18
Oct

Long-term Weight loss after bariatric surgery sustained long-term

At four years, patients undergoing RYGB lost 28 percent of their baseline weight, patients undergoing AGB lost 11 percent, and patients undergoing SG lost 18 percent The authors note that the results of this study provide further evidence of the beneficial association between surgery and long-term weight loss that has been demonstrated in shorter-term studies of younge
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18
Oct

Bariatric app launched ASMBS launches Essentials app for bariatric surgery

After two years of collaboration, the Essentials of Bariatric & Metabolic Surgery Taskforce of the ASMBS has launched the Essentials app. It includes everything any and every health provider needs to know when caring for patients from the beginning stages of considering weight loss surgery to the recovery process. It also serves as a review for the bariatric surgeon and certified bariatric nurse. The app is an educational programme for all professions car
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18
Oct

Obesity and renal disease Obesity impacts kidney transplant patients

Obesity appears to lead to additional complications post kidney transplant surgery in obese patients Doctors need future studies to examine the upper BMI limit at which kidney transplantation should not be recommended for obese patients Obese kidney transplant patients do not as well as normal weight patients following surgery, according to a research review article published in the American Journal of Nephrology.  
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18
Oct

Psychological health Preoperative psychological evaluation is critical

Healthcare teams need to recognise the higher prevalence of psychological distress in obese patients seeking surgery, according to a literature review published in the Journal of Obesity. The authors from the University of Alberta, Canada, state that preoperative evaluation before surgery is critical in identifying and following, those at risk of persistent or worsening psychopathology after surgery. They explain that the negative reactions of these patients to adverse events may be accentuated as their psychologi
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18
Oct

Preoperative psychological evaluation is critical

Healthcare teams need to recognise the higher prevalence of psychological distress in obese patients seeking surgery, according to a literature review published in the Journal of Obesity. The authors from the University of Alberta, Canada, state that preoperative evaluation before surgery is critical in identifying and following, those at risk of persistent or worsening psychopathology after surgery. They explain that the negative reactions of these patients to adverse events may be accentuated as their psychologi
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18
Oct

Literature review Insufficient evidence for surgery if BMI 30-35

There is insufficient evidence to support bariatric surgical procedures in patients with a BMI30-35, according to a paper entitled 'Bariatric Surgery for Weight Loss and Glycemic Control in Nonmorbidly Obese Adults With Diabetes A Systematic Review', published in Journal of the American Medical Association. However, the authors do acknowledge that baria
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18
Oct

Obesity Week 2013 Delayed or denied patients have higher mortality rate

Body contouring Large weight loss presents contouring surgery risk Obesity Week 2013
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18
Oct

Excess skin Contouring can improve weight control after bypass

Body contouring surgery to remove excess skin improves long-term weight control in patients after gastric bypass surgery, claims a study in Plastic and Reconstructive Surgery, the journal of the American Society of Plastic Surgeons. Since maintaining weight loss to reduce long-term health problems is the key goal of bariatric surgery, the researchers believe that body contouring should be considered reconstructive rather than cosmetic surgery for patients
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18
Oct

US research Adolescents favouring gastric band over bypass

Teenage patients are increasingly choosing laparoscopic adjustable gastric band (LAGB) over laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures, according to a new study investigating the trends and outcomes of adolescents who undergo bariatric surgery in California. In the study, ‘
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18
Oct

Hypoglycaemia post-surgery Islet cell function contributes to hypoglycaemia post-surgery

Altered islet cell function and reduced insulin clearance contribute to excessi
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18
Oct

Cardiac factors Bypass surgery reduces risk of heart attack

Gastric bypass surgery can lead to significantly reduced cardiac risk factors even seven years after the operation, according to new research presented at the ASMBS’ 29th annual meeting in San Diego. The study, ‘Long Term Improvement in Biochemical Cardiac Risk Factors Following Gastric Bypass’, found that 11 risk factors for heart attack, including total cholesterol, triglycerides and C-reactive protein levels, remained greatly reduced in patients during long-term follow-up. “Patients significantly decreased their risk for having a heart attack within the first year of surgery
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18
Oct

Obesity Week 2013 RYGB vs LSG: little difference between procedures

despite differences in reoperation rates, remission from type 2 diabetes and EWL, both procedures are safe with acceptably low morbidity and mortality rates. Four studies comparing laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy have reported that despite differences in reoperation rates, remission from type 2 diabetes and EWL, both procedures are safe with acceptably low morbidity and mortality rates.
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18
Oct

Nutrition Bariatric surgery patients need nutritional education

Patients undergoing bariatric surgery must be continuously educated on proper nutrition so they can avoid the risk of developing significant vitamin B12 deficiencies, according a study from the University of Connecticut, Farmington. The research, which is published in SOARD also stated that patients should also learn about the role supplements can play in avoiding catastrophic consequences of nutritional deficiencies. According
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18
Oct

Mortality predictor Waist-to-height ratio is a better predictor of mortality than BMI

Waist-to-height ratio is a better predictor of mortality risk than BMI, according to research presented as this year's European Congress on Obesity in Liverpool, UK. The study found a clearer correlation between waist-to-height ratio and mortality rates than BMI and mortality rates, after the authors compared the effect of central obesity (waist-to-height ratio) and total obesity (BMI) on life expectancy expressed as years of life lost, using
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18
Oct

No evidence of obesity paradox in stroke patients

Obesity paradox No evidence of obesity paradox in stroke patients There is no evidence of an ‘obesity paradox’ in patients with stroke, according to researchers from the Danish Cancer Society Research Center, Copenhagen, Denmark. Although obesity often is associated with increased health related complications and death, some studies have suggested an obesity paradox that may cause some t
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18
Oct

Meta-study Obesity may protect against COPD

The overweight and obese may be more resilient against chronic obstructive pulmonary disease (COPD) than those of a normal weight, according to a new meta-analysis study. The paper, “Body Mass Index and Mortality in Chronic Obstructive Pulmonary Disease”, analysed the results of 22 studies of the disease, and found that higher BMIs were associated with lower mortality rates. While lead investigator Chao Cao, of the Huazhong Un
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18
Oct

MACE reduction Does surgery result in MACE reduction?

The incidence of heart attack, stroke or death (major adverse cardiovascular event, MACE) can be reduced by 50% according to a new study entitled, “Does bariatric surgery reduce the risk of major cardiovascular events? A retrospective cohort study of morbidly obese surgical patients.” “Bariatric surgery has long been considered an effective treatment for morbid obesity and type 2 diabetes, but mounting data suggests bariatric surgery can also preven
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18
Oct

Weight regain Preoperative ghrelin levels could indicate weight regain

Early weight regain after RYGB is not associated with a reversal of improvements in insulin sensitivity and higher preoperative ghrelin levels might identify patients that are more susceptible to weight regain after RYGB, those are the conclusion of a study 'Early weight regain after gastric bypass does not affect insulin sensitivity but is associated with elevated ghrelin', published in the journal Obesity. The investigators sought to det
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18
Oct

LSG mechanisms LSG involved in the GLP-1 secretion mechanism

Laparoscopic sleeve gastrectomy accelerates intestinal motility and reduces intestinal transit time, which may be involved in the mechanism underlying enhanced glucagon-like peptide-1 (GLP-1) secretion during oral glucose tolerance test (OGTT) after the procedure, according to paper by researchers from Shiga University of Medical Science, Otsu, Shiga, Japan. The study, ‘Enhanced Intestinal Motility during Oral Glucose Tolerance Test after Laparoscopic Sleeve
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11
Oct

POWeR+ online intervention: POWeR+ online intervention helps sustain weight loss

People given evidence-based information online that had been shown to help previously lost around 3kg, but using the Positive Online Weight Reduction (POWeR)+ online programme with very brief support from practice staff, participants lost over one kg more averaged over 12 months and were more likely to maintain clinically important weight loss by 12 months, according to research led by the University of Southampton, UK. POWeR+ is an online behavioural intervention that is supported by brief contacts from a practice nurse. It teaches participants self-regulation and cognitive behav
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11
Oct

Ontario bariatric outcomes Ontario bariatric outcomes comparable to major centres

The overall complication rate was 11.7% (95% confidence interval [CI] 10.8%-1%, 2.6), with 11.9% occurring in the bypass group and 9.9% in the sleeve gastrectomy group (p=0.2) An analysis of short-term outcomes of bariatric surgery in Ontario appear to be comparable to those of other major centres and improving over time, although further studies are needed to examine the reasons why there are variations in outcomes between centres of excellence. The
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11
Oct

Fracture risk Bariatric surgery associated with increased fracture risk

A mean of 4.4 years after surgery, bariatric patients were more susceptible to fracture (514; 4.1%) than were obese (1,013; 2.7%) and non-obese (3,008; 2.4%) controls The researchers looked at the fracture risk for the following procedures; adjustable gastric banding (n=3,887), sleeve gastrectomy (n=2,554), roux-en-Y gastric bypass (n=873) and biliopancreatic diver
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11
Oct

Obesity paradox: Twin study provides insights into obesity paradox

Weight reduction interventions can be more effective against diabetes than when it comes to reducing the risk of heart attack and mortality. A study of genetically identical twin pairs with different amounts of body fat shows that twin siblings with a higher BMI do not have an increased risk of heart attack or mortality. However, the study, conducted by researchers at Umeå University in Sweden, also shows that a higher BMI is associated with an increased r
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11
Oct

Intuitive and Dextera to develop robotic surgery stapler

Development agreement robotic surgery stapler
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11
Oct

22nd World Congress of IFSO

22ND WORLD CONGRESS INTERNATIONAL FEDERATION FOR THE SURGERY OF OBESITY AND METABOLIC DISORDERS Join us at the QEII Centre, London 29 August - 2 September 2017 WHY ATTEND
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11
Oct

VII IFSO LAC Congress

Related Links: April 2017 26/04/17 to 29/04/17 - Santa Cruz, Bolivia VII IFSO LAC Congress <http://e-dendrite.us5.list-manage.com/track/click?u=8a177f44dff5ce5959dca36b3&id=4d6b0a52a6&e=f6de55b38c> Official website <
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11
Oct

Obesity Days 2016 - 9th Frankfurter Meeting and the 32nd DAG Meeting

WELCOME TO OBESITYDAYS 2016 Welcome to the 32nd Annual Meeting of the German Association for Study of Obesity & the 9th Frankfurt Meeting for Obesity Surgery & Live Surgery Event Dear Friends and Colleagues, I want to welcome you to our first German Obesity Days here in beautiful Frankfurt am Main. Obesity Days 2016 will be the largest gathering of health care professionals devoted to the care and understanding of the obese patient in Germany and Europe. From surgeons to physicians to nurses to dieticians to psychologists to
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11
Oct

15th World Congress of Endoscopic Surgery

Congress Information   Organized by: International Federation of Societies of Endoscopic Surgeons (IFSES) Endoscopic and Laparoscopic Surgeons of Asia (ELSA) Hosted by: Chinese Society of Laparoscopic and Endoscopic Surgery (CSLES) Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai Minimally Invasive Surgery Center   Date: 9-12 November, 2016 Ve
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11
Oct

Obesity Week 2016

WHAT IS OBESITYWEEK? ABOUT What is ObesityWeek? ObesityWeek is a unique, international event focused on the basic science, clinical application, surgical intervention and prevention of obes
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11
Oct

OSSANZ Conference "Dilemmas in Bariatrics"

Pyrmont , Australia OSSANZ Conference "Dilemmas in Bariatrics" <http://e-dendrite.us5.list-manage.com/track/click?u=8a177f44dff5ce5959dca36b3&id=a94aca6ce4&e=f6de55b38c> Official website <http://e-dendrite.us5.list-manage.com/track/click?u=8a177f44dff5c
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11
Oct

The 2nd International SASMBS Conference

2016-10-07 - 2016-10-10 | Abha Al Jadidah, Saudi Arabia The 2nd International SASMBS Conference Main Topics Diabesity: A Threatening Epidemic
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11
Oct

XXI IFSO World Congress 2016

XXI IFSO World Congress 2016 http://e-dendrite.us5.list-manage.com/track/click?u=8a177f44dff5ce5959dca36b3&id=3245e09b77&e=f6de55b38c Official website http://e-dendrite.us5.list-manage.com/track/click?u=8a177f44dff5ce5959dca36b3&id=cf8a5eeca4&e=f6de55b38c
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11
Oct

11th Annual Obesity Summit

  Attend the 11th Annual Cleveland Clinic Obesity Summit The Cleveland Clinic Obesity Summit attracts a diverse mix of health care practitioners interested in discussing innovative solutions to the causes of obesity, preventive strategies, and therapeutic management approaches. This Summit features diverse sessions designed to engage you with colleagues as well as patient interviews, live surgeries, interactive workshops, case-based lessons, and question and answer sessions. Who Should Attend? Health care professionals (including physicians, n
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11
Oct

Rio de Janeiro, Brazil XXI IFSO World Congress 2016

The 21st Wolrd Congress of IFSO, will be held in Rio de Janeiro, Brzail, September 27 - 1 October 2016. 2016-09-27 - 2016-10-01 |
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11
Oct

MGBCON 2016

MGBCON 2016 19-20th August
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11
Oct

MINI-GASTRIC BYPASS/ONE-ANASTOMOSIS GASTRIC BYPASS ANNUAL CONFERENCE

2016-08-19 - 2016-08-20 | Horley, Crawley, West Sussex , United Kingdom MINI-GASTRIC BYPASS/ONE-ANASTOMOSIS GASTRIC BYPASS ANNUAL CONFERENCE This will be an endeavour to quench the thirst of getting knowledge about the MGB/OAGB .All the MGB experts will be coming under one roof to formulate the guidelines and standardize the MGB/OAGB on the issues like length of the bypass limb, size and length of the gastric pouch etc.We will also be writing consensus report on the technique, results, complicat
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11
Oct

BASE Study to examine bariatric patient experience

BASE Study In 2014, there were 889 bariatric surgeries performed in New Zealand A New Zealand study is assessing the bariatric surgery the surgical experience from the patient’s point of view, and examine how it has affected their life, the challenges they faced, and what could have been improved both before and after surgery to make it easier. The Bariatric Surgery Experienced study (BASE), will be headed by Sara Lake, a Massey University Master of Science in
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11
Oct

Ten year outcomes shows durability of RYGB

Long-term RYGB outcomes Study shows long-term reduction in comorbidities Roux-en-y gastric bypass is a durable operation for long-term weight loss and treatment of obesity-related comorbid disease, according to researchers from the University of Virginia, Charlottesville, VA. The study, which included 1,087 patients who underwent RYGB procedures over a 20-year study period (1985–2004), reported that excess body mass index significantly improved
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11
Oct

Insurance companies may now consider bariatric surgery

Insurance coverage New guidelines say surgery should also be considered for some mildly obese people with diabetes and a BMI between 30 and 40. Recent guidelines recommending bariatric surgery for obese people with Type 2 diabetes could convince more insurance companies to green-light the procedure. “I think these guidelines will encourage insurers to provide coverage for this kind of surgery for some diabetic patients who are having so much tro
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11
Oct

LSG allows early changes in the fasting levels

LSG and fasting levels Three months after the procedure the fasting levels of ghrelin, GLP-1, glucagon, leptin, PAI-1, and NEFA were all significantly decreased compared to the pre-operative baseline levels. Laparoscopic sleeve gastrectomy (LSG) has subtle differences from other malabsorptive bariatric operations, demonstrated by the significant early changes in the fasting levels of factors thought to be important regulators of obesity and meta
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11
Oct

Zafgen initiates multiple dose cohorts for ZGN-1061 Trial

Zafgen study The Phase 1 clinical trial is evaluating safety, tolerability, and weight loss efficacy over four weeks of treatment The company continues to expect top-line data from the clinical trial by the end of the first quarter of 2017
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11
Oct

FTO gene FTO gene does not affect weight loss

Carrying the risk version of the FTO gene had no effect on weight loss Carriers of the FTO gene are known to be on average 3kgs (6.6lbs) heavier and 70% more likely to be obese. However, researchers at Newcastle University, publishing in The BMJ, report that in a review of eight studies involving over 9,000 people, carrying this gene did not prevent them losing weight. Obesity is a major health problem and, in the UK, more than 25% of a
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11
Oct

Stretta Therapy a first line option for GERD

Stretta Therapy Gastroesophageal Reflux Disease (GERD) is estimated to affect 20% of the population in the USA1, this equates to approximately 65 million people from a population of 320 million people. Most patients manage reflux disease through medications (eg proton pump inhibitor) or in extreme cases surgery (Nissen fundoplication). According to Dr Mark Noar from The Heartburn and Reflux Study Center, Towson, MD, patients who are not responding to medication and are considered candidates for surgery, should consider another treatment option – Stretta Therapy.
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Oct

Coffee time with Professor Natan Zundel

Exclusive interview There are two phrases that I always tell my fellows and residents: “If it was easy, anybody can do it, so they do not need you,” and, “In order to enjoy life, you need to suffer.” If we do not start finding solutions as a specialty in preventing obese patients becoming morbidly obese, other specialties (gastroenterologists etc) will find a solution, so as surgeons we n
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11
Oct

IFSO publishes Second IFSO Global Registry Report

IFSO Report The report is the culmination of years of research and analyses from the IFSO Global Registry Project, which was established in January 2014 to demonstrate that it is possible to merge and analyse bariatric and metabolic surgical data Follow up data for primary surgery found that the average percentage excess weight loss was 72.4% one year after surgery and the corresponding percentage
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11
Oct

MIDSLEEVE gastric tube - improving calibration

MIDSLEEVE™ gastric tube It must be noted that there is still controversy about the size of the antrum removal during a sleeve gastrectomy and there is no evidence-based medicine to define the best shape MIDSLEEVE™ is a real good option to teach our assistants and allows us to be confident that the same procedure is performed in each patient.
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11
Oct

MiniMizer Ring Minimising weight regain the Freiburg experience

How the MiniMizer Ring is helping to prevent post-operative weight regain by preventing sleeve dilatation Although bariatric surgery has helped many obese patients to lose weight, a small proportion of patients does experience weight regain. There are numerous causes for this post-operative occurrence such as poor patient compliance. However, one cause that is becoming increasingly apparent is pouch (after gastric bypass) or sleeve (after a sleeve gastrectomy) dila
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11
Oct

Based Behavioral Treatment adds more weight loss

ABT Acceptance The results showed that participants who received ABT (which includes all behavioural skills taught in SBT) lost 13.3 percent of their initial weight at one year, compared to 9.8 percent weight loss at one year for participants who received SBT only A new approach to weight loss called Acceptance-Based Behavioral Treatment (ABT) helped people lose more weight and keep it off longer than those who received only Standard Be
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11
Oct

Low-level laser therapy and lorcaserin aids weight loss

Low-level laser therapy The change in WC from baseline to six months for the combination group was not significantly different from LLLT or lorcaserin In the combination therapy group, significant decreases in neutrophils and total cholesterol were observed Patient satisfaction with LLLT was low and they hypothesised that this may be related to unrealistically hi
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11
Oct

Study finds TAAR1 approach to block binge eating

Binge eating therapy The researchers observed that TAAR1 was decreased in the region of the brain important for the process of decision-making and executive function A new therapeutic target for the treatment of compulsive binge eating has been identified by researchers at Boston University School of Medicine (BUSM). The study, which is published in the journal Neuropsychopharmacology, reports the beneficial effects of the activation of a class of receptors, T
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11
Oct

Post-surgical serum ferritin levels and tooth loss

Surgery and tooth loss The researchers report that in the preoperative period, there was no significant difference in the levels of serum ferritin between dentate and edentulous patients After bariatric surgery, there was an increase regarding serum ferritin levels in edentulous individuals, yet denture users (total dental prosthesis and/or removable partial prosthesis).
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11
Oct

Anastomosis size contributes to bleeding and stenosis rates

Anastomosis size The researchers collected data on the incidence of various complications: presence of gastrojejunostomy anastomosis stenosis, occurrence of fistulas, bleeding with transfusion indication and surgical site infection A study comparing the incidence of early complications related with the handsewn gastrojejunal anastomosis in gastric bypass using Fouchet catheter with different diameters, has reported that a diameter of the anastomosis of 15 m
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11
Oct

FDA approves AspireAssist system as alternative to surgery

Product approval The AspireAssist is given in conjunction with lifestyle therapy, in which patients are taught portion control, careful chewing, and other healthy lifestyle habits The AspireAssist was evaluated in the PATHWAY study, a 171-subject, multi-centre trial in the US, which found that patients using the device lost an average of 12.1% of their total body weight afte
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11
Oct

Surgery more effective than MT for T2DM in teens

Adolescent surgery TeenLABS and TODAY studies show benfits of surgery over medical therapy An analysis of the results of a study of bariatric surgery and a separate trial of medical therapy in treating type 2 diabetes in teenagers with severe obesity shows that after two years of treatment, BMI and HbA1c, a measure of blood sugar control, are both significantly better with surgery. The results were presented at the annual meeting of the American Diabetes Association in New Orleans.
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11
Oct

EndoStim announces GERD data following EndoStim therapy

EndoStim therapy   The four presentations included analyses of: one year results of an international multi-center study of EndoStim therapy for refractory GERD; and interim results from EndoStim's international patient registry. EndoStim has announced new data were presented on its new neurostimulation therapy for gastro-oesophageal reflux disease (GERD) at the 2016 Digestive Disease Week (DDW) meeting in San Diego, California. The four presentations
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11
Oct

Little evidence of benefits for T2DM weight loss programmes

Commercial weight loss programmes Few studies evaluated the effect of the programmes on blood sugar and the six that did failed to show substantial reductions with any commercial weight loss programme Johns Hopkins scientists who indirectly investigated the blood sugar effects of ten (out of 32 selected) commercial weight loss programmes have noted a few show promise of benefit for diabetic patients, but far more rigorous research is ne
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11
Oct

Medtronic makes investment in Dutch Obesity Clinic

Medtronic make Dutch investment The new alliance with Medtronic will enable NOK to expand its chain of clinics to more countries, providing better access for patients who need comprehensive morbid obesity treatment. The Nederlandse Obesitas Kliniek (Dutch Obesity Clinic, NOK) and Medtronic have announced that an agreement to enter into a strategic alliance, via a majority ownership position in NOK, with the goal of enhancing NOK's ability
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11
Oct

New pre- and post-bariatric surgery diet resources launched

Post-op recipe resources All recipes are coded for different consistencies, whether able to be frozen and if vegetarian. NDR-UK has launched two innovative new resources, developed by specialist dietetic colleagues at NHS Ayrshire and Arran, Scotland. The comprehensive, 80 page book is designed to support patients before and after gastric sleeve and gastric bypass surgery (not gastric band surgery - for information on this
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11
Oct

Whole-person perspective is needed to assess obesity

Whole-person approach for obesity The authors urge physicians to take a broader view of what constitutes obesity The staged approach to obesity treatment allows for intensive lifestyle modification and weight management at Obesity Stage 0. Researchers from the Cleveland Clinic's Bariatric and Metabolic Institute have recommend
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11
Oct

Stretta GERD treatment can yield substantial cost savings

Stretta cost savings Study found a combined estimated savings of more than US$15 million per year for a five million member plan Researchers from Baker Tilly LLP, Fairleigh Dickinson University and Stanford University, has suggested the potential for substantial payer cost savings associated with radiofrequency energy (RFE, Stretta Therapy, Mederi Therapeutics) treatment of gastroesophageal reflux disease (GERD) patients, compared to treatment with medical
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11
Oct

First successful bariatric application for LapDome device

LapDome device First successful bariatric application for LapDome device Laparoscopic surgeon utilises LapDome on obese patient deemed not fit for standard laparoscopic access Narvitas Medical Devices International Limited, a UK-based global medical device company, h
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11
Oct

Sensory neurons show how surgery achieves weight loss

Vagus nerve There might be pharmaceutical targets for the regulation of food intake, perhaps the receptors that modulate responses to nutrients The vagus nerve has long been recognised as the internal sensory system, regulating breathing and heart rate among, as well as sensing and signalling that feeling of fullness to the brain. That same nerve also detects nutrients and controls digestion. Yet how it receives the information it uses to perform these ta
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11
Oct

India establishes National Bariatric Surgery Registry

Indian bariatric registry The Registry study will analyse treatment outcomes with regards to percentage excess weight loss and resolution of co-morbidities including, diabetes, hypertension, sleep apnoea, dyslipidemia, etc. The Obesity and Metabolic Surgery Society of India (OSSI) has taken an initiative to established a National Bariatric Surgery Registry for maintaining a national database of bariatric surgeries in India. The registry is registered with Cl
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11
Oct

Bariatric surgery appears to reverse premature aging

Surgery and premature aging Two years after surgery, patients had telomeres that were 80% longer than they had been before the procedure Weight loss from bariatric surgery appears to reverse the premature aging associated with obesity, according to research presented at Frontiers in CardioVascular Biology (FCVB) 2016. In his presentation, ‘Reversal of premature aging markers after bariatric surgery', Dr Philipp Hohensinner, a researcher at the Medical Univers
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11
Oct

T2DM reversal post-DJB linked to gut microorganisms

Surgery, T2DM and gut bacteria DJB surgery may be applied to cure diabetes of both genetic and environmental origin. In a study published in The American Journal of Pathology, researchers investigating gastric bypass in a mouse model of T2DM confirmed that bypass surgery improves glucose tolerance and insulin sensitivity. Interestingly, the improved metabolism occurred in conjunction with changes in gut microorganisms, suggesting a potential role for gut
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Oct

Accredited bariatric centres have fewer complications

Accredited bariatric centres The analysis is the first comprehensive review of the best available evidence comparing bariatric surgical results in accredited versus non-accredited US centres Patients who have weight-loss operations at non-accredited bariatric surgical facilities in the US are up to 1.4 times likelier to experience serious complications and more than twice as likely to die after the operation compared with patients who undergo
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11
Oct

Global obesity estimates maybe wrong by half a billion

Global obesity rates Adjusting BMI for a population's basal slenderness gives each population a cutoff that reflects the amount of a person's BMI that is due to body fat versus other body tissues Standard methods for estimating obesity may grossly underestimate the burden of overweight worldwide, according to a paper published in Obesity Reviews. Associate professors, Daniel Hruschka of Arizona State University's School of Human Evolution and Social Change
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11
Oct

Bariatric surgery increases risk of self-harm and depression

Surgery and mental illness Patients with a self-harm diagnosis prior to surgery were 36 times more likely to repeat their self-harming behaviour afterwards. Patients with a history of depression run a high risk of severe post-operative depression after gastric bypass surgery, according to a study from the from Karolinska Institutet, Sweden, published in the Annals of Surgery, who examined the frequency of hospitalisation for depression, se
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11
Oct

Incision-less Anastomosis System - First data from IAS self-assembling magnets

New therapy is first of its kind with endoscopic delivery and the promise to achieve long-term benefits comparable to metabolic surgery. The six-month results of the first-ever clinical study evaluating the endoscopic creation of a dual-path enteral diversion using the GI Windows’ Incision-less Anastomosis System (IAS) were announced at Digestive Disease Week 2016 (DDW), in San Diego, CA. The data support the safety and efficacy of GI Windo
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Oct

Defining sarcopenic obesity and effective treatment strategies

Sarcopenic obesity Clarifying the definition of sarcopenic obesity and highlighting future research and guidance needs. An online article in Future Science OA has synthesised current data on sarcopenic obesity and highlights the need for public health strategies for its prevention and treatment. Sarcopenic obesity is the combination of low muscle mass and high fat mass. Tending to be more common in older adults owing to natural changes
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11
Oct

Blood glucose health worsening among obese adults

Blood glucose health The rate of diabetes increased as much as 19 percent between 1988 and 2014, explaining the overall worsening blood sugar levels The rate of obese adults with all three risk factors increased by 37 percent between 1988 and 2014, with about 22 percent still fighting all three risk factors. Blood glucose health i
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11
Oct

Surgery linked to improved mobility and less walking pain

  Adolescent bariatric surgery Surgery linked to improved mobility and less walking pain   Among the teens, 161 had Roux-en-Y gastric bypass, 67 had gastrectomy and 14 had laparoscopic adjustable gastric band. Bariatric surgery was associa
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11
Oct

T2DM has no impact on mental health post-RYGB

Baseline diabetes Baseline diabetes should be considered either a positive or a negative predictor of long-term mental health and HRQOL after RYGB surgery A study investigating the predictive value of type 2 diabetes and lack of physical activity for mental health and health-related quality of life (HRQOL) after Roux-en-Y gastric bypass (RYGB), has found no evidence that baseline diabetes should be considered either a positive or a negative predictor of long-
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11
Oct

Zafgen suspends Beloranib to focus on ZGN-1061

Beloranib programme suspended ZGN-1061 in Phase I development for severe and complicated obesity indications Zafgen is refocusing its resources on development of a differentiated second-generation MetAP2 inhibitor, ZGN-1061, in severe and complicated obesity, following a comprehensive review of its assets and clinical programs, as well as feedback from regulatory authorities. As a result, the company is suspending further development of beloranib. "As the l
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Oct

Setmelanotide - Weight Loss for POMC deficiency obesity

Setmelanotide results Significant weight loss with targeted treatment for patients with rare genetic defect in critical weight regulation pathway The results from a Phase 2 study on setmelanotide, a melanocortin 4 receptor (MC4R) agonist, for the treatment of pro-opiomelanocortin (POMC) deficiency obesity, shows a significant weight loss with targeted treatment for patients with rare genetic defect in critical weight regulation pathway Patients with
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Oct

Brain stimulation can reduce food cravings

Brain stimulation It's not entirely clear how DLPFC works to reduce food cravings, but evidence suggests possible effects on the "reward centre" of the brain and/or enhanced cognitive control over cravings. Non-invasive stimulation of a specific brain area can reduce food cravings, particularly for high-calorie ‘appetitive’ foods, according to a review in the Psychosomatic Medicine: Journal of Biobehavioral Medicine, the official journal of the American Psycho
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Oct

Why patients are not interested in surgery

Lack of interest in surgery The most cited reasons for not being interested in surgery were fear of other complications from surgery (51.1%), the fact that they did not need surgery to lose weight (32.0%), and fear of dying (24.6%) The most cited reasons for being interested in bariatric surgery (Table 2) are health benefits (94.3%), greater weight loss (89.7%), and improved mobility (85.1%).
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10
Oct

Genetic variant influences Samoan obesity

80 percent of Samoan men and 91 percent of Samoan women were overweight or obese in 2010 The Samoas' world-leading rate of obesity is a recent phenomenon, heavily influenced by the globe's rapid shift to calorie-rich, processed foods and more sedentary lifestyles. However, a new study suggests nearly half of Samoans have a newly identified and significant genetic variant that contributes to obesity risk; a variant that had remained undiscovered until researche
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10
Oct

Study warns of increase of obesity in China

The overall prevalence of overweight was 32.3% (male 34.3%; female 30.2%), and the prevalence of obesity was 14.6% (male 16.3%; female 12.8%) One in three people is overweight and one in seven is obese in Jilin Province, north east China, finds a large study, published in the online journal BMJ Open. The researchers base their findings on a population survey of nearly 21, 000 randomly selected people aged 18 to 79, from the Jilin Province in 2012. Regular
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10
Oct

New Zealand study shows benefits of bariatric surgery

New Zealand study shows benefits of bariatric surgery Obese patients with type 2 diabetes had good long-term results after weight loss surgery, according to a study in New Zealand. The findings support other studies t
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10
Oct

Brain activity in severely obese women is different

Brain activity While the appeal of pictured food dropped 15 percent for the lean women after they ate, the severely obese women showed only a 4 percent decline The brain's reward centres in severely obese women continue to respond to food cues even after they've eaten and are no longer hungry, in contrast to their lean counterparts, according to a recent study by a multidisciplinary team at UT Southwestern Medical Center. The research comp
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10
Oct

POWeR+ online intervention helps sustain weight loss

POWeR+ online intervention People in all groups lost weight, the two groups receiving the POWeR+ intervention lost more. People given evidence-based information online that had been shown to help previously lost around 3kg, but using the Positive Online Weight Reduction (POWeR)+ online programme with very brief support from practice staff, participants lost over one kg more averaged over 12 months and were more likely to maintain clinically important weight los
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10
Oct

Ontario bariatric outcomes comparable to major centres

Ontario bariatric outcomes The overall complication rate was 11.7% (95% confidence interval [CI] 10.8%-1%, 2.6), with 11.9% occurring in the bypass group and 9.9% in the sleeve gastrectomy group (p=0.2). An analysis of short-term outcomes of bariatric surgery in Ontario appear to be comparable to those of other major centres and improving over time, although further studies are needed to examine the reasons why there are variations in outcomes bet
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10
Oct

IFSO publishes July 2016 e-newsletter

The International Federation for the Surgery of Obesity and Metabolic Disorders has published its July 2016 newsletter, which is now availab
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10
Oct

Bariatric surgery associated with increased fracture risk

Fracture risk A mean of 4.4 years after surgery, bariatric patients were more susceptible to fracture (514; 4.1%) than were obese (1,013; 2.7%) and non-obese (3,008; 2.4%) cont
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10
Oct

Twin study provides insights into obesity paradox

Obesity paradox Weight reduction interventions can be more effective against diabetes than when it comes to reducing the risk of heart attack and mortality A study of genetically identical twin pairs with different amounts of body fat shows that twin siblings with a higher BMI do not have an increased risk of heart attack or mortality. However, the study, conducted by researchers at Umeå University in Sweden, also shows that a higher BMI is associated w
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10
Oct

Intuitive and Dextera to develop robotic surgery stapler

Development agreement   Intuitive Surgical and Dextera Surgical (formerly Cardica) have signed agreement to develop a surgical stapler and cartridge for Intuitive’s da Vinci robotic surgical system. The agreement, follows an agreement from January 2016, under which Intuitive Surgical paid Dextera US$2 million to extend its rights to improvements in Dextera’s stapling technology and certain patents until August 2018, and to provide
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10
Oct

BASE Study BASE Study to examine bariatric patient experience

In 2014, there were 889 bariatric surgeries performed in New Zealand Roux-en-y gastric bypass is a durable operation for long-term weight loss and treatment of obesity-related comorbid disease, according to researchers from the University of Virginia, Charlottesville, VA. The study, which included 1,087 patients who underwent RYGB procedures over a 20-year study period (1985–2004), reported that excess body mass index significantly improved over time and a signif
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10
Oct

Ten year outcomes shows durability of RYGB

Roux-en-y gastric bypass is a durable operation for long-term weight loss and treatment of obesity-related comorbid disease, according to researchers from the University of Virginia, Charlottesville, VA. The study, which included 1,087 patients who underwent RYGB procedures over a 20-year study period (1985–2004), reported that excess body mass index significantly improved over time and a significant decrease in obesity-related comorbid disease persis
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10
Oct

Insights into gender differences in diabetes and aging

Gender differences in diabetes Researchers at the Buck Institute provided a possible answer to why overweight men are more prone to get type 2 diabetes than are overweight women, by discovering that a protein involved in nutrient sensing and metabolism gets inhibited in male - but not female - mice fed a high fat diet. In addition to providing a pathway to deal with the gender difference, the findings, published in Cell Reports, also show that boosting the protei
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10
Oct

Insurance companies may now consider bariatric surgery

Recent guidelines recommending bariatric surgery for obese people with Type 2 diabetes could convince more insurance companies to green-light the procedure. “I think these guidelines will encourage insurers to provide coverage for this kind of surgery for some diabetic patients who are having so much trouble maintaining their sugar levels,” said Timothy J. Gardner, medical director of the Center for Heart and Vascular Health at Christiana Care Health Syst
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10
Oct

LSG allows early changes in the fasting levels

LSG and fasting levels LSG allows early changes in the fasting levels
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10
Oct

Anastomosis size contributes to bleeding and stenosis rates

Anastomosis size: The researchers collected data on the incidence of various complications: presence of gastrojejunostomy anastomosis stenosis, occurrence of fistulas, bleeding with transfusion indication and surgical site infection. A study comparing the incidence of early complications related with the handsewn gastrojejunal anastomosis in gastric bypass using Fouchet catheter with different diameters, has reported that a diameter of the anastomosis of 15 mm was related with lower incidence of stenosis. However, the study also found that these patients had major bleeding post
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