Supplementary appendix

Size: px
Start display at page:

Download "Supplementary appendix"

Transcription

1 Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Geltrude Mingrone, Stefan Bornstein, Carel W Le Roux. Optimisation of follow-up after metabolic surgery. Lancet Diabetes Endocrinol 2017; published online Jan 26.

2 The strings used in our PbMed/Medline search were complications [mh] or complications [tiab] randomized controlled trial [mh] or randomized controlled trial [tiab] randomized trial [mh] or randomized trial [tiab] long term complications [mh] or medical complications [tiab] long term complications [mh] or medical complications [tiab] 1

3 pre surgery assessment protocol [mh] or pre surgery assessment protocol [tiab] before surgery exam [mh] or before surgery exam [tiab] pre surgery assessment protocol [mh] or pre surgery assessment protocol [tiab] polysomnography [mh] polysomnography [tiab] endoscopy [mh] or endoscopy [tiab] 2

4 echocardiogram [mh] or echocardiogram [tiab] stress test [mh] or stress test [tiab] polysomnography [mh] or plysomnography [tiab] vitamins [mh] or vitamins [tiab] oligoelements [mh] or oligoelements [tiab] 3

5 weight regain [mh] or weight regain [tiab] insufficient weight loss [mh] or insufficient weight loss [tiab] hypoglycemia [mh] or hypoglycemia [tiab] kidney stone [mh] or kidney stone [tiab] The only filter used was for the English language. 4

6 Reference Type of Operation Number of Pts Iron deficien cy (%) Folate deficienc y (%) Vitami n B12 deficien cy (%) Anaemia (%) Lyposoluble Vitamin s Deficien cy (%) Albumi n Deficie ncy (%) Calciu m Deficie ncy (%) Halverson et al. (1981) Amaral et al (1985) Brolin et al. (1998) Skroubis G et al. (2002) Koffman BM et al. (2006) Marcuard SP et al.() Vargas-Ruiz et al. (2008) RYGB RYGB RYGB RYGB RYGB RYGB RYGB Ruz M et al. RYGB

7 (2009) Brolin RE et al (1999) Dalcanale L. et al.(2010) Van Rutte et al. (2014) Alexandrou et al. RYGB RYGB RYGB Vit D3 81 RYGB Vit D3 89 (2014) Alexandrou et al. SG (2014) Ben-Porat T (2017) Brolin RE et al (1999) SG BPD Scopinaro N. et al. (1998) BPD night blindne ss - - Skroubis G BPD

8 et al. (2002) Dolan K et al. (2004) De Luis DA et al. (2005) Biertho L et al (2010) Gracia JA et al. (2009) BPD BPD BPD BPD Slater GH et al. (2004) BPD/Duod enal Switch Vit. A Vit. K 68 Vit. D 63 Bolckmans & Himpens (2016) BPD/Duod enal Switch in women 60 in men Vit D 77% 2.9 Ballestreros et al. (2016) BPD/Duod enal Switch Vit D

9 REFERENCES Halverson JD, Zuckerman, GR Koheler RE, et al. Gastric bypass for morbid obesity. A medical surgical assessment. Ann Surg. 1981;194: Amaral JF, Thompson WR, Caldwell MD, et al. Prospective hematologic evaluation of gastric exclusion surgery for morbid obesity. Ann Surg. 1985;201: Brolin RE, Gorman JH, Gorman RC, Petschenik AJ, Bradley LJ, Kenler HA, Cody RP. Are vitamin B12 and folate deficiency clinically important after roux-en-y gastric bypass? J Gastrointest Surg. 1998;2: Skroubis G, Sakellaropoulos G, Pouggouras K, Mead N, Nikiforidis G, Kalfarentzos F. Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and after biliopancreatic diversion with Roux-en-Y gastric bypass. Obes Surg. 2002;12:551-8 Koffman BM, Greenfield LJ, Ali II, Pirzada NA. Neurologic complications after surgery for obesity. Muscle Nerve. 2006;33: Marcuard SP, Sinar DR, Swanson MS, Silverman JF, Levine JS 1989 Absence of luminal intrinsic factor after gastric bypass surgery for morbid obesity. Dig Dis Sci 34: Vargas-Ruiz AG, Hernández-Rivera G, Herrera MF. Prevalence of iron, folate, and vitamin B12 deficiency anemia after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2008;18: Ruz M, Carrasco F, Rojas P, Codoceo J, Inostroza J, Rebolledo A, Basfi-fer K, Csendes A, Papapietro K, Pizarro F, Olivares M, Sian L, Westcott JL, Hambidge KM, Krebs NF. Iron absorption and iron status are reduced after Roux-en-Y gastric bypass. Am J Clin Nutr. 2009;90: Dalcanale L, Oliveira CP, Faintuch J, Nogueira MA, Rondó P, Lima VM, Mendonça S, Pajecki D, Mancini M, Carrilho FJ. Long-term nutritional outcome after gastric bypass. Obes Surg. 2010; 20:181-7 Brolin RE, Leung M. Survey of vitamin and mineral supplementation after gastric bypass and biliopancreatic diversion for morbid obesity. Obes Surg. 1999;9:

10 Scopinaro N, Adami GF, Marinari GM, Gianetta E, Traverso E, Friedman D, Camerini G, Baschieri G, Simonelli A. Biliopancreatic diversion. World J Surg. 1998;22: Dolan K, Hatzifotis M, Newbury L, Lowe N, Fielding G. A clinical and nutritional comparison of biliopancreatic diversion with and without duodenal switch. Ann Surg. 2004;240:51-6 de Luis DA, Pacheco D, Izaola O, Romero A, Marcos JL, Pelaz J, Barrera A, Cabezas G, Terroba MC, Cuellar L, Anta A. Early clinical and surgical results of biliopancreatic diversion. Obes Surg. 2005;15: Biertho L, Biron S, Hould FS, Lebel S, Marceau S, Marceau P. Is biliopancreatic diversion with duodenal switch indicated for patients with body mass index <50 kg/m2? Surg Obes Relat Dis. 2010;6: Gracia JA, Martínez M, Elia M, Aguilella V, Royo P, Jiménez A, Bielsa MA, Arribas D. Obesity surgery results depending on technique performed: long-term outcome. Obes Surg. 2009;19: Slater GH, Ren CJ, Siegel N, Williams T, Barr D, Wolfe B, Dolan K, Fielding GA. Serum fatsoluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg. 2004;8:

Nutritional Deficiencies following Bariatric Surgery: What Have We Learned?

Nutritional Deficiencies following Bariatric Surgery: What Have We Learned? Obesity Surgery, 15, 145-154 Review Article Nutritional Deficiencies following Bariatric Surgery: What Have We Learned? Richard D. Bloomberg, MD, FRCSC; Amy Fleishman, MS, RD, CDN; Jennifer E. Nalle, RN,

More information

CLINICAL RESEARCH. Kristjana Einarsdóttir & David B. Preen & Timothy D. Clay & Laura Kiely & C. D Arcy J. Holman & Leon D. Cohen

CLINICAL RESEARCH. Kristjana Einarsdóttir & David B. Preen & Timothy D. Clay & Laura Kiely & C. D Arcy J. Holman & Leon D. Cohen OBES SURG (2010) 20:732 737 DOI 10.1007/s11695-009-0024-3 CLINICAL RESEARCH Effect of a Single Megadose Intramuscular Vitamin D (600,000 IU) Injection on Vitamin D Concentrations and Bone Mineral Density

More information

Clinical Study Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity

Clinical Study Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity Hindawi Publishing Corporation Journal of Obesity Volume 2012, Article ID 193705, 7 pages doi:10.1155/2012/193705 Clinical Study Prevalence of Anemia and Related Deficiencies in the First Year following

More information

Nutrition in obesity. Topic 23. Module Nutritional support after bariatric surgery. Copyright 2009 by ESPEN LLL Programme.

Nutrition in obesity. Topic 23. Module Nutritional support after bariatric surgery. Copyright 2009 by ESPEN LLL Programme. Nutrition in obesity Topic 23 Module 23.5 Nutritional support after bariatric surgery Anders Thorell Learning Objectives To understand physiological and nutritional consequences of different bariatric

More information

Research Article Laparoscopic Gastric Sleeve and Micronutrients Supplementation: Our Experience

Research Article Laparoscopic Gastric Sleeve and Micronutrients Supplementation: Our Experience Obesity Volume 2012, Article ID 672162, 5 pages doi:10.1155/2012/672162 Research Article Laparoscopic Gastric Sleeve and Micronutrients Supplementation: Our Experience D. Capoccia, 1 F. Coccia, 1 F. Paradiso,

More information

Nutritional Markers following Duodenal Switch for Morbid Obesity

Nutritional Markers following Duodenal Switch for Morbid Obesity Obesity Surgery, 14, pp-pp Nutritional Markers following Duodenal Switch for Morbid Obesity Robert A. Rabkin MD, FACS; John M. Rabkin, MD, FACS; Barbara Metcalf, RN; Myra Lazo, MS, PA-C; Michael Rossi,

More information

Effect of Bariatric Surgery on Cardio-Metabolic Outcomes

Effect of Bariatric Surgery on Cardio-Metabolic Outcomes Effect of Bariatric Surgery on Cardio-Metabolic Outcomes Disclosure Research support from Bariatric Advantage (supplements donated for research study) Anne Schafer, MD Associate Professor of Medicine and

More information

Benefits of Bariatric Surgery

Benefits of Bariatric Surgery Benefits of Bariatric Surgery Dr Tan Bo Chuan Registrar, Department of Surgery GP Forum 27 May 2017 Improvements of Co-morbidities Type 2 diabetes mellitus Hypertension Hyperlipidemia Degenerative joint

More information

Bariatric Surgery: The Primary Care Approach

Bariatric Surgery: The Primary Care Approach The 8 th Annual Conference of the Lebanese Society of Family Medicine October 25 th 2009 Bariatric Surgery: The Primary Care Approach Bassem Y. Safadi, MD, FACS Associate Professor of Clinical Surgery

More information

NUTRITIONAL DEFICIENCY AFTER SLEEVE GASTRECTOMY: A COMPREHENSIVE LITERATURE REVIEW

NUTRITIONAL DEFICIENCY AFTER SLEEVE GASTRECTOMY: A COMPREHENSIVE LITERATURE REVIEW NUTRITIONAL DEFICIENCY AFTER SLEEVE GASTRECTOMY: A COMPREHENSIVE LITERATURE REVIEW *Sameh Hany Emile, Hossam Elfeki General Surgery Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt

More information

Bariatric Surgery and Bone Health

Bariatric Surgery and Bone Health Bariatric Surgery and Bone Health No conflicts of interest Anne Schafer, MD Assistant Professor of Medicine Division of Endocrinology & Metabolism July 26, 202 BMI and Fracture Risk Low BMI is associated

More information

NIH Public Access Author Manuscript Obes Surg. Author manuscript; available in PMC 2014 October 01.

NIH Public Access Author Manuscript Obes Surg. Author manuscript; available in PMC 2014 October 01. NIH Public Access Author Manuscript Published in final edited form as: Obes Surg. 2013 October ; 23(10): 1581 1589. doi:10.1007/s11695-013-0919-x. Screening and diagnosis of micronutrient deficiencies

More information

Choice Critria in Bariatric Surgery. Giovanni Camerini

Choice Critria in Bariatric Surgery. Giovanni Camerini Choice Critria in Bariatric Surgery Giovanni Camerini Surgical vs Medical treatment Indications for Bariatric Surgery (WHO 1992) BMI of at least 40; BMI of 35 in case of serious diseases related to obesity;

More information

A Bariatric Patient in my Waiting Room: Choosing the Right Patient for the Right Operation: Bariatric Surgery Indications

A Bariatric Patient in my Waiting Room: Choosing the Right Patient for the Right Operation: Bariatric Surgery Indications A Bariatric Patient in my Waiting Room: Choosing the Right Patient for the Right Operation: Bariatric Surgery Indications Shahzeer Karmali MD FRCSC FACS Associate Professor Surgery University of Alberta

More information

Goals 1/9/2018. Obesity over the last decade Surgery has become a safer management strategy Surgical options for management

Goals 1/9/2018. Obesity over the last decade Surgery has become a safer management strategy Surgical options for management The Current State of Surgical Intervention in Management of Morbid Obesity Goals Obesity over the last decade Surgery has become a safer management strategy Surgical options for management 1 Goals Obesity

More information

Complications from micronutrient deficiency following bariatric surgery

Complications from micronutrient deficiency following bariatric surgery Case Report Annals of Clinical Biochemistry 2014, Vol. 51(6) 705 709! The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalspermissions.nav DOI: 10.1177/0004563214535562 acb.sagepub.com Complications

More information

The final publication is available at Springer via

The final publication is available at Springer via The final publication is available at Springer via http://dx.doi.org/10.1007/s11695-016-2474-8 Abstract: Up to 50 % of patients have Zinc deficiency before bariatric surgery. Roux-en-Y Gastric Bypass (RYGB)

More information

Bariatric Surgery. Options & Outcomes

Bariatric Surgery. Options & Outcomes Bariatric Surgery Options & Outcomes Obesity Obesity now leading cause of premature death & illness in Australia 67% of Australians are overweight or obese Australia 4 th fattest nation in OECD Obesity

More information

Perioperative complications in a consecutive series of 1000 duodenal switches

Perioperative complications in a consecutive series of 1000 duodenal switches Surgery for Obesity and Related Diseases 9 (2013) 63 68 Original article Perioperative complications in a consecutive series of 1000 duodenal switches Laurent Biertho, M.D. a, *, Stéfane Lebel, M.D. a,

More information

Endorsed by Executive Council June 17, American Society for Metabolic and Bariatric Surgery

Endorsed by Executive Council June 17, American Society for Metabolic and Bariatric Surgery Endorsed by Executive Council June 17, 2007 American Society for Metabolic and Bariatric Surgery POSITION STATEMENT ON SLEEVE GASTRECTOMY AS A BARIATRIC PROCEDURE Clinical Issues Committee Preamble. The

More information

DEKAs after Bariatric Surgery*

DEKAs after Bariatric Surgery* DEKAs after Bariatric Surgery* Once Daily All-in-one Multivitamin and Mineral Chewable Tablets with Enhanced Absorption for Dietary Management after Bariatric Surgery Roberto Jongejan, MD, PhD Gus Papas,

More information

Journal of American Science 2016;12(2)

Journal of American Science 2016;12(2) Journal of American Science 2016;12(2) http://www.jofamericanscience.org Evaluation of the Results after Biliopancreatic Diversion (BPD), and Sleeve Gastrectomy Operations as a Treatment for Morbid Obesity

More information

ESPEN Congress The Hague 2017

ESPEN Congress The Hague 2017 ESPEN Congress The Hague 2017 Hospital discharge: and now? Late nutritional complications of bariatric surgery E. Montastier (FR) Welcome to the 39th ESPEN Congress The Hague - The Netherlands Nutrition

More information

Long-Term Metabolic Outcomes 5 to 20 Years After Biliopancreatic Diversion

Long-Term Metabolic Outcomes 5 to 20 Years After Biliopancreatic Diversion DOI 10.1007/s11695-015-1599-5 ORIGINAL CONTRIBUTIONS Long-Term Metabolic Outcomes 5 to 20 Years After Biliopancreatic Diversion Picard Marceau & Simon Biron & Simon Marceau & Frederic-Simon Hould & Stefane

More information

Policy Specific Section: April 14, 1970 June 28, 2013

Policy Specific Section: April 14, 1970 June 28, 2013 Medical Policy Bariatric Surgery Type: Medical Necessity and Investigational / Experimental Policy Specific Section: Surgery Original Policy Date: Effective Date: April 14, 1970 June 28, 2013 Definitions

More information

Medical Policy Bariatric Surgery. Document Number: 042 Commercial and Qualified Health Plans MassHealth Authorization required X X

Medical Policy Bariatric Surgery. Document Number: 042 Commercial and Qualified Health Plans MassHealth Authorization required X X Medical Policy Bariatric Surgery Document Number: 042 Commercial and Qualified Health Plans MassHealth Authorization required X X No Prior Authorization Overview The purpose of this document is to describe

More information

Laparoscopic Adjustable Gastric Band The Safest, Effective Procedure for Treating Obesity and Obesity Related Disease

Laparoscopic Adjustable Gastric Band The Safest, Effective Procedure for Treating Obesity and Obesity Related Disease Laparoscopic Adjustable Gastric Band The Safest, Effective Procedure for Treating Obesity and Obesity Related Disease Erik Peltz, D.O. April 7 th, 2008 University of Colorado Health Science Center Department

More information

Lecture Goals. Body Mass Index. Obesity Definitions. Bariatric Surgery What the PCP Needs to Know 11/17/2009. Indications for bariatric Surgeries

Lecture Goals. Body Mass Index. Obesity Definitions. Bariatric Surgery What the PCP Needs to Know 11/17/2009. Indications for bariatric Surgeries Bariatric Surgery What the PCP Needs to Know Mouna Abouamara Assistant Professor Internal Medicine James H Quillen College Of Medicine Lecture Goals Indications for bariatric Surgeries Different types

More information

Nutritional Considerations with Obesity and Bariatric Surgery. Presented by Dr. Ron Grabowski

Nutritional Considerations with Obesity and Bariatric Surgery. Presented by Dr. Ron Grabowski Nutritional Considerations with Obesity and Bariatric Surgery Presented by Dr. Ron Grabowski January 25, 2010 Nutritional Considerations with Obesity and Bariatric Surgery Presented by Dr. Ron Grabowski

More information

Changes in iron transporter divalent metal transporter 1 in proximal jejunum after gastric bypass

Changes in iron transporter divalent metal transporter 1 in proximal jejunum after gastric bypass Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 10.3748/wjg.v20.i21.6534 World J Gastroenterol 2014 June 7; 20(21): 6534-6540 ISSN 1007-9327 (print)

More information

Sleeve Gastrectomy: Harmful. John C. Eun, PGY-5 General Surgery Grand Rounds University of Colorado Denver 11/22/10

Sleeve Gastrectomy: Harmful. John C. Eun, PGY-5 General Surgery Grand Rounds University of Colorado Denver 11/22/10 Sleeve Gastrectomy: Harmful John C. Eun, PGY-5 General Surgery Grand Rounds University of Colorado Denver 11/22/10 Background Obesity: Body Mass Index >30 Risk factor for CAD, DM, Cancers Obesity Trends*

More information

Refeeding Syndrome: An Important Complication Following Obesity Surgery

Refeeding Syndrome: An Important Complication Following Obesity Surgery Received: July 27, 2015 Accepted: October 28, 2015 Published online: January 9, 2016 2016 The Author(s) Published by S. Karger GmbH, Freiburg 1662 4033/15/0091 0012$39.50/0 This article is licensed under

More information

Metabolic Sequelaeof Bariatric Surgery. Roula BOU KHALIL Ass. Prof of Endocrinology SGHUMC Balamand University

Metabolic Sequelaeof Bariatric Surgery. Roula BOU KHALIL Ass. Prof of Endocrinology SGHUMC Balamand University Metabolic Sequelaeof Bariatric Surgery Roula BOU KHALIL Ass. Prof of Endocrinology SGHUMC Balamand University OUTLINE Introduction Indications and metabolic benefits of bariatric surgery Obesity Paradox

More information

Joel Faintuch, Francisco Karkow, Fernanda Pezzi (Sao Paulo University Medical School and Fatima Faculty, Caxias do Sul)

Joel Faintuch, Francisco Karkow, Fernanda Pezzi (Sao Paulo University Medical School and Fatima Faculty, Caxias do Sul) Special lecture from Brazil Surgery for contributions obese and nonobese diabetics: Worldwide perspectives and Brazilian Joel Faintuch, Francisco Karkow, Fernanda Pezzi (Sao Paulo University Medical School

More information

Biliopancreatic Diversion with Duodenal Switch

Biliopancreatic Diversion with Duodenal Switch Biliopancreatic Diversion with Duodenal Switch Ranjan Sudan, MD a, *, Danny O. Jacobs, MD, MPH b KEYWORDS Bariatric Biliopancreatic diversion Duodenal switch Obesity HISTORY The biliopancreatic diversion

More information

Nutritional deficiencies & vitamins after surgery. What needs to be monitored? Ratna Pallapothu, MD, FACS, FASMBS

Nutritional deficiencies & vitamins after surgery. What needs to be monitored? Ratna Pallapothu, MD, FACS, FASMBS Nutritional deficiencies & vitamins after surgery. What needs to be monitored? Ratna Pallapothu, MD, FACS, FASMBS Disclosures No financial disclosures Medical Director Bariatric program at Lourdes Types

More information

Obesity Who is suitable for surgery? Professor Rob Andrews University of Exeter / Taunton NHS trust

Obesity Who is suitable for surgery? Professor Rob Andrews University of Exeter / Taunton NHS trust Obesity Who is suitable for surgery? Professor Rob Andrews University of Exeter / Taunton NHS trust Investigator on BYBAND study Conflict of interest 3 Diet and Exercise studies (ACTID, EXTOD, STAMP2)

More information

Outcome of laparoscopic duodenal switch for morbid obesity

Outcome of laparoscopic duodenal switch for morbid obesity Original article Outcome of laparoscopic duodenal switch for morbid obesity C. J. Magee, J. Barry, J. Brocklehurst, S. Javed, R. Macadam and D. D. Kerrigan Gravitas, PO Box 3627, Bourne End SL8 5GQ, UK

More information

Nutrition for the Gastroenterologist

Nutrition for the Gastroenterologist Nutrition for the Gastroenterologist Octavia Pickett-Blakely, MD, MHS September 25, 2016 None Disclosures 1 Nutrition: Who Cares? Nutrition: Why we should care Divisions of Gastroenterology, Hepatology

More information

Bariatric surgery: has anything changed in the last few years?

Bariatric surgery: has anything changed in the last few years? Bariatric surgery: has anything changed in the last few years? Mauro Toppino University of Turin Digestive and Colorectal Surgery Minimal Invasive Surgery Center (Head:Prof. Mario Morino) XIV Annual Conference

More information

Bariatric Surgery. The Oregon Bariatric Center Surgical Team

Bariatric Surgery. The Oregon Bariatric Center Surgical Team Bariatric Surgery The Oregon Bariatric Center Surgical Team Colin MacColl, MD, Medical Director, Bariatric Surgeon Jessica Folek, MD, Bariatric Surgeon I have no disclosures Disclosures Objectives What

More information

Viriato Fiallo, MD Ursula McMillian, MD

Viriato Fiallo, MD Ursula McMillian, MD Viriato Fiallo, MD Ursula McMillian, MD Objectives Define obesity and effects on society and healthcare Define bariatric surgery Discuss recent medical management versus surgery research Evaluate different

More information

ORIGINAL CONTRIBUTIONS. Bent Johnny Nergaard & Björn Geir Leifsson & Jan Hedenbro & Hjörtur Gislason

ORIGINAL CONTRIBUTIONS. Bent Johnny Nergaard & Björn Geir Leifsson & Jan Hedenbro & Hjörtur Gislason DOI 10.1007/s11695-014-1245-7 ORIGINAL CONTRIBUTIONS Gastric Bypass with Long Alimentary Limb or Long Pancreato-Biliary Limb Long-Term Results on Weight Loss, Resolution of Co-morbidities and Metabolic

More information

Disclosure Medtronic - Speaker/ Research Grant/ Robotics Advisory Board Gore - Education Grant/ Speaker Teleflex - Consultant Da Vinci - Proctor

Disclosure Medtronic - Speaker/ Research Grant/ Robotics Advisory Board Gore - Education Grant/ Speaker Teleflex - Consultant Da Vinci - Proctor Sleeve Plus Options Disclosure Medtronic - Speaker/ Research Grant/ Robotics Advisory Board Gore - Education Grant/ Speaker Teleflex - Consultant Da Vinci - Proctor Mederi - Speaker Novadaq - Advisory

More information

Surgical Treatment of Obesity. 1. Understand who is an appropriate candidate for referral for surgical weight loss.

Surgical Treatment of Obesity. 1. Understand who is an appropriate candidate for referral for surgical weight loss. Surgical Treatment of Obesity Learning Objectives: 1. Understand who is an appropriate candidate for referral for surgical weight loss. 2. Appreciate impact of operative weight reduction to improve co-morbid

More information

Nutritional care of bariatric/metabolic surgery for the treatment of type 2 diabetes mellitus

Nutritional care of bariatric/metabolic surgery for the treatment of type 2 diabetes mellitus Review Article Page 1 of 10 Nutritional care of bariatric/metabolic surgery for the treatment of type 2 diabetes mellitus Ju-Jun Chou 1, Jung-Chieh Chen 1,2, Wei-Jei Lee 2 1 Central Clinic and Hospital,

More information

Is mini bypass as mini as we think it is? Nutritional consequences

Is mini bypass as mini as we think it is? Nutritional consequences Is mini bypass as mini as we think it is? Nutritional consequences Mini/ single loop bypass What is a mini bypass? Single loop One anastomosis Mini Prevalence Increasing Who is the single loop bypass for?

More information

Table Classification of body mass index (BMI) and risk of comorbidities in adults (WHO, 1998; WHO Expert Consultation,

Table Classification of body mass index (BMI) and risk of comorbidities in adults (WHO, 1998; WHO Expert Consultation, Table 7.13.1 Classification of body mass index (BMI) and risk of comorbidities in adults (WHO, 1998; WHO Expert Consultation, 2004) Classification BMI (kg/m 2 ) BMI (kg/ m 2 ) Asian origin Risk of comorbidities

More information

BARIATRIC SURGERY. Weight Loss Surgery. A variety of surgical procedures to reduce weight performed on people who have obesity. Therapy Male & Female

BARIATRIC SURGERY. Weight Loss Surgery. A variety of surgical procedures to reduce weight performed on people who have obesity. Therapy Male & Female BARIATRIC SURGERY Weight Loss Surgery A variety of surgical procedures to reduce weight performed on people who have obesity. Therapy Male & Female About Bariatric surgery Bariatric surgery offers a treatment

More information

ANZMOSS 2018 Melbourne Bariatric Surgery Masterclass

ANZMOSS 2018 Melbourne Bariatric Surgery Masterclass ANZMOSS 2018 Melbourne Bariatric Surgery Masterclass WHICH OPERATION TO CHOOSE ANTHONY CLOUGH The options SURGICAL OPTIONS? - A MINEFIELD An explosion of operative variants Local technical variations Local

More information

Protocol. Bariatric Surgery

Protocol. Bariatric Surgery Protocol Bariatric Surgery (70147) Medical Benefit Effective Date: 01/01/13 Next Review Date: 07/13 Preauthorization* Yes Review Dates: 04/07, 05/08, 05/09, 03/10, 03/11, 07/11, 07/12, 9/12 The following

More information

SURGICAL TREATMENT FOR OBESITY: WHAT S THE BEST OPTION? Natan Zundel, MD, FACS, FASMBS

SURGICAL TREATMENT FOR OBESITY: WHAT S THE BEST OPTION? Natan Zundel, MD, FACS, FASMBS SURGICAL TREATMENT FOR OBESITY: WHAT S THE BEST OPTION? Natan Zundel, MD, FACS, FASMBS Professor of Surgery Vice-Chairman Department of Surgery Florida International University Herbert Wertheim College

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Abdominal pain, enteral therapy in acute pancreatitis and, 812 Abscess(es), pancreatic, nutritional support for, 814 815 Acute Physiology and

More information

Adipex and gastric sleeve

Adipex and gastric sleeve Adipex and gastric sleeve The Borg System is 100 % Adipex and gastric sleeve Feb 7, 2016. So I had the Gastric sleeve done 2012 so recently I've gained 30lbs. I decided to go to the doctor who did my surgery

More information

Long-Term Care Updates

Long-Term Care Updates Long-Term Care Updates August 2017 By Alyson Lozicki, PharmD As the prevalence of obesity continues to rise, and with now over one-third (36.5%) of American adults considered obese, the number of weight

More information

ORIGINAL ARTICLE. Results of Roux-en-Y Gastric Bypass in Morbidly Obese vs Superobese Patients

ORIGINAL ARTICLE. Results of Roux-en-Y Gastric Bypass in Morbidly Obese vs Superobese Patients ORIGINAL ARTICLE Results of Roux-en-Y Gastric Bypass in Morbidly Obese vs Superobese Patients Similar Body Weight Loss, Correction of Comorbidities, and Improvement of Quality of Life Michel Suter, MD,

More information

Presented By: Samik Patel MD. Martinovski M 1, Patel S 1, Navratil A 2, Zeni T 3, Jonker M 3, Ferraro J 1, Albright J 1, Cleary RK 1

Presented By: Samik Patel MD. Martinovski M 1, Patel S 1, Navratil A 2, Zeni T 3, Jonker M 3, Ferraro J 1, Albright J 1, Cleary RK 1 Effects of Resident or Fellow Participation in Sleeve Gastrectomy and Gastric Bypass: Results from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Martinovski

More information

BARIATRIC AND METABOLIC SURGERY

BARIATRIC AND METABOLIC SURGERY WEDNESDAY, OCTOBER 15, 2014 REVISIONAL BARIATRIC SURGERY AND ENDOSCOPY SYMPOSIUM Hospital Clínico San Carlos, Auditorium. Madrid Live Procedures Endoscopic re-sizing of gastro-jejunal anastomosis for dumping

More information

NIH Public Access Author Manuscript Pediatr Clin North Am. Author manuscript; available in PMC 2010 October 1.

NIH Public Access Author Manuscript Pediatr Clin North Am. Author manuscript; available in PMC 2010 October 1. NIH Public Access Author Manuscript Published in final edited form as: Pediatr Clin North Am. 2009 October ; 56(5): 1105 1121. doi:10.1016/j.pcl.2009.07.002. Nutritional Deficiencies in Obesity and After

More information

Medical Task Force Peri Operative Recommendations

Medical Task Force Peri Operative Recommendations Medical Task Force Peri Operative Recommendations Joseph Shaban, MD, FRCPC, FACE Endocrinology and Metabolism Adjunct Professor of Medicine, University of Western Ontario Medical Director, Windsor Regional

More information

Bradley J. Needleman, MD, FACS Associate Professor of Clinical Surgery

Bradley J. Needleman, MD, FACS Associate Professor of Clinical Surgery Bariatric Surgery: Current Status Bradley J. Needleman, MD, FACS Associate Professor of Clinical Surgery Director, Bariatric Surgery Program Center for Minimally Invasive Surgery The Ohio State University

More information

Indian Journal of Medical Research and Pharmaceutical Sciences July 2017;4(7) ISSN: ISSN: DOI: /zenodo Impact Factor: 3.

Indian Journal of Medical Research and Pharmaceutical Sciences July 2017;4(7) ISSN: ISSN: DOI: /zenodo Impact Factor: 3. GALLBLADDER DISEASES ASSOCIATED WITH LAPAROSCOPIC SLEEVE GASTRECTOMY IN JORDAN, PILOT STUDY Dr. Osama T. Abu Salem*, Dr. Ibrahim Al Gwairy, Dr. Ramadan Al Hasanat & Dr. Talal Jalabneh** *Consultant Gneral

More information

Indications for Bariatric Surgery and Selecting the Appropriate Procedure

Indications for Bariatric Surgery and Selecting the Appropriate Procedure Chapter 1 Indications for Bariatric Surgery and Selecting the Appropriate Procedure John B. Dixon Indications for Bariatric Surgery When is surgery an option for a patient? When should it be recommended

More information

SURGICAL TREATMENT FOR OBESITY: WHATS THE BEST OPTION? Natan Zundel, MD, FACS

SURGICAL TREATMENT FOR OBESITY: WHATS THE BEST OPTION? Natan Zundel, MD, FACS SURGICAL TREATMENT FOR OBESITY: WHATS THE BEST OPTION? Natan Zundel, MD, FACS Professor of Surgery Vice-Chairman Department of Surgery Florida International University Herbert Wertheim College of Medicine

More information

2. Overview of Bariatric Operations

2. Overview of Bariatric Operations 2. Overview of Bariatric Operations Daniel E. Swartz and Edward L. Felix A. Overview of Bariatric Surgery Overweight, obesity, and morbid obesity, defined as body mass indices greater than or equal to

More information

Weight Loss Surgery. Outline 3/30/12. What Every GI Nurse Needs to Know. Define Morbid Obesity & its Medical Consequences. Treatments for Obesity

Weight Loss Surgery. Outline 3/30/12. What Every GI Nurse Needs to Know. Define Morbid Obesity & its Medical Consequences. Treatments for Obesity 3/30/12 Weight Loss Surgery What Every GI Nurse Needs to Know Kenneth A Cooper, D.O. March 31, 2012 Outline Define Morbid Obesity & its Medical Consequences Treatments for Obesity Bariatric (Weight-loss)

More information

Haider A. AL Zobaidy, Sabah Mehdi ALFatlawi,Omar Sameer Abd Ulateef

Haider A. AL Zobaidy, Sabah Mehdi ALFatlawi,Omar Sameer Abd Ulateef BILIOPANCREATIC THE IRAQI POSTGRADUATE DIVERSION MEDICAL JOURNAL VOL. 14,NO.1, 2015 Biliopancreatic diversion,duodenal switch,and vertical sleeve gastrectomy operation of patients with Body mass index

More information

Nutrients and Drugs Considerations after Bariatric Surgeries

Nutrients and Drugs Considerations after Bariatric Surgeries Nutrients and Drugs Considerations after Bariatric Surgeries Marwan Akel, Pharm D Clinical AssistantProfessor School of Pharmacy Lebanese International University Overweight and Obesity Prevalence 2013

More information

Bariatric Surgery Corporate Medical Policy

Bariatric Surgery Corporate Medical Policy Bariatric Surgery Corporate Medical Policy File name: Bariatric Surgery File code: UM.SURG.01 Origination: 07/2008 Last Review: 06/2018 Next Review: 06/2019 Effective Date: 10/01/2018 Description/Summary

More information

Townhall: Assisting Patients Post Bariatric Surgery Katie McClendon, PharmD, BCPS, FCCP University of Mississippi School of Pharmacy

Townhall: Assisting Patients Post Bariatric Surgery Katie McClendon, PharmD, BCPS, FCCP University of Mississippi School of Pharmacy Townhall: Assisting Patients Post Bariatric Surgery Katie McClendon, PharmD, BCPS, FCCP University of Mississippi School of Pharmacy Annual Meeting & Exposition Seattle, Washington March 22 25 Disclosures

More information

GlaxoSmithKline - Merit Award Winner

GlaxoSmithKline - Merit Award Winner GlaxoSmithKline - Merit Award Winner The Role of Bariatric Surgery in the Resolution of Type 2 Diabetes Mellitus Yasmin Khan, 1st Year Medicine Clinical Points In obesity, type 2 diabetes mellitus is largely

More information

Gastrointestinal Surgery for Severe Obesity 2.0 Contact Hours Presented by: CEU Professor

Gastrointestinal Surgery for Severe Obesity 2.0 Contact Hours Presented by: CEU Professor Gastrointestinal Surgery for Severe Obesity 2.0 Contact Hours Presented by: CEU Professor 7 www.ceuprofessoronline.com Copyright 8 2007 The Magellan Group, LLC All Rights Reserved. Reproduction and distribution

More information

Commonly Performed Bariatric Procedures in Singapore. Lin Jinlin Associate Consultant General, Upper GI and Bariatric Surgery Changi General Hospital

Commonly Performed Bariatric Procedures in Singapore. Lin Jinlin Associate Consultant General, Upper GI and Bariatric Surgery Changi General Hospital Commonly Performed Bariatric Procedures in Singapore Lin Jinlin Associate Consultant General, Upper GI and Bariatric Surgery Changi General Hospital Scope 1. Introduction 2. Principles of bariatric surgery

More information

Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch 1 3

Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch 1 3 Original Research Communications Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch 1 3 Erlend T Aasheim, Sofia Björkman, Torgeir T Søvik, My Engström, Susanna

More information

Nutritional Consequences of Weight-Loss Surgery

Nutritional Consequences of Weight-Loss Surgery Med Clin N Am 91 (2007) 499 514 Nutritional Consequences of Weight-Loss Surgery Olga N. Tucker, MD, FRCSI, Samuel Szomstein, MD, FACS, Raul J. Rosenthal, MD, FACS* The Bariatric Institute, Cleveland Clinic

More information

Bariatric surgery: Impact on Co-morbidities and Weight Loss Expectations ALIYAH KANJI, MD FRCSC MIS AND BARIATRIC SURGERY SEPTEMBER 22, 2018

Bariatric surgery: Impact on Co-morbidities and Weight Loss Expectations ALIYAH KANJI, MD FRCSC MIS AND BARIATRIC SURGERY SEPTEMBER 22, 2018 Bariatric surgery: Impact on Co-morbidities and Weight Loss Expectations ALIYAH KANJI, MD FRCSC MIS AND BARIATRIC SURGERY SEPTEMBER 22, 2018 Disclosures None Objectives Review expected weight loss from

More information

Bariatric Surgery: Indications and Ethical Concerns

Bariatric Surgery: Indications and Ethical Concerns Bariatric Surgery: Indications and Ethical Concerns Ramzi Alami, M.D. F.A.C.S Assistant Professor of Surgery American University of Beirut Medical Center Beirut, Lebanon Nothing to Disclose Determined

More information

Medium- to Long-Term Outcomes of Gastric Banding in Adolescents: a Single-Center Study of 97 Consecutive Patients

Medium- to Long-Term Outcomes of Gastric Banding in Adolescents: a Single-Center Study of 97 Consecutive Patients OBES SURG (2018) 28:285 289 https://doi.org/10.1007/s11695-017-2998-6 BRIEF COMMUNICATION Medium- to Long-Term Outcomes of Gastric Banding in Adolescents: a Single-Center Study of 97 Consecutive Patients

More information

Practical recommendations for the post-bariatric surgery medical management

Practical recommendations for the post-bariatric surgery medical management Practical recommendations for the post-bariatric surgery medical management Dr L. Favre CHUV Sce Endocrinologie, diabétologie et métabolisme 26.04.2018 Bariatric surgery in Switzerland Multidisciplinary

More information

METABOLIC COMPLICATIONS OF BARIATRIC SURGERY. Aleksandr Shteynberg Downstate Medical Center July 7, 2006

METABOLIC COMPLICATIONS OF BARIATRIC SURGERY. Aleksandr Shteynberg Downstate Medical Center July 7, 2006 METABOLIC COMPLICATIONS OF BARIATRIC SURGERY Aleksandr Shteynberg Downstate Medical Center July 7, 2006 Case presentation 55 year old female was transferred to Downstate Medical Center on March 31, 2006

More information

10/24/2016. Bariatric Nutrition: An Overview. Who is the bariatric surgery candidate? Objectives. Bariatric Surgery. Pre-Surgery

10/24/2016. Bariatric Nutrition: An Overview. Who is the bariatric surgery candidate? Objectives. Bariatric Surgery. Pre-Surgery Bariatric Nutrition: An Overview A brief on who, what and what to do Objectives Recognize the bariatric surgery options. Describe how the specific surgery options can impact nutritional status. Understand

More information

Rajesh Jain MD Endorama

Rajesh Jain MD Endorama 50 F with history of duodenal switch presenting for low BMD Rajesh Jain MD Endorama HPI 50 F presenting with low BMD referred by PCP She has a history of malnutrition following duodenal switch procedure

More information

Robotic Bariatric Surgery. Richdeep S. Gill, MD Research Fellow Center for the Advancement of Minimally Invasive Surgery (CAMIS)

Robotic Bariatric Surgery. Richdeep S. Gill, MD Research Fellow Center for the Advancement of Minimally Invasive Surgery (CAMIS) Robotic Bariatric Surgery Richdeep S. Gill, MD Research Fellow Center for the Advancement of Minimally Invasive Surgery (CAMIS) Background Over 500 million obese individuals worldwide Bariatric surgery

More information

Supplementary Online Content

Supplementary Online Content Supplementary Online Content Klebanoff MJ, Chhatwal J, Nudel JD, Corey KE, Kaplan LM, Hur C. Cost-effectiveness of bariatric surgery in adolescents with obesity. JAMA Surg. Published online October 26,

More information

Biliopancreatic Diversion: Mechanisms of Action and Long-Term Results

Biliopancreatic Diversion: Mechanisms of Action and Long-Term Results OS16(6)articles 5/17/06 3:05 PM Page 683 Obesity Surgery, 16, 683-689 Current Status Biliopancreatic Diversion: Mechanisms of Action and Long-Term Results Nicola Scopinaro, MD Professor of Surgery, University

More information

Bariatric Surgery Update

Bariatric Surgery Update Friday General Session Bariatric Surgery Update Alex Perez, MD Chief, Division of Minimally Invasive and Foregut Surgery James E. Thompson, MD Family Distinguished Professor in Surgical Simulation Co Director,

More information

Disclosures OBESITY. Overview. Obesity: Definition. Prevalence of Obesity is Rising. Obesity as a Risk Factor. None

Disclosures OBESITY. Overview. Obesity: Definition. Prevalence of Obesity is Rising. Obesity as a Risk Factor. None Disclosures None OBESITY Florencia Halperin, M.D. Medical Director, Program for Management Brigham and Women s Hospital Instructor in Medicine, Harvard Medical School Overview Obesity: Definition Definition

More information

Bariatric Surgery MM /11/2001. HMO; PPO; QUEST 05/01/2012 Section: Surgery Place(s) of Service: Outpatient; Inpatient

Bariatric Surgery MM /11/2001. HMO; PPO; QUEST 05/01/2012 Section: Surgery Place(s) of Service: Outpatient; Inpatient Bariatric Surgery Policy Number: Original Effective Date: MM.06.003 09/11/2001 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST 05/01/2012 Section: Surgery Place(s) of Service: Outpatient;

More information

Long term laparoscopic Sleeve gastrectomy outcomes

Long term laparoscopic Sleeve gastrectomy outcomes Long term laparoscopic Sleeve gastrectomy outcomes Gerhard Prager Department of General Surgery Metabolic and Bariatric Surgery Long-term results of gastric sleeve resection / Gerhard Prager Metabolic

More information

Bariatric Surgery Update

Bariatric Surgery Update Bariatric Surgery Update Alexander Perez, MD, FACS Professor of Surgery Chief, Division Minimally Invasive and Foregut Surgery Speaker Disclosure Dr. Perez has disclosed that the has no actual or potential

More information

Review of Medical Nutrition Therapy In Surgical Treatment of Obesity. Bariatric Care Team Panel

Review of Medical Nutrition Therapy In Surgical Treatment of Obesity. Bariatric Care Team Panel Review of Medical Nutrition Therapy In Surgical Treatment of Obesity Bariatric Care Team Panel Objectives 1. Identify surgical weight loss options 2. Identify key nutrition practice guidelines outlined

More information

Introduction ORIGINAL CONTRIBUTIONS. Martin L. Skogar 1 & Magnus Sundbom 1

Introduction ORIGINAL CONTRIBUTIONS. Martin L. Skogar 1 & Magnus Sundbom 1 OBES SURG (2017) 27:2308 2316 DOI 10.1007/s11695-017-2680-z ORIGINAL CONTRIBUTIONS Duodenal Switch Is Superior to Gastric Bypass in Patients with Super Obesity when Evaluated with the Bariatric Analysis

More information

Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass revisionary surgery strategy

Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass revisionary surgery strategy Original paper Videosurgery Reconstruction of leaking gastric pouch after redo Rouxen-Y gastric bypass revisionary surgery strategy Wojciech K. Karcz 1, Cheng Zhou 2, William Braun 3, Piotr Małczak 4,

More information

Medical Coverage Policy Bariatric Surgery EFFECTIVE DATE: POLICY LAST UPDATED:

Medical Coverage Policy Bariatric Surgery EFFECTIVE DATE: POLICY LAST UPDATED: Medical Coverage Policy Bariatric Surgery EFFECTIVE DATE: 11 04 2014 POLICY LAST UPDATED: 07 17 2018 OVERVIEW Surgery for obesity, termed bariatric surgery, is a treatment for morbid obesity in patients

More information

4/29/2013. Discuss the risks and benefits of various bariatric surgery procedures

4/29/2013. Discuss the risks and benefits of various bariatric surgery procedures Discuss the risks and benefits of various bariatric surgery procedures Michelle Musser, PharmD Assistant Professor of Pharmacy Practice Ohio Northern University Describe the implications of bariatric surgery

More information

MedicalManagementofPatientswithModifiedIntestinalBypassANewPromisingProcedureforMorbidObesity

MedicalManagementofPatientswithModifiedIntestinalBypassANewPromisingProcedureforMorbidObesity Global Journal of Medical research: i Surgeries and Cardiovascular System Volume 14 Issue 1 Version 1.0 Year 2014 Type: Double Blind Peer Reviewed International Research Journal Publisher: Global Journals

More information

Relationship between nutrient intake and body composition one year after bariatric surgery

Relationship between nutrient intake and body composition one year after bariatric surgery International Research Journal of Applied and Basic Sciences 2013 Available online at www.irjabs.com ISSN 2251-838X / Vol, 7 (14): 1177-1183 Science Explorer Publications Relationship between nutrient

More information

Other Ways to Achieve Metabolic Control

Other Ways to Achieve Metabolic Control Other Ways to Achieve Metabolic Control Nestor de la Cruz- Muñoz, MD, FACS Associate Professor of Clinical Surgery Chief, Division of Laparoendoscopic and Bariatric Surgery DeWitt Daughtry Family Department

More information