Author Archive: BT Online Editor
Treatment of Leaks After Sleeve Gastrectomy
by Jacques Himpens, MD; Giovanni Dapri, MD; and Guy-Bernard Cadière, MD, PhD Dr. Himpens and Dr. Dapri are from St. Blasius Hospital Dendermonde and St. Pierre Hospital, Brussels, Belgium. Dr. Cadière is from St. Pierre Hospitial, Brussels, Belgium Introduction In Europe, sleeve gastrectomy (SG) is swiftly replacing adjustable band gastroplasty (ABG) as the most commonly […]
Five Minutes with… Rebecca Puhl, PhD—Taking a look at weight bias and the stigma of obesity
Dr. Puhl is the Director of Research & Weight Stigma Initiatives at the Rudd Center for Food Policy & Obesity at Yale University, New Haven, Connecticut. Introduction Despite ongoing attention to the obesity epidemic, the social consequences of obesity are often overlooked. In a recent issue of the journal Obesity,[1] a study was published that […]
Patient Transferring Challenges
This CE activity has expired. by Susan Gallagher Camden, RN, PhD, CBN, HCRM Certified bariatric nurse, licensed healthcare risk manager, and wound ostomy continence nurse, Houston, Texas INTRODUCTION When considering patient movement and handling equipment, the question is often, “What is the weight limit of this piece of equipment?” We seldom ask, “What is the […]
SAGES 2009 Panel Report: Best Practices for the Surgical Treatment of Obesity
by Jon Gould, MD, and Daniel Jones, MD Dr. Gould is Associate Professor of Surgery at University of Wisconsin School of Medicine and Public Health. Dr. Jones is Associate Professor of Surgery at Harvard Medical School. This article is a summary of a panel sponsored by the Society of American Gastrointestinal and Endoscopic Surgeons.
Ventral Hernias in the Bariatric Patient
by David S. Wernsing, MD, FACS Assistant Professor of Surgery, University of Pennsylvania, Pennsylvania Hospital, Philadelphia, Pennsylvania INTRODUCTION The management of primary and incisional abdominal wall hernias continues to evolve from the early days of primary hernia repair. There has been progress in the surgical approach to hernias with application of minimally invasive surgical techniques […]
Promoting a Physically Active Lifestyle in Bariatric Patients
by Carol Ewing Garber, PhD, FAHA, FACSM Dr. Garber is with Teachers College, Columbia University, New York, New York. Introduction It is clear that a physically active lifestyle is important for good health and promoting and maintaining weight loss.[1–4] Following bariatric surgery, patients who are physically active lose more weight,[5–7] and greater weight loss is […]
Implementing an Evidence-based Approach to Selection of Type of Laparoscopic Bariatric Surgery
by Geoffrey P. Kohn, MBBS, FRACS; Stephen P. Haggerty, MD, FACS; D. Wayne Overby, MD; Robert D. Fanelli, MD, FACS, FASGE; and Timothy M. Farrell, MD, FACS Drs. Kohn, Overby, and Farrell are from the Department of Surgery, University of North Carolina at Chapel Hill, North Carolina; Dr. Haggerty is from the Department of Surgery, […]
Bariatric Surgery in Patients with Liver Cirrhosis and Portal Hypertension
by Juan Camilo Barreto, MD; Michael G. Sarr, MD; and James M. Swain, MD All from the Division of Gastroenterologic and General Surgery, Mayo Clinic, Rochester, Minnesota. The Problem Cirrhosis is an unexpected finding at the time of bariatric surgery in about 1 to 2 percent of the patients undergoing elective bariatric surgery. The surgeon […]
Intussusception after Roux-en-Y Gastric Bypass in a Pregnant Patient
by Daniel J. Rosen, MD; Shirlee Jaffe, MD; Lawrence Cutler, MD; Alfons Pomp, MD All from Departments of Obstetrics and Gynecology and Surgery New York Presbyterian Hospital, Weill Cornell Medical College ABSTRACT Intussusception is a rare complication of Roux-en-Y gastric bypass, and can present a difficult diagnostic challenge in the pregnant patient. We describe a […]