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Alison G. Hoppin, MD, is Associate Director for Pediatric Programs, Massachusetts General Hospital Weight Center; Attending Physician in Pediatric
Gastroenterology and Nutrition, Massachusetts General Hospital; Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts.Bariatric Times • March 2007

How are children and adolescents physically and emotionally unique in the field of obesity?

Dr. Hoppin: No general observations will apply to everyone, but there are some ways in which children and adolescents are unique. First, their bodies may be more responsive to healthy lifestyle changes than the bodies of adults. There is an excellent study¹ showing that an eight-month intervention to improve lifestyle using family-based behavioral techniques led to improved weight control 10 years later. With the exception of surgery, no interventions in adults have that type of long-term effect.

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by James W. Saxton, JD; Maggie M. Finkelstein, JD; and Susan Gallagher Camden, RN, MSN, PhD All from Stevens & Lee, Lawyers and Consultants

This second installment of our newest Bariatric Times column serves to answer all of your legal, managerial, treatment-related, and universal bariatric questions. Keep in the loop simply by reading your fellow bariatric professionals’ questions and our experts’ answers in the coming issues, or by sending in your own inquiries involving issues in your bariatric practice.

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by Cynthia K. Buffington, PhD

INTRODUCTION

As discussed in the recent October issue of Bariatric Times, gastric bypass surgery may enhance alcohol sensitivity by altering the rate that alcohol is absorbed or metabolized. Such changes in alcohol sensitivity and clearance significantly increase the risk for alcohol toxicity and its deleterious consequences (i.e., liver disease, cardiomyopathy, loss of muscle mass and strength, neuromuscular and cognitive defects, gastritis, pancreatitis, acid reflux, and specific vitamin deficiencies).1- 7 Alcohol use may also adversely affect the health of the bariatric patient by increasing the risk for hypoglycemia and its potentially negative influence on cognitive function and neuromuscular control. Read the rest of this article »

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Bariatric sensitivity is a very important part of patient care. What do you emphasize with your staff as the most important aspects of being sensitive to these patients?

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Bariatric Times • March 2007

by Andrea Bauchowitz, PhD, and Linda Gonder-Frederick, PhD

Both from the Behavioral Medicine Center,
Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, Virginia Read the rest of this article »

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Bariatric Times • March 2007

Letter to the Editor

Dear Bariatric Times Editor:

The face of bariatric surgery has changed considerably over the past 10 years. Interest in weight loss surgery is at an all time high, the procedures have never been safer, our collective understanding of the short- and long-term health benefits have never been more rigorously studied or reported on, and the search for even better therapeutic alternatives is beginning to yield novel approaches. Read the rest of this article »

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b y J a n i n e V. K y r i l l o s , MD

Dr. Kyrillos is a physician with Thomas Jefferson University and Jefferson Internal Medicine Associates, Philadelphia, PA.

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