Bariatric Times

APR 2017

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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4 Bariatric Times • April 2017 D rs. Mary Lisa Pories and Mary Ann Rose review the timely and delicate topic of stigma and empathy toward individuals with o besity. This topic has been handled at length by the ASMBS Integrated Health leadership and it is imperative that we all s upport their efforts and help educate all caregivers in our work place. Obesity is not a cosmetic problem but rather a disease, and a s any other disease process, should not be utilized as a reason to discriminate. I would like to conclude this editorial by congratulating ASMBS, Corrigan McBride, MD, FACS, FASMBS, and Ninh T. Nguyen, MD, FACS, FASMBS, for their outstanding work in developing and publishing the new bariatric fellowship training guidelines in Surgery for Obesity and Related Diseases. I believe this is the f irst curriculum for a module-based fellowship training program in surgery. I hope you enjoy reading this issue as much as I did! Sincerely, Raul J. Rosenthal, MD, FACS, FASMBS REFERENCES 1. Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes—5-Year Outcomes. N Engl J Med. 2017;376(7):641–651. 2. McBride CL, Rosenthal RJ, Brethauer S, et al. Constructing a competency-based bariatric surgery fellowship training curriculum. Surg Obes Relat Dis. 2017;13(3):437–441. A Message from Dr. Raul Rosenthal continued... A Message from Dr. Christopher Still continued... A vailable guidelines for diagnoses and treatment of obesity do a good job of including comorbidities or "health impairments" into t he algorithm. They also consider research done in certain populations that show comorbidities, such as type 2 diabetes m ellitus (T2DM), may occur at lower BMIs. Redefining obesity is important. It can't just be BMI. I think the m essage in redefining obesity is two-fold. First, we should reiterate to our primary care colleagues the criterion in addition to BMI that may be used in diagnosing obesity, including waist circumference and blood testing. Second, we should follow suit of tactics used by organizations like the American Diabetes Association in urging patients to "talk to their doctor." As we well know, obesity is a complicated disease, but with the right defining and communication t ools, we can help get more patients to treatment. S incerely, Christopher Still, DO, FACN, FACP REFERENCES 1. Sharma AM, Campbell-Scherer DL. Redefining obesity: Beyond the numbers. Obesity (Silver Spring). 2017;25(4):660–661. Letter to the Editor Submissions Bariatric Times welcomes letters for possible publication. Letters should be no more than 500 words and five references. Letters that comment on a Bariatric Times article will be considered if they are received within two months of the time the article was published. All letters are reviewed by the editors and are selected based upon interest, timeliness, and pertinence, as determined by the editors. Send letters to: Angela Saba at asaba@matrixmedcom.com or mail to: Angela Saba, Bariatric Times, Matrix Medical Communications, 1595 Paoli Pike, Suite 201, West Chester, PA 19380. Include the following statement with the letter:"The undersigned author transfers all copyright ownership of the enclosed/attached letter to Matrix Medical Communications in the event the work is published. The undersigned author warrants that the letter is original, is not under consideration by another journal, and has not been previously published. I sign for and accept responsibility for releasing this material on behalf of any and all co-authors."

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