National usage of bariatric surgery for class I obesity: an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program

Jackson, Theresa; Cox, B; Grinberg, Gary G.; Yenumula, Panduranga R.; Lim, Robert B.; Chow, Geoffrey; Khorgami, Zhamak

doi:10.1016/j.soard.2023.05.014

“…The findings of the study confirmed the short-term safety of MBS in this specific patient population. The analysis provided evidence supporting the favorable safety profile of MBS procedures for individuals with class 1 obesity [ 7 ].…”

Section: Discussionmentioning

confidence: 92%

“…Extensive evidence supports the significant superiority of metabolic and bariatric surgery (MBS) over non-surgical treatment approaches in patients with a body mass index (BMI) of 27 or higher who are diagnosed with T2DM [ 5 , 6 ]. Few studies have demonstrated the safety and efficacy of MBS in improving obesity-associated medical problems in class I obesity compared to higher BMI patients [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Metabolic and bariatric surgery in patients with class I obesity; a two-year follow-up

Kermansaravi,

Valizadeh,

Shahsavan

et al. 2024

BMC Surg

5

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Background Patients with class I obesity may need metabolic and bariatric surgery (MBS) in the presence of obesity-associated medical problems, but MBS in this class of obesity is under debate. This study aimed to investigate the efficacy and safety of MBS in patients with class I obesity. Methods and materials This study was a historical cohort carried out on 112 patients with class I obesity with body mass index (BMI) of 30–35 kg/m2 with a 24-month follow-up underwent MBS at Rasoul-e-Akram Hospital. The required data were extracted through the Iran National Obesity Surgery Database. The data required for the study consisted of demographic information such as age, gender, and obesity-associated medical problems like type-2 diabetes mellitus (T2DM), hypertension, obstructive sleep apnea, and dyslipidemia before surgery, 6, 12, and 24 months after surgery. Results Mean age of the patients was 38.10 ± 10.04 years; mean BMI was 32.96 ± 1.35 kg/m2 and 83.9% (n = 94) of patients were female. Out of 18 patients with T2DM, 11 patients (61.11%) had complete remission and seven patients (38.88%) had partial remission. Obstructive sleep apnea, hypertension, dyslipidemia, and gastroesophageal reflux disease were observed in 18 (16.07%), 23 (20.53%), 43 (38.39%), and 13 patients (11.60%) before surgery and resolved at 24-month follow-up. Post-operative complications during the 24-month follow-up were checked to assess safety and there were no De novo gastroesophageal reflux disease, intolerance, leakage, pulmonary thromboembolism, deep vein thrombosis, incisional hernia, hypoalbuminemia (Albumin < 3.5 g/dl), excessive weight loss (BMI < 18.5 kg/m2) at any time during 24-months follow-ups and mortality. Early complications occurred as splenic injury in one case (0.89%), wound infection in one patient (0.89%), and extra-luminal bleeding in 10 (8.92%) after surgery, without any mortality. Conclusion MBS is safe and effective in class I obesity and can be considered in selected patients with obesity-associated medical problems.

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“…The field of bariatric and metabolic surgery has changed rapidly over the past two decades, with an exponential increase in case volumes being performed because of its proven efficacy for morbid obesity and obesity-related comorbidities 1–4 . In addition, there have been major evolutions in the commonly performed bariatric operations and their numerous variants, as well as the shift to minimally invasive techniques as the standard approach for most patients 5–7 .…”

Section: Case Vignettementioning

confidence: 99%

“…The field of bariatric and metabolic surgery has changed rapidly over the past two decades, with an exponential increase in case volumes being performed because of its proven efficacy for morbid obesity and obesity-related comorbidities. [1][2][3][4] In addition, there have been major evolutions in the commonly performed bariatric operations and their numerous variants, as well as the shift to minimally invasive techniques as the standard approach for most patients. [5][6][7] There are now 862 bariatric surgery programs in the United States accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, with joint oversight from the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery.…”

Section: Case Vignettementioning

confidence: 99%

See 1 more Smart Citation

Common postbariatric surgery emergencies for the acute care surgeon: What you need to know

Cheng,

Samakar,

Dobrowolsky

et al. 2023

J Trauma Acute Care Surg

0

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The field of bariatric and metabolic surgery has changed rapidly over the past two decades, with an exponential increase in case volumes being performed because of its proven efficacy for morbid obesity and obesity-related comorbidities. Although this increased volume of procedures has been accompanied by significant decrease in postoperative complication rates, there are numerous potential complications after bariatric surgery that may require urgent or emergent surgical evaluation or interventions. Many of these risks extend well beyond the early postoperative period and can present months to years after the index procedure. Acute care surgeons are increasingly covering most or all of the emergency general surgery services at many centers and must be familiar with the numerous bariatric surgical procedures being performed and their individual complication profile to provide optimal care for these frequently challenging patients. This article provides a focused and concise review of the common bariatric procedures being performed, their early and late complication profiles, and a practical guide to the optimal diagnostic evaluations, surgical interventions, and perioperative management options. The author group includes both acute care surgeons and bariatric surgeons with significant experience in the emergency management of the complicated postbariatric surgical patient. LEVEL OF EVIDENCE Literature Synthesis and Expert Opinion; Level V.

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Comment on: National usage of bariatric surgery for class I obesity: an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program

Dallal¹

2023

Surgery for Obesity and Related Diseases

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National usage of bariatric surgery for class I obesity: an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program

Cited by 5 publications

References 31 publications

Metabolic and bariatric surgery in patients with class I obesity; a two-year follow-up

Metabolic and bariatric surgery in patients with class I obesity; a two-year follow-up

Common postbariatric surgery emergencies for the acute care surgeon: What you need to know

Comment on: National usage of bariatric surgery for class I obesity: an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program

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