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Book: Metabolic syndrome and diabetes

Kurian, Marina S.

medical and surgical management

2016

Author's details	Marina Kurian ... ed
Language	English
Size	X, 270 S. : Ill., graph. Darst.
Publisher	Springer
Publishing place	New York u.a.
Publishing country	United States
Document type	Book
HBZ-ID	HT018831246
ISBN	978-1-4939-3219-1 ; 978-1-4939-3220-7 ; 1-4939-3219-5 ; 1-4939-3220-9
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Measuring Outcomes in the Treatment of Obesity.

Jenkins, Megan / Kurian, Marina / Moore, Rachel

JAMA surgery

2024 Volume 159, Issue 3, Page(s) 314

MeSH term(s)	Humans ; Obesity ; Body Mass Index ; Outcome Assessment, Health Care ; Treatment Outcome
Language	English
Publishing date	2024-01-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2701841-6
ISSN	2168-6262 ; 2168-6254
ISSN (online)	2168-6262
ISSN	2168-6254
DOI	10.1001/jamasurg.2023.6274
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Article ; Online: Comment on: laparoscopic stomach intestinal pylorus-sparing surgery as a revisional option after failed adjustable gastric banding: a report of 27 cases with 36-month follow-up.

Kurian, Marina

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

2018 Volume 14, Issue 9, Page(s) e5–e6

MeSH term(s)	Follow-Up Studies ; Gastric Bypass ; Gastroplasty ; Humans ; Laparoscopy ; Obesity, Morbid/surgery ; Pylorus ; Reoperation ; Retrospective Studies ; Treatment Outcome ; Weight Loss
Language	English
Publishing date	2018-06-30
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	2274243-8
ISSN	1878-7533 ; 1550-7289
ISSN (online)	1878-7533
ISSN	1550-7289
DOI	10.1016/j.soard.2018.06.019
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Article ; Online: Comment on: Hiatal hernia and gastroesophageal reflux disease in gastric banding patients: analysis of a national database.

Kurian, Marina

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

2014 Volume 10, Issue 3, Page(s) 444

MeSH term(s)	Female ; Gastroesophageal Reflux/complications ; Gastroplasty/methods ; Hernia, Hiatal/surgery ; Herniorrhaphy/methods ; Humans ; Laparoscopy/methods ; Male ; Obesity, Morbid/surgery
Language	English
Publishing date	2014-05
Publishing country	United States
Document type	Comment ; Editorial
ZDB-ID	2274243-8
ISSN	1878-7533 ; 1550-7289
ISSN (online)	1878-7533
ISSN	1550-7289
DOI	10.1016/j.soard.2014.01.007
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Article ; Online: The Management of Biliary Disease in Patients with Severe Obesity Undergoing Metabolic and Bariatric Surgery-An International Expert Survey.

Kermansaravi, Mohammad / Shikora, Scott / Dillemans, Bruno / Kurian, Marina / LaMasters, Teresa / Vilallonga, Ramon / Prager, Gerhard / Chiappetta, Sonja

Obesity surgery

2024 Volume 34, Issue 4, Page(s) 1086–1096

Abstract: Objective: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate the management of biliary disease in patients with severe obesity undergoing MBS.: Background: Obesity and rapid weight ... ...

Abstract	Objective: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate the management of biliary disease in patients with severe obesity undergoing MBS. Background: Obesity and rapid weight loss after MBS are risk factors for the development of gallstones. Complications, such as cholecystitis, acute cholangitis, and biliary pancreatitis, are potentially life-threatening, and no guidelines for the proper management of gallstone disease exist. Methods: An international scientific team designed an online confidential questionnaire with 26 multiple-choice questions. The survey was answered by 86 invited experts (from 38 different countries), who participated from August 1, 2023, to September 9, 2023. Results: Two-thirds of experts (67.4%) perform concomitant cholecystectomy in symptomatic gallstones during MBS. Half of experts (50%) would wait 6-12 weeks between both surgeries with an interval approach. Approximately 57% of the experts prescribe ursodeoxycholic acid (UDCA) prophylactically after MBS, and most recommend a 6-month course. More than the half of the experts (59.3%/53.5%) preferred laparoscopic assisted transgastric ERCP as the approach for treating CBD stones in patients who previously had RYGB/OAGB. Conclusion: Concomitant cholecystectomy is preferred by the experts, although evidence in the literature reports an increased complication rate. Prophylactic UDCA should be recommended to every MBS patient, even though the current survey demonstrated that not all experts are recommending it. The preferred approach for treating common bile duct stones is a laparoscopic assisted transgastric ERCP after gastric bypass. The conflicting responses will need more scientific work and clarity in the future.
MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Gallstones/surgery ; Cholangiopancreatography, Endoscopic Retrograde ; Obesity/surgery ; Bariatric Surgery ; Ursodeoxycholic Acid ; Cholecystectomy, Laparoscopic
Chemical Substances	Ursodeoxycholic Acid (724L30Y2QR)
Language	English
Publishing date	2024-02-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-024-07101-y
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Early Bowel Obstruction after Bariatric Surgery: An Analysis of the 2020-2021 MBSAQIP Database.

Clapp, Benjamin / Abi Mosleh, Kamal / Corbett, John / Salame, Marita / Hage, Karl / Kurian, Marina / Zundel, Natan / Ghanem, Omar M

Surgical laparoscopy, endoscopy & percutaneous techniques

2023 Volume 33, Issue 5, Page(s) 499–504

Abstract: Background: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program evaluates 30-day outcomes of bariatric cases performed in the United States. The Participant Use File in 2020 introduced bowel obstruction (BO). We compared ... ...

Abstract	Background: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program evaluates 30-day outcomes of bariatric cases performed in the United States. The Participant Use File in 2020 introduced bowel obstruction (BO). We compared the rates of BO, risk factors, and postoperative outcomes after laparoscopic Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and duodenal switch (DS). Methods: Retrospective analysis of patients who underwent laparoscopic RYGB, SG, or DS obtained from the 2020-2021 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Patients who underwent either as a primary procedure with a body mass index >35 kg/m 2 were selected. Baseline characteristics, operative details, and postoperative complications were collected. The outcome of interest was BO occurring within 30 days. Results: A total of 205,533 cases of which 148,944 were SG (72.4%), 54,606 were RYGB (26.5%), and 1983 were DS (1%). BO occurred in 0.74%, 0.4%, and 0.03% of patients who underwent an RYGB, DS, or SG, respectively. Patients with a BO in the RYGB group were more likely to be on immunosuppressive therapy (5.4% vs. 1.9%, P <0.001) with longer operative time (136.2 min±58.0 min vs. 117.4 min±53.6 min, P <0.001). SG patients with a BO were older (47.5±13.6 vs. 41.9±11.6, P =0.011) with longer operating times (98.6±63.8 vs. 68.9±33.4, P =0.002). Patients in the RYGB group with a BO had the highest rates of readmissions (71.9%) and reoperations (58.4%). Conclusions: Early bowel obstruction is rare after bariatric surgery. It is more common after RYGB and least common after SG. Readmission and reoperation rates were highest in patients with BO in the RYGB group.
MeSH term(s)	Humans ; United States ; Obesity, Morbid/surgery ; Retrospective Studies ; Treatment Outcome ; Gastric Bypass/adverse effects ; Gastric Bypass/methods ; Bariatric Surgery/adverse effects ; Bariatric Surgery/methods ; Gastrectomy/adverse effects ; Gastrectomy/methods ; Intestinal Obstruction/epidemiology ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery
Language	English
Publishing date	2023-10-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1475108-2
ISSN	1534-4908 ; 1530-4515 ; 1051-7200
ISSN (online)	1534-4908
ISSN	1530-4515 ; 1051-7200
DOI	10.1097/SLE.0000000000001227
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Article ; Online: The SAGES MASTERS program bariatric surgery pathway selects 10 seminal publications on adjustable gastric banding.

Obeid, Nabeel R / Gibbs, Karen E / Faler, Byron / Eckhouse, Shaina / Corcelles, Ricard / Alvarez, Rafael / Chen, Judy / Husain, Farah / Ghanem, Omar M / Kroh, Matthew / Kurian, Marina

Surgical endoscopy

2024

Abstract: Background: Bariatric surgery is one of the clinical pathways of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Masters Program, and laparoscopic adjustable gastric banding (LAGB) is one of the three anchoring bariatric ... ...

Abstract	Background: Bariatric surgery is one of the clinical pathways of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Masters Program, and laparoscopic adjustable gastric banding (LAGB) is one of the three anchoring bariatric procedures. To improve surgeon lifelong learning, the Masters Program seeks to identify sentinel articles of each of the 3 bariatric anchoring procedures. In this article, we present the top 10 articles on LAGB. Methods: A systematic literature search of papers on LAGB was completed, and publications with the most citations and citation index were selected and shared with SAGES Metabolic and Bariatric Surgery Committee members for review. The individual committee members then ranked these papers, and the top 10 papers were chosen based on the composite ranking. Results: The top 10 sentinel publications on LAGB contributed substantially to the body of literature related to the procedure, whether for surgical technique, novel information, or outcome analysis. A summary of each paper including expert appraisal and commentary is presented here. Conclusion: These seminal articles have had significant contribution to our understanding and appreciation of the LAGB procedure. Bariatric surgeons should use this resource to enhance their continual education and acquisition of specialized skills.
Language	English
Publishing date	2024-05-07
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-024-10812-z
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Article ; Online: American Society for Metabolic and Bariatric Surgery 2022 estimate of metabolic and bariatric procedures performed in the United States.

Clapp, Benjamin / Ponce, Jaime / Corbett, John / Ghanem, Omar M / Kurian, Marina / Rogers, Ann M / Peterson, Richard M / LaMasters, Teresa / English, Wayne J

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

2024 Volume 20, Issue 5, Page(s) 425–431

Abstract: Background: Metabolic and bariatric surgery (MBS), despite being the most effective durable treatment for obesity, remains underused as approximately 1% of all qualified patients undergo surgery. The American Society for Metabolic and Bariatric Surgery ... ...

Abstract	Background: Metabolic and bariatric surgery (MBS), despite being the most effective durable treatment for obesity, remains underused as approximately 1% of all qualified patients undergo surgery. The American Society for Metabolic and Bariatric Surgery established a Numbers Taskforce to specify the annual rate of obesity treatment interventions utilization and to determine if patients in need are receiving appropriate treatment. Objective: To provide the best estimated number of metabolic and bariatric procedures being performed in the United States in 2022. Setting: United States. Methods: We reviewed data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program and National Surgical Quality Improvement Program. In addition, data from industry and state databases were used to estimate activity at non-accredited centers. Data from 2022 were compared mainly with data from the previous 2 years. Results: Compared with 2021, the total number of MBS performed in 2022 increased from approximately 262,893 to 280,000. The sleeve gastrectomy (SG) continues to be the most commonly performed procedure. The gastric bypass procedure trend remained relatively stable. The percentage of revision procedures and biliopancreatic diversion with duodenal switch procedures increased slightly. Intragastric balloon placement increased from the previous year. Endoscopic sleeve gastroplasty increased in numbers. Conclusions: There was a 6.5% increase in MBS volume from 2021 to 2022 and a 41% increase from 2020, which demonstrates a recovery from the COVID-19 pandemic. SG continues to be the most dominant MBS procedure.
MeSH term(s)	Humans ; Bariatric Surgery/statistics & numerical data ; Bariatric Surgery/methods ; United States ; Societies, Medical ; Obesity, Morbid/surgery ; Obesity/surgery ; Obesity/epidemiology
Language	English
Publishing date	2024-02-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2274243-8
ISSN	1878-7533 ; 1550-7289
ISSN (online)	1878-7533
ISSN	1550-7289
DOI	10.1016/j.soard.2024.01.012
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: 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 / Ghanem, Omar / Hutter, Matthew / Kothari, Shanu / LaMasters, Teresa / Kurian, Marina / English, Wayne

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

2022 Volume 18, Issue 9, Page(s) 1134–1140

Abstract: Background: Metabolic and bariatric surgery (MBS), despite being the only effective durable treatment for obesity, remains underused as approximately 1% of all patients who qualify undergo surgery. The American Society for Metabolic and Bariatric ... ...

Abstract	Background: Metabolic and bariatric surgery (MBS), despite being the only effective durable treatment for obesity, remains underused as approximately 1% of all patients who qualify undergo surgery. The American Society for Metabolic and Bariatric Surgery created a Numbers Taskforce to specify annual rate of utilization for obesity treatment interventions and to determine if patients in need are receiving appropriate treatment. Objective: The objective of this study was to provide the best estimated number of metabolic and bariatric procedures performed in the United States in 2020. Setting: United States. Methods: We reviewed data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), National Surgical Quality Improvement Program, Bariatric Outcomes Longitudinal Database, and Nationwide Inpatient Sample. In addition, data from industry and state databases were used to estimate activity at nonaccredited centers. Data from 2020 were compared mainly with data from the previous 2 years. Results: Compared with 2019, the total number of MBS performed in 2020 decreased from approximately 256,000 to 199,000. Sleeve gastrectomy continues to be the most common procedure. The gastric bypass procedure trend remained relatively stable, and the gastric band procedure trend continued to decline. The percentage of revision procedures and biliopancreatic diversion with duodenal switch procedures increased slightly. Single-anastomosis duodeno-ileostomy was listed for the first time in 2020. Intragastric balloons placement declined from the previous year. Conclusion: There was a 22.5% decrease in MBS volume from 2019 to 2020, which coincided with the COVID-19 pandemic. Sleeve gastrectomy continues to be the dominant procedure, and for the first time, single-anastomosis duodeno-ileostomy is reported in the MBSAQIP database.
MeSH term(s)	Bariatric Surgery/methods ; COVID-19 ; Gastrectomy/methods ; Gastric Bypass/methods ; Humans ; Obesity/surgery ; Obesity, Morbid/surgery ; Pandemics ; Retrospective Studies ; Treatment Outcome ; United States/epidemiology
Language	English
Publishing date	2022-06-26
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2274243-8
ISSN	1878-7533 ; 1550-7289
ISSN (online)	1878-7533
ISSN	1550-7289
DOI	10.1016/j.soard.2022.06.284
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Article ; Online: The SAGES MASTERS program bariatric surgery pathway selects 10 seminal publications on revisional bariatrics.

Shin, Thomas H / Dang, Jerry / Howell, Melanie / Husain, Farah A / Ghanem, Omar M / GBittner, James / Eckhouse, Shaina R / Fearing, Nicole / Elli, Enrique / Hussain, Mustafa / Galvani, Carlos / Johnson, Shaneeta / Chand, Bipan / Pandya, Yagnik / Rogers, Ann M / Kroh, Matthew / Kurian, Marina

Surgical endoscopy

2024 Volume 38, Issue 5, Page(s) 2309–2314

Abstract: Background: The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Masters Program designated bariatric surgery as a clinical pathway. Among the tiers of the Masters Program, revisional bariatric surgery is the highest tier of "mastery" ...

Abstract	Background: The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Masters Program designated bariatric surgery as a clinical pathway. Among the tiers of the Masters Program, revisional bariatric surgery is the highest tier of "mastery" within the pathway. This article presents the top 10 seminal studies representing the current landscape of revisional bariatrics. Methods: The literature was systematically searched and seminal articles designated by consensus agreement of the SAGES Metabolic and Bariatric Surgery committee using multiple criteria, including impact on the field, citation frequency, and expert opinion. Articles were reviewed by committee members and presented in summarized fashion. Results: The top 10 papers are presented in grouped thematic categories covering the early evolution of revisional bariatrics, changing criteria for reoperative bariatric surgery, divergence of revision versus conversion bariatric surgery, and recent technologic innovations in revisional bariatric surgery. Each summary is presented with expert appraisal and commentary. Conclusion: These seminal papers represent a snapshot of the dynamic field of revisional bariatric surgery and emphasize the need to not only remain current with contemporary trends but also keep a patient-oriented perspective on patient and intervention selection for optimal success.
MeSH term(s)	Humans ; Bariatric Surgery/methods ; Reoperation ; Obesity, Morbid/surgery ; Critical Pathways
Language	English
Publishing date	2024-03-30
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-024-10811-0
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