A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional
Issue link: https://bariatrictimes.epubxp.com/i/245728
CELEBRATING OVER 10 YEARS OF PUBLISHING EXCELLENCE! A Peer-Reviewed Publication Clinical Developments and Metabolic Insights in Total Bariatric Patient Care Volume 11, Number 1 January 2014 INTERVIEW Also Inside EDITORIAL MESSAGE .......................3 EDITORIAL BOARD............................4 SYMPOSIUM PREVIEW 13th Annual Surgery of the Foregut Symposium ......................................8 CHECKLISTS IN BARIATRIC SURGERY Checklist #16: Gastro-jejunal Anastomotic Ulcers After Roux-en-Y Gastric Bypass...............................13 BARIATRIC CENTER SPOTLIGHT The Davis Clinic Houston, Texas ...............................14 MEDICAL METHODS IN OBESITY TREATMENT The American Board of Obesity Medicine: An Overview..................18 SYMPOSIUM PREVIEW The 14th Annual Minimally Invasive Surgery Symposium .......20 NEWS AND TRENDS........................24 JOURNAL WATCH............................28 WALTER PORIES'S CARTOON CORNER .........................29 CALENDAR OF EVENTS...................29 MARKETPLACE...............................30 AD INDEX........................................30 CASE REPORT Augmenting Weight Loss Using Technology by JENNIFER ARUSSI, MS, RD T he United States Preventative Services Task Force is recommending that clinicians refer individuals with obesity to "intensive, multicomponent behavioral interventions."1 Consequently, it is a mandate under the Affordable Care Act.2,3 Additionally, the Centers for Medicare and Medicaid Services (CMS) recently added a provision calling for "intensive behavioral counseling" for seniors with obesity.4 As a result of these national changes, healthcare provider's familiarizing themselves with the fundamentals of behavioral therapy is apropos and necessary. One overriding feature of behavioral therapy is helping patients develop specific strategies, such as self-monitoring, to facilitate their goal of weight loss. This practice of food and activity journaling is considered a mainstay of many weight loss programs and interventions.5–7 Encouraging this exercise to both pre- and postsurgical patients should be considered, as preliminary results reveal that dietary self monitoring may help prevent weight regain in individuals who have undergone bariatric surgery.8,9 Albert Bandera, the father of social cognitive theory (SCT), asserts that self-monitoring is a process that forces us to pay attention to our own behavior. SCT assumes that without this focus, undesired actions, such as eating the doughnut that was sitting in the break-room, cannot be modified. Ultimately, self-monitoring promotes self-regulation.10 Continued on Page 9 Scan this QR code with your QR reader for the digital edition of Bariatric Times. Dysphagia Lusoria: Five Years Following Gastric Bypass Surgery by Wasef Abu-Jaish MD, FACS; Molly Wasserman, MD; Mohammad Jafferji, MS-III; and Vishal Shah, MS-III INTRODUCTION Roux-en-Y gastric bypass (RYGBP) is the most commonly performed operation for the treatment of morbid obesity in the United States.1 Nausea and vomiting are reported to be the most common complaints after bariatric surgery and are typically associated with nonadherence to the dietary recommendations. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis.2 Vomiting after a RYGBP is not an uncommon symptom and it has been reported that 1 to 5 percent of the patients may experience uncontrolled vomiting after the operation.3 Endoscopy and upper GI radiological contrast studies are sufficient to confirm the diagnosis of the stenosis. Here, we present a case of a patient who experienced nausea, vomiting, hypersalivation, and dysphagia five years following RYGB. An upper GI study confirmed that the patient's symptoms were caused by aberrant right subclavian artery, or arteria lusoria. To our knowledge, this is the second case reported in the literature.4 Continued on Page 21 W W W. B A R I AT R I C T I M E S. C O M LIKE us on Facebook • FOLLOW us on Twitter • CONNECT with us on LinkedIn Presorted Standard U.S. Postage PAID Lebanon Junction, KY Permit #344