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AHA: Weight-Loss Surgery Ups Cardiac Function in Kids (CME/CE)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
ORLANDO (MedPage Today) -- Bariatric surgery led to sustained improvements in left ventricular mass and diastolic function in morbidly obese teenagers, a researcher reported here. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

Body positions and esophageal sphincter pressures in obese patients during anesthesiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The lower esophageal sphincter (LES) and the upper esophageal sphincter (UES) play a central role in preventing regurgitation and aspiration. The aim of the present study was to evaluate the UES, LES and barrier pressures (BP) in obese patients before and during anesthesia in different body positions. Using high-resolution solid-state manometry, we studied 17 patients (27[ndash]63 years) with a BMI[ge]35 kg/m2 who were undergoing a laparoscopic bariatric surgery before and after anesthesia induction. Before anesthesia, the subjects were placed in the supine position, in the reverse Trendelenburg position (+20°) and in the...
Source: Acta Anaesthesiologica Scandinavica - November 13, 2009 Category: Anesthesiology Authors: A. DE LEON, S.-E. THÖRN, J. OTTOSSON, M. WATTWIL Source Type: journals

El Camino expands robotic surgery programemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
El Camino Hospital has expanded its robotic surgery program to meet market demand, adding three surgical systems at the Mountain View, Calif. hospital and one at its Los Gatos site. Hospital surgeons will perform prostate cancer, gynecologic and bariatric surgeries with the systems. (Source: Healthcare IT News)
Source: Healthcare IT News - November 12, 2009 Category: Information Technology Authors: Bernie Monegain Tags: Online Only bariatric surgeries California Camino Hospital El Camino Hospital Eric Pifer minimally invasive procedures Mountain View prostate cancer Robotic surgery Vinci Vinci Si HD Surgical Systems Hospitals & IDNs Source Type: news

Original article Technical problems in laparoscopic sleeve gastrectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Laparoscopic sleeve gastrectomy can be considered a safe method, and can be recommended as a method of surgical treatment for obesity. (Source: Articles of Videosurgery and Other Miniinvasive Techniques - TERMEDIA publishing house)
Source: Articles of Videosurgery and Other Miniinvasive Techniques - TERMEDIA publishing house - November 12, 2009 Category: Surgery Source Type: journals

Global Health Partner AB: Start-up Of Obesity Treatment Operations In Finlandemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In collaboration with Eira Hospital in Helsinki, Global Health Partner (STO:GHP) has started up obesity treatment operations and the first bariatric surgery procedure has now been performed. Finland has the highest obesity prevalence in the Nordic countries. However, the number of bariatric surgery procedures has so far been very low. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 12, 2009 Category: Consumer Health News Tags: Obesity / Weight Loss / Fitness Source Type: news

Global Health Partner AB: Start-up Of Obesity Treatment Operations In Finlandemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In collaboration with Eira Hospital in Helsinki, Global Health Partner (STO:GHP) has started up obesity treatment operations and the first bariatric surgery procedure has now been performed. Finland has the highest obesity prevalence in the Nordic countries. However, the number of bariatric surgery procedures has so far been very low. (Source: Obesity / Weight Loss / Fitness News From Medical News Today)
Source: Obesity / Weight Loss / Fitness News From Medical News Today - November 12, 2009 Category: Eating Disorders and Weight Management Tags: Obesity / Weight Loss / Fitness Source Type: news

Venous thromboembolism prophylaxis for bariatric surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A record from the CRD Health Techology Assessment Database. Published in June 2009. (Source: Gastroenterology and Liver Diseases Specialist Library - Stomach)
Source: Gastroenterology and Liver Diseases Specialist Library - Stomach - November 10, 2009 Category: Gastroenterology Source Type: organizations

Using low molecular weight heparin in special patient populationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Clinical trials evaluating low molecular weight heparin (LMWH) for the prevention and treatment of venous thromboembolism and acute coronary syndromes have led to their regulatory approval for these indications in the general population. However, certain patient populations have been excluded from these landmark clinical trials, including patients with renal insufficiency, obese patients and pregnant women. In these special populations, data on safety and efficacy is limited and typically based on pharmacokinetic studies often performed in healthy subjects, or small cohort studies which are generall...
Source: Journal of Thrombosis and Thrombolysis - November 10, 2009 Category: Hematology Tags: Journal of Thrombosis and Thrombolysis Source Type: journals

Alterations of Central Dopamine Receptors Before and After Gastric Bypass Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Brain available dopamine D2 binding appears to increase following GBP. This preliminary finding needs to be replicated in a larger population but suggests that diminished D2 binding in the obese may be due to D2 receptor downregulation. Changes in available dopamine receptor binding may play an important role in centrally mediated appetite suppression and resultant weight loss after LGBP. Content Type Journal ArticleCategory Clinical ResearchDOI 10.1007/s11695-009-0015-4Authors Kimberley E. Steele, The Johns Hopkins University School of Medicine Department of Surgery Baltimore MD USAGrego...
Source: Obesity Surgery - November 9, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Preoperative Weight Loss: A Component of the Preoperative Program in Bariatric Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s11695-009-9990-8Authors Marinus Wiezer, Sint Antonius Ziekenhuis Department of Surgery Postbus 2500 3430 EM Nieuwegein The NetherlandsIgnace Jansen, Rijnstate Hospital Department of Surgery Arnhem The NetherlandsAnders Thorell, Ersta Hospital Karolinska Institutet, Department of Clinical Science, Danderyd Hospital & Department of Surgery 116 91 Stockholm Sweden Journal Obesity SurgeryOnline ISSN 1708-0428Print ISSN 0960-8923 (Source: Obesity Surgery)
Source: Obesity Surgery - November 9, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Review of endoscopic devices for weight reduction: old and new balloons and implantable prosthesesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
EndoscopyDOI: 10.1055/s-0029-1215269AbstractThe worldwide epidemic of obesity is forecast to worsen with a concomitant increase in the burden of co-morbid conditions. Bariatric surgery has some disadvantages, and intragastric balloons (IGBs) represent a generally safe, reversible and less invasive approach to weight reduction, based on occupying gastric space to enhance the sensation of satiety. A literature review found that the majority of the published data on IGBs relates to the Bioenterics intragastric balloon (BIB). The evidence for the efficacy of the BIB as a primary means of weight loss is still unconvincing, but ...
Source: Endoscopy - November 7, 2009 Category: Gastroenterology Tags: Review Source Type: journals

Analysis of the bariatric surgery impact in a population from the center area of Rio Grande do Sul State, Brazil, using the BAROS methodemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONTEXTO: Devido às alterações metabólicas causadas pelo excesso de peso, a cirurgia bariátrica tem sido muito utilizada, a fim de proporcionar perda e manutenção de peso a longo prazo na população com obesidade mórbida. OBJETIVO: Analisar o impacto da cirurgia bariátrica em uma população do centro do estado do Rio Grande do Sul utilizando o método BAROS. MÉTODOS: Foi realizado estudo retrospectivo, com 32 pacientes, de ambos os sexos, entre 19 e 44 anos de uma clínica particular de Santa Maria, RS. Analisaram-se as variações de peso e índice de massa corpórea, hábito intestinal, uso de tabaco e práti...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Duodenal bypass does not decrease glucose levels of lean individuals with gastric cancer submitted to partial or total gastrectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, duodenal bypass do not decrease glucose levels in lean individuals treated for gastric cancer.Alterações no metabolismo da glucose após cirúrgias bariátricas podem ser creditadas ao desvio do duodeno. Este estudo avaliou o efeito do desvio do duodeno nos níveis glicêmicos de pacientes magros submetidos a gastrectomia por câncer. Foram revistos 56 pacientes não-diabéticos e 6 pacientes diabéticos submetidos a gastrectomia com reconstrução em Y-de-Roux por câncer (gastrectomia parcial em 66% e total em 34%). Os níveis glicêmicos não se alteraram significantemente depois da operação (P = 0,5)...
Source: Arquivos de Gastroenterologia - November 6, 2009 Category: Gastroenterology Source Type: journals

Bariatric surgery center opens in New Braunfelsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Clarity Bariatrics, a Dallas-based medical and surgical weight-loss company, has opened a new office to serve residents living in the Selma and New Braunfels area. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 5, 2009 Category: American Health Source Type: journals

Bariatric surgery center opens in New Braunfelsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Clarity Bariatrics, a Dallas-based medical and surgical weight-loss company, has opened a new office to serve residents living in the Selma and New Braunfels area. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 5, 2009 Category: Biotechnology Source Type: journals

Energy Gap Useful Tool For Successful Weight Loss Maintenance Strategyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Americans continue to get heavier. Most weight control methods short of bariatric surgery are generally considered ineffective in preventing obesity or reducing weight. The term energy gap was coined to estimate the change in energy balance (intake and expenditure) behaviors required to achieve and sustain reduced body weight outcomes in individuals and populations. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 5, 2009 Category: Consumer Health News Tags: Obesity / Weight Loss / Fitness Source Type: news

Energy Gap Useful Tool For Successful Weight Loss Maintenance Strategyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Americans continue to get heavier. Most weight control methods short of bariatric surgery are generally considered ineffective in preventing obesity or reducing weight. The term energy gap was coined to estimate the change in energy balance (intake and expenditure) behaviors required to achieve and sustain reduced body weight outcomes in individuals and populations. (Source: Obesity / Weight Loss / Fitness News From Medical News Today)
Source: Obesity / Weight Loss / Fitness News From Medical News Today - November 5, 2009 Category: Eating Disorders and Weight Management Tags: Obesity / Weight Loss / Fitness Source Type: news

The Personality Assessment Inventory: Clinical Utility, Psychometric Properties, and Normative Data for Bariatric Surgery Candidatesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Our findings support the clinical utility of the PAI in the psychological assessment of bariatric surgery candidates. The availability of PAI normative data and profile elevation statistics will help to facilitate clinical interpretation and inform treatment recommendations for candidates undergoing bariatric surgery. Content Type Journal ArticleCategory Clinical ResearchDOI 10.1007/s11695-009-0004-7Authors Joyce A. Corsica, Rush University Medical Center Department of Behavioral Sciences 1653 W. Congress Pkwy Chicago IL 60612 USALeila Azarbad, Rush University Medical Center Department of ...
Source: Obesity Surgery - November 5, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Laparoscopic surgery cuts down on incisionsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Minimally invasive surgery is even more minimal now that doctors at Baylor College of Medicine are using only one incision for some procedures, leaving behind little to no scar. "This technique has been around for a couple of years. What we are doing now is expanding the types of surgeries for which we can use this method and understanding the benefits in a research setting," said Dr. Vadim Sherman , assistant professor of surgery and director of the Comprehensive Bariatric Surgery Center at BCM. Belly button One-incision surgeries use the same type of devices as traditional laparoscopic surgeries. However, inste...
Source: Baylor College of Medicine News - November 4, 2009 Category: Universities & Medical Training Source Type: news

Obesity Society Grants Program Covidien Research Grantsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Focus of research proposals: Applications are solicited in one of the following two focus areas: Childhood Obesity - Prevention and/or Treatment The epidemic of childhood overweight and obesity mandates study in the prevention and treatment of this disorder. Basic, clinical and population research studies are solicited to address the prevention and/or treatment of childhood obesity. Pilot/Feasibility research and/or planning grants for future clinical research studies are accepted. Weight Gain After Bariatric Surgery The recognized problem of weight regain following weight loss in patients treated with gastric banding, sl...
Source: ScanGrants feed - November 4, 2009 Category: Research Authors: Obesity Society Source Type: funding

National Association of Bariatric Nurses Research Awardemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study must be an investigation which furthers nursing knowledge in the care of the morbidly obese patient and family. It should be a pilot project which can be completed within one year of the award. Proposal requirements: The proposal should outline the background, relevant literature, the methods to be used in the study, and how the data will be analyzed. A proposal should not exceed five pages in length. Proposals may be sent electronically or in hard copy to the NABN office. To send electronically, email to friendd@ecu.edu. Mailing Address is: NABN East Carolina University School of Nursing 2111 Health Sciences B...
Source: ScanGrants feed - November 4, 2009 Category: Research Authors: National Association of bariatric Nurses Source Type: funding

Perioperative Safety and Bariatric Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To the Editor: Flum and colleagues (July 30 issue)1 report on the Longitudinal Assessment of Bariatric Surgery (LABS) consortium study ... (Source: New England Journal of Medicine)
Source: New England Journal of Medicine - November 4, 2009 Category: Internal Medicine Authors: Vetter, M. L., Vinnard, C. L., Wadden, T. A., Bhattacharyya, S., Kaddoura, S., Flum, D. R., the LABS Consortium Tags: CORRESPONDENCE Source Type: journals

Bariatric surgery reduces oxidative stress by blunting 24-hours acute glucose fluctuations in type 2 diabetic obese patients.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Oxidative stress reduction after BPD seem to be related to the regulation of glucose fluctuations resulting from intestinal bypass. PMID: 19889803 [PubMed - as supplied by publisher] (Source: Diabetes Care)
Source: Diabetes Care - November 4, 2009 Category: Endocrinology Authors: Marfella R, Barbieri M, Ruggiero R, Rizzo MR, Grella R, Mozzillo AL, Docimo L, Paolisso G Tags: Diabetes Care Source Type: journals

Metabolic/Bariatric Surgery Worldwide 2008email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Periodically, the state of bariatric surgery worldwide should be assessed; the most recent prior evaluation was in 2003. An email survey was sent to the leadership of the 36 International Federation for the Surgery of Obesity and Metabolic Disorders nations or national groupings, as well as Denmark, Norway, and Sweden. Responses were tabulated; calculation of relative prevalence of specific procedures was done by weighted averages. Out of a potential 39, 36 nations or national groupings responded. In 2008, 344,221 bariatric surgery operations were performed by 4,680 bariatric surgeons; 220,000 of th...
Source: Obesity Surgery - November 3, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Influence of bariatric surgery on indices of cardiac autonomic controlemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study therefore sought to assess longitudinal changes in indices of cardiac autonomic control following two types of bariatric procedure, laparascopic gastric banding (LGB) and biliopancreatic diversion (BPD).Methods: Eleven morbidly obese subjects aged 47.8±7.9years (mean±SD) with BMI 48.2±6.9kg·m-2 underwent weight-reduction surgery: five received BPD and six received LGB. Holter ECG was recorded and HRV was quantified together with a QT variability index (QTVI), a complexity index (SampEn), and a fractal (scaling) index (DFAα). Repeated measures ANOVA compared the indices for the two groups as a function of ti...
Source: Autonomic Neuroscience: Basic and Clinical - November 2, 2009 Category: Neuroscience Authors: I. Alam, M.J. Lewis, K.E. Lewis, J.W. Stephens, J.N. Baxter Tags: Clinical Autonomic Neuroscience Source Type: journals

Laparoscopic Bariatric Surgery: Hands-on Practical Workshopemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: NLH - Gastroenterology & Liver Diseases - Events)
Source: NLH - Gastroenterology & Liver Diseases - Events - November 2, 2009 Category: Gastroenterology Source Type: events

The Status of Bariatric Surgery in the UKemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: NLH - Gastroenterology & Liver Diseases - Events)
Source: NLH - Gastroenterology & Liver Diseases - Events - November 2, 2009 Category: Gastroenterology Source Type: events

Systematic review: the effects of conservative and surgical treatment for obesity on gastro-oesophageal reflux diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Dietary and lifestyle intervention may improve GERD in obese patients; however, the most favourable effect is likely to be found after bariatric surgery, especially after Roux-en-Y gastric bypass. Future studies need to elucidate for which GERD patients laparoscopic adjustable gastric banding might have a beneficial effect and how they can be identified preoperatively. (Source: Alimentary Pharmacology and Therapeutics)
Source: Alimentary Pharmacology and Therapeutics - November 1, 2009 Category: Drugs & Pharmacology Authors: N. L. DE GROOT, J. S. BURGERHART, P. C. VAN DE MEEBERG, D. R. DE VRIES, A. J. P. M. SMOUT, P. D. SIERSEMA Tags: Systematic review Source Type: journals

Bariatric Surgery in Mother Yields Healthier Offspringemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
GRAPEVINE, TEX. — Obese women who have bariatric surgery prior to pregnancy have less complicated gestations, and their children are markedly less obese than are siblings born prior to mom's surgery, according to a Canadian study. (Source: Ob.Gyn. News)
Source: Ob.Gyn. News - November 1, 2009 Category: OBGYN Authors: BRUCE JANCIN Tags: Obstetrics Source Type: journals

Procedural sedation and obesity: waters left unchartedemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Although obesity may be associated with increased risks of procedural sedation, future studies should better clarify such risks to better inform clinical decision making. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - October 31, 2009 Category: Gastroenterology Authors: John J. Vargo Tags: bariatric Series Source Type: journals

Surgical treatment of obesityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Recent estimates by the World Health Organization suggest that if current trends continue, obesity will affect an estimated 1.5 billion people by 2015. Indeed, the close association between obesity and the increased incidence and prevalence of obesity-related comorbidities, mortality, decreased quality of life, and increased health care expenditure has made obesity a worldwide public health priority. Behavioral and pharmacological treatment efforts have had done little to affect these trends, particularly in the setting of severe obesity (body mass index [BMI] ≥35 kg/m2) and super obesity (BMI ≥50 kg/m2). To date, surg...
Source: Gastrointestinal Endoscopy - October 31, 2009 Category: Gastroenterology Authors: Marc Ward, Vivek Prachand Tags: bariatric Series Source Type: journals

Emerging technology: endoluminal treatment of obesityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Endoluminal treatments for obesity have promise, and recent technological advances have been astounding. However, these interventions will need to be held to the same standards of current operative techniques. Each device will need to be scrutinized within clinical trials to determine its safety, efficacy, and durability. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - October 31, 2009 Category: Gastroenterology Authors: Gregory A. Coté, Steven A. Edmundowicz Tags: bariatric Series Source Type: journals

Endoscopic Gastrostomy After Bariatric Surgery: A Unique Approachemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present an innovative method for gastrostomy tube placement in a patient with a retrocolic gastric bypass using a combined endoscopic ultrasound and fluoroscopy-guided approach, describing the essential technical steps of the procedure. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11695-009-0018-1Authors Natasha Rueth, University of Minnesota Division of Thoracic and Foregut Surgery, Department of Surgery MMC 207, 420 Delaware Street SE Minneapolis MN 55455 USASayeed Ikramuddin, University of Minnesota Division of Gastrointestinal Surgery, Department of Surgery Minneapolis MN 55455 USARafael Andra...
Source: Obesity Surgery - October 31, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Nutritional Deficiencies in Bariatric Surgery Candidatesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  A high prevalence of nutritional deficiencies was found amongst bariatric surgery candidates suffering from morbid obesity. Content Type Journal ArticleCategory Allied CareDOI 10.1007/s11695-009-0008-3Authors Chaya Schweiger, Hebrew University School of Medicine, Hadassah Ein Kerem Medical Center Bariatric Surgery Service POB 12000 Jerusalem 91120 IsraelRam Weiss, Hebrew University School of Medicine, Hadassah Ein Kerem Medical Center Department of Human Metabolism and Nutrition POB 12000 Jerusalem 91120 IsraelElliot Berry, Hebrew University School of Medicine, Hadassah Ein Kerem Medical Cen...
Source: Obesity Surgery - October 30, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Increase in NHS obesity admissionsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: BBC Health News Area: News According to a BBC Health news report, the number of people being treated for conditions related to obesity has risen dramatically, partly due to bariatric surgery now being more widely available on the NHS. The figures from the NHS Information Centre for England show an annual rise of 60% in conditions linked to obesity and a 360% increase on 5 years ago. In 2008-2009, there were 8085 admissions for obesity in England, more than half of these were for surgery, the other half for the treatment of diseases caused by obesity, including for breathing problems, type 2 diabetes, circulation o...
Source: NeLM - Surgery - October 30, 2009 Category: Surgery Source Type: organizations

Bariatric Surgery Fails to Reduce Risk of MI Long Termemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
After a median follow-up of 12 years, MI rates were essentially the same among those treated with surgery and those who received conventional care for weight loss. Heartwire (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 29, 2009 Category: Consumer Health News Tags: Cardiology Source Type: news

Upper gastrointestinal investigations before gastric bandingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Endoscopy and pH monitoring do not predict outcome for gastric banding and therefore have no relevance in the selection of patients for gastric banding. Patients with an incompetent LES shown by manometry had a higher reoperation rate. If this finding can be confirmed, patients with LES incompetence may need another intervention. Content Type Journal ArticleDOI 10.1007/s00464-009-0720-zAuthors Marco Bueter, University of Würzburg Department of Surgery Würzburg GermanyAndreas Thalheimer, University of Würzburg Department of Surgery Würzburg GermanyCarel W. le Roux, Hammersmith Hospital,...
Source: Surgical Endoscopy - October 29, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

Adipocyte Accumulation of Long-Chain Fatty Acids in Obesity is Multifactorial, Resulting from Increased Fatty Acid Uptake and Decreased Activity of Genes Involved in Fat Utilizationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  In obese omental fat, saturable adipocyte LCFA uptake was greater than in controls, and expression of key genes involved in lipolysis, β-oxidation, and metabolism of fatty acids was reduced. Thus, both increased uptake and reduced metabolism of LCFAs contribute to the accumulation of LCFAs in obese adipocytes. Content Type Journal ArticleCategory Basic Science ResearchDOI 10.1007/s11695-009-0002-9Authors José L. Walewski, Columbia University College of Physicians and Surgeons Department of Medicine New York NY 10032 USAFengxia Ge, Columbia University College of Physicians and Surgeons De...
Source: Obesity Surgery - October 28, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Long-term effects of laparoscopic sleeve gastrectomy, gastric bypass, and adjustable gastric banding on type 2 diabetesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  All three bariatric procedures are effective in treating diabetes, with a 3-year follow-up evaluation showing an effect that lasts. The AGB procedure was the least effective. The antidiabetic effect was similarly precocious after GBP and SG compared with AGB. This difference may indicate that a hormonal mechanism may be involved, independent of weight loss. Content Type Journal ArticleDOI 10.1007/s00464-009-0715-9Authors F. Abbatini, University “La Sapienza” Department of Surgical-Medical Digestive Diseases, Policlinico “Umberto I” Viale del Policlinico 00161 Rome ItalyM. Rizzello,...
Source: Surgical Endoscopy - October 28, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

Feasibility of a Supervised Inpatient Low-Calorie Diet Program for Massive Weight Loss Prior to RYGB in Superobese Patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Massive preoperative weight loss is possible to achieve with a liquid protein diet in superobese patients greatly facilitating gastric bypass surgery in an otherwise high-risk patient population. Content Type Journal ArticleCategory Clinical ResearchDOI 10.1007/s11695-009-0001-xAuthors Sergio Huerta, Dallas VA Medical Center Departments of Surgery 4500 Lancaster Road Dallas TX 75216 USAZhaoping Li, Dallas VA Medical Center Departments of Surgery 4500 Lancaster Road Dallas TX 75216 USAThomas Anthony, Dallas VA Medical Center Departments of Surgery 4500 Lancaster Road Dallas TX 75216 USAEdwar...
Source: Obesity Surgery - October 27, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Validity of Bioelectrical Impedance Analysis to Estimate Body Composition Changes After Bariatric Surgery in Premenopausal Morbidly Womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  In obese patients, subtle variations of the hydration of soft tissues can propagate errors in bioelectrical impedance analysis (BIA) measures of body composition. Bioelectrical impedance vector analysis (BIVA) is a useful method to evaluate tissue hydration. Laparoscopic adjustable gastric banding (LAGB) is a purely restrictive bariatric surgical procedure resulting in lower fat-free mass (FFM) loss than other malabsorptive or mixed intervention. The aim of this study was to evaluate the 6- and 12-month changes in body composition in a homogeneous group of premenopausal morbidly obese women treated ...
Source: Obesity Surgery - October 27, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Gastric Perforation as a Complication after BioEnterics Intragastric Balloon Bariatric Treatment in Obese Patients—Synergy of Endoscopy and Videosurgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of such a complication after BioEnterics intragastric balloon insertion in a 60-year-old female patient and subsequent cooperation between an endoscopist and bariatric videosurgeon in her treatment. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11695-009-0010-9Authors Jacek Arkadiusz Śmigielski, Medical University Clinic of Thoracic Surgery, General and Oncological Surgery 113 Zeromskiego Street 90-549 Lodz PolandTomasz Szewczyk, Medical University Clinic of Gastroenterological, Oncological and General Surgery Lodz PolandBogdan Modzelewski, Medical University Clinic of Gastroenterolo...
Source: Obesity Surgery - October 27, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Serum Markers of Bone Turnover Are Increased at Six and 18 Months after Roux-En-Y Bariatric Surgery: Correlation with the Reduction in Leptin.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Weight loss after bariatric surgery is associated with long-term increase in serum markers of bone turnover. The increase in NTX is related to the decrease in leptin, which may signal caloric restriction to the skeleton. PMID: 19858320 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)
Source: The Journal of Clinical Endocrinology and Metabolism - October 26, 2009 Category: Endocrinology Authors: Bruno C, Fulford AD, Potts JR, McClintock R, Jones R, Cacucci BM, Gupta CE, Peacock M, Considine RV Tags: J Clin Endocrinol Metab Source Type: journals

Quality of Life after Bariatric Surgery: A Population-based Cohort Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: Background: Bariatric surgery leads to profound weight loss, but postoperative complications and psychosocial issues may impact long-term quality of life. The primary aim of this project was to examine whether such patients have better quality of life and self-reported functional status compared with obese adults who do not have bariatric surgery.Methods: This population-based study of patients evaluated for Roux-en-Y gastric bypass surgery involved a survey consisting of baseline and follow-up single-item overall quality-of-life items (Linear Analogue Self-Assessment Questionnaire; LASA), follow-up quality of li...
Source: The American Journal of Medicine - October 24, 2009 Category: Journals (General) Authors: John A. Batsis, Francisco Lopez-Jimenez, Maria L. Collazo-Clavell, Matthew M. Clark, Virend K. Somers, Michael G. Sarr Tags: Clinical research studies Source Type: journals

Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Intraoperative alveolar recruitment with a VCM followed by PEEP 10 cm H(2)O is effective at preventing lung atelectasis and is associated with better oxygenation, shorter PACU stay, and fewer pulmonary complications in the postoperative period in obese patients undergoing laparoscopic bariatric surgery. PMID: 19843790 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Talab HF, Zabani IA, Abdelrahman HS, Bukhari WL, Mamoun I, Ashour MA, Sadeq BB, El Sayed SI Tags: Anesth Analg Source Type: journals

Diagnosis and Treatment of Atypical Presentations of Hiatal Hernia Following Bariatric Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Bariatric surgery dramatically alters the normal stomach anatomy resulting in a significant incidence of hiatal hernia and gastroesophageal reflux disease. Although the majority of patients remain asymptomatic, many complain of severe heartburn refractory to medical management and additional highly atypical symptoms. Here, we describe the diagnosis and treatment regarding four cases of symptomatic hiatal hernia following bariatric surgery presenting with atypical symptoms in the University Hospital, USA. Four patients presented following laparoscopic Roux-en-Y gastric bypass or duodenal switch/pancr...
Source: Obesity Surgery - October 23, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

Death After Bariatric Surgery in Extremely Obese Examinedemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In patients who undergo bariatric surgery, extreme obesity and a high burden of chronic disease is associated with an increased risk of death within one year post-surgery, according to a study in the October issue of the Archives of Surgery. (Source: Modern Medicine)
Source: Modern Medicine - October 22, 2009 Category: Journals (General) Source Type: info

Super-Obesity Ups Risk of Bariatric Surgery Deathemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Veterans classified as super-obese and those with a higher chronic disease burden appeared more likely to die within a year of having bariatric surgery, according to a new study. (Source: Medical Headlines From Ivanhoe.com)
Source: Medical Headlines From Ivanhoe.com - October 22, 2009 Category: Consumer Health News Source Type: news

Impact of Roux-en-Y gastric bypass surgery on rat intestinal glucose transportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Roux-en-Y gastric bypass (RYGB) has become the gold-standard bariatric procedure, partly because of the rapid resolution of accompanying diabetes. There is increasing evidence this is mediated by duodenal exclusion. We hypothesize that duodenal exclusion suppresses intestinal Na+/glucose cotransporter SGLT1-mediated glucose transport, improving glucose handling, and aimed to test this in a rodent RYGB model. Sprague-Dawley rats underwent sham procedure or duodenal exclusion by RYGB (10 cm Roux, 16 cm biliopancreatic limbs). Animals were maintained for 3 wk on a Western diet, before harvest at 10 AM, 4 PM, and 10 PM. Sectio...
Source: AJP: Gastrointestinal and Liver Physiology - October 21, 2009 Category: Gastroenterology Authors: Stearns, A. T., Balakrishnan, A., Tavakkolizadeh, A. Tags: MUCOSAL BIOLOGY Source Type: journals

Bariatric Surgery in the Management of Childhood Obesity: Should There be an Age Limit?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of a 6-year-old girl suffering from morbid obesity, Blount`s disease, and significant social and functional impairment who underwent a laparoscopic sleeve gastrectomy. One year later, she has shown remarkable improvement in all aspects of her health emphasizing the success of the procedure. A follow-up laparoscopic Roux-en-Y gastric bypass or biliopancreatic diversion (BPD) are options if she regains weight as she gets older. This case is noteworthy for several reasons. The age of the patient is younger than any currently on record who has had this treatment. Additionally, the utilization of a sleeve ...
Source: Obesity Surgery - October 21, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals