Bariatric Times

SEP 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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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 T o t a l B a r i a t r i c P a t i e n t C a r e Volume 14, Number 9 September 2017 A P e e r - R e v i e w e d P u b l i c a t i o n Presorted Standard U.S. Postage PAID Lebanon Junction, KY Permit #344 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. EDITORIAL MESSAGES ................3 A Message from D r. Raul J. Rosenthal: Preparing to Care for the Bariatric Patient, Especially through an Accreditation Program, Keeps Our Patients at the Top of Our Agenda and Improves Their Outcomes A Message from Dr. Christopher Still: Addressing Childhood Obesity through Prevention and Treatment Strategies Remains an Important Piece in Improving the Current Obesity Epidemic Inside R E VI E W A N D C A S E S T U D Y . . . . . . . . .10 B a r i a t r i c R e a di ne s s : E c o no mi c a nd C l i ni c a l Implications CASE SERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Jejunal Interposition as a Definitive Treatment for Gastric Fistula after Sleeve Gastrectomy HOT TOPICS IN INTEGRATED HEALTH . . . . . . . . . . . . . . . . 22 An Update from the ASMBS Integrated Health Support Group Committee NEWS AND TRENDS . . . . . . . . . . . . . . . . . 24 CALENDAR OF EVENTS ................26 CARTOON CORNER ...................... 26 MARKETPLACE ........................... 26 AD INDEX ....................................27 REVIEW AND CASE STUDY Page 10 BARIATRIC READINESS: Economic and Clinical Implications INTRODUCTION Facilities that offer weight loss surgery have comprehensive policies, procedures, training, and tools that serve as a framework for managing anticipated and unanticipated patient care needs. The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBASQIP) promotes national accreditation standards for bariatric surgery centers. MBSAQIP and other groups require patient care support to be in place in order for healthcare facilities to receive accreditation status. 1,2 Programs that have achieved accreditation status in performing weight loss surgery have seen dramatic improvement in clinical outcomes. 3 However, the nonsurgical individual with morbid obesity admitted to a facility without this accreditation might not have the benefits associated with this level of excellence. In the United States and globally, patients who have morbid obesity historically have had increases in their length of stay, costs of care, and adverse events, such as pressure injury, fall-related injury, infection, pneumonia, and embolic conditions. Many of these events are associated with the hazards of immobility. 4 by GEORGINA TEMPLE, BSC (Hons), PT, NZRP; SUSAN GALLAGHER, PhD, MA, MSN, RN, CBN, CSPHP; JENNIFER DOMS, NZRCompN, CNS; MICHELLE TONKS, BSC (Hons), PT, NZRP; DARNELL MERCER, B.OT, NZROT; DEBBIE FORD, B.HSc (OT), NZROT Connect with us on Social Media @BariatricTimes Page 18 Jejunal Interposition as a Definitive Treatment for Gastric Fistula after Sleeve Gastrectomy C ASE SERIES by LUIS FERNANDO ZORRILLA NÚÑEZ, MD; PABLO GERARDO ZORRILLA BLANCO, MD; NOÉ NÚÑEZ JASSO, MD; AND ÁLVARO TRISTÁN PERALTA, MD Part of the Video Case Report Series: Access the accompanying video online.

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