Bariatric Times - June 2008 - (Page 1)

Visit Bariatric Times at ASMBS Booth #204! A Peer-Reviewed Publication Clinical Developments and Metabolic Insights in Total Bariatric Patient Care Volume 5, Number 6 TECHNOLOGY PERSPECTIVE June 2008 PRACTICE MANAGEMENT PERSPECTIVE Inside PRACTICE MANAGEMENT PERSPECTIVE The Multidisciplinary Approach to Weight Loss: Defining the Roles of the Necessary Providers Page 1 EMERGING TECHNOLOGY PERSPECTIVE Endoluminal Treatment Options for Morbid Obesity: Devices & Techniques for Natural Orifice Approaches Page 1 SURGICAL PERSPECTIVE Acute Bleeding after Gastric Bypass Page 1 SURGICAL PERSPECTIVE Surgical Site Infection In The Morbidly Obese Patient: A Review Page 30 Emerging Technologies Endoluminal Treatment Options for Morbid Obesity: Devices and Techniques for Natural Orifice Approaches by Rebecca P. Petersen, MD, MSc; Bipan Chand, MD; and Aurora D. Pryor, MD Column Editor: Marc Bessler, MD T he Multidisciplinar y A ppr oac h to Weight Loss: Defining the Roles of the Necessary Providers by George L. Blackburn, MD, PhD; Isaac Greenberg, PhD; Anne McNamara, RN; Daniel Rooks, PhD, FACSM; Shannon Fischer, MA; and Kristina Day, RD, LD INTRODUCTION Obesity has become one of the gravest health concerns in the modern era. Multidisciplinary care aimed at small steps and practical approaches to lifestyle change can be an effective means of treatment for many patients who find it difficult to lose weight. Each member of the team— physicians, dietitians, exercise specialists, behavioral therapists, and nurses—brings a unique set of skills to bear on patient needs. Physicians, for example, address medical issues that might affect weight loss and help patients feel comfortable in a medical setting, while dietitians help patients gradually learn to eat less and incorporate healthier foods into their diets. Exercise specialists teach practical ways to integrate physical activity into day-to-day life; behavioral therapists help patients mentally prepare for the process of lifestyle change and address barriers to change; and finally, nurses, as with physicians, can help patients feel comfortable in a medical setting and assist in the management of medical complications that might affect their ability to lose weight. Continued on Page 9 LEGAL PERSPECTIVE INTRODUCTION Consultant’s Corner Page 34 The prevalence of obesity is increasing and threatens to be the major public health problem in the foreseeable future. Data from the National Health and Nutritional Examination Survey (NHANES) estimated in 2005 that 24 percent of the US population was obese, defined as having a body mass index (BMI) over 30kg/m2. Current projections are that the prevalence SURGICAL PERSPECTIVE will continue to increase, raising serious public health Volume Matters Page 40 concerns.1,2 Obesity is associated with a variety of comorbidities, including hypertension, diabetes, dyslipidemia, and musculoskeletal disorders. For the EDITORIAL MESSAGE 3 morbidly obese, surgical techniques have demonstrated ASMBS: 25 YEARS! 6 the only effective long-term weight loss and have been EDITORIAL BOARD 7 shown to reduce markers of serious metabolic diseases JOURNAL WATCH 44 including diabetes and dyslipidemia.1 ADVERTISER INDEX 46 RESEARCH PERSPECTIVE The Link Between Sleep Loss and Obesity: Understanding the Mechanisms Responsible for Weight Gain with Sleep Deprivation Page 36 Continued on Page 26 SURGICAL PERSPECTIVE Acute Bleeding After Gastric Bypass by Candice Jensen, MD; Amir Mehran, MD; and Catherine Lewis, MD INTRODUCTION Acute bleeding following laparoscopic Roux-en-Y gastric bypass (LRYGB) is an infrequently reported yet perplexing clinical dilemma, mainly due to the inaccessibility of the excluded stomach and the risks associated with early postoperative endoscopy.1 In the present communication, we address early or acute bleeding, defined as clinically significant bleeding within 48 hours of surgery; the incidence, prevention, diagnosis, and treatment options when faced with acute hemorrhage following LRYGB are described. Continued on Page 17 DON’T MISS! • DR. SCHWEITZER ON SURGICAL SITE INFECTION SEE PAGE 30 • DR. PORIES ON THE IMPORTANCE OF SURGICAL VOLUME SEE PAGE 40 • DR. B UFFINGT ON ON THE SLEEP & OBESITY LINK SEE PAGE 36

Table of Contents Feed for the Digital Edition of Bariatric Times - June 2008

Bariatric Times - June 2008 Endoluminal Treatment Options for Morbid Obesity: Devices and Techniques for Natural Orifice Approaches The Multidisciplinary Approach to Weight Loss: Defining the Roles of the Necessary Providers Acute Bleeding after Gastric Bypass Editorial Message Contents ASMBS: 25 Years Editorial Board Surgical Site Infection In The Morbidly Obese Patient: A Review Consultant's Corner The Link Between Sleep Loss and Obesity: Understanding the Mechanisms Responsible for Weight Gain with Sleep Deprivation Volume Matters Journal Watch Advertiser Index

Bariatric Times - June 2008

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