Revision of Laparoscopic Adjustable Gastric Banding: Success or Failure?

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Conclusions  We report on a large cohort of LAGB revisions with 38 months of follow-up. Revision of failed LAGB by either refixation or
replacement of the band is successful and further increases weight loss.

Content Type Journal ArticleCategory Clinical ResearchPages 1-6DOI 10.1007/s11695-011-0556-1Authors
G. H. E. J. Vijgen, Department of General Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, the NetherlandsR. Schouten, Department of General Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, the NetherlandsL. Pelzers, Department of General Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, the NetherlandsJ. W. Greve, Department of General Surgery, Atrium Medical Cen…

How obesity and bariatric surgery can affect asthma control

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To the Editor: We read with much interest the recently published article “Effects of obesity and bariatric surgery on airway hyperresponsiveness, asthma control, and inflammation� by Dixon et al. At this juncture, we wish to share a few scientific facts on the published article. (Source: Journal of Allergy and Clinical Immunology)

Arteriolar Function in Visceral Adipose Tissue Is Impaired in Human Obesity.

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CONCLUSIONS: Our findings provide clinical evidence that the visceral microenvironment may be intrinsically toxic to arterial health providing a potential mechanism by which visceral adiposity burden is linked to atherosclerotic vascular disease. Our findings also support the evolving concept that both adipose tissue quality and quantity may play significant roles in shaping cardiovascular phenotypes in human obesity.
PMID: 22095978 [PubMed – as supplied by publisher] (Source: Arteriosclerosis, Thrombosis and Vascular Biology)

ASMBS and ASGE issue white paper on endoscopic bariatric therapies (EBTs)

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(American Society for Gastrointestinal Endoscopy) The American Society for Gastrointestinal Endoscopy (ASGE) and the American Society for Metabolic & Bariatric Surgery (ASMBS) have issued a new white paper on the potential role of endoscopic bariatric therapies (EBTs) in treating obesity and obesity-related diseases like Type 2 diabetes. The white paper entitled, “A Pathway to Endoscopic Bariatric Therapies,” appears online in both GIE: Gastrointestinal Endoscopy and Surgery for Obesity and Related Diseases (SOARD). (Source: EurekAlert! – Medicine and Health)

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Determinants of Increased Cardiovascular Disease in Obesity and Metabolic Syndrome.

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Authors: Vazzana N, Santilli F, Sestili S, Cuccurullo C, Davì G
Abstract
Obesity is associated with an increased mortality and morbidity for cardiovascular disease (CVD) and adipose tissue is recognised as an important player in obesity-mediated CVD. The diagnosis of the metabolic syndrome (MS) appears to identify substantial additional cardiovascular risk above and beyond the individual risk factors, even though the pathophysiology underlying this evidence is still unravelled. The inflammatory response related to fat accumulation may influence cardiovascular risk through its involvement not only in body weight homeostasis, but also in coagulation, fibrinolysis, endothelial dysfunction, insulin resistance (IR) and atherosclerosis. Moreover, there is evidence that oxidative stress …

Reversal of gastric plication after laparoscopic adjustable gastric banded plication.

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Authors: Goel R, Chang PC, Huang CK
PMID: 22178564 [PubMed – as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Comment on: An online bariatric surgery information session is as effective as an in-person information session.

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Authors: Metcalf BN
PMID: 22197463 [PubMed – as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Tipping the balance: the pathophysiology of obesity and type 2 diabetes mellitus.

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This article discusses the pathophysiology of type 2 diabetes mellitus and obesity and provides a basic understanding of these diseases, which forms the basis for understanding the importance of weight loss in their treatment.
PMID: 22054144 [PubMed – in process] (Source: The Surgical Clinics of North America)

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Physiology of weight loss surgery.

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Authors: Park CW, Torquati A
Abstract
The clinical outcomes achieved by bariatric surgery have been impressive. However, the physiologic mechanisms and complex metabolic effects of bariatric surgery are only now beginning to be understood. Ongoing research has contributed a large amount of data and shed new light on the science behind obesity and its treatment, and this article reviews the current understanding of metabolic and bariatric surgery physiology.
PMID: 22054145 [PubMed – in process] (Source: The Surgical Clinics of North America)

The economic costs of obesity and the impact of bariatric surgery.

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Authors: Richards NG, Beekley AC, Tichansky DS
Abstract
The obesity epidemic has far-reaching implications for the economic and health care future in the United States. Treatments that show reduction in health care costs over time should be approved and made available to as many patients as possible. It is our opinion that bariatric surgery meets this criterion. However, bariatric surgery cannot provide the impact necessary for reduction in health care and economic costs on a national scale. The obesity epidemic must be addressed by policy efforts at the local, state, and national levels. As experts on obesity, bariatric surgeons must be prepared to guide and inform these efforts.
PMID: 22054147 [PubMed – in process] (Source: The Surgical Clinics of North America)