Bariatric Times

MAY 2015

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/509917

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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 To t a l B a r i a t r i c P a t i e n t C a r e V olume 12, Number 5 May 2015 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 ANNOUNCING A NEW COLUMN: THE HISTORY OF BARIATRIC SURGERY 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. REVIEW E DITORIAL MESSAGE . ......................3 EDITORIAL BOARD ............................5 Inside REVIEW .........................................8 Early Technical and Peri-operative Complications of Bariatric Surgery THE HISTORY OF BARIATRIC SURGERY ...................14 This month: What I Learned About Stomach Surgery by Dr. Edward Mason INTERVIEW ..................................16 A Defining Event for Diabetes Surgery: 3 rd World Congress on Interventional Therapies for Type 2 Diabetes and the 2 nd Diabetes Surgery Summit THE MEDICAL STUDENT NOTEBOOK ...................20 Obesity's Effects on Respiratory Mechanics in the Perioperative Period ASMBS FOUNDATION UPDATE .....24 NEWS AND TRENDS ....................25 CALENDAR OF EVENTS ...................28 MARKETPLACE ...............................29 CARTOON CORNER .........................29 AD INDEX ........................................30 Page 8 Early Technical and Perioperative Complications of Bariatric Surgery INTRODUCTION The three most popular bariatric procedures performed in the United States as of 2012 are the Roux-en-Y gastric bypass (RYGB, 59.6%), laparoscopic sleeve gastrectomy (LSG, 36.3%) and laparoscopic adjustable gastric band (LAGB, 4.1%). 1 With the increasing utilization of bariatric surgery for the treatment of morbid obesity comes an imperative need to understand the acute complications (<30 days) that accompany these procedures and the subsequent complication management. In this review, we discuss the presentation and suggested management of technical, perioperative complications of bariatric surgery. This discussion does not include the shared although rare postoperative complications (i.e., deep vein thrombosis, pulmonary embolism, rhabdomyolysis) seen in the patient population with morbid obesity. The acute complications discussed include postoperative leaks, obstruction, and bleeding encountered after RYGB, LSG, and LAGB. by TAMMY L. KINDEL, MD, PhD, and CORRIGAN L. MCBRIDE, MD T he As Told by the Leaders Who Made it Happen THIS MONTH: HISTORY OF BARIATRIC SURGERY Dear Readers of Bariatric Times: Bariatric Surgery has many leaders who have helped shaped the field by their discoveries, teaching, and stewardship. Bariatric Times has initiated a new regular column titled, "The History of Bariatric Surgery—As Told by the Leaders Who Made it Happen." We invite leaders to tell us about their most significant accomplishment(s). Here, we will hear from leaders about their visions, hurdles, collaborators, and, ultimately what impact their accomplishments had on the field of bariatric surgery. We will also learn how they set goals and turned ideas into reality, and what was anticipated and what was not expected throughout their journeys. We are very excited about this project and hope it will help to inspire the next generation of leaders as they evaluate new devices and technology, and consider novel procedures and treatments in an era of cost containment. We hope you enjoy these stories. Sincerely, Drs. George L. Blackburn and Daniel B. Jones COLUMN EDITOR George L. Blackburn, MD, PhD, FACS COLUMN EDITOR Daniel B. Jones, MD, MS, FACS What I Learned About Stomach Surgery by EDWARD E. MASON MD, PhD Page 14

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