Bariatric Times

MAY 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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4 Bariatric Times • May 2017 a re three sources of finding meaning in life: at work, by doing something significant, in love by caring for others, and in suffering w hen facing struggle and difficult situations. Dr. Ronnie Clements excelled in all three of these scenarios—at work because he was a n outstanding surgeon, leader, and physician who cared for his patients; in love because he was a devoted father and husband w ho loved his family more than anything and had faith in God; and, importantly, during times of suffering and struggle. He showed us that suffering is meaningless unless we give suffering a meaning in how we respond to it. Ronnie faced death and suffering guided by the same principles he used to face life, love, and work. I want to thank Dr. Wayne English and his partners for their beautiful contribution in memoriam to Ronnie. He will be missed g reatly by all of us. S incerely, Raul J. Rosenthal, MD, FACS, FASMBS REFERENCES 1. Frankl VE. Man's Search for Meaning. Boston, Massachusetts: Beacon Press, 2006. A Message from Dr. Raul Rosenthal continued... A Message from Dr. Christopher Still continued... m ostly positive. Ted Adams, PhD, MPH, from the Division of Cardiovascular G enetics, University of Utah and Intermountain LiVe Well Center, in Salt Lake City, Utah, is an expert on this topic as a lead i nvestigator on the Utah Obesity Study 5 a nd recently a review of all-cause and cause-specific mortality associated with bariatric s urgery. 6 T he latter study concluded that bariatric surgical patients have significantly reduced long-term all-cause mortality when compared to severely obese non-bariatric surgical control groups. One meta-analysis examined the literature on lifestyle-based weight loss interventions (i.e., diet, exercise, pharmacotherapy) among adults with obesity and concluded that intentional weight loss may be associated with approximately a 15-percent reduction i n all-cause mortality. 7 These studies support the idea that weight loss, whether a chieved via nonsurgical (diet, exercise, pharmacotherapy, endoscopic procedures) or surgical modifications (bariatric s urgery) can positively impact the mortality, longevity, and quality of life of the patient with obesity. That is another message we should be touting—obesity is modifiable when the patient is steered toward the appropriate treatment(s). Sincerely, Christopher Still, DO, FACN, FACP REFERENCES 1. Cleveland Clinic Study Finds Obesity as Top Cause of Preventable Life-Years Lost. April 22, 2017. https://newsroom.clevelandclinic.org/2017/04/22/cleveland-clinic- study-finds-obesity-top-cause-preventable-life-years-lost/. Accessed April 22, 2017. 2. National Institutes of Health National Heart, Lung, and Blood Institute. Explore Overweight and Obesity: Causes. Updated: February 23, 2017. https://www.nhlbi.nih.gov/health/health- topics/topics/obe/causes. Accessed April 22, 2017 3. Centers for Disease Control and Prevention. Updated: August 15, 2016Adult Obesity Causes & Consequences. https://www.cdc.gov/obesity/adult/causes.html. Accessed April 22, 2017. 4. Farias MM, Cuevas AM, Rodriguez F. Set-point theory and obesity. Metab Syndr Relat Disord. 2011;9(2):85–89. 5. Adams TD, Avelar E, Cloward T, et al. Design and rationale of the Utah obesity study. A study to assess morbidity following gastric bypass surgery. Contemp Clin Trials. 2005;26(5):534–551. 6. Adams TD, Mehta TS, Davidson LE, Hunt SC. All-cause and cause- specific mortality associated with bariatric surgery: A review. Curr Atheroscler Rep. 2015;17(12):74. 7. Kritchevsky SB, Beavers KM, Miller ME, et al. Intentional weight loss and all-cause mortality: A meta-analysis of randomized clinical trials. PLoS One. 2015;10(3):e0121993. Letter to the Editor Submissions Bariatric Times welcomes letters for possible publication. Letters should be no more than 500 words and five references. Letters that comment on a Bariatric Times article will be considered if they are received within two months of the time the article was published. All letters are reviewed by the editors and are selected based upon interest, timeliness, and pertinence, as determined by the editors. Send letters to: Angela Saba at asaba@matrixmedcom.com or mail to: Angela Saba, Bariatric Times, Matrix Medical Communications, 1595 Paoli Pike, Suite 201, West Chester, PA 19380. Include the following statement with the letter:"The undersigned author transfers all copyright ownership of the enclosed/attached letter to Matrix Medical Communications in the event the work is published. The undersigned author warrants that the letter is original, is not under consideration by another journal, and has not been previously published. I sign for and accept responsibility for releasing this material on behalf of any and all co-authors."

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