Patients of bariatric surgeons deemed to have poor skills by peers who watched them perform a procedure were almost three times more likely to have complications and five times more likely to die than those treated by top-rated surgeons, a study found. The complication rate among patients treated by surgeons in the bottom quartile was 14.5 percent, compared with 5.2 percent among those treated by surgeons in the highest quartile...
When it comes to bariatric surgery, the duodenal switch procedure may offer a better glycemic profile than gastric bypass, researchers found. In a small study comparing three forms of bariatric surgery, all patients had improved fasting blood sugar levels and insulin sensitivity -- but those who'd had gastric bypass had a much larger spike followed by a deeper trough in blood sugar on a glucose tolerance test...
Body contouring surgery to remove excess skin improves long-term weight control in patients after gastric bypass surgery, reports a study in the October issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS)...
Chronic opioid use increased rather than decreased after bariatric surgery, an observational study showed. Among patients on the painkillers before surgery, 77 percent stayed on them over the next year as mean daily morphine equivalents rose 13 percent in the first year and 18 percent across three years after surgery...
Weight loss surgery may keep diabetes and heart woes at bay for long periods of time -- and might even reverse some disease complications, new research suggests. Researchers at the Cleveland Clinic looked at a group of people with diabetes who underwent weight loss, or bariatric, surgery to treat their obesity...
People with diabetes have a 30 percent less chance of dying if they undergo coronary artery bypass surgery rather than opening the artery through angioplasty and inserting a stent, a new study has found. The findings are significant and have public health implications because of the sheer size of the difference in outcomes, according to the researchers at St. Michael's Hospital.
A scoring system based on four clinical variables has the potential to pre-operatively identify patients likely to have remission of diabetes after Roux-en-Y gastric bypass (RYGB) surgery, investigators reported. The 22-point, insulin-weighted system had a strong inverse association with diabetes remission, ranging from 88 percent of patients who had scores of 0 to 2 to a low of 2 percent for patients with scores of 18 to 22.
A combined technique of liposuction and tummy tuck—designed to reduce surgical trauma—provides excellent patient outcomes with a low complication rate, reports a study in Plastic and Reconstructive Surgery-Global Open, the official open-access medical journal of the American Society of Plastic Surgeons (ASPS).
Mandatory accreditation of bariatric surgery facilities hangs in the balance of a pending decision by the Centers for Medicare and Medicaid Services (CMS), which has proposed eliminating the requirement. Expected in September or October, a decision to eliminate the accreditation requirement would extend Medicare coverage of bariatric surgery facilities to currently non-accredited centers.
White Americans who are obese are twice as likely as black Americans to have surgery to tackle the problem, a study has found. Researchers at the Medical University of South Carolina and Imperial College London studied rates of bariatric surgery in the U.S. from 1999 to 2010.
Bariatric surgery, known for its often striking metabolic effects including mitigation of nonalcoholic fatty liver disease (NAFLD), alters the expression of genes in the liver, researchers found. In a small study that looked at liver biopsies from NAFLD patients before and after bariatric surgery, methylation changes associated with the disease phenotype were partially reversible.
Research has shown that weight loss surgery can benefit obese individuals in ways that go beyond shedding pounds, for example by causing early remission of type 2 diabetes. Now scientists have found that the surgery can also reverse the symptoms of fatty liver disease.
Seven of the 40 diabetes patients screened about a year before and again after bariatric surgery progressed, for a rate of 17.5 percent, compared with the 2 percent to 4 percent of diabetes patients who develop retinopathy each year, a small pilot study reported.
The large De Mayo Hip Positioner from Innovative Medical Products is a bariatric solution for lateral positioning of obese patients during hip surgery or in any surgery requiring lateral positioning.
Understanding how gastric bypass surgery changes the properties of nerve cells that help regulate the digestive system could lead to new treatments that produce the same results without surgery. who have shown how surgery restores some properties of nerve cells that tell people their stomachs are full. The results may also better predict which patients will keep the weight off after surgery.
Bariatric surgery led to greater weight loss and better glycemic control than nonsurgical treatment among patients with diabetes who were mildly obese, but the evidence for long-term efficacy and safety remains limited, a recent systematic review found.
The temporary placement of umbrella-like, metal mesh filters in abdominal veins to stop potentially lethal blood clots from traveling to the lungs during and after weight loss surgery may actually increase the risk of death in morbidly obese patients, according to new Johns Hopkins research.
Neither higher doses of anti-clotting drugs nor filters inserted in the vena cava are guaranteed to help prevent venous thromboembolism (VTE) during bariatric surgery, a review of the literature suggests. A systematic review and meta-analysis was unable to show that an increased dosage of these medications can prevent VTE in bariatric surgery patients.
Dr. Patrick Chiasson is using the SPIDER Surgical System to perform the weight-loss procedure through a small incision made near the patient’s belly button – resulting in a virtually invisible scar. He also is using the novel platform to perform a single-incision cholecystectomy, or gallbladder removal.
Obese mothers tend to have kids who become obese. Now provocative research suggests weight-loss surgery may help break that unhealthy cycle in an unexpected way — by affecting how their children's genes behave. In a first-of-a-kind study, Canadian researchers tested children born to obese women, plus their brothers and sisters who were conceived after the mother had obesity surgery.
Among factors that predicted the likelihood that patients undergoing bariatric surgery would experience postoperative cardiopulmonary complications were low levels of high-density lipoprotein (HDL) cholesterol and high levels of C-reactive protein, according to research.
Dr. Philip Schauer, the Director of Cleveland Clinic's Bariatric and Metabolic Institute, describes and discusses different weight loss surgeries and the type of bariatric surgery well-known New Jersey governor Chris Christie recently underwent.
Gov. Chris Christie of New Jersey, who has long struggled with obesity, underwent secret weight-loss surgery three months ago, according to a statement from his office. The surgery, which took place on Feb. 16, involved the placement of a silicone band around his stomach to reduce its size, limiting the amount of food he can take in but not altering his digestive process.
An adjustable gastric band, implanted laparoscopically, led to significant weight loss among moderately obese patients, researchers reported. In a prospective cohort study, more than four patients in five had lost more than 30 percent of their excess weight after a year.
Massachusetts General Hospital (MGH) researchers have identified a gene variant that helps predict how much weight an individual will lose after gastric bypass surgery, a finding with the potential both to guide treatment planning and to facilitate the development of new therapeutic approaches to treating obesity and related conditions like diabetes.