Bariatric Times

APR 2017

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

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C l i n i c a l D e v e l o p m e n t s a n d M e t a b o l i c I n s i g h t s i n T o t a l B a r i a t r i c P a t i e n t C a r e Volume 14, Number 4 April 2017 A P e e r - R e v i e w e d P u b l i c a t i o n W W W . B A R I A T 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 DOWNLOAD OR UPDATE THE BARIATRIC TIMES APP TODAY! ITunes Google (Android) Download the BT app for your mobile device! Scan this QR code with your QR reader for the digital edition of Bariatric Times. EDITORIAL MESSAGES ................3 A Message from D r. Raul J. Rosenthal: A Case of Bariatric Surgery Revision Reminds Surgeons to Be Suspicious When Congenital Anomalies are Present A Message from Dr. Christopher Still: Using the Big Picture of Patient Health to Diagnose Obesity Inside BRIEF REP ORT . .... .. .... .. .... .. .... .. 10 F rom S t igma t o Empat hy: Reframing Our View of the Bariatric Patient THE M EDIC AL S TUDEN T N OTEBOOK . ... ... ... ... ... 12 A C all f or C ompre he nsive Obesity Training for All Physicians INTERVIEW . ... ... ... ... ... ... ... ... ... .. 16 The Dynamic and Evolving Field of Metabolic and Bariatric Surgery: Current Perspective CASE REPORT ... ... ... ... ... ... ... ... .. 16 Revisional Bariatric Surgery in a Patient with Midgut Malrotation and Abnormally Long Bowel: A Case Update RESEARCH BITES ... ... ... ... ... ... ... 20 JOURNAL WATCH .. ... ... ... ... ... ... . 23 NEWS AND TRENDS . ... ... ... ... ... . 24 CALENDAR OF EVENTS ................26 CARTOON CORNER ...................... 26 MARKETPLACE ........................... 26 AD INDEX ....................................27 BRIEF REPORT Page 12 COLUMN EDITOR Daniel B. Jones, MD, MS, FASMBS FEATURED STUDENT Christopher Murray A Call for Comprehensive Obesity Training for All Physicians O besity-linked chronic diseases, including heart disease, stroke, and type 2 diabetes (T2DM), account for 7 out of 10 deaths in the United States today. 1 Moreover, the management of obesity and related chronic diseases contributes an estimated 75 percent of the over $2 trillion spent on healthcare in the United States each year. 2 Alarmingly, obesity and linked chronic diseases are on the rise, especially among children. Today, over 34 percent of adults and 17 percent of children in the United States have obesity. 3,4 T2DM prevalence has also increased; 9.3 percent of Americans have T2DM compared with one percent 50 years ago. 5,6 One in three children born after 2000 are expected to develop diabetes in their lifetime. 7 T h e M E D I C A L S T U D E N T N o t e b o o k Page 10 FROM STIGMA TO EMPATHY: Reframing Our View of the Bariatric Patient BACKGROUND The literature is replete with reports of "weight bias" or the "stigma of obesity," terms used to describe the negative weight-related attitudes and beliefs that are manifested by stereotypes, rejection and prejudice towards individuals because they have overweight or obesity. 1 Individuals with obesity are often negatively perceived as weak-willed, lazy, unmotivated, unsuccessful and/or unintelligent people who have poor will-power, lack self-discipline, and are nonadherent to weight loss treatment. 2 Research suggests that the prevalence of weight bias has increased, rather than decreased in recent years. 3 Weight bias has been documented in all settings, such as places of employment or within the family. 4 Most recently Puhl, et al 5 reported data from 461 patients with obesity of whom 91.5 percent reported experiencing weight stigma. Healthcare professionals have exhibited weight bias against their patients with obesity as well. For example, Hebl and Xu 6 found that physicians prescribed more tests for, spent less time with, and viewed patients with obesity more negatively than patients without obesity. Bertakis and Azari 7 found that obesity and the length of appointment were not significantly associated; however, whether the patient had obesity did influence the content of the visit. Foster et al, 8 studying 620 physicians, reported that "more than 50 percent of physicians viewed patients with obesity as awkward, unattractive, ugly, and noncompliant." by MARY LISA PORIES, PhD, LCSW, and MARY ANN ROSE, MSN, EdD

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