Bariatric Times

MAY 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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3 Bariatric Times • May 2018 Editorial Messages News and Notes on the Latest Issue of BT A Message from Dr. John M. Morton John M. Morton, MD, MPH, FACS, FASMBS, Clinical Editor, Bariatric Times; Chief of the Section of Bariatric and Minimally Invasive Surgery, Stanford University, Stanford, California, and Past President, American Society for Metabolic and Bariatric Surgery. Dear Friends and Readers, Welcome to the May 2018 issue of Bariatric Times. We begin the issue with an opinion review by Dr. Jay B. Brodsky on "rapid sequence induction" (RSI), which is the rapid administration of a quick-acting anesthetic induction agent and a paralytic in order to intubate the trachea as quickly as possible. While RSI has been a routine part of the anesthetic management of patients with morbid obesity for over 40 years, Brodsky presents recent evidence suggesting that not only is RSI not needed for most patients with obesity, but it is probably ineffective in preventing aspiration and might also distort the airway making tracheal intubation more difficult. Next, we present the results of a 20-question online survey distributed to 4,000 American Society for Metabolic and Bariatric Surgery (ASMBS) members via email from May 2017 to January 2018. The aim of the survey was to collect composition and salaries of the integrated health professional team in metabolic and bariatric surgery. The survey also identified several notable patterns regarding the practice of multidisciplinary care in bariatric surgery programs, such as occupational time dedicated to bariatrics, performance of administrative duties, and opportunities for incentives. Additionally, this month, we spotlight two events—the Obesity Medicine Association's spring conference "Obesity Medicine 2018," and the upcoming 23rd World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders, or "IFSO 2018." Obesity Medicine 2018 took place in early April in San Diego, California. Among the highlights were sessions on intermittent fasting, post-surgical treatment with anti-obesity medications, motivational interviewing, and telemedicine. Dr. Jacques Himpens also provides a comprehensive preview of IFSO 2018 and invites readers to attend the conference, which is scheduled to be held in Dubai, United Arab Emirates from September 26 to 29, 2018. The ASMBS Foundation News and Update features an interview with current president Dr. Rami E. Lutfi, Clinical Associate Professor of Surgery, University of Illinois at Chicago; Chairman of Surgery, Mercy Hospital and Medical Center; Director, Presence Chicago Institute of Advanced Bariatrics. He discusses his main goals and vision for the future of the foundation. Don't forget to check out the Table of Contents from the previous month's Surgery for Obesity and Related Diseases (SOARD) issue, which is now included in each issue of BT. And as always, we include our usual Journal Watch and News and Trends sections, followed by a great cartoon from Dr. Walter Pories. I hope you enjoy this issue of Bariatric Times, and as always we appreciate your comments and invite you to submit study reports, reviews, or case reports to the journal. Sincerely, John M. Morton, MD, MPH, FACS, FASMBS BT Dear Colleagues, After my editorial message in the March issue of Bariatric Times on the role of the obesity medicine specialist, I have been inundated with requests asking, "Where can I find an obesity medicine specialist?" The good news is that, in 2018, there are several legitimate registries to find reputable physicians and healthcare providers that have undergone additional training and achieved certification in obesity medicine. There might be others, but The Obesity Society (TOS), American Society for Metabolic and Bariatric Surgery (ASMBS), Obesity Medicine Association (OMA), and most recently, the Obesity Action Coalition (OAC), all have user- friendly healthcare provider registries. • TOS: • ASMBS: • OMA:, powered by the OAC, is the newest healthcare provider locator to debut and offers users the ability to search for various providers, anything from bariatric surgeons to dietitians. It also offers resources for people to prepare for discussions about their weight with their healthcare providers. In addition to board certification, the Obesity Medicine Fellowship Council, in which I am honored to be a council member, was created most recently. The goal of this council is to promote, standardize, and support obesity medicine fellowships throughout the country. More information regarding the council will be forthcoming. In closing, I hope this message assists you in finding the right providers to meet the needs of obesity medicine in your institution. Happy Spring! Sincerely, Christopher Still, DO, FACN, FACP BT Where Can You Find "Me"? A Message from Dr. Christopher Still Christopher Still, DO, FACN, FACP, Co-Clinical Editor, Bariatric Times; Medical Director for the Center for Nutrition and Weight Management, and Director for Geisinger Obesity Research Institute, Geisinger Medical Center, Danville, Pennsylvania. 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 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." Letter to the Editor Submissions

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