Bariatric Times

JAN 2018

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 15, Number 1 January 2018 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 . . . . . . . . . . . . . . . . . . 3 A Message from Dr. John Morton: W e Al l Mu s t Co n f r o n t O b e s i t y, R a i s e A wa r e n e s s a n d Tr e a t O b e s i t y Se r i o u s l y 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 n 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 t o f O b e s i t y i n 2 0 1 7 TH E M ED IC AL S TUD EN T N OTEB OOK ... ..... .... .... ..... .... .... ...1 0 M on og e n i c Ob e s i t y an d B ar i at r i c S u r g e r y EV EN T S P OTL IGH T . .... ..... .... .... ...1 3 Walk from Obesity 2017— Philadelphia, Pennsylvania ORIGINAL RESEARCH ..... .... .... ...14 A Single-center Retrospective Analysis of Intravenous Acetaminophen in Bariatric Surgery Patients READERS' CHOICE .... ..... .... .... ...22 Top 10 Articles of 2017 BARIATRIC CENTER SPOTLIGHT .. ..... .... .... ..... .... .... ...24 Bay Bariatrics WALTER PORIES CARTOON . .... ...26 CALENDAR OF EVENTS ... .... .... ...26 ADVERTISER INDEX ... ..... .... .... ...26 ADVERTISER INFO . .... ..... .... .... ...26 Page 14 ORIGINAL RESEARCH BACKGROUND According to the World Health Organization, the prevalence of obesity has more than doubled since 1980. In 2014, more than 1.9 billion adults 18 years and older were overweight and 600 million adults had obesity. 1 It has been well- established that type 2 diabetes, heart disease, stroke, and obstructive sleep apnea are linked to obesity. 2 As a result, bariatric surgery is becoming increasingly more common worldwide as an effective treatment option for obese patients. According to the American Society for Metabolic and Bariatric Surgery, the number of bariatric surgeries increased to 179,000 in 2013, with the Roux-en-Y gastric bypass procedure being most common. 3 Although perioperative outcomes related to bariatric surgery have improved over the past decade, pain has been cited as one of the most frequent post-surgical clinical symptoms. 4 ,5 Ideally, postoperative pain management should involve a multimodal approach to improve the quality of analgesia and decrease complications. 6 by KEVIN COWART, PHARMD, MPH, BCACP, KATHRYN CROSBY, PHARMD, BCPS; ARANJEET SIDHU, PHARMD; AND JULIE THOMPSON, PHD A Single-center Retrospective Analysis of Intravenous Acetaminophen in Bariatric Surgery Patients Follow us. Page 10 COLUMN EDITOR Daniel B. Jones, MD, MS, FASMBS FEATURED STUDENT Ann L. Robbins, PhD Monogenic Obesity and Bariatric Surgery I n recent decades, the world has seen expanding waistlines in expanding numbers, and with this, an increased prevalence of metabolic syndrome, a collection of risk factors predisposing toward cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM). 1 ,2 Within this pandemic, there are patients who are outliers in the development and progression of obesity and insulin resistance. In individuals who have early onset of extreme obesity that is resistant to weight loss attempts, early onset insulin resistance, and a strong family history of these symptoms, obesity may potentially be attributed to a monogenic cause. 3 Recent research has focused on these individuals as "experiments of nature," giving us insight into the physiologic mechanisms of obesity, yet clinical treatments for these patients are often symptomatic in nature. T h e M E D I C A L S T U D E N T N o t e b o o k

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