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Obesity Surgery February issue: the highlights

The February issue of Obesity Surgery, the official journal of the International Federation for the  Surgery of Obesity and Metabolic Disorders, is now available online. Here’s some of the highlights from this issue:

Cumulative Helicobacter pylori Eradication Therapy in Obese Patients Undergoing Gastric Bypass Surgery
Using standard heliobacter pylori eradication techniques – as proposed by the Maastricht III consensus – has become significantly less effective between 2006-2010, with eradication rates dropping from 96.1% in 2006-2008 to 83.8% in 2008-2010. This leads the researchers to conclude that clarithromycin-based Maastricht III consensus eradication “is no longer effective”, and that new regimes need to be tested. (Abstract)

3-Year Real-World Outcomes with the Swedish Adjustable Gastric Band™ in France
Ethicon’s Swedish Adjustable Gastric Band was put to the test in this study, and was implanted in 517 patients. It was found to be “safe and effective” at three years, with 47.4% EWL and 0.19 adverse events per patient-year, but 13% of patients required their band removed. (Abstract)

Routine Gastrostomy Tube Placement in Gastric Bypass Patients: Impact on Length of Stay and 30-Day Readmission Rate
Eight hundred and twenty four gastric bypass patients had gastrostomy tubes placed after their operation, and kept for six weeks. The average length of hospital stay in this group was low, at 1.1 days, compared to an average of two-three days, and the average 30-day readmission rate was 3.7%, compared to an average of 8-13%. The authors say that the routine placement of the gastrostomy tube in the gastric remnant “may have contributed” to these results. (Abstract)

Short- and Long-Term Outcomes of Vertical Banded Gastroplasty Converted to Roux-en-Y Gastric Bypass
Converting to a Roux-en-Y gastric bypass is considered the revisional procedure of choice for a failed vertical banded gastroplasty, but it carries its own risks. However, this series of 153 patients had encouraging results, with a morbidity rate comparable to gastric bypass as a primary operation. The surgeons conclude that despite its technical difficulty, revisional Roux-en-Y gastric bypass is a safe operation. (Abstract)

Single-Access Laparoscopic Adjustable Gastric Band Removal: Technique and Initial Experience
Using a single-port approach to removing gastric band, using the insertion port scar as the site for removal, proved feasible in this study: the average operation time was just under 25 minutes, and the mean final scar length was 3.6cm. The cost also remained similar to the multi-port approach. (Abstract)