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Purpose: We used a single-variable method to analyze the influence of the guide sleeve height of a conventional template on implantation accuracy in vitro and improve the function of short-sleeve templates by adding a visual direction-indicating guide (VDING).
Materials And Methods: We created 100 copies of a volunteer's dentition plaster model. The normal template (NT) and the VDING template (VT) were made with guide sleeves 2, 5, 8, and 10 mm in height. Additionally, a freehand (FH) group and a group with an FH-based visual guide were used. Simulated implantation in an emulated head model was performed in each group. After surgery, cone-beam computed tomography images of the plaster were used for registration, and the accuracy was compared among the groups.
Results: When the NT sleeve height was 5 mm or less, increased deviation was found, and the results for some of the accuracy indicators were not different from those in the FH group. The accuracy of sleeves 5 mm or less in height was better in the VT group than in the NT or FH group.
Conclusions: Use of the NT with a guide sleeve height of 5 mm or less can introduce large deviations in implantation, which can be prevented by the VT. However, the use of the VDING alone was not sufficient.
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http://dx.doi.org/10.1016/j.joms.2019.05.017 | DOI Listing |
JAMA Netw Open
September 2025
Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Importance: As obesity rates rise in the US, managing associated metabolic comorbidities presents a growing burden to the health care system. While bariatric surgery has shown promise in mitigating established metabolic conditions, no large studies have quantified the risk of developing major obesity-related comorbidities after bariatric surgery.
Objective: To identify common metabolic phenotypes for patients eligible for bariatric surgery and to estimate crude and adjusted incidence rates of additional metabolic comorbidities associated with bariatric surgery compared with weight management program (WMP) alone.
JAMA Surg
August 2025
Center for Drug Safety and Effectiveness, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Importance: Although randomized and well-controlled observational studies demonstrate the efficacy of glucagon-like peptide-1 receptor agonists (GLP-1s) for weight management after bariatric surgery, little is known regarding the frequency and predictors of such use.
Objective: To characterize the use of and factors associated with GLP-1 initiation among US adults undergoing bariatric surgery.
Design, Setting, And Participants: This retrospective cohort study was conducted using a national multicenter database of electronic health records of approximately 113 million US adults.
BMC Gastroenterol
August 2025
Diagnostic and interventional radiology, Faculty of medicine, Cairo University, Cairo, Egypt.
Background: In metabolic bariatric surgery (MBS) a lot of focus is made on preoperative risk assessment to enhance patient's baseline performance and improve postoperative clinical outcomes. The aim of this study is to assess pre-operative sarcopenia by computed tomography (CT) scan, as a predictive tool for early post-operative complications in candidates for MBS.
Methods: This is a single center prospective case-control study.
Nutrients
June 2025
Department of Endocrinology and Nutrition, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
: Food addiction (FA) is prevalent among individuals with severe obesity and has been associated with poorer weight loss (WL) outcomes after dietary interventions. However, its long-term impact after bariatric surgery (BS) remains unclear. : This study aimed to evaluate the effect of preoperative FA on WL and weight regain (WR) three years after different BS techniques.
View Article and Find Full Text PDFAnn Surg Open
June 2025
From the Department of Surgery, Stanford University School of Medicine, Stanford, CA.
Objective: This study aimed to characterize SureForm stapler usage trends in robotic sleeve gastrectomy (RSG) and compare associated outcomes, accounting for staple height used.
Background: The proportion of sleeve gastrectomy cases done robotically is increasing, but uncertainty remains about optimal stapler choice, reload height and reinforcement, and the impact of these choices on perioperative outcomes.
Methods: Elective laparoscopic and robotic SG performed from January 1, 2019, to February 28, 2023, were identified in the PINC AI Healthcare Database.