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10:27 06/11/13 | Owen Haskins | Editor in chief, Bariatric News

Just in case you missed any news last month, these were the 10 most read articles on in October 2013 including the latest research, product & industry news, policy news and more...

Sleeve has fewer complications than bypass 

The early results from the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS) have shown that laparoscopic sleeve gastrectomy was associated with shorter operation time and a trend toward fewer complications than with laparoscopic Roux-en-Y gastric bypass (LRYGB)...(more)

Bypass surgery changes how the brain responds to food 

Researchers have added further evidence to the theory that gastric bypass surgery changes how the brain responds to food, reducing not only hunger but also the drive to eat for pleasure. The research helps to explain why gastric bypass patients lose more weight over the long term than those who undergo a gastric band operation...(more)

Allergan to sell obesity unit to Apollo EndoSurgery 

After months of speculation, Allergan has announced that it has entered into a definitive agreement to sell its obesity intervention business to Apollo Endosurgery. Apollo Endosurgery will pay an up-front cash payment of US$75 million...(more)

Study defines who needs bariatric surgery most 

Most patients who undergo bariatric surgery are obese women, even though their male counterparts are more at risk, especially if those men are smokers and have diabetes. Not only do the findings confirm that BMI is not the best way to prioritise patients for bariatric surgery, they outline who should have greater access to surgery...(more)

Study helps to explain mechanisms of duodenal switch 

03:59 21/10/13 | Anonymous (not verified) |

Every adult was once a child. And every child has experienced pain in the process of growing up. None of us escape the criticism from parents, other adults and especially other children. One does not have to go back very far in time to read about girls who have chosen to commit suicide rather than endure the taunts of other children now utilizing social media to cast even more stones of disparagement and humiliation.

In my years of working with people who are suffering from eating disorders. I have concluded there are five hateful, wounding words that leave very deep and enduring scars.

DON'T CALL ME... 1.Stupid 2.Lazy 3.Crazy 4.Fat or 5.Ugly 

Each of these words referring to their character are used to label children (and adults) leaving very deep and lasting scars to their self-esteem and confidence. One additional behavior that could be added to the list of shame builders, and that is dealing with one's sexual behaviour. Most assumed character defects are invisible to the naked eye with the exception of the last two; fat and ugly. Although we still maintain a sense of decency in our society by not directly saying to a person's face that they are ugly, telling someone they are fat or questioning 'you put on a few?'; is the last of the socially condoned statements that show no signs of abating in western society. Very overweight children and adults are seen in more negative ways than their slimmer counter parts, and the psychological remnants and mental scars are very deep and difficult to eliminate or eradicate from one's own self-assessment of who you are on the inside. You know, the real you.....what you really think about yourself seems to be correct when you judge you.

In 1991 the NIH recommended that two elective surgical procedures were required to pass approval from a psychologist prior to the surgery. The two surgeries were gender reassignment and bariatric surgery. At that time Roux-en-Y was the only bariatric surgery available and was not considered to be a reversible procedure nor was sex change. Both of these radically different surgeries have common elements. They are both considered to be irreversible. Once performed, neither can be easily or completely returned to their original physiological state. They also involve a significant psychological changes in self perception and self esteem, the foundations having been under construction since early childhood and adolescence.

04:00 16/10/13 | Owen Haskins | Editor in chief, Bariatric News

The November issue of Obesity Surgery (Volume 23, Issue 11), the official journal of the International Federation for the Surgery of Obesity and Metabolic Disorders, is now available online. Here are some of the highlights from this issue:

Incidence of Venous Thromboembolism After Bariatric Surgery: A Population-Based Cohort Study.

Using the resources of the Rochester Epidemiology Project and the Mayo Bariatric Surgery Registry, the study researchers tried to ascertain the incidence of venous thromboembolism (VTE) after bariatric surgery. They conclude that in their population-based study, bariatric surgery had a high risk of VTE and that a randomised controlled trial of extended outpatient thromboprophylaxis in patients undergoing open Roux-en-Y gastric bypass for medically complicated obesity is needed. (Abstract)

Is Routine Postoperative Gastrografin Study Needed After Laparoscopic Sleeve Gastrectomy? Experience of 712 Cases.

Investigators wanted to evaluate the usefulness of postoperative gastrografin following laparoscopic sleeve gastrectomy (LSG) to detect leakage or obstruction and compared the results with an intraoperative methylene blue test. From 712 cases, they detected leakage in 28 cases (3.93 %), although postoperative contrast study (gastrografin) was negative for leakage in all cases. They conclude that intraoperative methylene blue test for leakage is a very sensitive and effective method for detecting leakage during LSG and should be done routinely in all cases. (Abstract)

A New Endoscopically Implantable Device (SatiSphere) for Treatment of Obesity—Efficacy, Safety, and Metabolic Effects on Glucose, Insulin, and GLP-1 Levels.

01:37 18/09/13 | Owen Haskins | Editor in chief, Bariatric News

The October issue of Obesity Surgery (Volume 23, Issue 10,), the official journal of the International Federation for the Surgery of Obesity and Metabolic Disorders, is now available online. Here are some of the highlights from this issue:

Robotic Sleeve Gastrectomy Versus Laparoscopic Sleeve Gastrectomy: a Comparative Study with 200 Patients

Investigators Universitary Hospital Vall d’Hebron, Barcelona, Spain, evaluated the benefits, potentials and problems of applying robotic technology for sleeve gastrectomy (SG). They looked at the data from 200 patients who underwent SG either performed by laparoscopy or robotic approach with 1-year follow-up. They report that although robotic SG is feasible and may be an initial procedure to undergo more complex procedures, cost issues and operative times will need to be more clearly estimated in the future. (Abstract)

Impact of Laparoscopic Sleeve Gastrectomy on Upper Gastrointestinal Symptoms

Investigators from the University of Rome, evaluated LSG's impact on the prevalence of upper GI symptoms and to assess the effects of time from surgery, weight loss, and proton pump inhibitor (PPI) therapy. Symptoms were analyzed either separately or altogether to classify patients in GERD or dyspepsia, subdivided in epigastric pain (EPS) and post-prandial distress (PDS) syndromes. They concluded that PDS-like dyspepsia, rather than GERD, was the main complaint, both poorly responding to PPI therapy. (Abstract)

Diagnosis of Diabetes Remission After Bariatic Surgery May be Jeopardized by Remission Criteria and Previous Hypoglycemic Treatment