Category: Departments
The Role of Physical Activity in the Management of Childhood Obesity
by Harry Pino, PhD and Alexis Smith, MS From the Obesity Consult Center, Tufts-New England Medical Center, Boston, Massachusetts “To understand the obese child, one needs to remember that he accumulated his extra weight while living in a family that, wittingly or unwittingly, encouraged overeating and inactivity.”[1] INTRODUCTION By simply taking a look at children […]
Perioperative Implications of Obstructive Sleep Apnea
by Stephanie B. Jones, MD; Jeffrey M. Ellenbogen, MD; and Daniel B. Jones, MD, FACS INTRODUCTION Obstructive sleep apnea (OSA) is a medical condition that leads to significant morbidity and reduced quality of life. Patients with OSA are particularly vulnerable to certain perioperative complications, and the incidence of OSA in the bariatric population may be […]
Internal Hernia after Laparoscopic Gastric Bypass: A Review of the Literature
by Louis O. Jeansonne IV, MD; Craig B. Morgenthal, MD; Brent C. White, MD; and Edward Lin, DO All from Emory Endosurgery Unit, Emory University School of Medicine Laparoscopic Roux-en-Y gastric bypass (LGBP) has been shown to be an effective treatment for morbid obesity, both in terms of weight loss and improvement in multiple comorbidities. […]
Microbial Influences on Weight Regulation
by Louis J. Aronne, MD, FACP, and Kathy Keenan Isoldi, MS, RD, CDE The increased prevalence of obesity has undoubtedly been influenced by a multitude of factors. Some factors are obvious, such as an increased consumption of calories and decreased usage of energy. There are, however, more subtle instigators in the development of obesity. For […]
On the Air with…Nicola Scopinaro, MD
Interviewed by Kelvin Higa, MD, FACS The US experience with the jejunoileal (J-I) bypass was bittersweet. It was an effective weight loss and metabolic instrument, but the side effects, complications, and nutritional consequences gave us a healthy respect for malabsorption. I was recently invited to the Società Italiana di Chirurgia dell’Obesità in Florence, Italy, celebrating […]
Transfer of Addiction and Considerations for Preventive Measures in Bariatric Surgery: Part II
By Melodie K Moorehead, PhD, and Cynthia L. Alexander, PsyD Melodie K Moorehead, PhD, receiver of the ASBS Golden Circle of Excellence Award for her contributions to the field, has specialized in bariatric surgery psychology for more than two decades. Licensed as a psychologist and has a Certificate of Proficiency in the Treatment of Alcohol […]
An Interview with Alan C. Wittgrove, MD
To what do you attribute the growth of obesity in our population? Dr. Wittgrove: Obesity is such a complex disease. It is certainly rooted in genetics, but there are so many environmental issues that influence the overall expression of the genetic potential. The fact that we are less active and have more carbohydrates in our […]
Patients in Despair: Weight Regain after a Primary Bariatric Surgery Procedure
by Robin Blackstone, MD, FACS; David Engstrom, PhD; and Lisa Rivera, MPH INTRODUCTION Bariatric surgery is achieving increasing acceptance for the treatment of obesity. Obesity-and its role as the central paradigm of modern disease- is slowly penetrating into the consciousness of affected people, and they are increasingly hopeful of remission or cure from their medical […]
Does Preoperative Weight Loss Predict Success with Laparoscopic Roux-en-Y Gastric Bypass?
by James N. Lau, MD, FACS; and Myriam J. Curet, MD, FACS Stanford School of Medicine, Stanford University INTRODUCTION Obesity is a well recognized public health epidemic affecting not only the United States, but the world. “This insidious, creeping pandemic of obesity is now engulfing the entire world,” Australia’s Monash University professor Paul Zimmet, Chair […]
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