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Conversional bariatric surgery seems to be increasing in incidence in adults under 40
In a large retrospective study using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database, conversional bariatric surgery seems to be increasing in incidence in adults under 40, with notable differences in baseline characteristics of patients undergoing different conversional procedures as well as the reasons for conversion. The study, carried out by researchers from the University of Alberta, Edmonton, Alberta, Canada, to under


OMMs appear to be valid alternatives to EBP and MBS for mild-to-moderate obesity, but surgery more effective for patients with a higher degree of obesity
For patients living with mild-to-moderate obesity, newer obesity management medications (OMM) such as tirzepatide and semaglutide, appear to be valid alternatives to endoscopic bariatric procedures (EBP) and metabolic bariatric surgery (MBS), according to researchers from the Italian Obesity Society (Società Italiana dell'Obesità (SIO)). Their study reveals the results from a systematic review (SR) and a network meta-analysis (NMA) on randomised clinical trials (RCTs) compari


MBS might be associated with improved survival in individuals aged 69 years and older with obesity
A matched analysis from Uk researchers has provided preliminary evidence that metabolic and bariatric surgery (MBS) might be associated with improved survival in individuals aged 69 years and older with obesity, and can be performed with acceptable short-term risk in a specialist setting. The aim of the study was to assess the effect of MBS on long-term survival in patients with obesity aged 69 years and older compared with those of a similar age with obesity who did not unde


Factors influencing a patient's decision to undergo bariatric surgery
A patient’s decision to undergo bariatric surgery is often driven by a combination of complex factors such as health concerns, impaired quality of life and societal pressure, according to researchers from the University College Cork, Cork, Ireland. They found that health concerns were the primary motivator, with participants seeking to address comorbidities, mitigate health risks, and enhance their quality of life. In addition, body image, psychological well-being, and resist


LVSG has a detrimental effect on lower oesophageal sphincter pressure and DeMeester Score post-surgery
The first meta-analysis to analyse objective oesophageal function data comparing pre- and post- laparoscopic vertical sleeve gastrectomy (LVSG), has conclusively demonstrated the detrimental effect of LVSG on lower esophageal sphincter pressure (LESP) and DeMeester Score (DMS) post-surgery despite significant loss of BMI, researchers from the University of Southern Queensland, Toowoomba, Queensland, Australia. Research has shown that LVSG leads to anatomical changes at the es


TORe is safe and effective treatment for patients with medically refractory dumping syndrome
Transoral outlet reduction (TORe), a minimally invasive endoscopic procedure that reduces the size of the gastrojejunal anastomosis (GJA)...


MBS for weight loss shows greater long-term benefits than GLP-1 medicines
A large Cleveland Clinic study has found that people with obesity and type 2 diabetes who undergo metabolic and bariatric surgery (MBS)...


RYGB is effective in men with individualised follow-up protocols
Roux-en-Y gastric bypass (RYGB) is effective in men with obesity, demonstrating substantial excess weight loss and significant long-term...


Significant disparities in the availability of MBS services and the level of resident training and exposure
A global survey on general surgery resident involvement in metabolic and bariatric surgery (MBS) has reported that significant...


One in seven MBS patients use GLP-1s
An increasing proportion of patients who undergo metabolic and bariatric surgery MBS start taking glucagon-like 1 peptide receptor...
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