American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic and Bariatric Surgery Issue Updated Guidelines Outlining Optimal Management of Bariatric Surgery Patient Care
Dear friends, colleagues, and readers of Bariatric Times:
As we get ready for the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 29th annual meeting in Baltimore, Maryland, this month we present another new and exciting issue of Bariatric Times.
In this month’s installment of “Surgical Pearls: Techniques in Bariatric Surgery,” Drs. Lo Menzo and Betancourt describe the technical highlights on how to perform a totally stapled jejuno-jejunal anastomosis. At Cleveland Clinic Florida, we have been using this approach for nearly 14 years with outstanding results, provided we pay careful attention not to narrow the afferent limb of the anastomosis. When this complication ensues, it is important to first decompress via naso-gasric tube suction and go back 24 hours later to perform an omega loop alimentary limb to common channel anastomosis.
American Society of Metabolic and Bariatric Surgery (ASMBS) President Dr. Jaime Ponce discusses important issues that pertain to the new Metabolic and Bariatric Surgery Accreditation Quality Improvement Program (MBSQIP) standards, including re-accreditation, certification, and volume requirements. Dr. Ponce also gives us an update on the Centers for Medicare and Medicaid Services (CMS) response since the National Coverage Analysis (NCA) has been reopened for comments triggered by one of our society members.
In this month’s Countdown to Obesity Week 2013 interview, we talk to ASMBS Executive Director Georgeann Mallory. She discusses the importance of the forthcoming Obesity Week in Atlanta, Georgia.
ASMBS Foundation President Dr. David Provost reviews the upcoming Walks from Obesity scheduled to take place in 2013. On May 11, 2013, Louisiana will host a statewide walk with the participation of Monroe, Lafayette, Baton Rouge, and New Orleans. The application process is now open for those interested in hosting a walk in their city.
Ms. Lillian Craggs-Dino, our nutritionist at the Bariatric and Metabolic Institute (BMI), Cleveland Clinic, Weston, Florida, presents approaches to providing nutritional guidance after vertical sleeve gastrectomy (VSG). She cautions that, despite VSG being considered a restrictive procedure, we do observe vitamin and mineral deficiencies in the long term in patients undergoing this procedure. She concludes that follow up in the VSG patient is as important as in other well-known malabsorptive procedures.
In “Bariatric Center Spotlight,” Ms. Jessica Flannary highlights the The Tennova Center for Surgical Weight Loss at Turkey Creek Medical Center located in Knoxville, Tennessee. Please contact Angela Hayes at email@example.com to learn how your center can be featured in an upcoming installment of “Bariatric Center Spotlight.”
In Part 2 of “Navigating Online Resources for Patient Care and Follow Up,” Lesley Ranft , founder of Lesley & Assoc., a public relations and Internet development firm specializing in social media and blogging for bariatric surgeons, provides her pearls on how to efficiently and safely use these tools to boost patient acquisition and referrals.
In closing, I would like to highlight and recommend a manuscript published in Surgery for Obesity and Related Diseases (SOARD) titled, “Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update.” This article resulted from the combined efforts of the members of three leading societies—American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), and ASMBS. This outstanding guide presents 74 recommendations for us to use when following our bariatric patients.
I’m looking forward to seeing everyone at SAGES in Baltimore, Maryland.
Raul J. Rosenthal, MD, FACS
Editor, Bariatric Times
1. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic and Bariatric Surgery. Surg Obes Relat Dis. 2013;9(2):159–191.
Category: Editorial Message