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Article ; Online: Previous Body-Contouring Surgery Before Metabolic and Bariatric Surgery: Does It Matter?

Pazouki, Abdolreza / Shahabi, Shahab / Yarigholi, Fahime / Fathi, Mohammad

2023 Volume 33, Issue 12, Page(s) 4168–4169

MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Body Contouring ; Bariatric Surgery ; Quality of Life
Language	English
Publishing date	2023-10-13
Publishing country	United States
Document type	Letter
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-023-06873-z
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Article ; Online: Impact of Probiotics on Gastrointestinal Function and Metabolic Status After Roux-en-Y Gastric Bypass: A Double-Blind, Randomized Trial.

Melali, Hamid / Abdolahi, Alimeh / Sheikhbahaei, Erfan / Vakili, Kimia / Mahmoudieh, Mohsen / Keleidari, Behrouz / Shahabi, Shahab

Obesity surgery

2024

Abstract: Purpose: Postoperative changes in gut microbiota may occur in patients undergoing Roux-en-Y gastric bypass surgery. In this study, we evaluate the impact of administering probiotic tablets on the gastrointestinal function and metabolic status of these ... ...

Abstract	Purpose: Postoperative changes in gut microbiota may occur in patients undergoing Roux-en-Y gastric bypass surgery. In this study, we evaluate the impact of administering probiotic tablets on the gastrointestinal function and metabolic status of these patients. Materials and methods: This double-blinded randomized clinical trial was conducted from 2021 to 2022 on 135 Roux-en-Y surgery candidates. The intervention group underwent the surgical procedure and started receiving probiotic supplements (Familact Co.) 1 week after surgery; the control group received a placebo. The laboratory and anthropometric data were measured and analyzed before and 3 and 6 months after the intervention. GIQLI questionnaire was also used at the beginning and 6 months after the intervention to evaluate GI symptoms. Results: We observed significantly reduced BMI in both groups after surgeries (P < 0.001). The levels of FBS and HbA1C were significantly lower in the probiotic group compared to the placebo in 3 months (P = 0.02 and P = 0.001, respectively) and 6 months (P < 0.001 for both) after the intervention. The levels of vitamin B12 increased significantly in the probiotic group (P < 0.001), and the values were substantially higher than the placebo group in 3 and 6 months (P < 0.001), respectively. Analysis of the GIQLI questionnaire before and 6 months after interventions also revealed significant improvement in the GIQLI score in both groups (P < 0.001 for probiotics and P = 0.03 for placebo). Conclusion: Probiotic supplement administration following RYGB improves patients' vitamin and metabolic profile, as well as GI function, although it cannot significantly affect weight loss.
Language	English
Publishing date	2024-04-23
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/s11695-024-07225-1
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Article ; Online: What is the Real Stoma Size of Gastrojejunal Anastomosis Made by Linear Stapler?

Shahabi, Shahab / Jazaeri, Seyed Ali / Solouki, Ali / Pazouki, Abdoreza

Obesity surgery

2023 Volume 34, Issue 1, Page(s) 278–279

MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Anastomosis, Surgical ; Stomach/surgery ; Laparoscopy
Language	English
Publishing date	2023-12-07
Publishing country	United States
Document type	Letter
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-023-06966-9
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Article ; Online: A systematic review and meta-analysis on GERD after OAGB: rate, treatments, and success.

Davarpanah Jazi, Amir Hossein / Shahabi, Shahab / Sheikhbahaei, Erfan / Tolone, Salvatore / Skalli, Mehdi El / Kabir, Ali / Valizadeh, Rohollah / Kermansaravi, Mohammad

Expert review of gastroenterology & hepatology

2024 Volume 17, Issue 12, Page(s) 1321–1332

Abstract: Introduction: This review aims to investigate the gastroesophageal reflux disease (GERD) as one of the important concerns for both surgeons and patients after one anastomosis gastric bypass (OAGB).: Method: PubMed, Scopus, Embase, Web of Science, and ...

Abstract	Introduction: This review aims to investigate the gastroesophageal reflux disease (GERD) as one of the important concerns for both surgeons and patients after one anastomosis gastric bypass (OAGB). Method: PubMed, Scopus, Embase, Web of Science, and Cochrane were reviewed by the end of the 2021 with keywords relating to GERD, OAGB, and their equivalents. Data regarding OAGB, number of patients with GERD, treatment for GERD, endoscopy findings, the interval between GERD and OAGB were retrieved by two independent investigators. The primary effect/effect size measure was prevalence. Results: 40 studies examining 17,299 patients were included revealing that 2% of patients experience GERD following OAGB. Reflux after revisional OAGB is six times higher than primary OAGB. Despite being unclear, medical and surgical treatments for GERD after OAGB were used in 60% and 41% of patients with estimated success rate of 85% and 100%, respectively. Conclusion: Based on how GERD was identified after OAGB, its rate ranged from 0 to 55%; the pooled rate of 2% is near to Roux-en-Y gastric bypass. GERD symptoms can be mild to be tolerated without medical treatment, moderate that respond to acid-reducing agents, or severe enough that are categorized as interactable and would need a surgical intervention.
MeSH term(s)	Humans ; Gastric Bypass/adverse effects ; Gastroesophageal Reflux/diagnosis ; Gastroesophageal Reflux/epidemiology ; Gastroesophageal Reflux/etiology ; Retrospective Studies
Language	English
Publishing date	2024-01-17
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	2481021-6
ISSN	1747-4132 ; 1747-4124
ISSN (online)	1747-4132
ISSN	1747-4124
DOI	10.1080/17474124.2023.2296992
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Article ; Online: Chylous Ascites as an Incidental Finding During Explorative Laparoscopy Due to Abdominal Pain Following Roux-en-Y Gastric Bypass.

Shahabi, Shahab / Sheikhbahaei, Erfan / Davarpanah Jazi, Amir Hossein / Parchami, Koorosh / Mostafapour, Elyas

Obesity surgery

2023 Volume 33, Issue 8, Page(s) 2583–2584

MeSH term(s)	Humans ; Gastric Bypass/adverse effects ; Obesity, Morbid/surgery ; Chylous Ascites/diagnosis ; Chylous Ascites/etiology ; Incidental Findings ; Abdominal Pain/diagnosis ; Abdominal Pain/etiology ; Abdominal Pain/surgery ; Laparoscopy ; Anastomosis, Roux-en-Y
Language	English
Publishing date	2023-06-06
Publishing country	United States
Document type	Letter
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-023-06660-w
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Article ; Online: Is There Any Other Alternative Instrument Rather Than a Choledoscope for Laparoscopic Common Bile Duct Exploration?

Sheikhbahaei, Erfan / Mostafapour, Elyas / Zefreh, Hamidreza / Shahabi, Shahab / Davarpanah Jazi, Amir Hossein / Kermansaravi, Mohammad

Obesity surgery

2023 Volume 33, Issue 6, Page(s) 1934–1935

MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Choledocholithiasis/surgery ; Gallstones/surgery ; Common Bile Duct/surgery ; Laparoscopy ; Cholecystectomy, Laparoscopic ; Cholangiopancreatography, Endoscopic Retrograde
Language	English
Publishing date	2023-04-24
Publishing country	United States
Document type	Letter
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-023-06590-7
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Article ; Online: Resection of Gastric Fistula and Conversion to RYGB for Gastro Pleural Fistula After Laparoscopic Sleeve Gastrectomy-a Video Report.

Shahabi, Shahab / Oshidari, Bahador / Zefreh, Hamidreza / Eghbali, Foolad / Pakaneh, Mohammad-Ali / Sheikhbahaei, Erfan

Obesity surgery

2023 Volume 33, Issue 9, Page(s) 2951–2953

MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Gastric Fistula/etiology ; Gastric Fistula/surgery ; Stomach/surgery ; Gastrectomy/adverse effects ; Laparoscopy ; Gastric Bypass ; Retrospective Studies ; Reoperation
Language	English
Publishing date	2023-07-06
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/s11695-023-06723-y
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Article ; Online: Single-anastomosis Sleeve Jejunal: a Mid-term Follow-up Report of a New Surgical Technique.

Rezaei, Mohammad Taghi / Sheikhbahaei, Erfan / Zefreh, Hamidreza / Allami, Mostafa / Sayadi Shahraki, Masoud / Shahabi, Shahab

Obesity surgery

2023 Volume 33, Issue 4, Page(s) 1245–1252

Abstract: Introduction: Single anastomosis sleeve ileal bypass (SASI) is a combined bariatric metabolic technique, in which few studies have shown its outcomes efficacy. However, this technique has a high risk of malnutrition due to long biliopancreatic limb. ... ...

Abstract	Introduction: Single anastomosis sleeve ileal bypass (SASI) is a combined bariatric metabolic technique, in which few studies have shown its outcomes efficacy. However, this technique has a high risk of malnutrition due to long biliopancreatic limb. Single anastomosis sleeve jejunal bypass (SASJ) has a shorter limb. Therefore, it seems to have a lower risk of nutrient deficiency. Furthermore, this technique is relatively new, and little is known about the efficacy and safety of SASJ. We aim to report our mid-term follow-up of SASJ from a high-volume center for bariatric metabolic surgery in the Middle East region. Methods: For the current study, the 18-month follow-up data of 43 patients with severe obesity who underwent SASJ was collected. The primary outcome measures were demographic data, weight change variables according to ideal body mass index (BMI) of 25 kg/m Results: No patient was lost due to follow-up. After 18 months, patients lost 43.4 ± 11 kg of their weight and 68 ± 14% of their excess weight, and their BMI decreased from 44.9 ± 4.7 to 28.6 ± 3.8 kg/m Conclusion: SASJ bypass achieved satisfactory weight loss and remissions in obesity-associated medical problems within 18 months after surgery without major complications and malnutrition.
MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Follow-Up Studies ; Obesity/surgery ; Anastomosis, Surgical/methods ; Gastrectomy/methods ; Weight Loss ; Malnutrition/surgery ; Gastric Bypass/methods ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2023-02-27
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/s11695-023-06520-7
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Article: Retroperitoneal duodenal perforation due to COVID-19: An extremely rare case report.

Eghbali, Foolad / Bhahdoust, Mansour / Khanafshar, Elham / Pazouki, Abdolreza / Shahabi, Shahab / Kermansaravi, Mohammad

International journal of surgery case reports

2022 Volume 95, Page(s) 107191

Abstract: Introduction and importance: Gastrointestinal (GI) symptoms are the most common extrapulmonary presentation of coronavirus disease 2019 (COVID-19) infection. GI perforation may be an unusual manifestation of COVID-19 infection.: Case presentation: We ...

Abstract	Introduction and importance: Gastrointestinal (GI) symptoms are the most common extrapulmonary presentation of coronavirus disease 2019 (COVID-19) infection. GI perforation may be an unusual manifestation of COVID-19 infection. Case presentation: We report a 45-year-old man who presented with acute abdominal pain without any respiratory symptoms to our emergency department. Investigations revealed retroperitoneal duodenal perforation and fibrotic changes in lung bases. Laboratory findings demonstrated a positive polymerase chain reaction (PCR) test for COVID-19 and mild leukocytosis. Clinical discussion: COVID-19 related perforation of the retroperitoneal part of the duodenum is extremely rare, and to the best of our knowledge, this is the first reported case. With increasing COVID-19 infection, we might see more cases of GI perforation. In the era of COVID-19 pandemic, any abdominal signs and symptoms should alert the clinicians to consider COVID-19 diagnosis in the differential. Conclusion: Conservative management with close monitoring, antibiotic therapy and serial examinations were completely successful. The patient's general condition improved, and he was discharged on day 7 of hospitalization.
Language	English
Publishing date	2022-05-11
Publishing country	Netherlands
Document type	Case Reports
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2022.107191
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Article ; Online: What About My Weight? Insufficient Weight Loss or Weight Regain After Bariatric Metabolic Surgery.

Zefreh, Hamidreza / Amani-Beni, Reza / Sheikhbahaei, Erfan / Farsi, Farnaz / Ahmadkaraji, Shahrzad / Barzin, Maryam / Darouei, Bahar / Khalaj, Alireza / Shahabi, Shahab

International journal of endocrinology and metabolism

2023 Volume 21, Issue 4, Page(s) e136329

Abstract: Context: This review study aimed to investigate the definition, etiology, risk factors (RFs), management strategy, and prevention of insufficient weight loss (IWL) and weight regain (WR) following bariatric metabolic surgery (BMS).: Evidence ... ...

Abstract	Context: This review study aimed to investigate the definition, etiology, risk factors (RFs), management strategy, and prevention of insufficient weight loss (IWL) and weight regain (WR) following bariatric metabolic surgery (BMS). Evidence acquisition: Electronic databases were searched to retrieve relevant articles. The inclusion criteria were English articles with adult participants assessing the definition, prevalence, etiology, RFs, management strategy, and prevention of IWL/WR. Results: Definition: The preferred definition for post-BMS IWL/WR are the terms "Lack of maintenance of total weight loss (TWL)>20%" and "weight change in percentage compared to nadir weight or weight loss". Prevalence: The exact prevalence of IWL/WR is still being determined due to the type of BMS and various definitions. Etiology: Several mechanisms, including hormonal/metabolic, dietary non-adherence, physical inactivity, mental health, and anatomic surgical failure, are possible etiologies of post-BMS IWL/WR. Risk factors: Preoperative body mass index (BMI), male gender, psychiatric conditions, comorbidities, age, poor diet, eating disorders, poor follow-ups, insufficient physical activity, micronutrients, and genetic-epigenetic factors are the most important RFs. Management Strategy: The basis of treatment is lifestyle interventions, including dietary, physical activity, psychological, and behavioral therapy. Pharmacotherapy can be added. In the last treatment line, different techniques of endoscopic surgery and revisional surgery can be used. Prevention: Behavioral and psychotherapeutic interventions, dietary therapy, and physical activity therapy are the essential components of prevention. Conclusions: Many definitions exist for WR, less so for IWL. Etiologies and RFs are complex and multifactorial; therefore, the management and prevention strategy is multidisciplinary. Some knowledge gaps, especially for IWL, exist, and these gaps must be filled to strengthen the evidence used to guide patient counseling, selection, and improved outcomes.
Language	English
Publishing date	2023-11-08
Publishing country	Netherlands
Document type	Journal Article ; Review
ZDB-ID	2744447-8
ISSN	1726-9148 ; 1726-9148
ISSN (online)	1726-9148
ISSN	1726-9148
DOI	10.5812/ijem-136329
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