..read more

..read more

..read more

A percentage of total weight loss >20% as the expected weight loss target after metabolic surgery might be insufficient to produce adequate metabolic benefits ..read more

Bile acids can stimulate the secretion of glucagon-like peptide-1 (GLP-1) and be mostly reabsorbed in the ileum ..read more

Despite the effectiveness of bariatric surgery, utilization rates have increased only marginally over the last two decades; candidates who are eligible for bariatric surgery regularly fail to undergo surgery. The Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) has previously been used to assist in identification of those who will not move forward with surgery after being identified as eligible. However, medical insurance has been identified as a significant barrier to surgery; research in those who have universal healthcare may yield different results ..read more

Multiple prediction models exist in the literature to aide both the patients and providers taking care of patients undergoing bariatric surgery.(1–5) For patients, these models help with understanding predicted ranges of weight loss, comorbidity reduction, and complication risk. Furthermore, their use creates a dialogue of shared decision making with increased patient understanding of bariatric surgery risks and benefits. As stated by Burgard et al, it is known that about 40% of patients will overestimate their post-operative weight loss.(5) For providers, prediction models aide in counseling ..read more

Metabolic bariatric surgery (MBS) not only leads to a durable weight loss but also lowers mortality, and reduces cardiovascular risks ..read more

Taking into consideration rising rates of childhood obesity US,1 and recent reports demonstrating the safety, efficacy and increased utilization rates of metabolic and bariatric surgery (MBS) for clinically eligible pediatric patients (BMI ≥ 120% of the 95th percentile or BMI ≥ 35kg.m2),2 the authors of the current study, Enhanced Recovery After Surgery (ERAS) Improves Clinical Outcomes in Adolescent Bariatric Surgery, have offered important insights by presenting the results of a single institutional experience related to the use of an enhanced recovery after surgery (ERAS) protocol ..read more

In this issue of Surgery of Obesity and Related Diseases,Corpodean, et al. describe the prevalence of emergency bariatric surgery within the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) dataset from 2015 to 2021, with a comparison of cases recorded before and after a change in the MBSAQIP definition of emergency cases, which occurred in 2020 (i.e. 2015-2019 compared to 2020-2021). The study found there to be 10,574 emergency cases (∼2,115 per year) from 2015-2019 and 455 emergency cases (∼228 per year) from 2020-2021 ..read more