Bariatric Times

JAN 2013

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

Issue link: http://bariatrictimes.epubxp.com/i/104860

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CELEBRATING 10 YEARS OF PUBLISHING EXCELLENCE! A Peer-Reviewed Publication Clinical Developments and Metabolic Insights in Total Bariatric Patient Care Volume 10, Number 1 Inside EDITORIAL MESSAGE ....................3 EDITORIAL BOARD ........................4 REVIEW Tobacco Use in Bariatric Patients......................................10 INTERVIEW COUNTDOWN TO OBESITY WEEK 2013: An Interview with Philip R. Schauer, MD.................12 NEWS AND TRENDS ....................15 HOT TOPICS IN INTEGRATED HEALTH Thiamine Deficiency in the Bariatric Surgery Patient���a Multidisciplinary Challenge in the Clinic and the Community..........20 THE HOLE IN THE WALL Endoscopic Component Separation in the Bariatric Patient .......................................22 CHECKLISTS IN BARIATRIC SURGERY Gastroesophageal Reflux Disease after Laparoscopic Adjustable Gastric Banding .........................27 ANESTHETIC ASPECTS OF BARIATRIC SURGERY The Parturient with Morbid Obesity...........................28 CALENDAR OF EVENTS................19 MARKETPLACE ...........................30 AD INDEX....................................30 January 2013 REVIEW EXCLUSIVE INTERVIEW SERIES TOBACCO USE IN BARIATRC PATIENTS by AMY K. WINDOVER, PhD INTRODUCTION Tobacco use persists as the leading cause of preventable death in the United States and the world.1, 2 According to the Centers for Disease Control and Prevention (CDC), the prevalence of smoking is currently 19.3 percent, down from 20.9 percent in 2005.3 Prevalence of tobacco use among bariatric surgery candidates is similar to, if not greater than, the general population with estimates ranging from 12.9 to 38 percent.3���7 Tobacco use is a well-documented surgical risk factor.8 Substantial research has examined the impact of tobacco use on bariatric surgery in particular. For instance, while the mortality risk associated with bariatric surgery is generally low (less than 1%),9 death is twice as likely for active tobacco users (adjusted odds ratio [AOR] 2.05, 95% confidence interval [CI] 1.67���2.52, p<0.0001).5 THE HOLE IN THE WALL THIS MONTH���S FEATURED EXPERTS DON���T MISS! SURGICAL COMPLICATIONS ASSOCIATED WITH HISTORY OF AND/OR ACTIVE TOBACCO USE A history of and/or active smoking has also been shown to increase the risk of developing postoperative complications among bariatric surgery patients.10 Patients who smoked within one year of having bariatric surgery, compared to their nonsmoking counterparts, were 1.5 times more likely to develop any surgery-related problem within one month of having surgery (OR 1.457, 95% CI, 1.058���2.005, p<0.02),11 including increased risk for venous thromboembolism (VTE) (OR 6.7, 95% CI, 1.9���23.57, p<0.01).12 In fact, research has demonstrated that the risk for VTE persists at least six months after surgery (OR 1.86, CL 1.06���3.27).13 Continued on Page 8 HOT TOPICS IN INTEGRATED HEALTH Endoscopic Component Separation in the Bariatric Patient KASHIF A. ZUBERI, MD, MRCSI; HIEN T. NGUYEN, MD, FACS; and MICHAEL SCHWEITZER, MD, FACS COUNTDOWN TO OBESITY WEEK 2013: p22 Thiamine Deficiency in the Bariatric Surgery Patient�� a Multidisciplinary Challenge in the Clinic and the Community THIS MONTH���S FEATURED EXPERT BARBARA HODGES KLICK, RD, MPH Interview #1: Philip R. Schauer, MD S tarting in 2013, the American Society for Metabolic and Bariatric Surgery (ASMBS) and The Obesity Society (TOS) will colocate their respective annual meetings under one roof. Obesity Week��� 2013 marks the beginning of an annual collaborative event addressing obesity���a chronic and multifaceted metabolic disease. Leading up to Obesity Week 2013, Bariatric Times will feature interviews with members of the leadership team involved in organizing this historic event. We begin the series with Dr. Philip Schauer, who has been instrumental in shaping the concept of Obesity Week and leads the organizing committee. p20 ANESTHETIC ASPECTS: THE PARTURIENT WITH MORBID OBESITY . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 CHECKLISTS IN BARIATRIC SURGERY: GERD AFTER LAGB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Page 12

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