RSSCategory: Review

Patient  Transferring Challenges

Patient Transferring Challenges

| August 17, 2009 | 3 Comments

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 […]

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Ventral Hernias in the Bariatric Patient

Ventral Hernias in the Bariatric Patient

| August 17, 2009 | 0 Comments

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 […]

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Promoting a Physically Active Lifestyle in Bariatric Patients

| July 14, 2009 | 0 Comments

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 […]

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Implementing an Evidence-based Approach to Selection  of Type of Laparoscopic  Bariatric Surgery

Implementing an Evidence-based Approach to Selection of Type of Laparoscopic Bariatric Surgery

| July 14, 2009 | 0 Comments

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, […]

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Bariatric Surgery in Patients with Liver Cirrhosis and Portal Hypertension

| July 14, 2009 | 5 Comments

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 […]

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Laparoscopic Sleeve Gastrectomy

Laparoscopic Sleeve Gastrectomy

| June 18, 2009 | 4 Comments

By Ismael Court, MD; Omar Bellorin, MD; Fernando Dip, MD; Christopher DuCoin, MD; Samuel Szomstein, MD, FACS; and Raul J. Rosenthal, MD, FACS All from the Bariatric & Metabolic Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida Key words: Bariatric surgery, laparoscopy, morbid obesity, Roux-en-Y gastric bypass, sleeve gastrectomy Introduction Surgery has […]

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Clinical Pearls in Managing Bariatric Surgical Emergencies

Clinical Pearls in Managing Bariatric Surgical Emergencies

| June 18, 2009 | 0 Comments

by J.K. Champion, MD, FACS Dr. Champion is Director of Bariatric Surgery, Northside Hospital, Atlanta, GA and Clinical Professor of Surgery, Mercer University School of Medicine, Macon, Georgia. Introduction Bariatric surgery—no matter the procedure, no matter the surgeon with however much experience—will result in complications and surgical emergencies. The average incidence of in-hospital complications after […]

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The Duodenal Switch Revisited

| June 18, 2009 | 0 Comments

by Daniel J. Rosen, MD, and Alfons Pomp, MD, FACS Both from Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, New York. Introduction It has been over a decade since Hess described a significant modification of the Scopinaro bilio-pancreatic diversion (BPD).[1,2] In the duodenal switch (DS), a vertical sleeve gastrectomy provides […]

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Gastrointestinal Hormones and their Relationship to Bariatric Surgery

Gastrointestinal Hormones and their Relationship to Bariatric Surgery

| April 17, 2009 | 2 Comments

by Daniel J. Rosen, MD; and Alfons Pomp, MD, FACS Introduction When most of us learned about gastrointestinal physiology, cholecystokinin was an enzyme. It turns out that it is actually a powerful endocrine hormone as well. The gastrointestinal (GI) tract produces dozens of peptides that enter the circulation and cause a variety of effects relating […]

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Metabolic Outcomes in Bariatric Surgery: A Review

| April 6, 2009 | 0 Comments

by Deborah Abeles, MD; Sajani Shah, MD; Scott A. Shikora, MD; and Michael E. Tarnoff, MD All are from the Center for Minimally Invasive Surgery, Tufts Medical Center, Boston, Massachusetts.

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