American Society for Metabolic and Bariatric Surgery 2020 estimate of metabolic and bariatric procedures performed in the United States

Clapp, Benjamin; Ponce, Jaime; DeMaria, Eric J.; Ghanem, Omar M.; Hutter, Matthew M.; Kothari, Shanu N.; LaMasters, Teresa; Kurian, Marina; English, Wayne J.

doi:10.1016/j.soard.2022.06.284

Cited by 137 publications

(71 citation statements)

References 8 publications

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“…Data recently published from the National Obesity Audit in England have demonstrated that although the number of cases performed between April 2021 and April 2022 (n = 4440) has improved compared to 2020/2021 (n = 1854) this has still not reached prepandemic rates of BMS (2018/2019, n = 6779) [24]. Data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Programme (MBSAQIP) in the United States has also confirmed a reduction in BMS during 2020 of approximately 22.5% [25], but data regarding the recovery of services in 2021 and beyond is awaited. In the future, it will also be necessary to establish if there has been any increase in referrals for BMS which may have been triggered due to concerns regarding the effect of severe obesity on outcomes following SARS-CoV-2 infection [26,27].…”

Section: Discussionmentioning

confidence: 99%

Handling of the Covid-19 Pandemic and Its Effects on Bariatric Surgical Practice: Analysis of GENEVA Study Database

Singhal

Pouwels²,

Rajeev³

et al. 2022

OBES SURG

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Background The coronavirus disease 2019 (COVID-19) pandemic led to a worldwide suspension of bariatric and metabolic surgery (BMS) services. The current study analyses data on patterns of service delivery, recovery of practices, and protective measures taken during the COVID-19 pandemic by bariatric teams. Materials and Methods The current study is a subset analysis of the GENEVA study which was an international cohort study between 01/05/2020 and 31/10/2020. Data were specifically analysed regarding the timing of BMS suspension, patterns of service recovery, and precautionary measures deployed. Results A total of 527 surgeons from 439 hospitals in 64 countries submitted data regarding their practices and handling of the pandemic. Smaller hospitals (with less than 200 beds) were able to restart BMS programmes more rapidly (time to BMS restart 60.8 ± 38.9 days) than larger institutions (over 2000 beds) (81.3 ± 30.5 days) (p = 0.032). There was a significant difference in the time interval between cessation/reduction and restart of bariatric services between government-funded practices (97.1 ± 76.2 days), combination practices (84.4 ± 47.9 days), and private practices (58.5 ± 38.3 days) (p < 0.001). Precautionary measures adopted included patient segregation, utilisation of personal protective equipment, and preoperative testing. Following service recovery, 40% of the surgeons operated with a reduced capacity. Twenty-two percent gave priority to long waiters, 15.4% gave priority to uncontrolled diabetics, and 7.6% prioritised patients requiring organ transplantation. Conclusion This study provides global, real-world data regarding the recovery of BMS services following the COVID-19 pandemic. Graphical abstract

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Section: Discussionmentioning

confidence: 99%

Handling of the Covid-19 Pandemic and Its Effects on Bariatric Surgical Practice: Analysis of GENEVA Study Database

Singhal

Pouwels²,

Rajeev³

et al. 2022

OBES SURG

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“…2 Roux-en-Y gastric bypass (RYGB) is currently the second most commonly performed bariatric procedure in the United States and is widely considered to be the gold standard of weight loss procedures. 3 A critical step in RYGB is the construction of a gastrojejunostomy. Requirements for this anastomosis are that it must be watertight, tension-free, and mannered in such a way that it creates restriction while preventing dumping syndrome.…”

mentioning

confidence: 99%

“…Roux-en-Y gastric bypass (RYGB) is currently the second most commonly performed bariatric procedure in the United States and is widely considered to be the gold standard of weight loss procedures 3. A critical step in RYGB is the construction of a gastrojejunostomy.…”

mentioning

confidence: 99%

Impact of Early Gastrojejunal Stenosis on Weight Loss in Patients Undergoing Roux-en-Y Gastric Bypass

Shariq¹,

Portela²,

Bews³

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: Gastrojejunal (GJ) anastomotic stenosis is a welldescribed complication after Roux-en-Y gastric bypass (RYGB); however, its impact on weight loss outcomes is not well elucidated. Methods:We performed a retrospective cohort study of adult patients who underwent RYGB at our institution between 2008 and 2020. Propensity score matching was used to match 30 patients who developed GJ stenosis within the first 30 days post-RYGB with 120 control patients who did not develop this outcome. Short and longterm complications and mean percentage of total body weight loss (TWL) were recorded at 3 months, 6 months, 1 year, 2 years, 3 to 5 years, and 5 to 10 years postoperatively. Hierarchical linear regression modeling was used to analyze the association between early GJ stenosis and the mean percentage of TWL.Results: Patients who developed early GJ stenosis had a 13.6% increase in the mean percentage of TWL when compared with controls in the hierarchical linear model [P < 0.001 (95% CI: 5.7; 21.5)]. These patients were also more likely to present to an intravenous infusion center (70% vs 4%; P < 0.01), require readmission within 30 days (16.7% vs 2.5%; P < 0.01), and/or develop an internal hernia (23.3% vs 5.0%) postoperatively.Conclusions: Patients who develop early GJ stenosis after RYGB have a greater degree of long-term weight loss compared with patients who do not develop this complication. Although our findings support the key contribution that restrictive mechanisms play in maintaining weight loss after RYGB, GJ stenosis remains a complication associated with significant morbidity.

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“…Moreover, previous meta-analyses have demonstrated BPD-DS as the most effective bariatric technique for weight loss 7,8. Interestingly, the number of BPD-DS operations in the United States in 2020 has almost doubled since 2019 9. Nevertheless, BPD-DS only accounts for 1.1% of all current bariatric surgeries because of its complex surgical technique, postoperative complication rate, and prolonged operative time 2,10…”

mentioning

confidence: 99%

“…7,8 Interestingly, the number of BPD-DS operations in the United States in 2020 has almost doubled since 2019. 9 Nevertheless, BPD-DS only accounts for 1.1% of all current bariatric surgeries because of its complex surgical technique, postoperative complication rate, and prolonged operative time. 2,10 To simplify the BPD-DS procedure, Sanchez-Pernaute and Torres 11 introduced single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) in 2007.…”

mentioning

confidence: 99%

Single Versus Double Anastomosis Duodenal Switch in the Management of Obesity: A Meta-analysis and Systematic Review

Nakanishi

Matar

Vahibe

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: Biliopancreatic diversion with duodenal switch (BPD-DS) is an effective yet technically challenging bariatric surgery with many complications. Alternatively, single anastomosis duodenalileal bypass with sleeve gastrectomy (SADI-S) was recently introduced as a simplified bariatric procedure. This meta-analysis aimed to assess the safety and efficacy of SADI-S compared with BPD-DS in the management of patients with obesity.Methods: Cochrane, Embase, PubMed, Scopus, and Web of Science were searched for articles from their inception to May 2022 by 2 independent reviewers using the Preferred Reporting Items for Systematic Reviews and Meta-analysis system. The review was registered prospectively with PROSPERO (CRD42022333521).Results: From 123 studies screened, 6 studies met the eligibility criteria, with a total of 1847 patients with obesity undergoing either SADI-S (n = 818) or BPD-DS (n = 1029). Preoperative body mass index was similar between the 2 groups, and the BPD-DS group had a greater % excess body mass index loss (EBMIL) (MD = −10.16%, 95% confidence interval: −11.80, −8.51, I 2 = 0%) at 2 years compared with the SADI-S group. There was no difference observed in preoperative comorbidities and remission, including diabetes, hypertension, and dyslipidemia between SADI-S and BPD-DS cohorts. Compared with BPD-DS, SADI-S had shorter hospital stays (MD = −1.36 d, 95% CI: −2.39, −0.33, I 2 = 86%), and fewer long-term ( > 30 d) complications (OR = 0.56, 95% CI: 0.42, 0.74, I 2 = 20%). Conversely, among nutritional deficiency outcomes, the SADI-S group had few patients with abnormal vitamin D (OR = 0.51, 95% CI: 0.36, 0.72, I 2 = 0%) values than the BPD-DS group.Conclusions: SADI-S has shown to be a possible alternative treatment option to BPD-DS in managing patients with obesity. Despite the promising results, further randomized controlled studies with more extended follow-up periods are necessary to ascertain the safety and efficacy of the treatment.

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American Society for Metabolic and Bariatric Surgery 2020 estimate of metabolic and bariatric procedures performed in the United States

Cited by 137 publications

References 8 publications

Handling of the Covid-19 Pandemic and Its Effects on Bariatric Surgical Practice: Analysis of GENEVA Study Database

Handling of the Covid-19 Pandemic and Its Effects on Bariatric Surgical Practice: Analysis of GENEVA Study Database

Impact of Early Gastrojejunal Stenosis on Weight Loss in Patients Undergoing Roux-en-Y Gastric Bypass

Single Versus Double Anastomosis Duodenal Switch in the Management of Obesity: A Meta-analysis and Systematic Review

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