Bariatric Times

OCT 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 10 October 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 Dr. Raul J. Rosenthal: M BSAQIP Database Should Be Used as a Tool to Continually Improve Our Clinical Practices for Optimal Patient Outcomes A Message from Dr. Christopher Still: The Gut Microbiome in Obesity: A New Frontier in Therapeutic Targets Inside L E T T E R T O T H E E D I T O R . . . . . . . . . . . . . 10 M e di c a l T o ur i s m: A F i na nc i a l a nd E t hi c a l P r o bl e m i n B a r i a t r i c S ur ge r y I N T E G R A T E D H E A L T H C O N T I N U I N G E D U C A T I O N . . . . . . . . . . . 12 The Role of the Human Microbiome in Obesity-related Health CASE SERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Revisional Bariatric Surgery in Gastric Outlet Obstruction: A Minimalist Approach ASK THE LEADERSHIP . . . . . . . . . . . . . . . 26 John Morton, MD, FACS, MASMBS: Update on ASMBS/ACS MBSAQIP JOURNAL WATCH . . . . . . . . . . . . . . . . . . . . . 28 CALENDAR OF EVENTS ................30 CARTOON CORNER ......................30 MARKETPLACE ...........................30 AD INDEX ....................................30 Page 12 Connect with us on Social Media @BariatricTimes Page 22 Revisional Bariatric Surgery in Gastric Outlet Obstruction: A Minimalist Approach C ASE STUDY by FADY KAMEL, EKUA YORKE, and CHRISTOPHER DE GARA, MB, MS, FRCSC INTRODUCTION Bariatric surgery is the only established treatment modality with long-term efficacy in sustainable weight loss 1 and resolution of comorbidities, e.g., diabetes, hypertension, and dislipidemia for severe obesity. 2 Historically, many techniques have been developed in hopes of finding a safe, successful, and cost-effective approach to bariatric surgery. Vertical banded gastroplasty (VBG) was first described in 1982 by Mason and gained popularity in the 1990s due to good weight loss outcomes. 3 However, in the long-term, it became evident that there were significant complications from the VBG procedure, such as gastric outlet obstruction, band erosion, severe reflux, and weight recidivism. 4–6 The VBG was eventually abandoned due to high rates of weight recidivism (up to 61%), in addition to other complications. 7 Unfortunately, long-term complications force many patients who have undergone VGB to require ongoing medical attention. INTEGRATED HEALTH CONTINUING EDUCATION INTRODUCTION Within every human being exists an entire ecosystem of microorganisms. 1 Microbial cells of the human body are referred to collectively as the microbiota. The collective genomes of the microbes that live inside and on the human body are termed human microbiome and include bacteria, fungi, protists, archaea, and viruses, such as bacteriophages (i.e., viruses that infect bacteria [Table 1]. 1,2 Though research into this complex system is ongoing, the current body of literature continues to unfold an exciting narrative full of clinical potential, showing just how the microbiome functions during development and during adulthood, in both healthy and ill individuals. In particular, there is a growing area of research devoted to its role in diseases, such as inflammatory bowel diseases, autoimmune diseases, cancer, diabetes, and obesity. by ERIK SUDIN, MD cand. and FAHAD ZUBAIR, MD 1 CONTACT HOUR This educational activity is intended for nurses who treat patients with obesity. Participants must read the designated article and take, submit, and pass (70%) the post-test by October 1, 2018, to receive credit for the activity. Upon successful completion of the post-test, participants will receive a certificate of completion for 1 Contact Hour. The Role of the Human Microbiome in Obesity- related Health

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