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  1. Article ; Online: Clinical characteristics of patients undergoing primary bariatric surgery in the United Kingdom based on the National Bariatric Surgery Registry.

    Bolckmans, Roel / Askari, Alan / Currie, Andrew / Ahmed, Ahmed R / Batterham, Rachel L / Byrne, James / Hopkins, James / Khan, Omar A / Mahawar, Kamal / Miras, Alexander Dimitri / Pring, Chris M / Small, Peter K / Welbourn, Richard

    Clinical obesity

    2023  Volume 13, Issue 3, Page(s) e12585

    Abstract: Baseline demographic characteristics and operations undertaken for patients having bariatric surgery in the United Kingdom are largely unknown. This study aimed to describe the profile of patients having primary bariatric surgery in the National Health ... ...

    Abstract Baseline demographic characteristics and operations undertaken for patients having bariatric surgery in the United Kingdom are largely unknown. This study aimed to describe the profile of patients having primary bariatric surgery in the National Health Service (NHS) or by self-pay, and associated operations performed for both pathways. The National Bariatric Surgery Registry dataset for 5 years between January 2015 and December 2019 was used. 34 580 patients underwent primary bariatric surgery, of which 75.9% were NHS patients. Mean patient age and initial body mass index were significantly higher for NHS compared to self-pay patients (mean age 45.8 ± 11.3 [SD] vs. 43.0 ± 12.0 years and initial body mass index 48.0 ± 7.9 vs. 42.9 ± 7.3 kg/m
    MeSH term(s) Humans ; Adult ; Middle Aged ; Obesity, Morbid/epidemiology ; Obesity, Morbid/surgery ; Obesity, Morbid/complications ; Diabetes Mellitus, Type 2/complications ; State Medicine ; Treatment Outcome ; Weight Loss ; Retrospective Studies ; Bariatric Surgery/adverse effects ; Gastric Bypass/adverse effects ; Obesity/epidemiology ; Obesity/surgery ; Obesity/complications ; United Kingdom/epidemiology ; Gastrectomy/adverse effects ; Registries
    Language English
    Publishing date 2023-02-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2625816-X
    ISSN 1758-8111 ; 1758-8103
    ISSN (online) 1758-8111
    ISSN 1758-8103
    DOI 10.1111/cob.12585
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  2. Article ; Online: Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry.

    McGlone, Emma Rose / Carey, Iain M / Currie, Andrew / Mahawar, Kamal / Welbourn, Richard / Ahmed, Ahmed R / Pring, Chris / Small, Peter K / Khan, Omar A

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

    2023  Volume 19, Issue 11, Page(s) 1281–1287

    Abstract: Background: When surgery resumed following the outbreak of the COVID-19 pandemic, guidelines recommended the prioritization of patients with greater obesity-related co-morbidities and/or higher body mass index.: Objective: The aim of this study was ... ...

    Abstract Background: When surgery resumed following the outbreak of the COVID-19 pandemic, guidelines recommended the prioritization of patients with greater obesity-related co-morbidities and/or higher body mass index.
    Objective: The aim of this study was to record the effect of the pandemic on total number, patient demographics, and perioperative outcomes of elective bariatric surgery patients in the United Kingdom.
    Setting and methods: The United Kingdom National Bariatric Surgical Registry was used to identify patients who underwent elective bariatric surgery during the pandemic (1 yr from April 1, 2020). Characteristics of this group were compared with those of a pre-pandemic cohort. Primary outcomes were case volume, case mix, and providers. National Health Service cases were analyzed for baseline health status and perioperative outcomes. Fisher exact, χ
    Results: The total number of cases decreased to one third of pre-pandemic volume (8615 to 2930). The decrease in operating volume varied, with 36 hospitals (45%) experiencing a 75%-100% reduction. Cases performed in the National Health Service fell from 74% to 53% (P < .0001). There was no change in baseline body mass index (45.2 ± 8.3 kg/m
    Conclusions: In the context of a dramatic reduction in elective bariatric surgery due to the COVID-19 pandemic, patients with more severe co-morbidities were not prioritized for surgery. These findings should inform preparation for future crises.
    Language English
    Publishing date 2023-05-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2274243-8
    ISSN 1878-7533 ; 1550-7289
    ISSN (online) 1878-7533
    ISSN 1550-7289
    DOI 10.1016/j.soard.2023.05.011
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  3. Article ; Online: Bariatric-metabolic surgery for NHS patients with type 2 diabetes in the United Kingdom National Bariatric Surgery Registry.

    Currie, Andrew / Bolckmans, Roel / Askari, Alan / Byrne, James / Ahmed, Ahmed R / Batterham, Rachel L / Mahawar, Kamal / Miras, Alexander Dimitri / Pring, Chris M / Small, Peter K / Welbourn, Richard

    Diabetic medicine : a journal of the British Diabetic Association

    2023  Volume 40, Issue 6, Page(s) e15041

    Abstract: Aim: Bariatric-metabolic surgery is approved by the National Institute of Health and Care Excellence (NICE) for people with severe obesity and type 2 diabetes (T2DM) (including class 1 obesity after 2014). This study analysed baseline characteristics, ... ...

    Abstract Aim: Bariatric-metabolic surgery is approved by the National Institute of Health and Care Excellence (NICE) for people with severe obesity and type 2 diabetes (T2DM) (including class 1 obesity after 2014). This study analysed baseline characteristics, disease severity and operations undertaken in people with obesity and T2DM undergoing bariatric-metabolic surgery in the UK National Health Service (NHS) compared to those without T2DM.
    Methods: Baseline characteristics, trends over time and operations undertaken were analysed for people undergoing primary bariatric-metabolic surgery in the NHS using the National Bariatric Surgical Registry (NBSR) for 11 years from 2009 to 2019. Clinical practice before and after the publication of the NICE guidance (2014) was examined. Multivariate logistic regression was used to determine associations with T2DM status and the procedure undertaken.
    Results: 14,948/51,715 (28.9%) participants had T2DM, with 10,626 (71.1%) on oral hypoglycaemics, 4322 (28.9%) on insulin/other injectables, and with T2DM diagnosed 10+ years before surgery in 3876 (25.9%). Participants with T2DM, compared to those without T2DM, were associated with older age (p < 0.001), male sex (p < 0.001), poorer functional status (p < 0.001), dyslipidaemia (OR: 3.58 (CI: 3.39-3.79); p < 0.001), hypertension (OR: 2.32 (2.19-2.45); p < 0.001) and liver disease (OR: 1.73 (1.58-1.90); p < 0.001), but no difference in body mass index was noted. Fewer people receiving bariatric-metabolic surgery after 2015 had T2DM (p < 0.001), although a very small percentage increase of those with class I obesity and T2DM was noted. Gastric bypass was the commonest operation overall. T2DM status was associated with selection for gastric bypass compared to sleeve gastrectomy (p < 0.001).
    Conclusion: NHS bariatric-metabolic surgery is used for people with T2DM much later in the disease process when it is less effective. National guidance on bariatric-metabolic surgery and data from multiple RCTs have had little impact on clinical practice.
    MeSH term(s) Humans ; Male ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/surgery ; State Medicine ; Bariatric Surgery/methods ; Obesity, Morbid/complications ; Obesity, Morbid/epidemiology ; Obesity, Morbid/surgery ; Obesity/complications ; Obesity/epidemiology ; Obesity/surgery ; Gastric Bypass/methods ; United Kingdom/epidemiology ; Registries ; Treatment Outcome ; Retrospective Studies
    Language English
    Publishing date 2023-01-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 605769-x
    ISSN 1464-5491 ; 0742-3071 ; 1466-5468
    ISSN (online) 1464-5491
    ISSN 0742-3071 ; 1466-5468
    DOI 10.1111/dme.15041
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  4. Article ; Online: A laparoscopic vagus-preserving Merendino procedure for early esophageal adenocarcinoma.

    Pring, Chris / Dexter, Simon

    Surgical endoscopy

    2009  Volume 24, Issue 5, Page(s) 1195–1199

    Abstract: Introduction: Laparoscopic vagal preserving oesophagectomy is a recognised treatment option for high-grade dysplasia of the oesophagus. A jejunal interposition, as described by Alvin Merendino in 1955, aims to substitute the lower oesophageal sphincter, ...

    Abstract Introduction: Laparoscopic vagal preserving oesophagectomy is a recognised treatment option for high-grade dysplasia of the oesophagus. A jejunal interposition, as described by Alvin Merendino in 1955, aims to substitute the lower oesophageal sphincter, thereby treating physiological disorders such as reflux oesophagitis.
    Methods: We aimed to combine these procedures in the treatment of an otherwise healthy patient, who presented with high-grade dysplasia on surveillance endoscopy, with particular reference to technical feasibility and to Quality of Life as assessed by the Gastrointestinal Quality of Life Index (GIQLI).
    Results: We performed a laparoscopic vagus preserving Merendino procedure with sentinel lymph node biopsy. The patient made an entirely uncomplicated recovery and was discharged on day 7. His pathological specimen reported intramucosal carcinoma and high-grade dysplasia within Barrett's oesophagus. 0/4 lymph nodes were involved. His GIQLI scores preoperatively, at 2 and 4 weeks postoperatively, were 111, 98 and 105, respectively. His weight at the corresponding times was 69.8, 63.2 and 62.7 kg.
    Conclusion: A laparoscopic vagal preserving Merendino procedure is technically feasible. It also offers a physiologically advantageous procedure for the patient.
    MeSH term(s) Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Biopsy ; Contraindications ; Early Diagnosis ; Esophageal Neoplasms/pathology ; Esophageal Neoplasms/surgery ; Esophagectomy/methods ; Esophagus/innervation ; Esophagus/surgery ; Follow-Up Studies ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Vagotomy ; Vagus Nerve
    Keywords covid19
    Language English
    Publishing date 2009-12-08
    Publishing country Germany
    Document type Case Reports ; Comparative Study ; Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-009-0736-4
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  5. Article ; Online: The impact of prophylactic antibiotics on postoperative infection complication in elective laparoscopic cholecystectomy: a prospective randomized study.

    Sarveswaran, Janahan / Burke, Dermot / Pring, Chris

    American journal of surgery

    2008  Volume 195, Issue 1, Page(s) 135

    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Antibiotic Prophylaxis ; Cholecystectomy, Laparoscopic/adverse effects ; Humans ; Surgical Wound Infection/etiology ; Surgical Wound Infection/prevention & control
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2008-01
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2006.09.034
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  6. Article ; Online: Laparoscopic versus open ventral hernia repair: a randomized controlled trial.

    Pring, Chris M / Tran, Viet / O'Rourke, Nick / Martin, Ian J

    ANZ journal of surgery

    2008  Volume 78, Issue 10, Page(s) 903–906

    Abstract: Laparoscopic and open techniques are both recognized treatment options for ventral hernias. We conducted a prospective randomized trial of both methods, to assess hernia recurrence, postoperative recovery and complications. Fifty-eight patients with ... ...

    Abstract Laparoscopic and open techniques are both recognized treatment options for ventral hernias. We conducted a prospective randomized trial of both methods, to assess hernia recurrence, postoperative recovery and complications. Fifty-eight patients with ventral hernias were enrolled into the trial between August 2003 and December 2005. Of these, 31 underwent laparoscopic repair and 27 underwent open repair. Clinical parameters were documented on all patients during a median follow-up period of 27.5 months. The demographics of the two groups were similar. There was one recurrence in each of the laparoscopic and open groups. There was an equivalent rate of operative time, length of stay, postoperative pain scores, return to normal activities, wound infection and seroma formation between the two groups. Laparoscopic and open ventral hernia repair are comparable and offer low recurrence rates.
    MeSH term(s) Aged ; Female ; Hernia, Ventral/surgery ; Humans ; Laparoscopy ; Male ; Middle Aged ; Prospective Studies
    Language English
    Publishing date 2008-10
    Publishing country Australia
    Document type Comparative Study ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/j.1445-2197.2008.04689.x
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