Tag: bariatric surgery

  1. Nearly a fourth of bariatric surgery patients are diagnosed with a mental illness preoperatively. Depression, binge eating disorders and anxiety are the most prevalent. 2. While it is unclear that preoperative mental health influences future weight loss, there is moderate level evidence that the rates of depression are lower...
Isosorbide Mononitrate in Heart Failure with Preserved Ejection Fraction Few medications have been shown to improve mortality or quality of life in patients with congestive heart failure with preserved ejection fracture. Nitrates have been postulated to improve activity tolerance in such patients. In this multicenter, double-blind, cross-over study, 110 patients...
Neonatal glycemia and neurodevelopmental outcomes at 2 years Neonatal hypoglycemia is common and when prolonged may result in brain injury. The effect of acute and brief hypoglycemia on neurologic development, however, has not yet been well defined. To investigate the relationship between low glucose concentrations in the neonatal period and...
  1. Total health-care costs were higher for patients treated for obesity with bariatric surgery vs. conventional treatment if the patients were euglycemic or prediabetic prior to intervention. 2. However, total health-care costs were not significantly different for patients treated for obesity with bariatric surgery vs. conventional treatment if the...
1. In a qualitative, interview-based study of 19 bariatric surgery candidates, many perceived barriers to physical activities were not obesity related such as lack of motivation, environment, and restricted resources. Evidence Rating Level: 2 (Good)            Study Rundown: Previous studies in the bariatric surgery population have demonstrated that the majority of candidates...
In this section, we highlight the key high-impact studies, updates, and analyses published in medicine during the past week. 6- Versus 24-Month Dual Antiplatelet Therapy After Implantation of Drug-Eluting Stents in Patients Nonresistant to Aspirin: The Randomized, Multicenter ITALIC Trial Current national society guidelines recommend 12 months of dual antiplatelet therapy...
1. Bariatric surgery in obese patients before pregnancy was associated with a lower incidence gestational diabetes, large-for-gestational infants, and macrosomia. 2. The incidence of stillbirth and neonatal death was slightly higher in mothers who underwent bariatric surgery; however, this was of only borderline statistical significance. Evidence Rating Level: 2 (Good) Study Rundown:...
1. Veterans Affairs (VA) patients receiving bariatric surgery between 2000-2011 demonstrated lower all-cause mortality at 5 years and 10 years following the bariatric surgery operation. 2. This association between bariatric surgery and all-cause mortality was not associated with sex, diabetes, or super obesity. Evidence Rating Level: 2 (Good)        Study...
1. In diabetic retinopathy patients undergoing Roux-en-Y gastric bypass, there was no significant progression of diabetic retinopathy scores after 2 years of follow-up. 2. A significant worsening of diabetic retinopathy scores was noted in control subjects who did not undergo gastric surgery. Evidence Rating Level: 3 (Average) Study Rundown: Roux-en-Y bypass has...
1. Despite proactive vitamin D supplementation, 80% of morbidly obese patients who underwent omega-loop gastric bypass were vitamin D deficient at 1 year post-op. 2. BMI >45 was a strong predictor of post-operative vitamin D deficiency Evidence Rating Level: 2 (Good)            Study Rundown: Omega-loop gastric bypass (OLGB)...