Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
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Surg Obes Relat Dis · Nov 2015
Review Meta AnalysisEffect of sleeve gastrectomy on type 2 diabetes as an alternative treatment modality to Roux-en-Y gastric bypass: systemic review and meta-analysis.
Until recently, Roux-en-Y gastric bypass (RYGB) was the most frequently performed procedure in bariatric surgery. In the last decade, sleeve gastrectomy (SG) has emerged as a more popular, simpler, and less morbid form of bariatric surgery. ⋯ Based on the current evidence, SG has a similar effect on T2D remission as RYGB.
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Surg Obes Relat Dis · Mar 2015
ReviewDoes the closure of mesenteric defects during laparoscopic gastric bypass surgery cause complications?
A well-known complication of laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) is bowel obstruction due to internal herniation (IH). Evidence suggests that mesenteric defects should be closed during LRYGB to reduce the risk of IH. Therefore, surgeons are now closing mesenteric defects during LRYGB using sutures, clips, or fibrin glue. However, it has been reported that complications may arise due to the closure of mesenteric defects. The aim of this review was to summarize the reported possible complications associated with the closure of mesenteric defects during LRYGB. ⋯ The reported risk of complications caused by closure of the mesenteric defects during LRYGB seems low.
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Surg Obes Relat Dis · Mar 2015
ReviewDoes the closure of mesenteric defects during laparoscopic gastric bypass surgery cause complications?
A well-known complication of laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) is bowel obstruction due to internal herniation (IH). Evidence suggests that mesenteric defects should be closed during LRYGB to reduce the risk of IH. Therefore, surgeons are now closing mesenteric defects during LRYGB using sutures, clips, or fibrin glue. However, it has been reported that complications may arise due to the closure of mesenteric defects. The aim of this review was to summarize the reported possible complications associated with the closure of mesenteric defects during LRYGB. ⋯ The reported risk of complications caused by closure of the mesenteric defects during LRYGB seems low.
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Surg Obes Relat Dis · Jul 2014
Review Comparative StudyComparison of laparoscopic sleeve gastrectomy leak rates in four staple-line reinforcement options: a systematic review.
The study compared laparoscopic sleeve gastrectomy (LSG) staple-line leak rates of 4 prevalent surgical options: no reinforcement, oversewing, nonabsorbable bovine pericardial strips (BPS), and absorbable polymer membrane (APM). ⋯ Systematic review of 88 included studies representing 8,920 patients found that the leak rate in LSG was significantly lower using APM staple-line reinforcement than oversewing, BPS reinforcement, or no reinforcement.
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Surg Obes Relat Dis · Jul 2014
Review Meta AnalysisInferior vena cava filters and postoperative outcomes in patients undergoing bariatric surgery: a meta-analysis.
Background: Pulmonary embolism(PE)accounts for almost 40% of perioperative deaths after bariatric surgery. Placement of prophylactic inferior vena cava(IVC) filter before bariatric surgery to improve outcomes has shown varied results. We performed a meta-analysis to evaluate post- operative outcomes associated with the preoperative placement of IVC filters in these patients. ⋯ Conclusions: Placement of IVC filter before bariatric surgery Is associated with higher risk of postoperative DVT and mortality. A similar risk of PE inpatients with and without IVC filter placement cannot exclude a benefit, given the potential large imbalance in risk at baseline. Ran- domized trials are needed before IVC placement can be recommended. (SurgObesRelatDis 2015;11:268-269.) r 2015 American Society for Metabolic and Bariatric Surgery.