Bariatric Times

OCT 2014

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/397078

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INTRODUCTION Obesity is seen as a global epidemic, 1 a chronic, multifactorial disease provoking comorbidities and elevated mortality rates. 2 Physical activity (PA) plays an important role in the success of any weight loss program since levels of PA are inversely associated with weight gain. Reasonable levels of PA and exercise should be fundamental components of any weight loss plan. 3 Though opinions vary on the specific amounts of PA needed to prevent weight gain, it is known that PA increases the likelihood of successful weight loss. 4 The point of consensus for successful post- surgery weight loss is the loss of at least 50 percent of excess weight, associated with the maintenance of weight over the long term. 5 Weight loss cannot be based on PA alone. It must evolve to the practice of PA beyond a minimum recommended level. Some forms of PA may be more beneficial than others in relation to their impact on excess weight. 3 The American College of Sports Medicine (ACSM) and the American Heart Association (AHA) 6 recommend that 30 minutes or more of moderate PA be practiced on at least five days of the week to prevent chronic diseases; to achieve substantial weight loss, the recommended time is approximately 60 minutes of moderate to intense PA. Page 10 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 Volume 11, Number 10 October 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 THE MEDICAL STUDENT NOTEBOOK ........................8 Lesson #1: Bariatric Physiology Part 3: Insulin Physiology and Type 2 Diabetes Mellitus in Bariatric Surgery CHECKLISTS IN BARIATRIC SURGERY......................15 Diagnosis and Management of Strictures after Laparoscopic Sleeve Gastrectomy COMMENTARY ................................16 Taking Bariatric Safety to the Next Level ASMBS FOUNDATION NEWS AND UPDATE...........................................18 SPOTLIGHT ON SURGICAL FELLOWSHIPS ................................20 The Foundation for Surgical Fellowships: Impacting the Future of Surgical Training SOCIETY NEWS ...............................22 The Fundamental Use of Surgical Energy (FUSE) Program: Promoting Operating Room Safety NEWS AND TRENDS........................26 CALENDAR OF EVENTS...................28 CARTOON CORNER .........................29 MARKETPLACE...............................29 AD INDEX........................................30 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 REVIEW Presorted Standard U.S. Postage PAID Lebanon Junction, KY Permit #344 Page 20 CELEBRATING OUR 11TH YEAR OF PUBLISHING EXCELLENCE! NUTRITIONAL MANAGEMENT OF THE BARIATRIC ATHLETE I n the early 1900s, the first human diagnostic laparoscopy occurred. Since then, surgical innovation has grown by leaps and bounds. With each generation of progress, the need for advanced training for surgeons has also grown. The need for specialized surgical skills for general surgeons created a large demand for training that was not included in residency or ACGME-accredited Fellowships. 1 In 1991, there were three self designated Minimally Invasive Surgery (MIS) Fellowships in the United States that were developed to meet this need and formally teach laparoscopic surgery. These pioneering fellowships were the first attempt to formalize training of this new approach. 2 Until then, most surgeons were learning laparoscopy at brief courses on specific techniques that, at the time, residency programs could not routinely teach. The need for advanced training in laparoscopic surgery resulted in the rapid development of fellowships for which there was no oversight. Spotlight on THIS MONTH: THE FOUNDATION FOR SURGICAL FELLOWSHIPS: Impacting the Future of Surgical Training by SILVIA LEITE FARIA, MSc, RD, PhD; ORLANDO PEREIRA FARIA, MD; MARIANE DE ALMEIDA CARDEAL; and CAROLINE SOARES MENEZES 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. SURGICAL FELLOWSHIPS NEW COLUMN by ADEENA N. BLEICH, MAOM, and DENNIS L. FOWLER, MD, MPH

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