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You are here Top 10 most read articles in April 2016

Just in case you missed any news in April 2016, these were the 10 most read articles on including the latest research, product & industry news, policy news and more...

Sleeve with ileal transposition beats bypass

In mildly obese patients, sleeve with ileal transposition (sleeve-IT) surgery results in better glycaemic control than either gastric bypass or clinical treatment, according to the results from a Brazilian study presented at ENDO 2016, the annual meeting of the Endocrine Society, in Boston. According to the study authors from Hospital Sirio-Libanês, São Paulo, Brazil, sleeve with ileal transposition is a new technique that changes the insulin secretion and resistance without causing major changes in weight and nutritional deficiencies...(more)

Omega-loop GB beats RYGB for weight loss

Omega-loop gastric bypass (OLGB) results in better weight loss (WL) compared to Roux-en-Y gastric bypass (RYGB), according to a retrospective study by researchers from the Medical University of Vienna, the Karl Landsteiner Institute for Obesity and Metabolic Diseases, Vienna and the Special Institute for Preventive Cardiology And Nutrition (SIPCAN), Salzburg, Austria. The study, ‘The Effect of Roux-en-Y vs. Omega-Loop Gastric Bypass on Liver, Metabolic Parameters, and Weight Loss’, published in Obesity Surgery, also reported that OLGB resulted in an increase of liver parameters in the first year after surgery, whist deteriorating after RYGB...(more)

BEAT Obesity: Bariatric arterial embolization is safe and effective

Findings from the early phase of a clinical trial led by Johns Hopkins investigators indicates that a new, minimally invasive weight loss treatment known as bariatric arterial embolization is safe and effective in sustaining weight loss in severely obese people. The data, although preliminary, show the procedure seems to initiate weight loss, dramatic hunger reduction and lower levels of ghrelin, one of the main hormones involved in controlling hunger. The results were presented at the Society of Interventional Radiology's 2016 Annual Scientific Meeting in Vancouver, British Columbia...(more)

DMR procedure improves metabolic control in T2DM

The latest results from the non-invasive Revita Duodenal Mucosal Resurfacing (DMR) procedure has reported that the procedure improves broader measures of metabolic control in patients with type 2 diabetes and fatty liver disease. The results showed that a single DMR treatment results included a lowering of hepatic transaminase levels, sustained through six months of follow up...(more)

STAMPEDE: Glycaemic benefits of surgery maintained

In the final, five-year follow-up report from the influential STAMPEDE (Surgical Therapy And Medications Potentially Eradicate Diabetes Efficiently) trial, Cleveland Clinic research shows that bariatric surgery's beneficial effects on blood glucose control in mild and moderately obese patients with type 2 diabetes may persist for up to five years, with the advantage over diabetes medications-only approach widening over time. The STAMPEDE trial is the largest randomised trial with one of the longest follow-ups comparing medical therapy with bariatric surgery...(more)

Bariatric surgery beats diet at inhibiting breast cancer

Bariatric surgery was more effective than a low-fat diet at reversing the cancer-promoting effects of chronic obesity in mice, according to a study by UNC Lineberger Comprehensive Cancer Center researchers, who presented ‘Surgical weight loss via sleeve gastrectomy, but not a low-fat diet, reverses the pro-tumorigenic effects of obesity’, at the 2016 American Association of Cancer Research Annual Meeting in New Orleans...(more)

Post-surgical assessments aid weight loss

Assessing certain weight control practices and eating behaviours after bariatric surgery can significantly influence the amount of weight loss after surgery, according to a study published by researchers from the Neuropsychiatric Research Institute, Fargo, ND. The paper, ‘Postoperative Behavioral Variables and Weight Change 3 Years After Bariatric Surgery’, published in JAMA Surgery, suggests that the utility of programmes to modify problematic eating behaviours and eating patterns should be addressed in research...(more)

Surgery leads to pain and physical function improvements

A large percentage of patients with severe obesity who underwent bariatric surgery, experienced improvement in pain, physical function, and walking capacity over three years, according to a study, ‘Change in Pain and Physical Function Following Bariatric Surgery for Severe Obesity’, published in JAMA. The authors noted that variability and durability of improvements in pain and physical function following Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB) are not well described, and this study was design to record and report changes in pain and physical function in the first three years following bariatric surgery, and to identify factors associated with improvement...(more)

Health improvements after RYGB start before weight loss

The health benefits of Roux-en Y gastric bypass (RYGB) surgery start soon after the procedure, according to research presented at the Experimental Biology 2016 meeting in San Diego. The study. ‘Early Improvements in Blood Lipid Profile and Vascular Alterations after Gastric Bypass Surgery Prior to Dramatic Weight Loss’, found that patients who underwent the procedure already showed some reductions in weight, waist circumference and body mass index one week after the procedure...(more)

Understanding intraoperative staple line leaks and bleeds

According to a non-systematic review of the current literature intraoperative staple line leaks and bleeds are primarily associated with stapler misfires following laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). The paper, ‘A Narrative of Intraoperative Staple Line Leaks and Bleeds During Bariatric Surgery’, authored by Sudip K Ghosh, Sanjoy Roy, Ed Chekan and Elliott J Fegelman (all from Ethicon Inc.), states that although the incidence of intraoperative staple line leaks and bleeds “appears to be relatively low, it may be underestimated as a result of underreporting, the precautionary use of SLR, lack of standardized testing, and the capacity of some leaks and bleeds to resolve with little or no treatment.” (more)