practice by gastroenterologists and bariatric surgeons. Given the increasing regulatory approval and global adoption, we aimed to evaluate real-world outcomes in multidisciplinary practices involving bariatric surgeons and gastroenterologists across the United States. Patients and methods We included adult patients with obesity who underwent ESG from January 2013 to August 2022 in seven academic and private centers in the United States...
February 2024: Endoscopy International Open
https://read.qxmd.com/read/38412840/rationale-and-trial-protocol-for-a-double-blinded-randomized-controlled-trial-to-assess-the-impact-of-a-concomitant-crural-repair-during-laparoscopic-sleeve-gastrectomy-in-patients-with-a-lax-gastroesophageal-junction-without-frank-hiatal-hernia-repair-trial
#7
JOURNAL ARTICLE
Koy Min Chue, Bin Chet Toh, Lester Wei Lin Ong, Gamage Manisha Kariyawasam, Wai Keong Wong, Chin Hong Lim, Jeremy Tian Hui Tan, Baldwin Po Man Yeung
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is associated with postoperative gastroesophageal reflux disease (GERD) and erosive esophagitis (EE). The role of crural repair during LSG is still controversial. The preoperative laxity of the gastroesophageal junction (GEJ), graded by the Hill's classification, is more predictive for postoperative GERD and EE after LSG than the presence of a hiatal hernia seen on endoscopy. Thus, the authors hypothesize that a concomitant crural repair in a specific subgroup of patients with a lax GEJ (Hill's III) may reduce the incidence of postoperative GERD and EE...
February 27, 2024: European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
https://read.qxmd.com/read/38388770/update-on-endoscopic-treatments-for-obesity
#8
REVIEW
Fernanda Pessorrusso, Sagar V Mehta, Shelby Sullivan
PURPOSE OF REVIEW: Increased morbidity seen with rising obesity rates continues to place an unheralded burden on our health system. Lack of higher bariatric surgery utilization and limitations with lifestyle modification and pharmacotherapy highlights the need for additional therapies for obesity. Endoscopic bariatric and metabolic therapies (EBMT) are effective, safe treatments for obesity. Current FDA-approved EBMT are confined to gastric modalities while small bowel directed therapies are still considered investigational...
February 23, 2024: Current Obesity Reports
https://read.qxmd.com/read/38366263/a-prospective-multicenter-standard-of-care-study-of-outpatient-laparoscopic-sleeve-gastrectomy
#9
JOURNAL ARTICLE
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
UNLABELLED: A global shift is occurring as hospital procedures move to ambulatory surgical settings. Surgeons have performed outpatient sleeve gastrectomy (SG) in bariatric surgery since 2010. However, prospective trials are needed to ensure its safety before widespread adoption. PURPOSE: The study aimed to present a comprehensive report on the prospective data collection of 30-day outcomes of outpatient primary laparoscopic SG (LSG). This trial seeks to assess whether outpatient LSG is non-inferior to hospital-based surgery in selected patients who meet the outpatient surgery criteria set by the American Society for Metabolic and Bariatric Surgery...
February 17, 2024: Obesity Surgery
https://read.qxmd.com/read/38359348/outcomes-of-endoscopic-sleeve-gastroplasty-following-laparoscopic-adjustable-gastric-band-a-propensity-score-matched-analysis
#10
JOURNAL ARTICLE
Daniel B Maselli, Chase Wooley, Daniel Lee, Areebah Waseem, Lauren L Donnangelo, Michelle Secic, Brian Coan, Christopher E McGowan
BACKGROUND: The performance of endoscopic sleeve gastroplasty (ESG) in patients with prior laparoscopic adjustable gastric band (LAGB) has not been characterized. MATERIALS AND METHODS: This is a retrospective propensity score-matched study of ESG after LAGB at 2 centers with expertise in bariatric endoscopy. The primary outcome was total weight loss (TWL) at 12 months. Secondary outcomes included TWL at 3 and 6 months, 12-month excess weight loss (EWL), procedural characteristics, predictors of TWL, and serious adverse events...
February 13, 2024: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/38341469/current-recommendations-for-procedure-selection-in-class-i-and-ii-obesity-developed-by-an-expert-modified-delphi-consensus
#11
JOURNAL ARTICLE
Mohammad Kermansaravi, Sonja Chiappetta, Chetan Parmar, Scott A Shikora, Gerhard Prager, Teresa LaMasters, Jaime Ponce, Lilian Kow, Abdelrahman Nimeri, Shanu N Kothari, Edo Aarts, Syed Imran Abbas, Ahmad Aly, Ali Aminian, Ahmad Bashir, Estuardo Behrens, Helmuth Billy, Miguel A Carbajo, Benjamin Clapp, Jean-Marc Chevallier, Ricardo V Cohen, Jerome Dargent, Bruno Dillemans, Silvia L Faria, Manoel Galvao Neto, Pierre Y Garneau, Khaled Gawdat, Ashraf Haddad, Mohamad Hayssam ElFawal, Kelvin Higa, Jaques Himpens, Farah Husain, Matthew M Hutter, Kazunori Kasama, Radwan Kassir, Amir Khan, Mousa Khoursheed, Matthew Kroh, Marina S Kurian, Wei-Jei Lee, Ken Loi, Kamal Mahawar, Corrigan L McBride, Hazem Almomani, John Melissas, Karl Miller, Monali Misra, Mario Musella, C Joe Northup, Mary O'Kane, Pavlos K Papasavas, Mariano Palermo, Richard M Peterson, Ralph Peterli, Luis Poggi, Janey S A Pratt, Aayad Alqahtani, Almino C Ramos, Karl Rheinwalt, Rui Ribeiro, Ann M Rogers, Bassem Safadi, Paulina Salminen, Sergio Santoro, Nathaniel Sann, John D Scott, Asim Shabbir, Stephanie Sogg, Erik Stenberg, Michel Suter, Antonio Torres, Surendra Ugale, Ramon Vilallonga, Cunchuan Wang, Rudolf Weiner, Natan Zundel, Luigi Angrisani, Maurizio De Luca
Metabolic and bariatric surgery (MBS) is widely considered the most effective option for treating obesity, a chronic, relapsing, and progressive disease. Recently, the American Society of Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) issued new guidelines on the indications for MBS, which have superseded the previous 1991 National Institutes of Health guidelines. The aim of this study is to establish the first set of consensus guidelines for selecting procedures in Class I and II obesity, using an Expert Modified Delphi Method...
February 11, 2024: Scientific Reports
https://read.qxmd.com/read/38323637/prone-jack-knife-transanal-minimally-invasive-surgery-a-safe-and-effective-approach-for-anterior-low-rectal-gastrointestinal-stromal-tumors
#12
JOURNAL ARTICLE
Jothinathan Muniandy, Cheng-Wei Huang, Tao-Wei Ke, William Tzu-Liang Chen
Subepithelial rectal lesions, including gastrointestinal stromal tumours (GIST), leiomyomas, neuroendocrine tumours, lipomas, and schwannomas, are rare surgical conditions. 1 Surgical management in this region often entails radical surgical excisions with stoma creation. Radical surgical excisions with stoma creation are often required for surgical management in this region. In this video, we demonstrate a transanal minimally invasive surgery (TAMIS) approach to anterior low rectal GIST. Patient underwent neoadjuvant Imatinib Mesylate after multidisciplinary team discussion, and were evaluated preoperatively with colonoscopy, pelvis MRI, and endoscopic ultrasound-guided tissue biopsy...
February 6, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38292588/mid-gastric-peroral-endoscopic-myotomy-in-the-treatment-of-post-sleeve-gastrectomy-gastric-tube-twist-four-cases
#13
JOURNAL ARTICLE
Angelique Mugnier, Veronique Vitton, Marc Barthet, Jean-Michel Gonzalez
Background and study aims Laparoscopic sleeve gastrectomy (LSG) may lead to symptomatic mid-gastric twist in 0.1% to 4% of cases. Endoscopic balloon dilatation often fails, requiring a switch to Roux-en-Y bypass. Submucosal endoscopic treatment is expanding, so we propose a new technique of fibrosis incision after tunnelization, called medio-gastric peroral endoscopic myotomy (MG-POEM). Patients and methods Four patients aged 41 to 70 years underwent MG-POEM in 2020 for symptomatic post-LSG medio-gastric twist...
January 2024: Endoscopy International Open
https://read.qxmd.com/read/38261837/modified-gastric-peroral-endoscopic-myotomy-with-sleeve-release-in-a-case-of-severe-gastric-sleeve-stenosis
#14
JOURNAL ARTICLE
Syed Hamaad Rahman, Prashant Kedia
Video 1Modified gastric-peroral endoscopic myotomy with sleeve release in a case of severe gastric sleeve stenosis.
January 2024: VideoGIE
https://read.qxmd.com/read/38235688/use-of-postoperative-opioid-therapy-following-endoscopic-sleeve-gastroplasty
#15
JOURNAL ARTICLE
Benjamin M Moy, Sarah Volk, Blair Richards, Bhavna A Guduguntla, Allison R Schulman
INTRODUCTION: There are no established guidelines on periprocedural and postprocedural pain management after endoscopic sleeve gastroplasty (ESG). This study aimed to determine the need for perioperative and postoperative opioid therapy in patients undergoing ESG. METHODS: This retrospective study comprised consecutive patients undergoing ESG. The primary outcome was the percentage of patients requiring postoperative outpatient opioid therapy. Secondary outcomes included frequency and dosage of perioperative pain medications and postoperative pain scores...
February 23, 2024: American Journal of Gastroenterology
https://read.qxmd.com/read/38230854/use-of-preoperative-endoscopic-capsule-based-ph-testing-before-bariatric-surgery
#16
JOURNAL ARTICLE
John D Scott, Dawn Blackhurst, Brian D Hodgens, Alfredo M Carbonell, William S Cobb, Emily S Richardson, Nicholas Jp Dahlgren, Shanu N Kothari
BACKGROUND: Vertical sleeve gastrectomy is the most performed bariatric operation in the US; however, a significant number of patients suffer from persistent or new-onset reflux. No consensus for objective preoperative evaluation in these patients exists. We compared capsule-based pH testing versus gastroesophageal reflux disease (GERD) symptom scoring to determine extent of preoperative GERD to aid in procedure selection for bariatric surgery. STUDY DESIGN: An IRB-approved retrospective review of consecutive patients at a single institution was performed from 4/21 through 12/22...
January 17, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38212470/endoscopic-sleeve-gastroplasty-stomach-location-and-task-classification-for-evaluation-using-artificial-intelligence
#17
JOURNAL ARTICLE
James Dials, Doga Demirel, Reinaldo Sanchez-Arias, Tansel Halic, Suvranu De, Mark A Gromski
PURPOSE: We have previously developed grading metrics to objectively measure endoscopist performance in endoscopic sleeve gastroplasty (ESG). One of our primary goals is to automate the process of measuring performance. To achieve this goal, the repeated task being performed (grasping or suturing) and the location of the endoscopic suturing device in the stomach (Incisura, Anterior Wall, Greater Curvature, or Posterior Wall) need to be accurately recorded. METHODS: For this study, we populated our dataset using screenshots and video clips from experts carrying out the ESG procedure on ex vivo porcine specimens...
January 11, 2024: International Journal of Computer Assisted Radiology and Surgery
https://read.qxmd.com/read/38196409/a-case-of-a-gastric-stent-complication-presenting-with-a-gastrojujenal-fistula
#18
Sarah A Breakeit, Sultanah Gheshayan, Bader A Alamri, Emad F Albalwi, Nasser A Alharbi, Sultan Alhabdan
Laparoscopic sleeve gastrectomy (SG) is a widely performed bariatric procedure known for its safety and efficacy, yet complications, particularly postoperative leaks, remain a concern. Endoscopic stenting is one of the approaches for leak management that has some complications such as the rare fistula with adjacent organs. Here, we present a unique case of a 56-year-old diabetic female who developed a gastroenteric fistula following endoscopic stent placement for a post-SG leak. The patient had a delayed stent removal, and three weeks later she presented with dysphagia and vomiting in a follow-up appointment...
December 2023: Curēus
https://read.qxmd.com/read/38183594/efficacy-of-nissen-sleeve-gastrectomy-on-mid-term-barrett-s-esophagus-regression
#19
JOURNAL ARTICLE
Pierre Brinas, Saadeddine Joumaa, Andrew Currie, Mégane Boixière, Jean Christophe Valat, Marius Nedelcu, Ion Donici, Thomas Gautier, David Nocca
INTRODUCTION: Sleeve gastrectomy is the most commonly performed bariatric operation globally. The main complication is GERD. In the medium term, it can increase the incidence of Barrett's esophagus (BE), which is a risk factor for esophageal adenocarcinoma. Following conventional sleeve gastrectomy, BE is noted in up to 16% of patients postoperatively. Recently, Nissen sleeve gastrectomy (NSG) has been shown to reduce the frequency of postoperative GERD compared to conventional sleeve gastrectomy...
February 2024: Obesity Surgery
https://read.qxmd.com/read/38171484/endoscopic-gastric-plication-a-flexible-and-tailored-alternative-to-bariatric-surgery
#20
JOURNAL ARTICLE
Francesco Frattini, Andrea Gambetti, Giuseppe Cordaro, Jerry Spisani, Georgios Lianos, Bertoli Simona, Gianlorenzo Dionigi
INTRODUCTION: Endoscopic procedures are expanding and have been evolving in recent years, increasing their volume along with the development of new devices. This is due to the low morbidity and complication rate, the reversibility of the procedures, and the positive impact on patients. Among the endoscopic procedures gaining interest is sleeve gastroplasty. It emerged as a feasible and safe alternative to traditional bariatric surgery. There are no guidelines available on the indications and use of endoscopic gastroplasty...
December 29, 2023: Surgical Technology International
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