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laparoscopic Roux-en-Y gastric bypass

Study finds increased fracture risk after Roux-en-Y gastric bypass

Researchers from the Massachusetts General Hospital in Boston, MA, have reported that bariatric surgery is associated with health benefits, however patients undergoing Roux-en-Y gastric bypass (RYGB) have an increased fracture risk and this should be considered when patients are in thinking of undergoing surgery.

Gastric bypass improves muscle strength and physical performance

Roux-en-Y gastric bypass (RYGB) improves relative muscle strength and physical performance in people with obesity, according to a study led by researchers from the University of California, San Francisco, San Francisco, CA. However, as well as resulting in dramatic weight loss, the surgery also results in lean mass and absolute grip strength decline.

Conversion to SADI valid alternative to RYGB after failed LSG

Patients who underwent single anastomosis duodenoileal (SADI) bypass surgery after failed laparoscopic sleeve gastrectomy reported significantly more weight loss, compared to patients who underwent Roux-en-Y gastric bypass (RYGB), while complications rates and nutritional deficiencies were similar in both groups. According the study researchers from the Netherlands, the outcomes show that SADI “may therefore be considered the recommended operation for patients in which only additional weight loss is required.”

Study to assess dissonance-based intervention post RYGB

Researchers in Sweden are investigating whether the effects of a dissonance-based intervention on health-related quality of life (HRQoL), physical activity (PA)and other health-related behaviours in female RYGB patients 24 months after surgery. The ‘WELL-GBP’ trial (wellbeing after gastric bypass), is a dissonance-based intervention for female RYGB patients conducted at five hospitals in Sweden.

Robotic RYGB provides no clinical advantages vs LRYGB

Totally robotic Roux-en-Y gastric bypass offers no real clinical advantage compared to all laparoscopic RYGB (LRYGB) techniques, according to a study by researchers from the US and Poland. The researchers found that the robotic approach to RYGB did not result in a reduction in postoperative complications compared to laparoscopic approaches using hand-sewn or linear stapler for the gastrojejunal anastomosis, and the robotic approach also required significantly longer operative times than each of the alternate laparoscopic techniques.

Energy expenditure from BPDS betters RYGB for weight loss

Biliopancreatic Diversion with Duodenal Switch (BPDS) results in greater weight loss compared with Roux-en-Y Gastric Bypass (RYGB) due to larger increases in energy expenditure, according to an international team of researchers.

Dutch Delphi consensus training paper for RYGB and LSG

Authors in the Netherlands have published a Delphi consensus paper that will be used to develop a laparoscopic bariatric surgery-training model or curriculum in the country. The paper identifies 29 steps for laparoscopic gastric bypass and 26 for laparoscopic sleeve gastrectomy that are crucial to correctly perform these procedures to the standards of their expert panel.

RYGB associated with more non-vertebral fractures than AGB

Patients undergoing Roux-en-Y gastric bypass (RYGB) surgery may be at greater risk for non-vertebral fracture than those having adjustable gastric banding (AGB), according to a population-based study by researchers from Massachusetts General Hospital.

Two RCTs show little difference between RYGB and LSG at five years

The five-year outcomes from two randomised clinical trials both assessing sleeve gastrectomy (LSG) vs laparoscopic Roux-en-y gastric bypass (RYGB), have concluded that there is no significant difference in regard to excess BMI loss between the two procedures, although in both trials RYGB did result in greater percentage excess BMI loss.

Differences in ERAS protocols among LRYGB and LSG patients

There are significant differences in the course of postoperative care conducted accordingly with enhanced recovery after surgery (ERAS) protocol among patients treated with laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB), according to a study by researchers from Centre for Research Training and Innovation in Surgery (CERTAIN Surgery) and Jagiellonian University Medical College, Kraków, Poland. The paper, ‘

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