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Akai

@chandlerlikesit

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Abdominal surgeon. any questions? - [email protected]

Joined October 2022
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@chandlerlikesit
Akai
20 hours
great result, especially for such a strange thing
@stitchestoday
STITCHES - the Best Papers in General Surgery
7 days
Effective Weight Loss Device for Type 2 Diabetes and Obesity by Thompson CC, Jirapinyo P (...) Schauer P et 12 al. in Ann Surg 🪡 read our summary 👉 https://t.co/L7ecfJcFba 📖 read the article:
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@chandlerlikesit
Akai
20 hours
Is there anything that is not affected by obesity? "obesity-induced kidney damage involves increased glomerular pressure due to RAAS activation, insulin resistance, and inflammatory adipocytokines, leading to hyperfiltration and eventual renal inflammation"
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@chandlerlikesit
Akai
2 days
I like this trend: "In patients with an initial SG, conversion to SADI-S was associated with a lower likelihood of 30-day complications compared to RYGB". But only if there is no GERD!
@NeilFlochMD
Neil Floch MD
10 days
Bariatric conversional surgery in younger adults ≤40: Who gets converted and comparative risks of conversion to subsequent procedures - Surgery for Obesity and Related Diseases
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@chandlerlikesit
Akai
4 days
Excellent and very helpful work!
@MetabolismAnd
Metabolism and Target Organ Damage
17 days
Marginal ulcers after gastric bypass? 🤔 Check out this review by Baldwin et al.—causes, risks & management algorithm. Read more: https://t.co/Bl66reKvUK #Bariatrics #GastricBypass
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@chandlerlikesit
Akai
4 days
I read this with great interest. More research is needed before this medication can be prescribed, but I don't rule out the possibility that it will become the new standard.
@gensurgnews
General Surgery News
17 days
🧬 Not all weight loss is good weight loss.Dr. Daniel Cottam says hormone therapy—specifically testosterone & estradiol—can help post-op bariatric patients:💪 Preserve muscle, ❤️ Boost heart health, and more. https://t.co/1WNa3eJJrJ #BariatricSurgery
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@chandlerlikesit
Akai
6 days
Yes, losing weight protects against cancer. At the very least, it reduces the chances.
@foundmyfitness
Dr. Rhonda Patrick
11 days
Ozempic may reduce the mortality risk from colon cancer. Colon cancer patients taking GLP-1 drugs (Ozempic, Wegovy, Mounjaro) were less than half as likely to die within 5 years. This new study suggests GLP-1 drugs might specifically target obesity-driven inflammatory and
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@chandlerlikesit
Akai
6 days
It's really gratifying to read this, because 15 years isn't that long. 2010 was just recently. What an impressive success.
@AnnalsofSurgery
Annals of Surgery
14 days
Overall mortality after bariatric surgery has significantly improved, with a 40% decrease over 15 years.
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@chandlerlikesit
Akai
6 days
Who does this? 😅
@stitchestoday
STITCHES - the Best Papers in General Surgery
1 month
Thumbtack Needle Helps GI Recovery Post-Gastrectomy by Guo S, Lin XP (...) Wang Q et 4 al. in Front Surg 🪡 read our summary 👉 https://t.co/wSJbFKJ6d0 📖 read the article:
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@chandlerlikesit
Akai
8 days
"Approximately 20% of patients who undergo primary Roux-en-Y gastric bypass and 1 in 3 (!) patients who undergo SG to RYGB conversion may experience marginal ulceration of the gastrojejunal anastomosis during long-term follow-up" Wow! SG still remains the gold standard!
@gensurgnews
General Surgery News
10 days
⚠️ New study: Up to 20% of gastric bypass and 1 in 3 sleeve-to-bypass patients may develop marginal ulcers long-term. Surgeons urge careful risk management & patient follow-up. Read more: https://t.co/2S2PPgG3rN #BariatricSurgery #SurgeryResearch
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@NeilFlochMD
Neil Floch MD
9 days
The majority of the public does NOT want bariatric surgery but doctors must understand the power of metabolic bariatric surgery and its capabilities of reducing the most weight and is BEST at controlling comorbidities.
@NeilFlochMD
Neil Floch MD
10 days
Obesity Treatment With Bariatric Surgery vs GLP-1 Receptor Agonists | JAMA Surgery | JAMA Network #bariatricsurgery #obesity
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@chandlerlikesit
Akai
10 days
I had no doubt that new drugs aimed at treating obesity would soon hit the market. I just didn't think there were so many. "Myostatin Activin Receptor Pathway Inhibition" is my favorite😅 What's yours? https://t.co/x9qL0t7tzM
Tweet card summary image
jamanetwork.com
This JAMA Insights article explores a variety of current and emerging nutrient-stimulated, hormone-based medications for the treatment of individuals with obesity.
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@chandlerlikesit
Akai
11 days
This is very interesting, especially for me, as someone in a country where bariatric surgery is prohibited for patients over 60. It gives me something to think about.
@NeilFlochMD
Neil Floch MD
20 days
Metabolic Bariatric Surgery in Older Patients: Is It Worth It? BARI-10-POL Study | Obesity Surgery #bariatricsurgery #obesity
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@chandlerlikesit
Akai
12 days
SADI-S is my favorite bariatric surgery procedure (excluding SG, of course). Scientific data has begun to emerge showing that SADI-S is as safe as more popular bariatric procedures, which is encouraging. https://t.co/SBSaJxHM5Q
oaepublish.com
Aim: The single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is the most recent procedure to be endorsed by the American Society for Metabolic and Bariatric Surgery. It is...
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@chandlerlikesit
Akai
13 days
Wow, RYGB increases the risk of miscarriage, while SG leads to greater weight gain during pregnancy. This is a case where weight gain isn't so bad.
@NeilFlochMD
Neil Floch MD
20 days
Pregnancy and neonatal outcomes following sleeve gastrectomy vs. Roux-en-Y gastric bypass: a retrospective cohort study BMC Surgery #bariatricsurgery #obesity
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@chandlerlikesit
Akai
14 days
Wow, surgery continues to prove its success and dominance over other weight loss methods. However, it's important to note that surgical complications will occur, albeit in a small percentage of patients. https://t.co/Ko1tO8bTTM
oaepublish.com
Aim: Obesity is a chronic disease that can lead to many consequences and is directly related to the development of other non-communicable chronic diseases. Since medical treatment for this comorbid...
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@chandlerlikesit
Akai
16 days
The importance of proper patient selection and follow-up cannot be overstated.
@gensurgnews
General Surgery News
1 month
Bariatric surgery leads the pack in weight loss—significantly outperforming GLP-1 medications over two years. Experts stress careful patient selection and follow-up https://t.co/hIEu3Sy0oS #BariatricSurgery #GLP1
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@chandlerlikesit
Akai
16 days
Excellent point. But any weight loss can lead to gallstones. Bariatric surgery is no exception. Patients should be aware of this.
@drkeithsiau
Keith Siau
16 days
GLP1s are great, but increase the risk of gallstones by 50% ⚠️
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