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Gastric Bypass Surgery: Current Challenges and Future Perspectives

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: closed (31 October 2024) | Viewed by 1618

Special Issue Editor


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Guest Editor
Department of General and Endocrine Surgery, Medical University of Bialystok, 24a M. Sklodowskiej-Curie Street, 15-276 Bialystok, Poland
Interests: bariatric and metabolic surgery; sleeve gastrectomy; Roux-Y gastric bypass; single-anastomosis dudodeno-ileostomy; revisional bariatric and metabolic surgery; endocrine surgery

Special Issue Information

Dear Colleagues,

Roux-Y gastric bypass (RYGB) remains one of the three most frequently performed bariatric operations worldwide. Scarce evidence suggests that RYGB, as compared to sleeve gastrectomy, has more durable results in terms of weight loss in the long term.

RYGB is regarded as a procedure of choice for bariatric patients with Barrett’s esophagus, severe gastro-esophageal reflux disease, and hiatal hernia, both in primary and redo scenarios. It is also a common revisional operation for weight regain after sleeve gastrectomy, but also after gastric banding or vertical banded gastroplasty.

RYGB plays an important role as a rescue procedure in case of complications of sleeve gastrectomy (severe stenosis/obstruction or leak/fistula), but also complications of single-anastomosis gastric bypass (leak at gastro-jejunal anastomosis).

The main downsides of RYGB are small bowel obstruction (usually due to internal hernia) and chronic pain (often associated with jejuno-jejunostomy malfunction).

The scope of this Special Issue concentrates on three issues:

  1. Long-term (10+ years) results of RYGB compared to sleeve gastrectomy.
  2. Bowel obstruction after RYGB in the long term: how serious is the problem and could it be prevented?
  3. Chronic pain after RYGB: how to diagnose, prevent, and manage patients?

Dr. Piotr Myśliwiec
Guest Editor

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Keywords

  • Roux-Y gastric bypass
  • bariatric
  • metabolic
  • complications
  • obstruction

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Published Papers (1 paper)

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28 pages, 4888 KiB  
Systematic Review
Comparative Effects of Sleeve Gastrectomy vs. Roux-en-Y Gastric Bypass on Phase Angle and Bioelectrical Impedance Analysis Measures: A Systematic Review and Meta-Analysis
by Julia Navarro-Marroco, Pilar Hernández-Sánchez, Desirée Victoria-Montesinos, Pablo Barcina-Pérez, Carmen Lucas-Abellán and Ana María García-Muñoz
J. Clin. Med. 2024, 13(22), 6784; https://doi.org/10.3390/jcm13226784 - 11 Nov 2024
Cited by 1 | Viewed by 1334
Abstract
Background/Objectives: The objective of this meta-analysis was to determine the impact of bariatric surgery on phase angle (PhA) and other bioimpedance measures among adults with obesity, comparing the effects of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). Methods: A systematic review and [...] Read more.
Background/Objectives: The objective of this meta-analysis was to determine the impact of bariatric surgery on phase angle (PhA) and other bioimpedance measures among adults with obesity, comparing the effects of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines, including studies up to May 2024 from MEDLINE, Scopus, Cochrane Library, and Web of Science. Eligible studies assessed PhA changes pre- and post-bariatric surgery in adults with BMI ≥ 30 kg/m2. Data on PhA, fat mass (FM), fat-free mass (FFM), body cell mass (BCM), weight, and BMI were extracted and analyzed. Results: Thirteen studies with a total of 1124 patients were included. Significant PhA reductions were observed at 6 months post-surgery (effect size: −1.00; 95% CI: −1.11 to −0.89; p < 0.001), with a more substantial reduction in RYGB patients compared to SG. FM and FFM decreased significantly at 12 months (FM: −27.58; 95% CI: −32.58 to −22.57; p < 0.001; FFM: −10.51; 95% CI: −12.81 to −8.94; p < 0.001). Weight and BMI showed marked reductions at 6 months (Weight: −31.42 kg; 95% CI: −37.28 to −25.26; p < 0.001; BMI: −11.39; 95% CI: −12.60 to −10.18; p < 0.001), with sustained decreases at 12 and 24 months. Conclusions: Bariatric surgery significantly reduces PhA, FM, FFM, weight, and BMI, with initial greater impacts observed in RYGB compared to SG. PhA shows potential as a marker for monitoring post-surgical recovery and nutritional status. Further long-term studies and standardized measurement protocols are recommended to optimize patient management. Full article
(This article belongs to the Special Issue Gastric Bypass Surgery: Current Challenges and Future Perspectives)
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