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French researchers highlight more complex and potentially more morbid types of revisional bariatric surgeries
Researchers in France have identified a significant shift in the country towards more complex and potentially more morbid types of revisional metabolic bariatric surgeries (RMBS), underscoring the need of careful patient selection through preoperative assessment and personalised postoperative management to reduce risks and optimise outcomes in this population. The aim of their observational study was to assess the rate of RMBS in France and to outline the associated complicati


Magnetic compression simplifies revisional sleeve gastrectomy
The preliminary findings from a multi-centre study assessing magnetic gastroileostomy bipartition (MagGI procedure) as a revisional option for suboptimal sleeve gastrectomy (SG), suggest that SG-revisional MagGI was technically feasible and achieved promising excess weight loss of 66.0%. Self-aligning GT Metabolic MagDI System magnets fused together The study was conducted in adults (body mass index [BMI, kg/m2] ≥30.0–≤50.0). The 90-day primary feasibility endpoint was magnet


IFSO ‘cautiously’ supports the selective use of ring augmentation in both primary and revisional MBS
In a recent position statement, the International Federation for the Surgery and Other Therapies for Obesity (IFSO) has ‘cautiously’ supported the selective use of ring augmentation (ra) in both primary and revisional metabolic bariatric surgery (MBS), particularly for Roux-en-Y Gastric Bypass (raRYGB). The findings were reported in the paper, ‘Ring-augmented Metabolic Bariatric Surgery Procedures GRADE based International Federation for the Surgery of Obesity and Metabolic


BPD/DS and SADI-S show comparable short-term outcomes as revisional procedures following RYGB
Both biliopancreatic diversion with duodenal switch (BPD/DS) or single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) show comparable short-term outcomes when performed as revisional procedures following RYGB. Although overall perioperative complications did not differ between groups, the approximately 6% anastomotic leak rate observed in both cohorts highlights the greater complexity and risk inherent to revisional bariatric surgery relative to primary ope


Prescription drug monitoring needed post-MBS
Bariatric patients may need closer monitoring of their prescription medications post-surgery to avoid risk of harm, according to researchers at King’s College London. Their study found that bariatric surgery patients face unique risk factors relating to overdose. This is because the surgical changes to their stomach and intestine to reduce food and nutrient absorption, can also affect how they absorb drugs. By examining data from the National Programme of Substance Use Mortal


BARS® for anastomotic reduction – Clinical insights on associated weight regain and dumping syndrome
Transoral outlet reduction (TORe) and anastomotic reduction techniques are gaining momentum as minimally invasive alternatives to surgical revision for managing post-surgical complications such as weight regain and dumping syndrome.(1) BARS® — a novel endoscopic platform developed by Ovesco Endoscopy AG — is among the emerging technologies in this field. As clinical experience with BARS® grows, early data on weight regain management and targeted treatment approaches for enlar


PFAS exposure may limit improvements in blood sugar after MBS
Researchers from the Keck School of Medicine (University of Southern California) have found that teenagers with higher blood levels of per- and polyfluoroalkyl substances (PFAS) measured before metabolic bariatric surgery (MBS) had smaller improvements in blood sugar over five years, including fasting glucose and haemoglobin A1c (HbA1c), which measures average blood sugar levels over the past 60–90 days. The results, suggest that PFAS exposure may help explain why metabolic o


BariClip delivers significant reductions in BMI, %TWL and %EWL at six months
Laparoscopic vertical clip gastroplasty (LBCG) using the nonadjustable BariClip is a safe and effective bariatric procedure in the short term, with significant reductions in BMI, %TWL and %EWL observed over a six-month period, according to a retrospective observational study by researchers from Jordan. Figure 1: Schematic illustration of laparoscopic vertical clip gastroplasty using the nonadjustable BariClip system, showing the placement of the clip along the stomach to cre


Survey: Most Americans view obesity as a chronic disease deserving insurance coverage
Nearly two-thirds of Americans (63%) know that obesity is a chronic disease rather than a personal failure and more than 8 in 10 believe that insurance should cover its treatment, whether it be medications or surgeries, according to a new nationwide survey conducted by The Harris Poll on behalf of the American Gastroenterological Association (AGA). Adult Obesity Rate by State, 2024 (State of Obesity 2025: Better Policies for a Healthier America’, Trust for America’s Health) "


Loose fundoplication utilising the excluded stomach into OAGB improves HRQoL vs OAGB alone
The combination of a loose fundoplication utilising the excluded stomach into one-anastomosis gastric bypass (OAGB) demonstrates a notable enhancement in HRQoL compared with OAGB alone, for patients experiencing obesity and significant reflux. According to the study’s authors by researchers from Homerton University Hospital, London and Ain Shams University, Cairo, this combined approach yielded lower GERD-Health-Related Quality of Life (GERD-HRQL) scores (indicating improved
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