Bariatric Times

JUL 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 7 July 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 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. CASE REPORT AND LITERATURE REVIEW EDITORIAL MESSAGE .......................3 EDITORIAL BOARD ............................5 Also Inside CASE REPORT AND LITERATURE REVIEW ..................8 Gastric Band Erosion into Colon and Stomach: Case Report and Review of the Literature ASMBS FOUNDATION UPDATE ...15 INTERVIEW ..............................19 Over Two Decades of Progress: The Need for Updated Guidelines Governing Usage of Bariatric and Metabolic Surgery NEWS AND TRENDS ..................22 CALENDAR OF EVENTS .............24 MARKETPLACE ........................25 CARTOON CORNER ...................25 AD INDEX ................................26 The As Told by the Leaders Who Made it Happen THIS MONTH: HISTORY OF BARIATRIC SURGERY Dr. Buchwald has been elected to the presidency of five organizations: American Society for Metabolic and Bariatric Surgery (ASMBS), International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), Central Surgical Association, the Owen H. Wangensteen Society, and the International Study Group for Implantable Insulin Delivery Devices. He has chaired the Surgical Council of the American College of Nutrition and the American College of Surgeons' National Faculty for Bariatric Surgery. He has received many honors including the first holder of the endowed Owen H. & Sarah Davidson Wangensteen Chair in Experimental Surgery at the University of Minnesota and induction as an Honorary Fellow in the Royal College of Surgeons of England. COLUMN EDITOR George L. Blackburn, MD, PhD, FACS COLUMN EDITOR Daniel B. Jones, MD, MS, FACS My Life in Metabolic Surgery HENRY BUCHWALD, MD, PhD Page 12 Guillain-Barré- like Syndrome after Bariatric Surgery INTRODUCTION Bariatric surgery has been shown to be the most effective treatment for obesity in the long term, with the gold standard being the Roux-en-y gastric bypass (RYGP), a malapsorptive procedure that has consistently shown excess bodyweight loss (eBWL) of 70 to 80 percent. 1 Macro- and micronutritional deficiencies, however, may occur in some bariatric patients post surgery, which can result in serious neurological complications. 1 Acute post-gastric reduction surgery (APGARS) neuropathy is a term used to describe such complications that have been linked to bariatric surgery. 3 We present a case of a patient who developed polyradiculoneuropathy (PRN) following RYGP surgery that resembled Guillain-Barré syndrome. PRN ETIOLOGY PRN is a condition in which polyneuropathy and polyradiculopathy occur together. 2,3 Polyneuropathy is a general degeneration of peripheral nerves that spreads toward the center of the body. by NATALIA BODUNOVA, MD; DANIIL DEGTEREV, MD, PhD; NATALIA SUPONEVA, MD, PhD; EVGENIY ZORIN, MD, PhD Page 16

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