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laparoscopic sleeve gastrectomy

Biliary complication rates similar for adolescents and adults after LSG

Adolescents and teens experience biliary side effects after laparoscopic sleeve gastrectomy at about the same rate as adults. However, in younger patients, the symptoms are more likely to manifest as pancreatic inflammation or acute pancreatitis, according to a study presented at ObesityWeek 2019, ‘The Pattern of Biliary Disease Following Laparoscopic Sleeve Gastrectomy in Adolescents’, and published in the journal Obesity.

Sleeve gastrectomy dependent on weight loss QoL improvements

Laparoscopic sleeve gastrectomy improves the quality of life (QoL) of patients but that is dependent on the degree of weight loss achieved and independent of age and gender, according to investigators from Lebanon. They summarised that the satisfaction from bariatric surgery seems to come from its improvement in both physical and mental health.

No differences between Harmonic and LigaSure devices in LSG patients

There are no significant differences between ultrasonic systems such as the Harmonic scalpel and electrothermal bipolar-activated devices such as the LigaSure device in patients undergoing laparoscopic sleeve gastrectomy (LSG), according to researchers from Federico II University, Naples, Italy. They note that the choice of the energy device should be based on the preference of the surgeon and on the hospital cost policy.

LSG betters banding for food tolerance and eating disorders

Laparoscopic sleeve gastrectomy (LSG) patients had superior outcomes in both food tolerance and eating disorder behaviours, compared with laparoscopic banding, according to researchers from Bahrain Defence Force Hospital, Riffa, Bahrain. However, despite these differences, the quality of life (QoL) did not significantly differ between the sleeve and gastric banding groups.

LSG betters LGP for complication rates and post-op weight loss

Laparoscopic sleeve gastrectomy (LSG) has lower overall complications rate, fewer minor post-operative complications and better short- and medium-term weight loss compared to laparoscopic gastric plication (LGP), according to a meta-analysis paper by researchers from the University Hospital of Larissa, Mezourlo, Larissa, Greece. However, they reported no statistically significant difference between the two procedures regarding the major postoperative complications, the length of hospital stay, the operation duration, the reoperation rate or cost.

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.

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.

Pre-operative gender differences substantial but significant

A Canadian study examining the socio-demographic profile, morbidity and health-related quality of life (HRQoL) of patients accessing laparoscopic sleeve gastrectomy (LSG), has reported that baseline characteristics were similar between men and women, although gender specific differences were observed in comorbid profile and HRQoL.

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, ‘

Sleeve gastrectomy lowers tolerance to alcohol in females

Women who have had sleeve gastrectomy to lose weight may want to consider limiting the number of alcoholic drinks they consume post-surgery, according to a study from a team of researchers at the University of Illinois and Washington University School of Medicine in St Louis, who reported that after undergoing sleeve gastrectomy, women could be legally intoxicated after drinking half the number of drinks than women who did not have this surgery.

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