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Anastomosis size contributes to bleeding and stenosis rates

A study comparing the incidence of early complications related with the handsewn gastrojejunal anastomosis in gastric bypass using Fouchet catheter with different diameters, has reported that a diameter of the anastomosis of 15 mm was related with lower incidence of stenosis. However, the study also found that these patients had major bleeding postoperatively and lower surgical site infection, with no incidences of anastomotic leaks.

Gastrojejunostomy resolves T2DM in BMI<35 patient

A diabetic patient with a BMI of 34.6 experienced a full resolution of her type 2 diabetes symptoms after being given a laparoscopic truncal vagotomy, subtotal gastrectomy, and Roux-en-Y gastrojejunostomy to treat her gastric ulcers, according to a new case report published in Case Reports in Surgery.

Roux-en-Y “procedure of choice” to revise gastroplasty

The “technically challenging but safe” use of Roux-en-Y gastric bypass should be considered the procedure of choice to revise a failed vertical banded gastroplasty, according to a new paper published in Obesity Surgery.

Journal watch - 22/11/12

This week: unexpected gastritis post-surgery, rare complications, immediate improvements in insulin resistance, and more.

Journal Watch - 15/11/12

This week: new attempts at Roux-en-Y modification, searching for the mechanism behind improved blood pressure post-surgery, psychological effects before and after surgery, and more.

Case report: link between RYGB and rare disease

A report of a male patient developing Kikuchi-Fujimoto disease after Roux-en-Y gastric bypass has led researchers to suggest a potential link between bariatric surgery and the rare condition.

Journal Watch: 05/10/12

This week: gastrointestinal leak after gastric bypass, outcomes after revisional Roux-en-Y gastric bypass, vitamin D deficiency after malabsorptive surgery, and more.

GaBP band significantly improves Roux-en-Y

Banded Roux-en-Y gastric bypass leads to significant improvements in weight loss and resolution of comorbidities compared with conventional Roux-en-Y bypass, according to the results of a two-year, multi-centre trial presented at IFSO 2012.

Journal Watch - 27/09/12

Indications and Mid-Term Results of Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass.

After 18 patients converted from sleeve gastrectomy to Roux-en-Y, for a variety of reasons, weight loss was significantly improved and comorbidities resolved. Results appeared to be similar to a primary Roux-en-Y. (Full text)

Does bariatric surgery have a “halo effect”?

According to a study by researchers at Stanford University School of Medicine, family members of patients who have undergone bariatric surgery have reported weight loss and improvements in their lifestyles. This so-called ‘halo effect’ is believed to be a results of the family’s close association with the patient.

The findings were published in the October 2011 issue of the Archives of Surgery.

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