This randomized clinical trial assesses the efficacy and safety of standard gastric bypass vs distal gastric bypass in patients with a BMI of 50 to 60.
This cohort study compares the short- and long-term outcomes of bariatric surgery, with a specific focus on the rate of remission of type 2 diabetes in patients with early- and late-onset type 2 diabetes.
This review discusses the difficulties associated with diagnosis and treatment of median arcuate ligament syndrome and provides an algorithm to guide workup and intervention.
This cohort study compares the 5-year efficacy of gastrointestinal metabolic surgery vs medical treatment for type 2 diabetes mellitus in mildly obese patients.
This cohort study evaluates the long-term effects of laparoscopic sleeve gastrectomy on obesity-related comorbidities.
This randomized clinical trial reports that bariatric surgery with 2 years of an adjunctive low-level lifestyle intervention resulted in more disease remission than did lifestyle intervention alone for obese participants with type 2 diabetes mellitus.
This randomized clinical trial reports that in patients with a body mass index of 50 to 60 kg/m2, duodenal switch resulted in greater weight loss and greater improvements in low-density lipoprotein cholesterol, triglycerides, and glucose 5 years after surgery compared with gastric bypass while improvements in health-related quality of life were similar.
This review of findings discussed at a multidisciplinary workshop on bariatric surgery notes there is evidence showing that bariatric surgery results in greater weight loss than nonsurgical treatments. Finks and Dimick provide a related invited commentary.
This retrospective cohort study found that Roux-en-Y gastric bypass resulted in greater weight loss than adjustable gastric banding but a higher risk of short-term complications and long-term subsequent hospitalizations. See also the Invited Commentary by Dimick and Finks.
Courcoulas et al determine feasibility of a randomized clinical trial and compare initial outcomes of bariatric surgery and a structured weight loss program for treating type 2 diabetes mellitus.
Halperin et al test the feasibility of methods to conduct a larger multisite trial to determine the long-term effect of Roux-en-Y gastric bypass surgery compared with an intensive diabetes medical and weight management program for type 2 diabetes in obese patients.
Eid and coauthors investigate the safety and effectiveness of endoscopic gastric plication with the StomaphyX device in Roux-en-Y gastric bypass patients.
DuPree and coauthors analyze the effect of laparoscopic sleeve gastrectomy on patients with gastroesophageal reflux disease.
In a systematic review and meta-analysis, Chang et al examine the effectiveness and risks of bariatric surgery.