Bariatric Times

APR 2015

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 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 4 April 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 CELEBRATING OUR 11 TH YEAR OF PUBLISHING EXCELLENCE! 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 Page 12 The ACS/SAGES Fundamentals of Laparoscopic Surgery ® Expands Internationally B ariatric Times interviewed Drs. Schwaitzberg and Okrainec to learn more about the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)/ American College of Surgeons (ACS) Fundamentals of Laparoscopic Surgery ® (FLS) program. Since launching in 2004, FLS has opened more than 80 test centers throughout the United States and Canada. The FLS program expanded with test centers in Singapore (Khoo Teck Puat Hospital) and Israel (Bnai-Zion Medical Center). SAGES recently announced the opening of two additional international FLS test centers at IHU-Strasbourg, Strasbourg Institute of Image- Guided Surgery, in Strasbourg, France, and King Fahad Medical City (KFMC) in Riyadh, Saudi Arabia. E DITORIAL MESSAGE . ......................3 EDITORIAL BOARD ............................5 Inside THE MEDICAL STUDENT NOTEBOOK ....................................8 The Effects of Government Policies, Economic Forces, and Globalization on Worldwide Obesity SOCIETY NEWS ...........................12 The ACS/SAGES Fundamentals of Laparoscopic Surgery ® Expands Internationally REVIEW .......................................14 Intestinal Complications after Roux-en-Y Gastric Bypass CASE SERIES ..............................20 Treatment of the Dilated Gastrojejunostomy Using a Collagen Biomatrix NEWS AND TRENDS ....................24 JOURNAL WATCH ........................26 CALENDAR OF EVENTS ...................28 MARKETPLACE ...............................29 CARTOON CORNER .........................29 AD INDEX ........................................30 Page 14 Intestinal Complications after Roux-en-Y Gastric Bypass INTRODUCTION Weight loss surgery was introduced in the United States in the early 1960s. Over the next several decades the advancement of surgical instruments and introduction of laparoscopy resulted in the Roux-en Y gastric bypass (RYGB) becoming one of the most popular and successful weight loss procedures offered to both the adult and adolescent populations. 1 The RYGB has been shown to result in 50 to 75 percent excess weight loss (EWL) and there is an abundance of long-term follow-up data in the literature. 2 In particular, among obese patients with diabetes or gastroesophageal reflux disease (GERD) RYGB has been shown to have excellent long- term outcomes. Despite its overall benefit, however, there are numerous complications associated with the RYGB, including leaks, internal hernias, gastric ulcers, strictures, bowel obstructions, pulmonary emboli, postoperative bleeding, and malabsorptive complications, such as vitamin and nutrient deficiencies. by MUSTAFA W. AMAN, MD; KIMBERLEY E. STEELE, MD; THOMAS H. MAGNUSON, MD; ANNE O. LIDOR, MD; HIEN T. NGUYEN, MD; and MICHAEL A. SCHWEITZER, MD S OCIETY NEWS A n I n t e r v i e w w i t h STEVEN SCHWAITZBERG, MD Professor of Surgery, Harvard Medical School, Chief of Surgery, Cambridge Health Alliance, Cambridge, Massachusetts; SDS Chair, FLS Committee, AO Vice Chair FLS Committee-International Affairs. ALLAN OKRAINEC, MD, MHPE, FRCSC, FACS Head, Division of General Surgery, UHN, Peter A. Crossgrove Chair in General Surgery, Director, Temerty/Chang Telesimulation Centre, Associate Professor, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

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