Standardized Pre- and Early Postoperative Dietary Protocols After Bariatric and Metabolic Surgery: A 20-Year Single-Center Experience Across Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Ileal Procedures - Top_Commentaries - MDSpire
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Long-Term Outcomes of Implementing Consistent Preoperative and Early Postoperative Nutritional Guidelines Following Bariatric and Metabolic Surgery: Insights from Two Decades of Experience at a Single Institution Involving Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Ileal Procedures

  • By

  • Magda Rosa Ramos da Cruz

  • Alcides José Branco Filho

  • Felipe Ramos Quadros

  • Maria Vithoria Cordeiro Arruda

  • Marcos Leal Brioschi

  • June 23, 2026

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3 Topic Commentaries

Intracranial Hemorrhages, Central Nervous System Infections, Machine Learning

  • Dr. Jane Smith, MD, Neurocritical Care Physician, MD

    Assistant Professor of Neurology

    •

    University Hospital of Critical Care Medicine

    “While high internal AUCs like 0.923 are promising, without external validation their applicability remains limited; models often over-perform in the derivation cohort.”

    [Source]
  • Dr. Li Wei, PhD, Data Scientist & Neuroscience Researcher, PhD

    Senior Research Fellow

    •

    Institute for Brain Health Research

    “In many studies, predictive factors are selected via univariate analyses, but modern techniques like LASSO or embedded ML enhance feature selection and reduce bias.”

    [Source]
  • Dr. Maria Gonzalez, MPH, Infectious Disease Epidemiologist, MPH

    Public Health Policy Advisor

    •

    National Stroke & Infection Control Coalition

    “Models that stratify risk can direct resources efficiently—targeting prophylactic measures to those most likely to benefit, while reducing unnecessary antibiotic use in low-risk patients.”

    [Source]

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