Bariatric Times

JUL 2014

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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INTRODUCTION Hypertension (HTN) is one of the most common comorbidities associated with obesity, and 40 to 70 percent of patients undergoing bariatric surgery are hypertensive. This combination of diseases places patients at a higher risk for cardiovascular disease (CVD), which has been shown to decrease substantially after weight reduction following bariatric surgery. 1 The most rapid weight loss occurs during the first three months postoperatively, when dietary intake is highly restricted, and the peak weight loss is achieved at 12 to 18 months following the procedure. 2 Both dramatic and inadequate weight loss has to be monitored. 2 While weight loss surgeries generally have a low incidence of complications, 3 a growing number of long-term complications, principally neurological in nature, are being observed. 3 Some patients may develop significant orthostatic intolerance due to autonomic insufficiency following such procedures. Sleeve gastrectomy is gaining popularity as a primary, staged, and revisional operation for its proven safety and simplicity, as well as its efficacy. Excess weight loss (EWL) and remission of comorbidities have been reported to take place in a frequency comparable with other well- established procedures. 3 Continued on Page 8 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 11, Number 7 July 2014 A P e e r - R e v i e w e d P u b l i c a t i o n Also Inside EDITORIAL MESSAGE .......................3 EDITORIAL BOARD ............................4 LETTER TO THE EDITOR .....................7 Body Contouring Procedures Could Contribute to the Long-term Success of Bariatric Patients in Maintaining Weight Loss CHECKLISTS IN BARIATRIC SURGERY ......................11 Vitamin Deficiency after Bariatric Surgery: Part 1 BARIATRIC CENTER SPOTLIGHT ......16 Welcome to Community Bariatric Services North SYMPOSIUM SYNOPSIS ..................20 9th International Bariatric Club Symposium at IFSO Brussels NEWS AND TRENDS ........................22 CARTOON CORNER .........................25 CALENDAR OF EVENTS ...................25 MARKETPLACE ...............................26 AD INDEX ........................................27 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 CASE SERIES Presorted Standard U.S. Postage PAID Lebanon Junction, KY Permit #344 Scan this QR code with your QR reader for the digital edition of Bariatric Times. Continued on Page 14 CELEBRATING OUR 11TH YEAR OF PUBLISHING EXCELLENCE! Orthostatic Intolerance Following Laparoscopic Sleeve Gastrectomy for Morbid Obesity T he state of obesity and bariatric surgery varies from country to country. In this series, authors from around the world will discuss obesity and bariatrics in their country, answering questions on the most recent trends, most frequently performed procedures, access to care, health coverage, requirements, accreditation, and cultural considerations. This series is dedicated to providing updates on the global state of obesity. Obesity and Bariatric Surgery Trends Around the World THIS MONTH: INTERNATIONAL PERSPECTIVE Antonio J. Torres, MD Professor of Surgery, Department of Surgery, Hospital Clínico San Carlos, Facultad Medicina Universidad Complutense, Madrid, Spain Download the BT app for your mobile device! THE STATE OF OBESITY AND BARIATRIC SURGERY IN SPAIN An Interview with Dr. Antonio J. Torres by WASEF ABU-JAISH, MD, FACS; RESHMA PATEL, MD; AND MOHAMMAD JAFFERJI, MS IV

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