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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for the Surgery of Obesity and Metabolic Disorders (IFSO) issued new guidelines on the indications for MBS, which have superseded the previous 1991 National Institutes of Health guidelines.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
#22
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
#23
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
#24
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
#25
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
#26
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
#27
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
#28
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
#29
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
#30
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
#31
JOURNAL ARTICLE
Manuela Monrabal Lezama, Camila Bras Harriott, Fernando A M Herbella, Francisco Schlottmann
Introduction: Patients with obesity are often affected by gastroesophageal reflux disease (GERD). Roux-en-Y gastric bypass (RYGB) is considered the ideal operation for patients with severe obesity and GERD. Although the majority of patients improve their reflux with the operation, some might persist symptomatic and others can even develop de novo GERD. The aim of this study was to determine pathophysiologic factors involved in the development of GERD after RYGB surgery and define potential treatments for this condition...
December 28, 2023: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
#32
MULTICENTER STUDY
Michel Gagner, Lamees Almutlaq, Guy-Bernard Cadiere, Antonio J Torres, Andres Sanchez-Pernaute, Jane N Buchwald, David Abuladze
BACKGROUND: Conventional metabolic/bariatric surgical anastomoses with sutures/staples may cause severe adverse events (AEs). OBJECTIVES: The study aim was to evaluate the feasibility, safety, and effectiveness of primary and revisional side-to-side duodeno-ileostomy (DI) bipartition using a novel magnetic compression anastomosis device (Magnet Anastomosis System [MS]). SETTING: Multicenter: private practices and university hospitals. METHODS: In patients with body mass index ([BMI, kg/m2 ] ≥35...
April 2024: Surgery for Obesity and Related Diseases
#33
JOURNAL ARTICLE
Huimin Zhang, Mingyang Ren, Yu Wang, Zhiyuan Jin, Shanxiang Zhang, Jiaqian Liu, Jia Fu, Huan Qin
Optical endoscopy, as one of the common clinical diagnostic modalities, provides irreplaceable advantages in the diagnosis and treatment of internal organs. However, the approach is limited to the characterization of superficial tissues due to the strong optical scattering properties of tissue. In this work, a microwave-induced thermoacoustic (TA) endoscope (MTAE) was developed and evaluated. The MTAE system integrated a homemade monopole sleeve antenna (diameter = 7 mm) for providing homogenized pulsed microwave irradiation to induce a TA signal in the colorectal cavity and a side-viewing focus ultrasonic transducer (diameter = 3 mm) for detecting the TA signal in the ultrasonic spectrum to construct the image...
December 19, 2023: IEEE Transactions on Medical Imaging
#34
REVIEW
Nicholas Aderinto, Gbolahan Olatunji, Emmanuel Kokori, Peter Olaniyi, Timilehin Isarinade, Ismaila Ajayi Yusuf
Bariatric surgery has emerged as a highly effective option for individuals with obesity, offering significant and sustainable weight loss outcomes. This surgical approach involves various procedures that alter the anatomy of the gastrointestinal tract, leading to reduced food intake and nutrient absorption. Established procedures such as sleeve gastrectomy, gastric bypass, adjustable gastric banding, and biliopancreatic diversion with duodenal switch have proven track records. In contrast, emerging options like intragastric balloons, AspireAssist devices, and endoscopic sleeve gastroplasty show promise but require further investigation...
December 2023: Annals of Medicine and Surgery
#35
JOURNAL ARTICLE
Georgia Spry, Ashleigh McIntosh, Nicola Gadd, Zoe Martin, Brianna Fear-Keen, Jennifer Hoult, Isabella R Maimone, Patrice Jones, Jaimon T Kelly, Skye Marshall
PROBLEM: Disordered eating, such as binge, graze, and emotional eating, has been strongly linked to weight gain. Improved understanding of disordered eating by adults who elect bariatric weight loss procedures in a real-world setting is required. PURPOSE: To determine the association between the number and type of disordered eating patterns (DEPs), as described by healthcare professionals during routine care without standardized assessment, with clinical outcomes in adults who elected a bariatric weight loss procedure...
December 2023: Obesity Science & Practice
#36
JOURNAL ARTICLE
Mohamed Hany, Mohamed Ibrahim, Mohamed Samir, Ann Samy Shafiq Agayby, Bart Torensma
We describe gastric tube continuity restoration (gastrogastrostomy) in a patient who underwent revisional laparoscopic one-anastomosis gastric bypass (OAGB) due to weight recurrence after laparoscopic sleeve gastrectomy (SG). The patient sought restoration to SG due to poor quality of life. A postoperative 11-mm leak at the site of the gastrogastrostomy, attributed to adhesions and edema from a marginal ulcer, complicated the procedure. As a result, laparoscopic exploration was performed, followed by insertion of a megastent...
December 7, 2023: Obesity Surgery
#37
Tejminder S Sidhu, Shaurya Jhamb, Christine Welch, Scott Whiting
A staple line leak is a feared complication of sleeve gastrectomy. Endoscopic methods have superseded surgical management of small leaks, however large collections often require surgical intervention. Here, we describe endoscopic management of large collection adjacent to the staple line with an 8Fr nasobiliary tube.
November 2023: Journal of Surgical Case Reports
#38
JOURNAL ARTICLE
Takeshi Kaneko, Yuichi Takano, Hiroki Iwai
The purpose of this study was to introduce the application of a monoportal scope and bipolar coagulator used in full-endoscopic spine surgery (FESS) for unilateral biportal endoscopy-unilateral laminectomy bilateral decompression (UBE-ULBD) in those with central stenosis. A 68-year-old man who presented with cauda equina symptoms underwent UBE-ULBD to improve his central stenosis at the L2/3 level. In this technique, a FESS scope was attached to a camera portal in place of a common arthroscope. A decompression tool was subsequently inserted through the working portal, and the lower border of the vertebral lamina and the lower border of the contralateral lamina were resected...
October 2023: Curēus
#39
JOURNAL ARTICLE
Imed Ben Amor, Evangelia Triantafyllou, Victor Temime, Hichem Chenaitia, Dorith Benamran, Geoffrey Vanbiervliet, Ibrahim Dagher, Jean Gugenheim, Panagiotis Lainas
BACKGROUND: Gastric staple line leak treatment after laparoscopic sleeve gastrectomy (LSG) remains challenging. Regenerative medicine is gaining place in the accelerated treatment of damaged tissues. This study presents the first series of gastric leak treatment after LSG using endoscopic intragastric administration of combined autologous mesenchymal stem cells (MSC) and platelet-rich plasma (PRP). METHODS: MSC-PRP harvesting and endoscopic administration techniques are described in detail...
January 2024: Obesity Surgery
#40
REVIEW
Arielle Elmaleh-Sachs, Jessica L Schwartz, Carolyn T Bramante, Jacinda M Nicklas, Kimberly A Gudzune, Melanie Jay
IMPORTANCE: Obesity affects approximately 42% of US adults and is associated with increased rates of type 2 diabetes, hypertension, cardiovascular disease, sleep disorders, osteoarthritis, and premature death. OBSERVATIONS: A body mass index (BMI) of 25 or greater is commonly used to define overweight, and a BMI of 30 or greater to define obesity, with lower thresholds for Asian populations (BMI ≥25-27.5), although use of BMI alone is not recommended to determine individual risk...
November 28, 2023: JAMA
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