bariatric surgery

Studio prospettico sulla chirurgia bariatrica di revisione per recupero del peso e reflusso gastro-esofageo: confronto tra Bypass Duodeno-Ileale associato a Sleeve Gastrectomy (SADI-S) e Roux-en-Y By-pass gastrico per via laparoscopica

Studio prospettico sulla chirurgia bariatrica di revisione per recupero del peso e reflusso gastro-esofageo: confronto tra Bypass Duodeno-Ileale associato a Sleeve Gastrectomy (SADI-S) e Roux-en-Y By-pass gastrico per via laparoscopica

La chirurgia bariatrica è il trattamento di scelta per la cura dell'obesità e delle patologie ad essa correlate. Tuttavia, a distanza di tempo,
fino al 70% dei pazienti va incontro ad un recupero del peso, soprattutto se sottoposti a procedure restrittive. Spesso, inoltre, al
recupero del peso si associano altre complicanze come la comparsa della malattia da reflusso gastroesofageo (MRGE). Gli interventi
chirurgici maggiormente eseguiti nella chirurgia di revisione sono rappresentati dalle procedure ibride come il Roux-en-Y Bypass

Indocyanine Green Fluorescence Angiography During Laparoscopic Bariatric Surgery

Indocyanine Green Fluorescence Angiography During Laparoscopic Bariatric Surgery

Aims: Indocyanine green (ICG) fluorescence angiography (FA) is used for several purposes in general surgery, but its use in bariatric surgery is still debated. The objective of the present pilot study is to evaluate the intraoperative utility of ICG-FA during bariatric surgery in order to focus future research on a reliable tool to reduce the postoperative leak rate.

Does Sleeve Gastrectomy Worsen Gastroesophageal Reflux Disease in Obese Patients? A Prospective Study

Does Sleeve Gastrectomy Worsen Gastroesophageal Reflux Disease in Obese Patients? A Prospective Study

Methods: GERD was evaluated by the Modified Italian Gastroesophageal reflux disease—Health-Related Quality of Life
(MI-GERD-HRQL) questionnaire, pH-manometry, endoscopy, and Rx-esophagogram, before and 12 months after
surgery. Based on these exams, patients without GERD underwent LSG, and patients with GERD underwent LGB.
Results: Thirteen and six patients underwent LSG and LGB, respectively. After LSG, the only statistically significant
difference observed at pH-manometry was the median DeMeester score, from 5.7 to 22.7 (P = .0026). De novo GERD

Does Sleeve Gastrectomy Worsen Gastroesophageal Reflux Disease in Obese Patients? A Prospective Study

Does Sleeve Gastrectomy Worsen Gastroesophageal Reflux Disease in Obese Patients? A Prospective Study

Methods: GERD was evaluated by the Modified Italian Gastroesophageal reflux disease—Health-Related Quality of Life
(MI-GERD-HRQL) questionnaire, pH-manometry, endoscopy, and Rx-esophagogram, before and 12 months after
surgery. Based on these exams, patients without GERD underwent LSG, and patients with GERD underwent LGB.
Results: Thirteen and six patients underwent LSG and LGB, respectively. After LSG, the only statistically significant
difference observed at pH-manometry was the median DeMeester score, from 5.7 to 22.7 (P = .0026). De novo GERD

Common Pitfalls in the Management of Patients with Micronutrient Deficiency. Keep in Mind the Stomach

Micronutrient deficiencies are relatively common, in particular iron and cobalamin deficiency, and may potentially lead to life-threatening clinical consequences when not promptly recognized and treated, especially in elderly patients. The stomach plays an important role in the homeostasis of some important hematopoietic micronutrients like iron and cobalamin, and probably in others equally important such as ascorbic acid, calcium, and magnesium.

The effect of standard versus longer intestinal bypass on glp-1 regulation and glucose metabolism in patients with type 2 diabetes undergoing roux-en-y gastric bypass. The long-limb study

OBJECTIVE Roux-en-Y gastric bypass (RYGB) characteristically enhances postprandial levels of glucagon-like peptide 1 (GLP-1), a mechanism that contributes to its profound glucose-lowering effects. This enhancement is thought to be triggered by bypass of food to the distal small intestine with higher densities of neuroendocrine L-cells.

Obesity surgery and cancer. What are the unanswered questions?

Obesity has become a global epidemic with a soaring economic encumbrance due
to its related morbidity and mortality. Amongst obesity-related conditions, cancer is
indeed the most redoubtable. Bariatric surgery has been proven to be the most
effective treatment for obesity and its associatedmetabolic and cardiovascular disorders.
However, the understanding of whether and how bariatric surgery determines a
reduction in cancer risk is limited. Obesity-related malignancies primarily include

Aims and scope of a new journal on gastric diseases and surgical practice

Dear Authors, the Journal of Gastric Surgery (J Gastr Surg, JGS) is a peer-reviewed journal published and managed by the International Gastric Cancer Unit established between the Department of Surgical Sciences (Sapienza University), Department of Gastric Surgery (Fujian Medical University), Department of Digestive Surgery (St. Mary’s Hospital of Terni). J Gastr Surg publishes original articles, reviews, editorials and letters to the Editor. Gastric Surgeons all over the world are kindly invited to contribute to the growth of the Journal of Gastric Surgery.

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