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Gastric Bypass

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Post-Bariatric Hypoglycemia After Gastric Bypass: Clinical Characteristics, Risk Factors, and Future Directions-A Response to Grover et al.

Clinical endocrinology
BACKGROUND: Post-bariatric hypoglycemia (PBH) after Roux-en-Y gastric bypass (RYGB) is a complex complication, often characterized by potentially severe hypoglycemic episodes and reduced hypoglycemia awareness. Recent findings suggest that autonomic ...

Do advances in technology translate to improved outcomes? Comparing robotic bariatric surgery outcomes over two-time intervals utilizing the MBSAQIP database.

Surgical endoscopy
BACKGROUND: This study aims to compare outcomes and utilization of robotics in bariatric procedures across two-time intervals, chosen because they correspond to drastic changes in technology utilization-namely, a new platform and a new stapling devic...

Outcomes of totally robotic Roux-en-Y gastric bypass in patients with BMI ≥ 50 kg/m: can the robot level out "traditional" risk factors?

Journal of robotic surgery
Roux-en-Y gastric bypass (RYGB) in patients with body mass index (BMI) ≥ 50 kg/m is a challenging procedure and BMI ≥ 50 kg/m has been identified as independent risk factor for postoperative complications and increased morbidity in previous studies. ...

Robot-assisted vs laparoscopic bariatric procedures in super-obese patients: clinical and economic outcomes.

Journal of robotic surgery
The increased operative time and costs represent the main limitations of robotic technology application to bariatric surgery. Robotic platforms may help the surgeon to overcome the technical difficulties in super-obese (SO, BMI ≥ 50 kg/m) patients, i...

Prediction of 30-Day Morbidity and Mortality After Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass: Use of an Artificial Neural Network.

The American surgeon
BACKGROUND: Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass is indicated primarily for unsatisfactory weight loss or gastroesophageal reflux disease (GERD). This study aimed to use a comprehensive database to define predictors of 30-day ...

The downtrending cost of robotic bariatric surgery: a cost analysis of 47,788 bariatric patients.

Journal of robotic surgery
The surgical robot is assumed to be a fixed, indirect cost. We hypothesized rising volume of robotic bariatric procedures would decrease cost per patient over time. Patients who underwent elective, initial gastric bypass (GB) or sleeve gastrectomy (S...

Using artificial intelligence to evaluate adherence to best practices in one anastomosis gastric bypass: first steps in a real-world setting.

Surgical endoscopy
BACKGROUND: Safety in one anastomosis gastric bypass (OAGB) is judged by outcomes, but it seems reasonable to utilize best practices for safety, whose performance can be evaluated and therefore improved. We aimed to test an artificial intelligence-ba...

Towards a decision support system for post bariatric hypoglycaemia: development of forecasting algorithms in unrestricted daily-life conditions.

BMC medical informatics and decision making
BACKGROUND: Post bariatric hypoglycaemic (PBH) is a late complication of weight loss surgery, characterised by critically low blood glucose levels following meal-induced glycaemic excursions. The disabling consequences of PBH underline the need for t...

The Performance of Artificial Intelligence in One Anastomosis Gastric Bypass Surgery: Comparative Efficacy of ChatGPT-4.0, ChatGPT-Omni, and Gemini AI.

Obesity surgery
BACKGROUND: The integration of artificial intelligence (AI) into medical practice opens up new frontiers for decision support, especially in intricate surgical procedures like one-anastomosis gastric bypass (OAGB). This study was designed to showcase...