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Maximizing Skin Antisepsis in the Challenging Bariatric Patient

December 2009

by Charles E. Edmiston, Jr., PhD, SM (ASCP), CIC (CBIC)

Dr. Charles Edmiston is Professor of Surgery and Hospital Epidemiologist at Froedtert Hospital/Medical College of Wisconsin in Milwaukee, Wisconsin; Director of the Surgical Microbiology Research Laboratory in the Department of Surgery, and fellow of the Infectious Disease Society of American, Surgical Infection Society, and the Society for Healthcare Epidemiology of America

Bariatric Times. 2009;6(12):20–22 Read the rest of this article »

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Implementation of a New Standard Practice for Pain Management—Reduced Narcotic Use among Bariatric Patients—Lessons Learned by a Bariatric Clinic

December 2009

by Tracy Martinez, RN, BSN, CBN

Tracy Martinez, RN, BSN, CBN, is Program Director at the Wittgrove Bariatric Center in La Jolla, California.

Bariatric Times. 2009;6(12):16–19 Read the rest of this article »

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Laparoscopic Gastric Bypass: A Training Model

December 2009

by Susannah M. Wyles, MBBS, MSc, MRCS (Eng), and
Ahmed R. Ahmed, MBBS, BSc (Hons), FRCS

Dr. Wyles is Clinical Research Fellow, Imperial College, London, United Kingdom. Dr. Ahmed is Consultant Upper Gastrointestinal and Bariatric Surgeon, Department of Bariatric Surgery, Imperial College Healthcare, Charing Cross Hospital, London, United Kingdom.

Bariatric Times. 2009;6(12):12–13 Read the rest of this article »

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Obesity and Cancer: The Meaning of Patient Advocacy

November 2009

This is a CE-accredited article. The timeline for submitting the post-test for this article has expired.

ABSTRACT
According to a recent analysis by the American Institute for Cancer Research, about 100,500 new cases of cancer are thought to be caused by obesity every year. This study which is the most comprehensive attempt ever to estimate the cancers attributed to extra weight poses implications for clinicians who advocate for patients of size. Statistics pertaining to weight and cancer prevalence, screening, diagnostic testing, and strategies for patient advocacy are discussed. Read the rest of this article »

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Complications Arising from Staple Lines and Anastomotes in Bariatric Surgery: Why They Happen and How to Avoid Them

November 2009

by Dugal Heath, MD, FRCS, FRACS

Bariatric Times. 2009;6(11):8–12.

INTRODUCTION

The invention of stapling devices, which can be used in laparoscopic surgical procedures, provides a number of benefits to surgeons. They are simple to use, provide a rapid means of dividing and joining bowel, and require less skill and experience on the part of the operator than that required for laparoscopic hand suturing. In spite of these benefits, their use is associated with a variety of problems, including leakage from staple lines or anastomoses, bleeding, and fistula formation,[1] which can, on occasion, prove fatal. This paper examines factors that are important in leading to these complications and suggests ways to avoid them. Read the rest of this article »

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Bariatric Surgery and Bariatric Medicine: A Developing Paradigm for Practice Modeling

November 2009

by Michael Kaplan, DO

Bariatric Times 2009;6(11):23–26

INTRODUCTION
With the popularity of bariatric surgery increasing every year,[1] there exists a real-world need among surgeons to have a medical specialty referral source to help manage their pre- and postsurgical patients over time. It does not make sense for a surgeon to spend his time dealing with nutritional issues and/or weight gain issues in postsurgical patients; the surgeon’s time is best spent doing surgery. For example, the cardiothoracic surgeon utilizes the expertise of the cardiologist to streamline patient care and improve patient outcomes. Likewise, shared management of the postsurgery bariatric patient between the bariatric surgeon and bariatric physician or bariatrician will also result in better long-term, weight loss outcomes for the patient.[2,3,4] This article provides the reader with a road map of the responsibilities the bariatrician can perform as part of a multidisciplinary team to assist the bariatric surgeon in improving the level of care the postsurgical bariatric patient receives. This type of enhanced relationship may allow the solo-practicing bariatric surgeon to offer the same level of care as the larger multidisciplinary university programs.[1] Read the rest of this article »

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Probiotics, Prebiotics, Gut Microbiota, and Obesity

November 2009

by Margaret Furtado, MS, RD, LDN

Bariatric Times
. 2009;6(11):27–30.

INTRODUCTION
Probiotics are nonpathogenic live microorganisms that are believed to confer health benefits to the host when ingested. Researchers have suggested weight loss and/or antiobesity effects are among these benefits. Prebiotics are nondigestible oligosaccharides believed to act as “fertilizers” of colonic microbiota, enhancing growth of beneficial commensal organisms (e.g. Bifidobacterium, Lactobacillus). Prebiotics are believed to confer health benefits on the host, including modulation of lipid metabolism, and researchers have suggested potential antiobesity effects as well, possibly by modulating gut hormones, such as peptide YY (PYY) and glucagon-like peptide-1(GLP-1). The combination of prebiotics and probiotics, termed synbiotics, are believed to possess enhanced health benefits acting as a “functional food.” This article reviews the role of prebiotics and probiotics on obesity and discusses research that suggests that individuals with obesity may have differing amounts of particular microbiota (e.g. Firmicutes) and that gastric bypass surgery may alter gut microbiota in a favorable way. Read the rest of this article »

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Alcohol and the Gastric Bypass Patient

October 2006

by Cynthia K. Buffington, PhD

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