Bariatric Times

JUN 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 6 June 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 Dr. Raul J. Rosenthal: New Score Adds Important Variables to the BMI in Guiding Procedure Selection for Patients with Obesity and T2DM A Message from Dr. Christopher Still: Healthy Energy Doesn't Come from a Can: Energy Drink Market Continues to Boom Despite Evidence of Health Consequences Also Inside I N T E R VI E W . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 I ndi v i dua l i z e d M e t a bo l i c S ur ge r y S c o r e : A N e w N o mo gr a m f o r P r o c e dur e S e l e c t i o n B a s e d o n D i a be t e s S e v e r i t y ASK THE L E A D E R S H I P . . . . . . . . . . . . . . .12 The ASMBS Pathway for Approval for New Devices and Procedures NUTRITIONAL CONSIDERATIONS IN THE BARIATRIC PATIENT . . . . . . .14 RD 911: Nutrition-Related Complications after Bariatric Surgery CASE REPORT AND LITERATURE REVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Massive Portal Vein Thrombosis Three Weeks Following Laparoscopic Sleeve Gastrectomy JOURNAL WATCH ..................... 24 NEWS AND TRENDS ................. 26 CALENDAR OF EVENTS ................30 CARTOON CORNER ...................... 30 MARKETPLACE ........................... 30 AD INDEX ....................................31 NUTRITIONAL CONSIDERATIONS IN THE BARIATRIC PATIENT Page 18 Massive Portal Vein Thrombosis Three Weeks Following Laparoscopic Sleeve Gastrectomy Page 14 RD 911: Nutrition-Related Complications after Bariatric Surgery INTRODUCTION Bariatric surgery is the most effective treatment for obesity. 1 However, as with many chronic disease treatments, it can come with side effects. The most popular bariatric surgeries performed in the United States are Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), both of which alter the upper gastrointestinal tract anatomy. Less common operations include the adjustable gastric band (AGB) and the biliopancreatic diversion with duodenal switch (BPD-DS), the former being the only surgery that does not permanently alter anatomy. 2 Any surgery that impacts the gastrointestinal tract anatomy could be expected to have nutrition- related side effects. Many of these can be managed through diet intervention, but sometimes medical and surgical intervention is necessary. Clinicians must be prepared to manage the challenges faced by their patients, and it is important to begin with an understanding of the pathophysiology of the complication. This article provides an overview of the pathophysiology of several nutrition-related side effects of bariatric surgery along with strategies for prevention and management. by LAURA ANDROMALOS, MS, RD, CD, CDE C ASE REPORT AND LITERATURE REVIEW by BRYCE M. BLUDEVICH, MS-IV; SEAN M. WRENN, MD; and WASEF ABU-JAISH, MD, FACS, FASMBS Part of the Video Case Report Series: Access the accompanying video online.

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