MedWorm: Bariatric Surgery

New insight on bariatric surgery difficult to swallow

Nature Medicine — Mon, 06 Feb 2012 05:00:00 +0100

Nature Medicine 18, 184 (2012). doi:10.1038/nm0212-184b Author: Melinda Wenner Moyer (Source: Nature Medicine)

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Having the Difficult Conversation: The Future of NABN

Bariatric Nursing and Surgical Patient Care — Fri, 03 Feb 2012 04:03:20 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Shikora Begins as Director of the Center for Metabolic Health and Bariatric Surgery

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

Scott Shikora, MD, FACS, was recently named director of the BW/F Center for Metabolic Health and Bariatric Surgery. (Source: BWH News)

Evolution of a Discipline

Bariatric Nursing and Surgical Patient Care — Thu, 02 Feb 2012 21:18:30 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Supporting and Encouraging the Bariatric Surgical Patient: Tips for Keeping Patients on Track and Engaged Throughout Their Journey

Bariatric Nursing and Surgical Patient Care — Thu, 02 Feb 2012 21:18:27 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Obesity-Related Diseases In Adolescents Improves With Bariatric Surgery Within First Two Years

Health News from Medical News Today — Thu, 02 Feb 2012 09:00:00 +0100

Today, about one in five children in the United States are obese. That means that in just one generation alone the number of obese kids in this country has quadrupled. Doctors at Nationwide Children's Hospital who perform weight loss surgery (bariatric surgery) on adolescents took a look at their patient population in a retrospective study published in the January 2012 print edition of Pediatric Blood & Cancer... (Source: Health News from Medical News Today)

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Clinical Considerations for the Management of Residual Diabetes Following Bariatric Surgery

Diabetes, Obesity and Metabolism — Wed, 01 Feb 2012 05:00:00 +0100

Residual diabetes following bariatric surgery is increasingly recognized despite initial weight loss. It occurs more commonly following banding and sleeve gastrectomy procedures than with gastric bypass, is associated with long duration and advanced stages of diabetes, and is exacerbated by weight regain. Long‐term diabetes management following various gastric restrictive surgery (ie. lap banding) requires targeting weight loss, insulin resistance and insulin secretion defects with anti‐diabetic agents that have weight negative or neutral effects. In contrast, re‐emergence of hyperglycemia following gastric bypass may require targeting beta cell failure with insulin analogs. Revisional bariatric surgery is also a consideration. Based on our experience, we propose a clinical approach ...

Rare adipose disorders (RADs) masquerading as obesity.

Acta Pharmacologica Sinica — Wed, 01 Feb 2012 05:00:00 +0100

Authors: Herbst KL Abstract Rare adipose disorders (RADs) including multiple symmetric lipomatosis (MSL), lipedema and Dercum's disease (DD) may be misdiagnosed as obesity. Lifestyle changes, such as reduced caloric intake and increased physical activity are standard care for obesity. Although lifestyle changes and bariatric surgery work effectively for the obesity component of RADs, these treatments do not routinely reduce the abnormal subcutaneous adipose tissue (SAT) of RADs. RAD SAT likely results from the growth of a brown stem cell population with secondary lymphatic dysfunction in MSL, or by primary vascular and lymphatic dysfunction in lipedema and DD. People with RADs do not lose SAT from caloric limitation and increased energy expenditure alone. In order to improve recogn...

A Review of the Relationships Between Extreme Obesity, Quality of Life, and Sexual Function

Obesity Surgery — Tue, 31 Jan 2012 16:47:32 +0100

Abstract Extreme obesity is associated with significant health issues as well as substantial psychosocial burden for many individuals. Numerous studies have documented the impairments in quality of life associated with extreme obesity. Sexual behavior and functioning is an important aspect of quality of life but is frequently overlooked in research studies as well as clinical care. This paper focuses on the quality of life and sexual functioning of obese individuals with specific focus on the changes in these domains following the substantial weight losses seen after bariatric surgery. Content Type Journal ArticleCategory ReviewPages 1-9DOI 10.1007/s11695-012-0588-1Authors David B. Sarwer, Department of Psychiatry, Center for Weight and Eating Disorders, Perelman Scho...

Slit Versus Non-Slit Mesh Placement in Total Extraperitoneal Inguinal Hernia Repair

World Journal of Surgery — Tue, 31 Jan 2012 07:05:21 +0100

Content Type Journal ArticlePages 1-2DOI 10.1007/s00268-012-1436-0Authors Ferdinand Koeckerling, Department of Surgery, Center of Minimally Invasive Surgery, Vivantes Hospital Spandau, Neue Bergstrasse 6, 13585 Berlin, GermanyDietmar A. Jacob, Department of Surgery, Center of Minimally Invasive Surgery, Vivantes Hospital Spandau, Neue Bergstrasse 6, 13585 Berlin, GermanyDavide Lomanto, Minimally Invasive Surgical Center, National University Hospital, Singapore, SingaporePradeep Chowbey, Department of Minimal Access, Metabolic and Bariatric Surgery, Max Healthcare Institute Ltd, 2 Press Enclave Road, Saket, New Delhi, 110 017 IndiaR. Bittner, Department of General, Visceral, and Vascular Surgery, Euromed Clinic, Hernia Center, Europaaliee 1, 90763 Fürth, Germany Journal World Jo...

Interleukin-1 receptor-associated kinase-3 is a key inhibitor of inflammation in obesity and metabolic syndrome.

Atherosclerosis — Tue, 31 Jan 2012 05:18:07 +0100

CONCLUSION: IRAK3 is a key inhibitor of inflammation in association with obesity and metabolic syndrome. Our data warrant further evaluation of IRAK3 as a diagnostic and prognostic marker, and as a target for intervention. PMID: 22272346 [PubMed - in process] (Source: Atherosclerosis)

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Bariatric surgery in adolescents improves obesity-related diseases within first 2 years

EurekAlert! - Medicine and Health — Tue, 31 Jan 2012 05:00:00 +0100

(Nationwide Children's Hospital) Doctors at Nationwide Children's Hospital who perform weight loss surgery on adolescents took a look at their patient population in a retrospective study published in the January 2012 print edition of Pediatric Blood & Cancer. They found that their patients had experienced a significant loss of excess body weight and showed improvement in many obesity-related diseases within the first one to two years following surgery. (Source: EurekAlert! - Medicine and Health)

Bariatric Surgery: Cost-Effectiveness and Budget Impact

Obesity Surgery — Mon, 30 Jan 2012 16:05:32 +0100

Abstract Bariatric surgery is to date the most effective treatment for morbid obesity and it has been proven to reduce obesity-related comorbidities and total mortality. As any medical treatment, bariatric surgery is costly and doubts about its affordability have been raised. On the other hand, bariatric surgery may reduce the direct and indirect costs of obesity and related comorbidities. The appreciation of the final balance between financial investments and savings is critical from a health economic perspective. In this paper, we try to provide a brief updated review of the most recent studies on the cost-efficacy of bariatric surgery, with particular emphasis on budget analysis. A brief overview of the economic costs of obesity will also be provided. The epidemic of ob...

Moral Hazard or Morality for Health: An Ethical Debate on Insurance Coverage for the Obese

Bariatric Nursing and Surgical Patient Care — Sat, 28 Jan 2012 04:04:02 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Bariatric Surgery: Effects on the Metabolic Complications of Obesity

Current Atherosclerosis Reports — Fri, 27 Jan 2012 17:55:50 +0100

Abstract Bariatric surgery is increasing at an enormous rate in all countries but the indications for the operation on the basis of metabolic derangements are not clear, as only one controlled randomized trial specifically for a comorbidity has been performed. Thus, it is not clear if bariatric surgery should be offered to all obese patients with long standing type 2 diabetes or poorly controlled hypertension or hypertriglyceridemia, even though these conditions clearly respond in most patients to bariatric surgery and weight loss. It would appear that patients with early type 2 diabetes with reasonable control and a greater body mass index gain more benefit from the operation. More randomized trials are required. Content Type Journal ArticleCategory Coronary Heart Dis...

Safety, the Nursing Shortage, and the Bariatric Nurse: Is This an Ethical Debate?

Bariatric Nursing and Surgical Patient Care — Fri, 27 Jan 2012 16:31:39 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

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A Framework of Food Cravings and Weight Loss after Bariatric Surgery: Application of the Cognitive Processing Model

Bariatric Nursing and Surgical Patient Care — Fri, 27 Jan 2012 16:31:38 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Coping with obesity stigma affects depressed mood in African-American and Caucasian candidates for bariatric surgery.

Obesity — Fri, 27 Jan 2012 05:00:00 +0100

This study hypothesized that coping strategies are significantly associated with depressed mood above and beyond demographic factors and frequency of weight-related stigma, with specific coping strategies differing between racial groups. Severely-obese bariatric surgery-seeking adults (N=234, 91 African-American) completed the Beck Depression Inventory (BDI) and Stigmatizing Situations Inventory (SSI). Two hierarchical linear regressions were conducted separately for African-Americans and Caucasians. For both racial groups, age, sex, body mass index, years overweight, annual income and education level did not account for a significant portion of the variance in BDI scores. The frequency of stigmatizing situations and coping strategies significantly explained 16.4% and 33.2% respectively of...

Clinical Outcomes after Bariatric Surgery: A Five-Year Matched Cohort Analysis in Seven US States

Obesity Surgery — Tue, 24 Jan 2012 06:50:12 +0100

Conclusions While bariatric surgery is associated with a higher risk of adverse clinical outcomes compared to controls, it also substantially decreased obesity-related co-morbidities during the 5-year follow-up. Content Type Journal ArticleCategory Clinical ResearchPages 1-15DOI 10.1007/s11695-012-0595-2Authors Shari Danielle Bolen, Center for Health Care Research and Policy, Department of Medicine, MetroHealth Medical Center/Case Western Reserve University, 2500 MetroHealth Drive, Rammelkamp building R234A, Cleveland, OH 44109, USAHsien-Yen Chang, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USAJonathan P. Weiner, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health...

Effect of Genetic Variants Related to Lipid Metabolism as Risk Factors for Cholelithiasis After Bariatric Surgery in Brazilian Population

Obesity Surgery — Tue, 24 Jan 2012 06:50:12 +0100

Conclusions The CETP TaqIB and APOE HhaI polymorphisms do not seem to have association with gallstones in the late postoperative bariatric surgery, considering that these genetic variants do not differ subgroups of patients who are eligible to routine prophylactic cholecystectomy, at least in Brazilian population. Content Type Journal ArticleCategory Basic Science ResearchPages 1-11DOI 10.1007/s11695-012-0590-7Authors Sidney Pinheiro-Júnior, Department of Molecular Biology, Center for Biochemistry and Molecular Biology Research, São José do Rio Preto Medical School, 15090000 Av. Brigadeiro Faria Lima 5416, Vila São Pedro, São José do Rio Preto, São Paulo, BrazilMarcela A. S. Pinhel, Department of Molecular Biology, Center for Biochemistry and Molecular Biolog...

Examining the Link Between Bariatric Surgery, Bone Loss, and Osteoporosis: a Review of Bone Density Studies

Obesity Surgery — Tue, 24 Jan 2012 06:50:11 +0100

Abstract As the popularity of bariatric surgery to treat morbid obesity has risen, so has a concern of increased skeletal fragility secondary to accelerated bone loss following bariatric procedures. We reviewed cross-sectional and prospective literature reporting bone density outcomes following bariatric surgical treatment for morbid obesity. Prospective research provides evidence of hip and lumbar spine areal bone mineral density (aBMD) reductions primarily in women despite calcium and vitamin D supplementation. Femoral neck aBMD declines of 9–11% and lumbar spine aBMD reductions up to 8% were observed at the first post-operative year following malabsorptive procedures. Mean T- and Z-scores up to 25 years following surgery remained within normal and healthy ranges. ...

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The Fast Food and Obesity Link: Consumption Patterns and Severity of Obesity

Obesity Surgery — Tue, 24 Jan 2012 06:50:10 +0100

Conclusions Our findings suggest that higher rates of fast food consumption are connected to the increasing rates of severe obesity. Given that morbid and super morbid obesity rates are growing at a more advanced pace than moderate obesity, it is necessary to explore the behavioral characteristics associated with these trends. Content Type Journal ArticleCategory Basic Science ResearchPages 1-9DOI 10.1007/s11695-012-0601-8Authors Ginny Garcia, Department of Sociology, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249-0655, USAThankam S. Sunil, Department of Sociology, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249-0655, USAPedro Hinojosa, Department of Sociology, University of Texas at San Antonio, One UTSA Circle...

An Unbearable Heaviness of Being: Considering Bariatric Surgery

Psychology Today Food and Diet Center — Mon, 23 Jan 2012 18:21:03 +0100

As the population of the U.S. grows heavier and heavier, obese patients have turned to major abdominal surgery as an alternative treatment when they have been unsuccessful at losing significant weight (and maintaining that weight loss over time) by a combination of diet, exercise, and even medication alone.read more (Source: Psychology Today Food and Diet Center)

Research suggests beta-blockers should be continued peri-operatively

NeLM - News — Mon, 23 Jan 2012 05:00:00 +0100

Source: Archives of Surgery Area: News According to the results of research published early online in the Archives of Surgery, beta-blockers should be continued peri-operatively, including on the day of surgery, to avoid cardiac complications. The authors note that studies to date examining beta-blocker withdrawal have had small sample sizes, have been conducted in a limited number of settings, and have focused on patients undergoing vascular or cardiac procedures. The purpose of their study was to evaluate the relationship among the continuation of beta-blockers, survival, and cardiac complications in elective colorectal and bariatric surgical procedures. They used data from the Washington's Surgical Care and Outcomes Assessment Program, a prospectively gather...

Testosterone as Potential Effective Therapy in Treatment of Obesity in Men with Testosterone Deficiency: A Review.

Current Diabetes Reviews — Mon, 23 Jan 2012 05:00:00 +0100

Conclusion: While overall treatment of obesity is unsuccessful, T treatment of hypogonadal men may be effective, also because it improves mood, energy, reduces fatigue and may motivate men to adhere to diet and exercise regimens designed to combat obesity. PMID: 22268394 [PubMed - as supplied by publisher] (Source: Current Diabetes Reviews)

Phrynoderma: A Rare Dermatologic Complication of Bariatric Surgery.

JPEN Journal Of Parenteral And Enteral Nutrition — Mon, 23 Jan 2012 05:00:00 +0100

Authors: Ocón J, Cabrejas C, Altemir J, Moros M Abstract Biliopancreatic diversion is a predominantly malabsorptive bariatric procedure that can lead to the development of several nutrition complications, including fat-soluble vitamin deficiencies. Routine supplementation with vitamins and trace elements and a strict medical follow-up are essential to prevent these nutrition risks. Vitamin A deficiency is common after bariatric surgery but rarely causes clinical symptoms. Case reports have described ophthalmological and fetal complications associated with vitamin A deficiency after malabsorptive bariatric surgery. Phrynoderma is a type of follicular hyperkeratosis located on the extensor surfaces of the extremities whose main cause is vitamin A deficiency. The simultaneous occurre...

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Surgical Management of Obesity and Long-term Cardiovascular EventSurgical Management of Obesity and Long-term Cardiovascular Event

Medscape Today Headlines — Thu, 19 Jan 2012 17:25:08 +0100

An interesting recent study looked at whether weight loss from bariatric surgery protects against cardiovascular events. Dr. JoAnn Manson discusses the findings and which patients benefitted the most. Medscape Ob/Gyn (Source: Medscape Today Headlines)

Surgical Management of Obesity and Long-term Cardiovascular EventsSurgical Management of Obesity and Long-term Cardiovascular Events

Medscape Today Headlines — Thu, 19 Jan 2012 17:25:08 +0100

Indications, safety, and feasibility of conversion of failed bariatric surgery to Roux-en-Y gastric bypass: a retrospective comparative study with primary laparoscopic Roux-en-Y gastric bypass

Surgical Endoscopy — Thu, 19 Jan 2012 08:04:50 +0100

Conclusions In our series, hospital stay, morbidity, and mortality of rRYGB were not significantly higher compared with pLRYGB. Furthermore, we believe that this type of revisional bariatric surgery should be performed in high-volume bariatric centers. Content Type Journal ArticlePages 1-6DOI 10.1007/s00464-011-2140-0Authors Bert Deylgat, Department of Digestive Surgery, Groeninge Hospital, Kortrijk, BelgiumMathieu D’Hondt, Department of Digestive Surgery, Groeninge Hospital, Kortrijk, BelgiumHans Pottel, Interdisiciplinary Research Center, KULeuven Campus Kortrijk, Kennedylaan 4, 8500 Kortrijk, BelgiumFranky Vansteenkiste, Department of Digestive Surgery, Groeninge Hospital, Kortrijk, BelgiumFrank Van Rooy, Department of Digestive Surgery, Groeninge Hospital, Kort...

The Effect of Weight Loss in Obesity and Chronic Kidney Disease

Current Hypertension Reports — Thu, 19 Jan 2012 06:59:55 +0100

Abstract Several epidemiologic investigations have confirmed that obesity is a significant risk factor for the appearance of proteinuria and end-stage kidney disease in a normal population. Weight loss induced by low-calorie diets, physical exercise, or bariatric surgery is accompanied by an important antiproteinuric effect. Reduction in proteinuria is already observed after a few weeks from the onset of weight loss and it is evident even in patients with modest weight losses. Reduction in proteinuria by weight loss has been described in chronic proteinuric nephropathies of different etiologies. The mechanisms through which weight loss may reverse proteinuria are likely to be plural: better control of blood pressure, improvement of serum lipid profile, improvement of insul...

The Effect of Clinical Pathways for Bariatric Surgery on Perioperative Quality of Care

Obesity Surgery — Thu, 19 Jan 2012 06:58:53 +0100

Conclusions Following implementation of an enhanced recovery CP for bariatric surgery, several indicators of process quality improved while outcome quality remained unchanged. A CP seems useful for optimizing treatment of bariatric surgery patients according to enhanced recovery principles. However, future studies are required to better determine which elements of care can be improved most. Content Type Journal ArticleCategory Clinical ResearchPages 1-8DOI 10.1007/s11695-012-0605-4Authors Ulrich Ronellenfitsch, Department of Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68135 Mannheim, GermanyMatthias Schwarzbach, Department of General, Visceral, Vascular, and Thoracic Surgery, Klinik...

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Female Pelvic Floor Symptoms Before and After Bariatric Surgery

Obesity Surgery — Thu, 19 Jan 2012 06:58:53 +0100

Conclusions Prevalence of pelvic floor symptoms did not vary greatly after surgery; however, significant weight reduction did improve the degree of bother and quality of life related to these symptoms. Content Type Journal ArticleCategory Clinical ResearchPages 1-7DOI 10.1007/s11695-012-0592-5Authors Colleen D. McDermott, Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, CanadaColin L. Terry, Department of Biostatistics, Indiana University Health, Indianapolis, IN, USASamer G. Mattar, Bariatric and Weight Loss Center, Department of General Surgery, Indiana University Health, Indianapolis, IN, USADouglass S. Hale, Female Pelvic Medicine and Reconstructive Surge...

Laparoscopic Sleeve Gastrectomy with Staple Line Buttress Reinforcement in 116 Consecutive Morbidly Obese Patients

Obesity Surgery — Thu, 19 Jan 2012 06:58:51 +0100

Conclusions In LSG, staple line buttress reinforcement limits postoperative gastric leakage and bleeding in morbidly obese patients. Content Type Journal ArticleCategory Clinical ResearchPages 1-5DOI 10.1007/s11695-012-0598-zAuthors Richdeep S. Gill, Department of Surgery, University of Alberta, Edmonton, Alberta, CanadaNoah Switzer, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, CanadaMike Driedger, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, CanadaXinzhe Shi, Center for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandria Hospital, Room 405, Community Services Center, 10240 Kingsway, Edmonton, Alberta, Canada T5H 3V9Andrey Vizhul, Department of Surgery, University of Alberta, Edmonton, A...

Monsplasty for Women After Massive Weight Loss

Aesthetic Plastic Surgery — Thu, 19 Jan 2012 06:44:58 +0100

Conclusion The findings showed monsplasty to be a simple and reproducible technique with favorable outcomes and low morbidity rates. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00266-011-9859-9Authors Maíra Marques, Division of Plastic Surgery, University of Sao Paulo School of Medicine, Av. São Gabriel, 201, cj. 704/5, São Paulo, 01435-001 BrazilMiguel Modolin, Division of Plastic Surgery, University of Sao Paulo School of Medicine, Av. São Gabriel, 2...

Verification of endotracheal intubation in obese patients – temporal comparison of ultrasound vs. auscultation and capnography

Acta Anaesthesiologica Scandinavica — Thu, 19 Jan 2012 05:00:00 +0100

ConclusionIn obese patients, verification of endotracheal tube placement with US is as fast as auscultation alone and faster than the standard method of auscultation and capnography. (Source: Acta Anaesthesiologica Scandinavica)

Use of a Text Messaging Program to Promote Adherence to Daily Physical Activity Guidelines: A Review of the Literature

Bariatric Nursing and Surgical Patient Care — Thu, 19 Jan 2012 04:03:02 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

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Laparoscopic Conversion of Failed Gastric Banding to Roux-en-Y Gastric Bypass. Short-term Follow-up and Technical Considerations

Obesity Surgery — Wed, 18 Jan 2012 06:51:23 +0100

Conclusions LAGB has a considerable complication and failure rate. Conversion of these patients to RYGB results in further weight loss and resolution of adverse symptoms. This is a challenging procedure, but can usually be performed in a single stage with acceptable morbidity and mortality. These patients should be treated in high-volume, subspecialty bariatric units. Content Type Journal ArticleCategory Clinical ResearchPages 1-7DOI 10.1007/s11695-012-0594-3Authors M. W. Hii, Royal Brisbane and Women’s Hospital, Cnr. Butterfield St and Bowen Bridge Rd, Herston, QLD 4029, AustraliaA. C. Lake, Holy Spirit Northside Private Hospital, 627 Rode Road, Chermside, QLD 4032, AustraliaC. Kenfield, Royal Brisbane and Women’s Hospital, Cnr. Butterfield St and Bowen Bridge ...

Shared Medical Appointments for Bariatric Surgery Follow-up: a Patient Satisfaction Questionnaire

Obesity Surgery — Wed, 18 Jan 2012 06:51:22 +0100

Conclusions The bariatric surgery SMA demonstrates high levels of patient satisfaction and is cost-effective. Content Type Journal ArticleCategory Clinical ResearchPages 1-5DOI 10.1007/s11695-012-0603-6Authors M. J. Seager, Faculty of Medicine and Dentistry, University of Bristol, Bristol, UKR. J. Egan, Department of General and Bariatric Surgery, Southmead Hospital, Bristol, UKH. E. Meredith, Department of General and Bariatric Surgery, Southmead Hospital, Bristol, UKS. E. Bates, Department of General and Bariatric Surgery, Southmead Hospital, Bristol, UKS. A. Norton, Department of General and Bariatric Surgery, Southmead Hospital, Bristol, UKJ. D. T. Morgan, Department of General and Bariatric Surgery, Southmead Hospital, Bristol, UK Journal Obesity SurgeryOnli...

R.I.P. Krispy Kreme Burger, says top Bariatric surgeon on Deen Diabetes news

Monsters and Critics Consumerhealth News — Tue, 17 Jan 2012 22:21:00 +0100

(Source: Monsters and Critics Consumerhealth News)

Vitamin D in the New Millennium

Current Osteoporosis Reports — Tue, 17 Jan 2012 07:05:33 +0100

Abstract The incidence of vitamin D deficiency is rising worldwide, yet in the vast majority of patients, the condition remains undiagnosed and untreated. Current evidence overwhelmingly indicates that supplemental doses greater than 800 IU/day have beneficial effects on the musculoskeletal system, improving skeletal homeostasis, thus leading to fewer falls and fractures. Evidence is also accumulating on the beneficial effects of vitamin D on extraskeletal systems, such as improving immune health, autoimmune disorders, cancer, neuromodulation, diabetes, and metabolic syndrome. The cause-effect relationship of vitamin D deficiency with increasing incidences of nonskeletal disorders is being investigated. Published reports support the definition of sufficiency, serum le...

Long term effects of bariatric surgery.

Cirugia eEspanola — Tue, 17 Jan 2012 05:00:00 +0100

Authors: Burguera B, Ruiz de Adana JC PMID: 22261312 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)

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Gastric Bypass Better Bariatric Bet than Banding (CME/CE)

MedPage Today Endocrinology — Mon, 16 Jan 2012 20:00:00 +0100

(MedPage Today) -- Roux-en-Y gastric bypass offers quicker weight loss and fewer long-term complications than gastric banding, researchers reported. (Source: MedPage Today Endocrinology)

Can We Safely State That Laparoscopic Roux-En-Y Gastric Bypass Is a Better Weight Loss Procedure Than Adjustable Band Gastroplasty?: Comment on "Roux-en-Y Gastric Bypass vs Gastric Banding for Morbid Obesity" [Invited Critique]

Archives of Surgery — Mon, 16 Jan 2012 05:00:00 +0100

(Source: Archives of Surgery)

Roux-en-Y Gastric Bypass vs Gastric Banding for Morbid Obesity: A Case-Matched Study of 442 Patients [Original Article]

Archives of Surgery — Mon, 16 Jan 2012 05:00:00 +0100

Conclusions Roux-en-Y gastric bypass is associated with better weight loss, resulting in a better correction of some comorbidities than GB, at the price of a higher early complication rate. This difference, however, is largely compensated by the much higher long-term complication and reoperation rates seen after GB. (Source: Archives of Surgery)

{beta}-Blocker Continuation After Noncardiac Surgery: A Report From the Surgical Care and Outcomes Assessment Program [Original Article]

Archives of Surgery — Mon, 16 Jan 2012 05:00:00 +0100

Conclusions β-Blocker continuation on the day of and after surgery was associated with fewer cardiac events and lower 90-day mortality. A focus on β-blocker continuation is a worthwhile quality improvement target and should improve patient outcomes. (Source: Archives of Surgery)

Preoperative weight loss in bariatric surgery candidate patients. evidence-based recommendations.

Cirugia eEspanola — Mon, 16 Jan 2012 05:00:00 +0100

CONCLUSION: The current scientific evidence makes preoperative weight loss recommendable in candidate patients for bariatric surgery. However, there is no consensus on what is the best procedure to achieve this preoperative weight loss. PMID: 22257415 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)

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Central obesity as measured by waist circumference is predictive of severity of lower urinary tract symptoms

BJU International — Sun, 15 Jan 2012 00:07:06 +0100

CONCLUSIONS• Increased WC is associated with worsened voiding.• There was a significantly increased prevalence of components of the metabolic syndrome in patients with higher WC.• Obese men, in particular those with other features of the metabolic syndrome, are at increased risk of male pelvic dysfunction and can be easily recognized by measurement of WC. (Source: BJU International)

Early Results After Laparoscopic Sleeve Gastrectomy in Adolescents With Morbid Obesity

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:59 +0100

Conclusions: LSG is a safe operation for morbidly obese pediatric patients and represents an effective early treatment strategy with approximately 40%EWL at 6 months and one year follow-up. Due to the minimal morbidity associated with LSG, it may be the optimal non-device surgical option for adolescent patients with morbid obesity. (Source: Journal of Surgical Research)

Novel Technique for Gallbladder Retraction During Single, Incision Cholecystectomy: Initial Experience

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:48 +0100

Conclusions: In this initial experience, the use of this novel retraction device demonstrated to be reliable, safe and easy to use. the retraction device allows the surgeon to perform the cholecystectomy within acceptable operative time, and no added complications. the advantages of this new device are that it is versatile, reusable, reduces the number of incisions, and is re-adjustable. in addition, more retractors can be added if necessary. the adaptability of this novel device will potentially broaden the range of procedures that can be performed through a single-incision. (Source: Journal of Surgical Research)

Scheduled, Intermittent Oximetry Fails to Detect Postoperative Hypoxemia After Bariatric Surgery

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:46 +0100

Introduction: Postoperative respiratory depression is a common, life-threatening sequela of patient-controlled analgesia (PCA), especially in bariatric patients with obstructive sleep apnea (OSA). Guidelines for postoperative monitoring of such patients usually include intermittent oximetry, despite the lack of evidence to support the efficacy of scheduled, intermittent, postop pulse oximetry. the aim of this study was to evaluate scheduled, intermittent, postop pulse oximetry. Methods: During two prospective, blinded, IRB-approved, pilot studies we monitored bariatric patients for 24 hours after gastric bypass using continuous pulse oximetry with arterial blood analyses every 4 hours in the first study and randomly in the second with continuous transcutaneous PtCO2. On the floor, patients...

Importance of Perioperative Glycemic Control in General Surgery: A Report from the Surgical Care and Outcomes Assessment Program

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:21 +0100

Conclusions: Perioperative hyperglycemia was associated with and adverse outcomes in patients with and without diabetes, but patients receiving insulin were not at greater risk than those with normal blood sugars. Perioperative glucose evaluation and insulin administration in patients with hyperglycemia are worthwhile QI targets. (Source: Journal of Surgical Research)

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Response of Type II Diabetes Mellitus to the Preoperative Liquid Diet as a Predictive Model for Diabetes Resolution in Bariatric Surgery Patients

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:03 +0100

Introduction: The prevalence of obesity and type II diabetes mellitus (T2DM) is rapidly increasing in the United States. Up to 90% of patients with T2DM are obese. in morbidly obese individuals with T2DM, bariatric surgery offers a novel potential therapeutic endpoint – complete disease remission. in our bariatric program, patients are placed on an 800 calorie/day, very low-calorie diet (VLCD) for 2 weeks prior to surgery. Some diabetic patients experience significant improvement in blood glucose control and reduced insulin requirements on this VLCD. We sought to define the relationship between diabetic response to the pre-op VLCD and T2DM resolution rates post-op in a select group of bariatric surgery patients with the most severe diabetes, those requiring injectable insulin. Methods: O...

Cost-Comparison Analysis of Cholecystectomy During Bariatric Surgery

Journal of Surgical Research — Sat, 14 Jan 2012 22:28:55 +0100

(Source: Journal of Surgical Research)

Volume-Outcome Association in Bariatric Surgery: A Systematic Review

Journal of Surgical Research — Sat, 14 Jan 2012 22:28:55 +0100

(Source: Journal of Surgical Research)

Is Intake of Vitamin D and Calcium Important for Cardiovascular Health in Elderly Obese Patients?

Obesity Surgery — Fri, 13 Jan 2012 16:56:48 +0100

Abstract There is compelling evidence that bariatric weight loss reduces cardiovascular complications; however, these still tend to be the most common cause of late death after surgical intervention. In a prospective cohort study, correlations of dietary nutrients with indexes of vascular health were sought, with emphasis on vitamin D and calcium. Clinically stable obese outpatient subjects (>60 years old, N = 44) were interviewed about dietary macro and micronutrients. Nutritional assessment targeted anthropometric and bioimpedance analysis (BIA), hematologic counts, lipid profile, glucose homeostasis, and inflammatory markers. Carotid intima-media thickness (IMT) and brachial flow-mediated dilation (FMD), along with related vascular measurements, were document...

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An Analysis of 1–3-Year Follow-up Results of Laparoscopic Sleeve Gastrectomy: an Indian Perspective

Obesity Surgery — Fri, 13 Jan 2012 16:56:45 +0100

Conclusions LSG is a safe and effective bariatric procedure with low perioperative complications. Before it is considered as a single stage primary procedure, a long-term prospective comparative study with other bariatric procedures is required. Content Type Journal ArticleCategory OtherPages 1-8DOI 10.1007/s11695-012-0599-yAuthors Parmanand Prasad, Department of Minimal Access and Bariatric Surgery, ILS Hospital, DD-6, Sector-I, Salt Lake City, Kolkata, 700 064 IndiaOm Tantia, Department of Minimal Access and Bariatric Surgery, ILS Hospital, DD-6, Sector-I, Salt Lake City, Kolkata, 700 064 IndiaNirmal Patle, Department of Minimal Access and Bariatric Surgery, ILS Hospital, DD-6, Sector-I, Salt Lake City, Kolkata, 700 064 IndiaShashi Khanna, Department of Minimal Acc...

Bariatric Surgery and Diabetic Retinopathy: a Pilot Analysis

Obesity Surgery — Fri, 13 Jan 2012 16:56:44 +0100

Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s11695-012-0600-9Authors Lakshminarayanan Varadhan, Department of Diabetes and Endocrinology, University Hospital of North Staffordshire NHS Trust, Springfield Unit, North Buildings, Stoke on Trent, Staffordshire, ST4 6QG UKTracy Humphreys, Department of Diabetes and Endocrinology, University Hospital of North Staffordshire NHS Trust, Springfield Unit, North Buildings, Stoke on Trent, Staffordshire, ST4 6QG UKAdrian B. Walker, Department of Diabetes and Endocrinology, University Hospital of North Staffordshire NHS Trust, Springfield Unit, North Buildings, Stoke on Trent, Staffordshire, ST4 6QG UKChandra V. N. Cheruvu, Department of Surgery, University Hospital of North Staffordshire NHS Trust, Stoke on Trent,...

Understanding the Determinants of Weight-Related Quality of Life among Bariatric Surgery Candidates

Clinical and Developmental Immunology — Fri, 13 Jan 2012 11:20:46 +0100

Obesity and its relation to quality of life are multifaceted. The purpose of this paper was to contribute evidence to support a framework for understanding the impact of obesity on quality of life in 42 morbidly obese subjects considering a wide number of potential determinants. A model of weight-related quality of life (WRQL) was developed based on the Wilson-Cleary model, considering subjects' weight characteristics, arterial oxygen pressure (PaO2), walking capacity (6-minute walk test, 6MWT), health-related quality of life (HRQL; Physical and Mental Component Summaries of the SF-36 PCS/MCS), and WRQL. The model of WRQL was tested with linear regressions and a path analysis, which showed that as PaO2 at rest increased 6MWT increased. 6MWT was positively associated with the PCS, which...

Doomed to Weight?

Psychology Today Food and Diet Center — Wed, 11 Jan 2012 15:36:01 +0100

Two recent articles in the New York Times have painted a gloomy portrait of weight loss. To start off 2012, the New York Times Magazine ran a cover story by Tara Parker-Pope titled "The Fat Trap." The article essentially summarized the biological mechanisms that work against us in our battle of the bulge.read more (Source: Psychology Today Food and Diet Center)

Predictive factors of excess body weight loss 1 year after laparoscopic bariatric surgery

Surgical Endoscopy — Wed, 11 Jan 2012 06:55:47 +0100

Conclusions Our data indicate that some of the characteristics that would have subjects referred early for BS were associated with higher weight loss. Therefore, the timing of laparoscopic BS might be an important factor for MO individuals in which medical weight loss intervention has failed. Content Type Journal ArticlePages 1-7DOI 10.1007/s00464-011-2104-4Authors Emilio Ortega, Obesity Unit, Department of Diabetes and Endocrinology, IDIBAPS, ICMDM, Hospital Clínic i Universitari, C/Villarroel 170, 08036 Barcelona, SpainRosa Morínigo, Obesity Unit, Department of Diabetes and Endocrinology, IDIBAPS, ICMDM, Hospital Clínic i Universitari, C/Villarroel 170, 08036 Barcelona, SpainLilliam Flores, Obesity Unit, Department of Diabetes and Endocrinology, IDIBAPS, ICMDM,...

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Bariatric Surgery Not a Cure for DiabetesBariatric Surgery Not a Cure for Diabetes

Medscape Today Headlines — Tue, 10 Jan 2012 21:34:30 +0100

Bariatric surgery should be seen as tool for improving glycemic control and preventing complications, not as a cure. Medscape Medical News (Source: Medscape Today Headlines)

The Big Picture: Young, Obese and Getting Weight-Loss Surgery

NYT — Tue, 10 Jan 2012 20:03:09 +0100

The push toward operations like Lap-Band surgery on the young has brought some resistance from doctors who say it is too drastic on patients whose bodies might still be developing. (Source: NYT)

Obese adults have reduced risk for adverse CV outcomes after bariatric surgery

MedWire News - Lipidology — Mon, 09 Jan 2012 00:00:00 +0100

Obese adults who undergo bariatric surgery have a reduced risk for adverse cardiovascular outcomes, an analysis suggests. (Source: MedWire News - Lipidology)

The Big Picture: Young, Obese and Getting Weight-Loss Surgery

NYT Health — Sun, 08 Jan 2012 04:49:43 +0100

The push toward operations like Lap-Band surgery on the young has brought some resistance from doctors who say it is too drastic on patients whose bodies might still be developing. (Source: NYT Health)

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Use of a Text Messaging Program to Promote Adherence to Daily Physical Activity Guidelines: A Review of the Literature

Bariatric Nursing and Surgical Patient Care — Sat, 07 Jan 2012 04:02:47 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Bariatric Surgery Results In Fewer Deaths And Cardiovascular Events

Health News from Medical News Today — Fri, 06 Jan 2012 15:00:00 +0100

A study published in the January 4 issue of JAMA reveals that bariatric surgery is linked to a reduction in cardiovascular deaths and events, such as heart attack and stroke amongst obese individuals. According to the majority of epidemiological studies, obesity is linked to increased cardiovascular events and mortality. Background information in the article states that: "Weight loss might protect against cardiovascular events, butsolid evidence is lacking." Between September 1987 and January 2001, Dr... (Source: Health News from Medical News Today)

Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States

Surgical Endoscopy — Thu, 05 Jan 2012 06:49:57 +0100

Conclusions Over the long term, LRYGB had an approximate reduction of 15 kg/m2 BMI and 60% EWL, a significantly better outcome than LAGB patients experienced with band intact. The main issue with LAGB was its 50% failure rate in the long term, as defined by poor weight loss and percentage of band removal. Nevertheless, LAGB had a remarkably safe course, and it may therefore be considered for motivated and informed patients. Content Type Journal ArticlePages 1-11DOI 10.1007/s00464-011-2125-zAuthors Hadar Spivak, HS Laparoscopy, Weight-Loss Surgery Program, Park Plaza Hospital, 1313 Hermann Drive, 1200 Binz Suite 930, Houston, TX 77004, USAMena F. Abdelmelek, HS Laparoscopy, Weight-Loss Surgery Program, Park Plaza Hospital, 1313 Hermann Drive, 1200 Binz Suite 930...

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Cut cardiovascular risk with weight-loss surgery

Health Facts and Fears — Thu, 05 Jan 2012 05:00:00 +0100

For those who are considering bariatric surgery, a new study from the University of Gothenburg in Sweden provides a compelling reason to undergo the procedure. (Source: Health Facts and Fears)

Maternal Obesity: Resources for Providers and Patients

Bariatric Nursing and Surgical Patient Care — Thu, 05 Jan 2012 04:03:15 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Bariatric Surgery

Springer Medicine titles — Wed, 04 Jan 2012 18:44:38 +0100

Technical Variations and ComplicationsThe increasing prevalence of obesity in many countries means that it should now be considered a pandemic. It is widely recognized that obesity increases the risk of a variety of life-threatening conditions, including heart disease, diabetes, hypertension, and severe joint problems. Bariatric surgery is often the most effective way to treat such morbid obesity. Nevertheless, while various ... (Source: Springer Medicine titles)

Sleeve Gastrectomy Patients May Be at Increased Risk Postoperatively for Decline in Vitamin B12 Values—Do They Need Monitoring?

Bariatric Nursing and Surgical Patient Care — Wed, 04 Jan 2012 14:42:11 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Question and Answer: Bariatric Nursing's Starting Point

Bariatric Nursing and Surgical Patient Care — Wed, 04 Jan 2012 14:42:06 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Maternal Obesity: Resources for Providers and Patients

Bariatric Nursing and Surgical Patient Care — Wed, 04 Jan 2012 14:41:58 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Bariatric surgery associated with reduction in cardiovascular events and death (EurekAlert, 3 January 2012)

Society for Endocrinology — Wed, 04 Jan 2012 12:00:00 +0100

Swedish researchers publishing in JAMA have looked into whether weight loss from bariatric surgery can help to protect against cardiovascular events and death. Full article (Source: Society for Endocrinology)

Bariatric Surgery Associated With Reduction In Cardiovascular Events And Death

Health News from Medical News Today — Wed, 04 Jan 2012 09:00:00 +0100

Among obese individuals, having bariatric surgery was associated with a reduced long-term incidence of cardiovascular deaths and events such as heart attack and stroke, according to a study in the January 4 issue of JAMA. Most epidemiological studies have shown that obesity is associated with increased cardiovascular events and death. "Weight loss might protect against cardiovascular events, but solid evidence is lacking," according to background information in the article. Lars Sjostrom, M.D., Ph.D... (Source: Health News from Medical News Today)

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BMJ reviews the most effective way to maintain weight loss in adults

NeLM - News — Wed, 04 Jan 2012 05:00:00 +0100

Source: BMJ Area: News The BMJ has featured a systematic review investigating interventions for maintaining weight loss including lifestyle and behavioural interventions, web based interventions, anti-obesity medication and bariatric surgery. The review concludes that evidence from trials is often contradictory; however, current evidence indicates that these interventions are likely to be helpful: . Ongoing regular support/follow-up; . Behavioural techniques such as goal setting, relapse prevention, self monitoring of weight, as well as diet and physical activity; . Increase in physical activity levels, alongside a moderately calorie reduced diet; . A lower fat, higher protein diet; . A low energy ...

Are the Effects of Bariatric Surgery Socially Contagious?Are the Effects of Bariatric Surgery Socially Contagious?

Medscape Today Headlines — Wed, 04 Jan 2012 04:00:00 +0100

For patients who have undergone bariatric surgery, there may be an added benefit of weight loss and improved healthy behavior for their family. Journal Watch (Source: Medscape Today Headlines)

Bariatric Surgery Reduces CV Events, Mechanisms Still UnclearBariatric Surgery Reduces CV Events, Mechanisms Still Unclear

Medscape Today Headlines — Wed, 04 Jan 2012 00:36:05 +0100

Bariatric surgery reduces the risk of cardiovascular events and CV death among obese individuals, compared with usual care. Heartwire (Source: Medscape Today Headlines)

Bariatric surgery reality check; Dr. Carson Liu explains post-operation changes

Monsters and Critics Consumerhealth News — Tue, 03 Jan 2012 21:08:00 +0100

(Source: Monsters and Critics Consumerhealth News)

Bariatric Surgery Cuts Cardiovascular Deaths and Events

Forbes.com Healthcare News — Tue, 03 Jan 2012 21:01:36 +0100

Bariatric surgery results in significant reductions in cardiovascular deaths and events, according to a new study from Sweden published in JAMA. But one expert cautions that the results do not mean that obese patients without other weight-related complications should undergo surgery. (Source: Forbes.com Healthcare News)

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Bariatric surgery reduces CV events, but mechanisms remain a mystery

theHeart.org — Tue, 03 Jan 2012 21:00:00 +0100

The latest data from the Swedish Obese Subjects study show that bariatric surgery reduces the risk of cardiovascular events and CV death among obese individuals, compared with usual care. But weight loss is not the reason behind this reduced risk, meaning that guidelines that use BMI to determine who will get such surgery need updating, say the authors and an editorialist. (Source: theHeart.org)

Bariatric Surgery Cuts Cardiac Risks (CME/CE)

MedPage Today Cardiovascular — Tue, 03 Jan 2012 20:01:54 +0100

(MedPage Today) -- Bariatric surgery reduces the long-term risk of heart attack and stroke as well as the risk of dying from them, a prospective nonrandomized study showed. (Source: MedPage Today Cardiovascular)

Bariatric Surgery and Long-term Cardiovascular Events [Original Contribution]

JAMA — Tue, 03 Jan 2012 05:00:00 +0100

Conclusion Compared with usual care, bariatric surgery was associated with reduced number of cardiovascular deaths and lower incidence of cardiovascular events in obese adults. (Source: JAMA)

Inadequacy of BMI as an Indicator for Bariatric Surgery [Editorial]

JAMA — Tue, 03 Jan 2012 05:00:00 +0100

(Source: JAMA)

Attitudes toward obese persons and controllability beliefs: clarifying previously reported data.

Sun, 01 Jan 2012 05:00:00 +0100

Authors: Flint S PMID: 22248434 [PubMed - in process] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

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International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases.

Sun, 01 Jan 2012 05:00:00 +0100

CONCLUSION: The present consensus report represents the best practice guidelines for the performance of LSG, with recommendations in the 3 aforementioned areas. This report and its findings support a first effort toward the standardization of techniques and adoption of working recommendations formulated according to expert experience. PMID: 22248433 [PubMed - in process] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Weigh Surgical Options for Metabolic Syndrome

Clinical Endocrinology News — Sun, 01 Jan 2012 05:00:00 +0100

HOT SPRINGS, VA. – An analysis of a large database of bariatric surgery patients has found that those with metabolic syndrome had dramatic improvements in comorbidities but a slightly higher rate of adverse events after 90 days. (Source: Clinical Endocrinology News)

Laparoscopic Sleeve Gastrectomy: a First Step for Rapid Weight Loss in Morbidly Obese Patients Requiring a Second Non-Bariatric Procedure

Obesity Surgery — Fri, 30 Dec 2011 06:48:23 +0100

Conclusions In this small group, laparoscopic sleeve gastrectomy appears to be an effective and safe first surgical approach for rapid weight loss in high-risk patients that require a second non-bariatric procedure. Content Type Journal ArticleCategory Clinical ResearchPages 1-5DOI 10.1007/s11695-011-0574-zAuthors Jesus E. Hidalgo, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USAMayank Roy, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USAAlexander Ramirez, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USASamuel Szomstein, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USARaul J. Rosenthal, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL...

Erratum to: Long-term outcome after endoscopic stent therapy for complications after bariatric surgery

Surgical Endoscopy — Thu, 29 Dec 2011 06:42:58 +0100

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s00464-011-2133-zAuthors Atif Iqbal, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USABrent Miedema, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USAArchana Ramaswamy, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USANicole Fearing, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USARoger de la Torre, Department of General Surgery, University of Missouri Columbia, One Hospital Drive, MC 520E McHaney, Columbia, MO 65212, USAYoung...

Healthcare Reform and Bariatric Nursing: Exploring Differences in Patient Experience between Bariatric and Non-Bariatric Patients

Bariatric Nursing and Surgical Patient Care — Thu, 29 Dec 2011 04:03:00 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

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Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges

Archives of Gynecology and Obstetrics — Wed, 28 Dec 2011 16:49:49 +0100

Conclusions Pregnancy outcome of women who delivered after BS, as compared to obese populations, is better and safer and comparable to the general population. Close supervision before, during and after pregnancy following bariatric surgery and nutrient supplementation adapted to the patient’s individual requirements can prevent nutrition-related complications and improve maternal and fetal health. Content Type Journal ArticleCategory Maternal-Fetal MedicinePages 1-8DOI 10.1007/s00404-011-2187-0Authors Ronis Magdaleno, Department of Medical Psychology and Psychiatry, State University of Campinas (UNICAMP), Rua Padre Almeida 515, sala 14, Campinas, SP CEP: 13025-251, BrazilBelmiro Gonçalves Pereira, Department of Tocogynecology, State University of Campinas (UNICA...

Healthcare Reform and Bariatric Nursing: Exploring Differences in Patient Experience between Bariatric and Non-Bariatric Patients

Bariatric Nursing and Surgical Patient Care — Wed, 28 Dec 2011 14:09:54 +0100

Bariatric Nursing and Surgical Patient Care , Vol. 0, No. 0. (Source: Bariatric Nursing and Surgical Patient Care)

Addictive personality and maladaptive eating behaviors in adults seeking bariatric surgery.

Eating Behaviors — Fri, 23 Dec 2011 22:06:43 +0100

This study examined the relationship between addictive personality and maladaptive eating behaviors in bariatric surgery candidates. Ninety-seven bariatric surgery candidates completed the Eysenck Personality Questionnaire (EPQ-R) Addiction Scale, the Overeating Questionnaire (OQ), binge-eating questions from the Questionnaire of Eating and Weight Patterns (QEWP-R), and the Eating Attitudes and Behaviors Questionnaire. Participants with Binge Eating Disorder (BED) displayed addictive personality scores comparable to individuals addicted to substances (M=17.5, SD=5.3). Addictive personality was associated with Overeating (r=.45, p<.001), Cravings (r=.31, p=.005), Affective Disturbances (r=.62, p<.001) and Social Isolation (r=.53, p<.001). Addictive personality was associated with m...

Revisionary bariatric surgery: indications and outcome of 100 consecutive operations at a single center

Surgical Endoscopy — Thu, 22 Dec 2011 06:44:39 +0100

Conclusion Insufficient weight loss is the most frequent indication for revisionary bariatric surgery. The surgery can be performed laparoscopically in most cases, and a significant EWL (> 50%) can be achieved in 1 year if the right revisionary procedure is chosen. Content Type Journal ArticlePages 1-6DOI 10.1007/s00464-011-2098-yAuthors Simon Kuesters, Department of General and Visceral Surgery, University of Freiburg, Surgical Metabolic and Anastomotic Research Team (SMART), Hugstetter Strasse 55, 79106 Freiburg, GermanyJodok M. Grueneberger, Department of General and Visceral Surgery, University of Freiburg, Surgical Metabolic and Anastomotic Research Team (SMART), Hugstetter Strasse 55, 79106 Freiburg, GermanyTobias Baumann, Department of Radiology, ...

Alterations in the Common Pathway of Coagulation During Weight Loss Induced by Gastric Bypass in Severely Obese Patients.

Obesity — Thu, 22 Dec 2011 05:00:00 +0100

The objective of this study was to establish the relationship between the plasminogen activator inhibitor-1 (PAI-1), antithrombin-III (ATIII), fibrinogen, and white blood cell (WBC) levels in severely obese patients. We analyzed various plasma parameters implicated in the intrinsic and extrinsic coagulation pathway from 34 severely obese patients before and 1, 6, and 12 months after gastric bypass. In obese people, ATIII, fibrinogen, and WBC levels were in the upper limit of the normal range, and all were higher and significantly different from nonobese people. After bariatric surgery, the ATIII level continued to be high during the first month and increased until 12 months, while fibrinogen decreased only at that time. PAI-1 plasma protein and PAI-1 mRNA levels in liver and adipose tissue...

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Erratum to: Evolution of Lipid Profiles after Bariatric Surgery

Obesity Surgery — Wed, 21 Dec 2011 20:12:51 +0100

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s11695-011-0584-xAuthors Ignacio Garcia-Marirrodriga, Centro Laparoscópico Dr. Ballesta (CLB), Centro Médico Teknon, 08022 Barcelona, SpainCesar Amaya-Romero, Centro Laparoscópico Dr. Ballesta (CLB), Centro Médico Teknon, 08022 Barcelona, SpainGabriel Patiño Ruiz-Diaz, Centro Laparoscópico Dr. Ballesta (CLB), Centro Médico Teknon, 08022 Barcelona, SpainSandra Férnandez, Resistencia a la Insulina SL, 08035 Barcelona, SpainCarlos Ballesta-López, Centro Laparoscópico Dr. Ballesta (CLB), Centro Médico Teknon, 08022 Barcelona, SpainJose Ma. Pou, Servicio de Endocrinología y Nutrición, Hospital de Sant Pau, 08025 Barcelona, SpainJune H. Romeo, Baldwin-Wallace College, Berea, OH, USAGemma Vilahur, Cardiovascular Res...

The Relationship between Childhood Parental Loss and Metabolic Syndrome in Obese Subjects

Stress and Health — Wed, 21 Dec 2011 05:00:00 +0100

Quality of food intake after bariatric surgery: vertical gastrectomy versus gastric bypass.

Cirugia eEspanola — Wed, 21 Dec 2011 05:00:00 +0100

CONCLUSIONS: The worsening of the quality of food intake is common in the first months after bariatric surgery, gradually improving and with no differences being seen between VG and GB. PMID: 22196519 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)

The Microbiota and Bariatric Surgery: It's a Bug's Life

Gastroenterology — Wed, 21 Dec 2011 05:00:00 +0100

Li J, Ashrafian H, Bueter M, et al. Metabolic surgery profoundly influences gut microbial-host metabolic cross-talk. Gut 2011;60:1214–1223. Obesity, one of the great pandemics of our time, is a major threat to public health and a challenge to health care resources. This complex syndrome is influenced by host susceptibility and by environmental or lifestyle factors, such as diet and physical activity. Obesity is associated with a number of serious health consequences, including type 2 diabetes, cardiovascular disease, pulmonary hypertension, obstructive sleep apnea, gastroesophageal reflux disease, musculoskeletal disorders, and a variety of cancers (Mayo Clin Proc 2006;81[suppl]:S5–S10) and has been repeatedly shown to be associated with an increased risk of mortality (Gastroenterolog...

Pharmacokinetic Effects of Bariatric Surgery (January).

The Annals of Pharmacotherapy — Tue, 20 Dec 2011 05:00:00 +0100

CONCLUSIONS:Bariatric surgical procedures may result in altered pharmacokinetic parameters, but the literature is lacking in sufficient quantity and quality of studies to make solid conclusions and recommendations. Until more studies of sufficient power are completed, clinicians should closely monitor these patients in the immediate and distant postsurgical period for signs of both drug efficacy and toxicity and adjust their medications as required. PMID: 22190251 [PubMed - as supplied by publisher] (Source: The Annals of Pharmacotherapy)

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Error in Data in: Halo Effect for Bariatric Surgery: Collateral Weight Loss in Patients' Family Members [Correction]

Archives of Surgery — Mon, 19 Dec 2011 05:00:00 +0100

(Source: Archives of Surgery)

Reply

Gastroenterology — Mon, 19 Dec 2011 05:00:00 +0100

We welcome the authors' comments in relation to our article published in Gut (2011;60:1214–1223) and wish to reiterate the point that referring to the role of gut microbiota as potentially being “mere epiphenomenon” needs to be strongly reconsidered. The whole field has moved beyond this notion and we should be thinking of where on the continuum of microbiome–host interactions this change in the composition falls. In the last 10 years, we have slowly begun to reintegrate the functions in the gut microbiome into host biology and there are many notable examples where they influence host; for example, bacterial glucuronidases impact chemotherapeutic treatments for colorectal cancer (Science 2010;330:831–835). In RYGB, there is a profound impact on the composition of the gut microbio...

Mid-term Effects of Sleeve Gastrectomy on Calcium Metabolism Parameters, Vitamin D and Parathormone (PTH) in Morbid Obese Women

Obesity Surgery — Sat, 17 Dec 2011 06:45:10 +0100

Conclusions Postoperative values of vitamin D show a progressive increasement, while PTH ones present a significant reduction, without any impact on serum calcium levels. We have demonstrated an inverse correlation between weight loss and vitamin D increasement at the third month after surgery. Content Type Journal ArticleCategory Clinical ResearchPages 1-5DOI 10.1007/s11695-011-0582-zAuthors Jaime Ruiz-Tovar, Bariatric Surgery Unit, Department of Surgery, General University Hospital Elche, Alicante, SpainInmaculada Oller, Bariatric Surgery Unit, Department of Surgery, General University Hospital Elche, Alicante, SpainAndres Tomas, Bariatric Surgery Unit, Department of Surgery, General University Hospital Elche, Alicante, SpainCarolina Llavero, Department of Surgica...

Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients

Surgical Endoscopy — Sat, 17 Dec 2011 06:43:54 +0100

Conclusions Sleeve gastrectomy has become an important surgical option for the treatment of the ever growing morbidly obese population. The risk of leak is low at 2.4%. Attention to detail specifically at the esophagogastric junction cannot be stressed enough. Careful patient selection (BMI < 50 kg/m2) and adopting the use of a 40-Fr or larger bougie may decrease the risk of leak. Vigilant follow-up during the first 30 days is critical to avoid catastrophe, because most leaks will happen after patient discharge. Content Type Journal ArticlePages 1-7DOI 10.1007/s00464-011-2085-3Authors Alexander R. Aurora, Department of Surgery, University Hospitals Case Medical Center, Lakeside 7, 11100 Euclid Avenue, Cleveland, Ohio 44106, USALeena Khaitan, ...

Extreme bariatric endoscopy: stenting to reconnect the pouch to the gastrojejunostomy after a Roux-en-Y gastric bypass

Surgical Endoscopy — Sat, 17 Dec 2011 06:43:39 +0100

Conclusions Endoscopic treatment of some bariatric surgery complications is feasible and has been reported previously. This report presents a case of a serious leakage treated by placement of a self-expandable metal stent to bridge the fistula. Content Type Journal ArticleCategory Dynamic ManuscriptPages 1-4DOI 10.1007/s00464-011-2060-zAuthors Eduardo G. H. de Moura, Gastroenterology Department, University of São Paulo, Rua Ana Vieira de Carvalho 362/15, São Paulo, 05679-065 BrazilManoel P. Galvão-Neto, Surgery Department, Gastro Obeso Center, Av. Dr. Eneas de Carvalho Aguiar, 255, São Paulo, 05403-000 BrazilAlmino C. Ramos, Surgery Department, Gastro Obeso Center, Av. Dr. Eneas de Carvalho Aguiar, 255, São Paulo, 05403-000 BrazilEduardo T. H. de Moura, Gastroin...

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Laparoscopic sleeve gastrectomy for obesity: can it be considered a definitive procedure?

Surgical Endoscopy — Sat, 17 Dec 2011 06:43:28 +0100

Conclusion LSG results in stable and adequate weight loss with resolution/improvement in comorbidities in a high percentage of patients. It can be considered a definitive operation for morbid obesity. Content Type Journal ArticlePages 1-7DOI 10.1007/s00464-011-1960-2Authors Ajay Chopra, Department of Surgery, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY 10461, USAEdward Chao, Department of Surgery, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY 10461, USAYana Etkin, Department of Surgery, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY 10461, USALynn Merklinger, Department of Surgery, Jacobi Medical Center, Albert Eins...

Role of Bariatric-Metabolic Surgery in the Treatment of Obese Type 2 Diabetes with Body Mass Index

Diabetes Technology — Sat, 17 Dec 2011 04:04:41 +0100

Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology)

Central Pedicled Breast Reduction Technique in Male Patients After Massive Weight Loss

Obesity Surgery — Thu, 15 Dec 2011 16:49:59 +0100

Abstract Male patients after massive weight loss often suffer from redundant skin and soft tissue in the anterior and lateral chest region, causing various deformities of pseudogynecomastia. Techniques with free or pedicled nipple–areola complex (NAC) transposition are widely accepted. The authors present their approach to male breast reduction with preservation of the NAC on a central dermoglandular pedicle and a wide elliptical tissue excision of breast and lateral thorax tissue in combination with liposuction. Male breast reduction was performed on patients after moderate to massive weight loss due to diet or bariatric procedures. Former procedures included free nipple–areola grafts or inferior pedicled techniques for NAC preservation. As a modification, we performe...

Let Loose Technique, an Option in Band Migration

Obesity Surgery — Thu, 15 Dec 2011 06:43:51 +0100

Abstract Obesity is nowadays a serious worldwide public health problem. In order to give patients a better quality of live, there are now medical and surgical treatments that may be offered to those patients. Since 2005, the Hospital de Santarém has been doing bariatric surgery. From 77 procedures with laparoscopic adjustable gastric banding, there were three cases of migration. The authors propose a new procedure to deal with migrations, according to a classification for band migration, as an alternative to a removal by laparoscopy or laparotomy. Let loose technique is a procedure that can be used in patients with band migration beyond the angle of Treitz and without other associated complications. It is consist of removing the port under local anaesthesia, leaving the in...

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Metabolic changes after morbid obesity surgery using the duodenal switch technique. Long term follow-up.

Cirugia eEspanola — Thu, 15 Dec 2011 05:00:00 +0100

CONCLUSIONS: DS is a safe and effective technique for the treatment of morbid obesity, with good weight loss results, a high percentage of remission of the comorbidities, a similar morbidity and mortality to other techniques, and with correctable nutritional changes, and thus acceptable. PMID: 22177717 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)

Comment on: Older bariatric surgery candidates: is there greater psychological risk than young and mid-life candidates?

Thu, 15 Dec 2011 05:00:00 +0100

Authors: Applegate KL PMID: 22260883 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

FDA issues warning to 8 bariatric surgery centers following multiple confirmed fatalities

NaturalNews.com — Thu, 15 Dec 2011 00:00:00 +0100

After four confirmed fatalities since 2009, the FDA is finally taking action against eight California surgical centers and a marketing firm for providing misleading information while advertising lap-band surgery. Death and advertising The L.A. County Department of... (Source: NaturalNews.com)

Obese Women’s Perception of Bariatric Trans-vaginal NOTES

Obesity Surgery — Wed, 14 Dec 2011 16:40:02 +0100

Abstract Much of the discussion pertaining to natural orifice transluminal endoscopic surgery (NOTES) focuses on technical issues, with little attention to women’s perception and to their willingness to consent to this surgery, especially in the field of obesity. Aim of this study was to evaluate obese women’s perception of NOTES and trans-vaginal access. Sixty two obese patients undergoing bariatric surgery were given a written description of NOTES with an anonymous questionnaire exploring their concerns and opinions regarding this technique. The risk of complications was the most important aspect with regard to surgical procedures for 87.1% of patients, while the aesthetic result counted only for 16.1%; none of the patients would accept an increased risk of surgical ...

Food Tolerance and Gastrointestinal Quality of Life Following Three Bariatric Procedures: Adjustable Gastric Banding, Roux-en-Y Gastric Bypass, and Sleeve Gastrectomy

Obesity Surgery — Wed, 14 Dec 2011 16:39:58 +0100

Conclusions Food tolerance and gastrointestinal quality of life, 2 to 4 years post-surgery are ostensibly best after SG, followed closely by RYGBP. AGB appears the least effective across these parameters. A significant positive relationship between food tolerance and gastrointestinal quality of life was confirmed. Content Type Journal ArticleCategory Clinical ResearchPages 1-8DOI 10.1007/s11695-011-0573-0Authors Shannon Elise Overs, School of Health Sciences, University of Wollongong, Wollongong, NSW 2500, AustraliaRebecca Anne Freeman, School of Health Sciences, University of Wollongong, Wollongong, NSW 2500, AustraliaNazy Zarshenas, St. George Upper GI Clinic, St. George Private Hospital, Kogarah, NSW 2217, AustraliaKaren Louise Walton, School of Health Scien...

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Bariatric surgeon praises FDA ruling against Get-Thin Lap band ads

Monsters and Critics Consumerhealth News — Wed, 14 Dec 2011 06:54:00 +0100

(Source: Monsters and Critics Consumerhealth News)

Use of Foley’s Catheter to Control Port-Site Bleeding in Bariatric Surgery

Obesity Surgery — Sun, 11 Dec 2011 16:31:44 +0100

Abstract Abdominal wall bleeding in the port-site insertion placed during laparoscopic bariatric surgery is often difficult to control. From January 2005 to August 2011, 226 patients underwent bariatric surgery at our institutions. Seventeen patients (7.5%) presented port-site bleeding that could not be controlled with electrocautery and Foley's catheter (24 F) was used for bleeding inhibition. Of the 17 patients, there were 12 females (70.6%) and five males (29.4%) with a mean age of 38.35 years. Mean body mass index (BMI) was 44.2. Most of bleeding port-sites were located in hypochondrium and were 12-mm size. After the catheter removal (median 36 h), bleeding did not recur in any case. There were no other complications related to the port-side bleeding and...

Improvement of Nonalcoholic Fatty Liver Disease After Bariatric Surgery in Morbidly Obese Chinese Patients

Obesity Surgery — Sun, 11 Dec 2011 06:33:37 +0100

Conclusions Bariatric surgery can achieve a dramatic improvement of NAFLD both biochemically and histologically in morbidly obese Chinese patients. Content Type Journal ArticleCategory Clinical ResearchPages 1-6DOI 10.1007/s11695-011-0579-7Authors Chi-Ming Tai, Department of Internal Medicine, E-Da Hospital, I-Shou University, Kaohsiung, TaiwanChih-Kun Huang, Department of Surgery, E-Da Hospital, I-Shou University, Kaohsiung, TaiwanJau-Chung Hwang, Department of Pathology, E-Da Hospital, I-Shou University, Kaohsiung, TaiwanHung Chiang, Department of Anatomic Pathology, Taipei Institute of Pathology, Taipei, TaiwanChi-Yang Chang, Department of Internal Medicine, E-Da Hospital, I-Shou University, Kaohsiung, TaiwanChing-Tai Lee, Department of Internal Medicine, E-Da Hos...

American Society of Metabolic and Bariatric Surgery patient safety committee policy statement on the qualifications of expert witnesses in bariatric surgery medicolegal matters.

Sun, 11 Dec 2011 05:00:00 +0100

Authors: Dallal RM, Cottam DR, Bertha N, Bonanni FB, Bour ES, Brolin RE, Kim K, Petrick A, Sweet WA, Blackstone RP, PMID: 22244912 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Comment on: Dietary assessment of adolescents undergoing laparoscopic Roux-en-Y gastric bypass surgery: macro- and micronutrient, fiber and supplement intake.

Sat, 10 Dec 2011 05:00:00 +0100

Authors: Michalsky M PMID: 22236941 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

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Offspring outcomes after maternal BPD: euphenics for the epidemic?

Sat, 10 Dec 2011 05:00:00 +0100

Authors: Dhariwal L, Kral JG PMID: 22236940 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Dietary assessment of adolescents undergoing laparoscopic Roux-en-Y gastric bypass surgery: macro- and micronutrient, fiber, and supplement intake.

Sat, 10 Dec 2011 05:00:00 +0100

CONCLUSION: At 1 year after Roux-en-Y gastric bypass, the adolescents' caloric intake remained restricted, with satisfactory macronutrient composition but a lower than desirable intake of calcium, fiber, and protein. PMID: 22260884 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Attendance at Clinical Visits Predicts Weight Loss After Gastric Bypass Surgery

Obesity Surgery — Fri, 09 Dec 2011 06:49:27 +0100

Conclusions For optimal weight loss over 24 months after GBP, follow-up is important. Further studies are needed to develop strategies that will optimize follow-up and weight loss, and to evaluate whether a threshold number of clinic visits can be established. Content Type Journal ArticleCategory Clinical ResearchPages 1-8DOI 10.1007/s11695-011-0577-9Authors Charlene W. Compher, University of Pennsylvania School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Philadelphia, PA 19104-4217, USAAlexandra Hanlon, University of Pennsylvania School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Philadelphia, PA 19104-4217, USAYoujeong Kang, University of Pennsylvania School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Philadel...

Screening of Adult ADHD Among Patients Presenting for Bariatric Surgery

Obesity Surgery — Thu, 08 Dec 2011 18:25:36 +0100

Conclusions The results show that adult ADHD is more common in this clinical group than in the general population (4%) and that adult ADHD is associated with disordered eating patterns, depression, and anxiety. Further prospective research, using multivariate analysis, is needed to investigate whether the symptoms of adult ADHD, and their interaction with anxiety, depression, or disordered eating, may possibly constitute a risk factor in terms of difficulties in adhering to the post-surgery regime and its potential unfavorable outcome. Content Type Journal ArticleCategory Clinical ResearchPages 1-9DOI 10.1007/s11695-011-0569-9Authors Sven Alfonsson, Department of Psychology, Uppsala University, Box 1225, 75142 Uppsala, SwedenThomas Parling, Department of Psycholog...

Survey of bariatric surgical patients' experiences with behavioral and psychological services.

Thu, 08 Dec 2011 05:00:00 +0100

CONCLUSION: The participants in the present sample reported completing few behavioral and psychological services after surgery. However, our findings showed that these services could promote greater weight loss and maintenance. Thus, it is recommended that bariatric facilities and insurance providers consider requiring patients to complete postoperative behavioral modification programs that target improvement in diet and physical activity behaviors. PMID: 22222303 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

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Early Postoperative Outcomes and Medication Cost Savings after Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients with Type 2 Diabetes

International Journal of Biomedical Imaging — Wed, 07 Dec 2011 20:59:07 +0100

Conclusion. Morbidly obese patients with diabetes who undergo LSG have high rates of diabetes remission early after surgery. This translates to a significant medication cost savings. (Source: International Journal of Biomedical Imaging)

Petersen hernia complicating laparoscopic duodenal switch.

Wed, 07 Dec 2011 05:00:00 +0100

Authors: Khwaja HA, Stewart DJ, Magee CJ, Javed SM, Kerrigan DD PMID: 22226465 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Erratum to: ESR1, FTO, and UCP2 Genes Interact with Bariatric Surgery Affecting Weight Loss and Glycemic Control in Severely Obese Patients

Obesity Surgery — Tue, 06 Dec 2011 17:01:20 +0100

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s11695-011-0564-1Authors Tsan-Hon Liou, Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, TaiwanHsin-Hung Chen, Department of Medical Nutrition Therapies, Pan-Chiao Cathay Hospital, New Taipei City, TaiwanWeu Wang, Department of Surgery, Taipei Medical University Hospital, Taipei Medical University, Taipei, TaiwanShu-Fen Wu, Department of Medical Administration, Pan-Chiao Cathay Hospital, New Taipei City, TaiwanYi-Chih Lee, Department of International Business, Ching Yun University, Jhongli, TaiwanWei-Shiung Yang, Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, TaiwanWei-Jei Lee, Division of Surgery and Medical Thera...

Update: A 52-Year-Old Woman With Obesity: Review of Bariatric Surgery [Clinical Crossroads Update]

JAMA — Tue, 06 Dec 2011 05:00:00 +0100

(Source: JAMA)

Hepatic left lobe volume is a sensitive index of metabolic improvement in obese women after gastric banding

International Journal of Obesity — Tue, 06 Dec 2011 05:00:00 +0100

Authors: M Giannetti, P Piaggi, G Ceccarini, S Mazzeo, G Querci, P Fierabracci, G Salvetti, G Galli, I Ricco, S Martinelli, C Di Salvo, M Anselmino, A Landi, P Vitti, A Pinchera & F Santini (Source: International Journal of Obesity)

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Evolving Pattern of Laparoscopic Gastric Band Access Port Complications

Obesity Surgery — Mon, 05 Dec 2011 17:35:26 +0100

Abstract Laparoscopic gastric banding (LGB) is the commonest bariatric procedure in Australia. The commonest complication of LGB is access port or tubing (AP/T) problems, requiring revisional surgery. The aim of this study was to document the evolving pattern of AP/T complications. All patients whose LGB procedure (AllerganTM Bands) and AP/T revision (AllerganTM port revision sets) were performed by one surgeon (1999 to 2008) were included, giving 167 AP/T revisions in 124 patients out of a total 1,928 LGB patients. All patient follow-up details were prospectively recorded and retrospectively analysed. Incidence of LGB AP/T problems was 8.7%. Mean time to first AP/T revision was 2 years. Over the last 4 years of the series, the number of LGB insertions was constan...

Economic Benefits of Bariatric Surgery

Obesity Surgery — Mon, 05 Dec 2011 06:33:01 +0100

The objective of this work was to evaluate the economic benefits of bariatric surgery and to relate the costs to the impact on the health of the individual. A historic cohort study was conducted, with review of medical charts of 194 patients who fulfilled the inclusion criteria for the study. The costs for medications, professional care, and examinations in the pre- and postoperative periods were analyzed, taking into consideration the comorbidities DM2, SAH, and dyslipidemia. The study demonstrated a reduction in the medical costs in the course of the postoperative period, in relation to expenses for medications, professional care, and examinations in the preoperative period. Comparing the preoperative expenses with different times in the postoperative period, a statistically signif...

Overexpression of 11β‐hydroxysteroid dehydrogenase type 1 in visceral adipose tissue and portal hypercortisolism in non‐alcoholic fatty liver disease

Liver International — Sun, 04 Dec 2011 05:00:00 +0100

ConclusionMurine NAFLD is associated with portal hypercortisolism and11β‐HSD1 overexpression in VAT. In humans, 11β‐HSD1 VAT expression was associated with the presence of NAFLD. Thus, local corticosteroid production in VAT may contribute to NAFLD pathogenesis. (Source: Liver International)

Magnetic-Assisted Single-Port Sleeve Gastrectomy.

Surgical Innovation — Sun, 04 Dec 2011 05:00:00 +0100

Conclusion. Single-port access sleeve gastrectomy assisted by magnetic forceps is feasible and safe in the hands of experienced laparoscopic surgeons, solving one of the problems associated to this type of surgery, that is, the need for an additional trocar and needles or sutures to retract the liver and stomach in order to perform the operation. PMID: 22143751 [PubMed - as supplied by publisher] (Source: Surgical Innovation)

C-peptide Predicts the Remission of Type 2 Diabetes After Bariatric Surgery

Obesity Surgery — Sat, 03 Dec 2011 16:49:15 +0100

Conclusions Baseline C-peptide is commonly elevated in morbidly obese patients with T2DM. There was a marked reduction in C-peptide after a significant weight reduction 1 year after surgery with a T2DM remission rate of 78.0%. Thus, bariatric surgery is recommended for obesity-related T2DM patients with elevated C-peptide. Content Type Journal ArticleCategory Clinical ResearchPages 1-6DOI 10.1007/s11695-011-0565-0Authors Wei-Jei Lee, Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, Tauoyan, Taiwan, Republic of ChinaKeong Chong, Internal Medicine, Min-Sheng General Hospital, Tauoyan, TaiwanKong-Han Ser, Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, Tauoyan, Taiwan, Republic of ChinaJung-Chien Chen, Departmen...

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Comment on: The effects of surgically-induced weight loss via Roux-en-Y gastric bypass on cardiovascular autonomic nerve function.

Sat, 03 Dec 2011 05:00:00 +0100

Authors: Lambert GW PMID: 22206612 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Effects of surgically induced weight loss by Roux-en-Y gastric bypass on cardiovascular autonomic nerve function.

Sat, 03 Dec 2011 05:00:00 +0100

CONCLUSION: Surgically induced weight loss has a favorable effect on autonomic function, but it does not appear to be directly attributable to reduced insulin resistance. PMID: 22222304 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Superior calcium bioavailability of effervescent potassium calcium citrate over tablet formulation of calcium citrate after Roux-en-Y gastric bypass.

Sat, 03 Dec 2011 05:00:00 +0100

CONCLUSION: In patients who have undergone Roux-en-Y gastric bypass, PCC was superior to Citracal Petite in conferring bioavailable calcium and suppressing parathyroid hormone secretion. PCC also provided an alkali load. PMID: 22222299 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Surgical site infections after post-bariatric abdominoplasty and flank liposuction: a case–control study focusing on the quantity of tissue removed

Surgery Today — Fri, 02 Dec 2011 17:30:34 +0100

Abstract We evaluated whether the quantity of fat removed during abdominoplasty and liposuction correlated with the occurrence of surgical site infection (SSI). We selected patients of similar age, sex, smoking status, obesity, and post-bariatric weight loss, retrospectively, and classified them into groups according to the development of SSI. The total amount of fat removed and aspirated was compared. The size of the flap removed from the abdomen and the amount of fat aspirated with liposuction differed significantly between the SSI and no-SSI groups (1.6 ± 0.2 vs. 0.6 ± 0.3 kg and 2 ± 0.2 vs. 0.9 ± 0.3 l, respectively; p < 0.001). The four SSI patients with the most fat removed (1.4 ± 0.2 kg...

Relative Contributions of Afferent Vagal Fibers to Resistance to Diet-Induced Obesity

Digestive Diseases and Sciences — Fri, 02 Dec 2011 17:26:35 +0100

Conclusions Truncal vagotomy led to significant reductions in both diet-induced weight gain and visceral abdominal fat deposition. Vagal de-afferentation led to a more modest, but clinically and statistically significant, reduction in visceral abdominal fat. As increased visceral abdominal fat is associated with excess morbidity and mortality, vagal de-afferentation may be a useful adjunct in bariatric surgery. Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s10620-011-1968-4Authors A. T. Stearns, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USAA. Balakrishnan, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA ...

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Bariatric surgery can give teens new life

USATODAY.com Health — Fri, 02 Dec 2011 13:38:34 +0100

At more than 400 pounds, Keenan Henderson knew he was overweight. But he thought bariatric surgery was too drastic a step for his age. (Source: USATODAY.com Health)

Laparoscopic gastric pouch and remnant resection: a novel approach to refractory anastomotic ulcers after Roux-en-Y Gastric Bypass: Case report

BMC Surgery — Fri, 02 Dec 2011 05:00:00 +0100

Conclusion: By laparoscopic resection of the entire gastric pouch and the gastric remnant the risk to leave a suboptimally vascularised or even ischemic pouch in situ was avoided. The esophagojejunostomy was then created in healthy, good vascularised tissue. In our case this novel approach was effective in the management of a refractory anastomotic ulcer and might represent a rescue option when simple revision of the gastrojejunostomy fails. (Source: BMC Surgery)

Erratum to: Bariatric Surgery in Asia in the Last 5 Years (2005–2009)

Obesity Surgery — Thu, 01 Dec 2011 19:29:18 +0100

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s11695-011-0566-zAuthors Davide Lomanto, Department of Surgery, Minimally Invasive Surgical Centre, National University Hospital, 5 Lower Kent Ridge Road, 119074 Singapore, SingaporeWei-Jei Lee, Department of Surgery, Min-Sheng General Hospital, Taipei, TaiwanRajat Goel, Department of Surgery, Minimally Invasive Surgical Centre, National University Hospital, 5 Lower Kent Ridge Road, 119074 Singapore, SingaporeJeannette Jen-Mai Lee, Department of Epidemiology and Public Health, Yong Loo Lin, School of Medicine, National University of Singapore, Singapore, SingaporeAsim Shabbir, Department of Surgery, Minimally Invasive Surgical Centre, National University Hospital, 5 Lower Kent Ridge Road, 119074 Singapore, SingaporeJimmy ...

Food Policy, Systems, and Environment: Strategies for Making Healthful Food the Easiest Choice

Bariatric Nursing and Surgical Patient Care — Thu, 01 Dec 2011 17:09:37 +0100

Bariatric Nursing and Surgical Patient Care Dec 2011, Vol. 6, No. 4: 167-172. (Source: Bariatric Nursing and Surgical Patient Care)