Bariatric Times

DEC 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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. 3 n t 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 12 December 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. Inside EDI TORI AL MES S AGE . . . . . . . . . . . . . . . . . A Message from Dr. C hristopher S till: R e f l e c t i n g o n Ac c o mp l i s h me n t s i t h e U n d e r s t a n d i n g a n d Tr e a t me n o f O b e s i t y i n 2 0 1 7 OR IGIN AL R ES EAR C H . . . ... . . ... ... . . ..8 Th e M ar r i ag e an d F ami l y Th e r ap y P e r s p e c t i v e of B ar i at r i c S u r g e r y P at i e n t s OR IGIN AL R ES EAR C H .. ..... .... .... .1 4 N e u r al N e t w or ks t o P r e d i c t L on g - t e r m B ar i at r i c S u r g e r y Ou t c ome s JOURNAL WATCH .... .... ..... .... .... .19 NEWS AND TRENDS .... ..... .... .... .20 WALTER PORIES CARTOON ... .... .22 CALENDAR OF EVENTS ..... .... .... .22 ADVERTISER INDEX . .... ..... .... .... .22 ADVERTISER INFO ... .... ..... .... .... .22 Page 8 Page 14 Neural Networks to Predict Long- term Bariatric Surgery Outcomes O RIGINAL RESEARCH by DIANA M. THOMAS, PhD; PATRICK KUIPER, MS; HINALI ZAVERI, MD; AMIT SURVE, MD; and DANIEL R. COTTAM, MD INTRODUCTION Long-term, sustained, high- quality outcomes resulting from bariatric surgery are well documented. 1–5 On average, patients undergoing bariatric surgery observe substantial weight loss and remission of or improvements in obesity-related comorbidities, such as type 2 diabetes mellitus (T2DM), dyslipidemia, hyperlipidemia, and hypertension. 2, 6–10 Despite good results in the mean, there is still high variability in outcomes. 2 Specifically, the Longitudinal Assessment of Bariatric Surgery (LABS) study 11 found that one quarter of the Roux-en-Y gastric bypass (RYGB) patients lost less than 25 percent of their body weight and one quarter lost more than 38 percent of their body weight. Similar variability was reported for laparoscopic adjustable gastric band (LAGB) patients. In fact, this variability is well documented by the surgical literature, which quantifies intervention "failures" in terms of percentage of study participants who did not observe adequate weight loss or remission of pre-existing morbidities. 12–14 ORIGINAL RESEARCH INTRODUCTION Obesity has become an epidemic in the United States. While traditional methods have been used to address the obesity epidemic, such as dietary advice, exercise, lifestyle changes, and medication, bariatric surgery has been viewed as the most effective treatment, specifically for morbid obesity. 1 Although there has been an increasing number of researchers that have explored bariatric surgery, it is a life-changing procedure that has strict regulations. Initially, patients must qualify for all criteria recommended by the American Society for Metabolic and Bariatric Surgery (ASMBS) to be considered for surgery. 2 After surgery, patients must adhere to lifelong commitments to maintain weight loss. Unfortunately, patients face more difficulty post- surgery, because they are required to make dramatic lifestyle changes for long-term weight loss success. 3 Fostering resiliency in post-surgery patients might be the key to the acceptance of changes in their lives. 4 As the number of bariatric surgeries continues to grow, more medical and mental health professionals are acknowledging the importance of pre- and post-surgery support for patients' optimal weight loss. However, within the literature, there has been a lack of discussion regarding how marriage and family therapists (MFTs) broach working with bariatric patients, and specifically how they are trained in this regard. by DARREN D. MOORE, PhD, LMFT (GEORGIA); JACOB MOK, BS; TAYLOR CHANDLER, BS; POOJA MAMIDANA, MS The Marriage and Family Therapy Perspective of Bariatric Surgery Patients Follow us.

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