Journal ArticleDOI
Individualized Metabolic Surgery Score: Procedure Selection Based on Diabetes Severity.
Ali Aminian,Stacy A. Brethauer,Amin Andalib,Amy S. Nowacki,Amanda Jiménez,Ricard Corcelles,Zubaidah Nor Hanipah,Suriya Punchai,Deepak L. Bhatt,Sangeeta R. Kashyap,Bartolome Burguera,Antonio M. Lacy,Josep Vidal,Philip R. Schauer +13 more
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TLDR
This is the largest reported cohort with long-term postoperative glycemic follow-up, which categorizes T2DM into 3 validated severity stages for evidence-based procedure selection, and categorizes RYGB was significantly more effective than SG, likely related to its more pronounced neurohormonal effects.Abstract:
Objective:To construct and validate a scoring system for evidence-based selection of bariatric and metabolic surgery procedures according to severity of type 2 diabetes (T2DM).Background:Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) account for >95% of bariatric procedures in United Stread more
Citations
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Journal ArticleDOI
Benefits and Risks of Bariatric Surgery in Adults: A Review.
TL;DR: All patients with severe obesity-and especially those with type 2 diabetes-should be engaged in a shared decision-making conversation about the risks and benefits of surgery compared with continuing usual medical and lifestyle treatment, and the decision about surgery should be driven primarily by informed patient preferences.
Journal ArticleDOI
Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: cosponsored by american association of clinical endocrinologists/american college of endocrinology, the obesity society, american society for metabolic & bariatric surgery, obesity medicine association, and american society of anesthesiologists*
Jeffrey I. Mechanick,Caroline M. Apovian,Stacy A. Brethauer,W. Timothy Garvey,Aaron M. Joffe,Julie Kim,Robert F. Kushner,Richard Lindquist,Rachel Pessah-Pollack,Jennifer Seger,Richard D. Urman,Stephanie Adams,John B. Cleek,Riccardo Correa,M. Kathleen Figaro,Karen Flanders,Jayleen Grams,Daniel L. Hurley,Shanu N. Kothari,Michael V. Seger,Christopher D. Still +20 more
TL;DR: These updated clinical practice guidelines for bariatric procedures remain a safe and effective intervention for higher-risk patients with obesity and clinical decision-making should be evidence-based within the context of a chronic disease.
Journal ArticleDOI
Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists.
Jeffrey I. Mechanick,Jeffrey I. Mechanick,Caroline M. Apovian,Stacy A. Brethauer,W. Timothy Garvey,W. Timothy Garvey,Aaron M. Joffe,Julie Kim,Robert F. Kushner,Richard Lindquist,Rachel Pessah-Pollack,Jennifer Seger,Richard D. Urman,Stephanie Adams,John B. Cleek,Riccardo Correa,M. Kathleen Figaro,Karen Flanders,Jayleen Grams,Jayleen Grams,Daniel L. Hurley,Shanu N. Kothari,Michael V. Seger,Christopher D. Still +23 more
TL;DR: Bariatric procedures remain a safe and effective intervention for higher-risk patients with obesity and clinical decision-making should be evidence-based within the context of a chronic disease.
Journal ArticleDOI
Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists
Jeffrey I. Mechanick,Caroline M. Apovian,Stacy A. Brethauer,W. Timothy Garvey,Aaron M. Joffe,Julie Kim,Robert F. Kushner,Richard Lindquist,Rachel Pessah-Pollack,Jennifer Seger,Richard D. Urman,Stephanie Adams,John B. Cleek,Riccardo Correa,M. Kathleen Figaro,Karen Flanders,Jayleen Grams,Daniel L. Hurley,Shanu N. Kothari,Michael V. Seger,Christopher D. Still +20 more
TL;DR: The updated clinical practice guidelines (CPGs) were developed by the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), American Society for Metabolic and Bariatric Surgery (ASMBS), Obesity Medicine Association (OMA), and American Society of Anesthesiologists (ASA) Boards of Directors in adherence with the AACE 2017 protocol for standardized production of CPGs, algorithms, and checklists as mentioned in this paper.
Journal ArticleDOI
Comparing the 5-Year Diabetes Outcomes of Sleeve Gastrectomy and Gastric Bypass: The National Patient-Centered Clinical Research Network (PCORNet) Bariatric Study.
Kathleen M. McTigue,Robert J. Wellman,Elizabeth Nauman,Jane Anau,R. Yates Coley,Alberto M Odor,Julie Tice,Karen J. Coleman,Anita P. Courcoulas,Roy Pardee,Sengwee Toh,Cheri Janning,Neely Williams,Andrea Cook,Jessica L. Sturtevant,Casie Horgan,David Arterburn,Corrigan L. McBride,James C. McClay,Jeanne M. Clark,Thomas H. Inge,Michelle R. Lent,David G. Schlundt,Meredith C. Duke,Steven R. Smith,Andrew O. Odegaard,Nirav K. Desai,Ali Tavakkoli,Elizabeth Cirelli,Stavra A. Xanthakos,Laura J. Rasmussen-Torvik,Marc P. Michalsky,Matthew F. Daley,Gabrielle Purcell,Sameer B. Murali,Ana Emiliano,Rhonda G. Kost,Caroline M. Apovian,Donald T. Hess,Cynthia A. Blalock,Elisha Malanga,Jay Desai,Joe Nadglowski,John H. Holmes,Joseph Vitello,Michael A. Horberg,Robert T. Greenlee,Stephanie L. Fitzpatrick,Roni Zeiger,Molly B. Conroy,Douglas S. Bell,Jamy D. Ard,Jing Bian,Bipan Chan,Michael A. Edwards,Christina C. Wee,Daniel B. Jones,Jennifer L. Kraschnewski,Kirk W. Reichard,Howard S. Gordon,David O. Meltzer,Erin D. Roe,William Richardson,Sameer Malhotra,Lindsay G. Cowell,Lydia A. Bazzano,Jefferey S. Brown,Andrea J. Cook +67 more
TL;DR: Patients who had Roux-en-Y gastric bypass showed slightly higher T2 DM remission rates, better glycemic control, and fewer T2DM relapse events than patients who had sleeve gastrectomy.
References
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Journal ArticleDOI
Predicting success of metabolic surgery: age, body mass index, C-peptide, and duration score
Wei-Jei Lee,Kyung Yul Hur,Muffazal Lakadawala,Kazunori Kasama,Simon Kin Hung Wong,Shu-Chun Chen,Yi-Chih Lee,Kong-Han Ser +7 more
TL;DR: The Diabetes Surgery Score is a simple multidimensional grading system that can predict the success of type 2 diabetes mellitus treatment using bariatric surgery among patients with inadequately controlled T2DM.
Journal ArticleDOI
Laparoscopic Sleeve Gastrectomy Versus Roux-Y-Gastric Bypass for Morbid Obesity-3-Year Outcomes of the Prospective Randomized Swiss Multicenter Bypass Or Sleeve Study (SM-BOSS).
Ralph Peterli,Bettina K. Wölnerhanssen,Diana Vetter,Philipp C. Nett,Markus Gass,Yves Michael Borbély,Thomas Peters,Marc Schiesser,Bernd Schultes,Christoph Beglinger,Juergen Drewe,Marco Bueter +11 more
TL;DR: LSG and LRYGB are equally efficient regarding weight loss, quality of life, and complications up to 3 years postsurgery, and Quality of life increased significantly in both groups after 1, 2, and 3 years posturgery.
Journal ArticleDOI
Pharmacokinetics of mycophenolic acid, tacrolimus and sirolimus after gastric bypass surgery in end‐stage renal disease and transplant patients: a pilot study
C.C. Rogers,Rita R. Alloway,J. Wesley Alexander,Michael Cardi,Jennifer Trofe,Alexander A. Vinks,Alexander A. Vinks +6 more
TL;DR: The objective of this study was to describe the alterations in the PK of modern immunosuppressants and the GBS population.
Journal ArticleDOI
The Impact of Different Surgical Techniques on Outcomes in Laparoscopic Sleeve Gastrectomies: The First Report from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP).
Elizabeth R. Berger,Ronald H. Clements,John M. Morton,Kristopher M. Huffman,Bruce M. Wolfe,Ninh T. Nguyen,Clifford Y. Ko,Matthew M. Hutter +7 more
TL;DR: LSG is a safe procedure with a low morbidity rate but SLR is associated with increased leak rates and a surgeon should consider risks, benefits, and costs of these surgical techniques when performing a LSG and selectively utilize those that, in their hands, minimize morbidity while maximizing clinical effectiveness.
Journal ArticleDOI
Amelioration of gastroesophageal reflux symptoms following Roux-en-Y gastric bypass for clinically significant obesity.
TL;DR: Symptoms of GERD significantly improve and use of antireflux medications is reduced after RYGB independent of weight loss, suggesting RY GB may be the treatment of choice for GERD in obese patients.