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Bariatricnews.net: Top 10 most read articles in May 2016

Just in case you missed any news in May 2016, these were the 10 most read articles on bariatricnews.net including the latest research, product & industry news, policy news and more...

45 organisations recommend metabolic surgery for T2DM
A joint statement, ‘Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations’, endorsed by 45 international organizations and published in the journal Diabetes Care, has have called for metabolic surgery to be recommended or considered as a treatment option for some people with Type 2 diabetes. The special issue of Diabetes Care sets out the first clinical guidelines for when to recommend or consider metabolic surgery as treatment for people with Type 2 diabetes...(more)

Dr Robert Rutledge and the ‘Mini-Gastric Bypass’
Nineteen years ago in September of 1997, Dr Robert Rutledge performed the first of what has become known as the ‘Mini-Gastric Bypass’ (MGB) procedure. Now, nearly 20 years and many more than 30,000 procedures later, a recent survey showed that the MGB appears to be growing into one of the top 3-4 bariatric and metabolic procedures in many countries around the world. Bariatric News talked to Dr Rutledge about the origins of the procedure, some of the misunderstandings and criticisms of the operation, and why he is working to standardise the operation hoping to help surgeons learn to apply the operation safely and effectively...(more)

UK needs 50,000 bariatric procedures a year
The NHS should significantly increase rates of bariatric surgery to 50,000 a year, closer to the European average, to bring major health benefits for patients and help reduce healthcare costs in the long term, according to a paper published in The BMJ. The paper states that between 2011-12 and 2014-15, the number of bariatric operations performed on the NHS fell by 31% - from 8,794 to 6,032, and less than 1% of those who could benefit get treatment. This is in stark contrast to provision in many European Union countries, as the UK currently ranks 13th out of 17 for EU countries and sixth in the G8 countries for rates of bariatric surgery. This is despite the UK having the second highest rate of obesity in Europe, and sixth internationally...(more)

Identifying the key outcomes from bariatric surgery
Healthcare professionals have differing opinions on which outcomes are important following bariatric surgery, according to a study published in the journal, Obesity Surgery. The paper notes that as multi-disciplinary teams (MDT) are involved in care of obese patients it is critical that the views of all relevant health professionals - and patients - are taken into account when evaluating the key outcomes from treatment...(more)

Registry to assess Stretta Therapy for GERD after LSG
Mederi Therapeutics has announced a new multi-centre registry that will study the benefit of Stretta Therapy as a treatment option in patients who experience gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy (SG). The study, entitled "Examining the Benefit of RF Treatment (Stretta) of GERD after Sleeve Gastrectomy," includes 15 of the top bariatric programmes in the US. This multi-centre registry will study patients with documented GERD a minimum of six months after a sleeve gastrectomy. The study will focus on GERD symptom control (HRQL) after Stretta, with follow up at six, 12, and 24 months...(more)

Weight gain, hypoglycaemia and the banded-bypass
Dr Rudolf Steffen is a bariatric and metabolic surgeon at the Hirslanden Klinik Beau-Site in Bern, Switzerland, one of the leading centres in the country for bariatric and metabolic surgery. Since 2003, he has performed more than 3,000 banded bypass operations and has recently utilised the MiniMizer Ring (Bariatric Solutions) as part of his procedure. Bariatric News talked to Professor Steffen to discuss the reasons why patients experience weight regain, the benefits of the banded-bypass and the advantages of the MiniMizer Ring...(more)

European Obesity Day heightens awareness of bariatric surgery
European Obesity Day 2016, which took place on May 21, has helped to considerably increase awareness of obesity and the benefits of bariatric surgery. The annual event, which takes place on the third Saturday in May, is organised by the European Association for the Study of Obesity (EASO) to bring people together to raise awareness and increase knowledge about obesity and the many other diseases on which it impacts...(more)

Understanding intraoperative staple line leaks and bleeds
According to a non-systematic review of the current literature intraoperative staple line leaks and bleeds are primarily associated with stapler misfires following laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). The paper, ‘A Narrative of Intraoperative Staple Line Leaks and Bleeds During Bariatric Surgery’, authored by Sudip K Ghosh, Sanjoy Roy, Ed Chekan and Elliott J Fegelman (all from Ethicon Inc.), states that although the incidence of intraoperative staple line leaks and bleeds “appears to be relatively low, it may be underestimated as a result of underreporting, the precautionary use of SLR, lack of standardized testing, and the capacity of some leaks and bleeds to resolve with little or no treatment...(more)

Genetic switch could be key to improving metabolism
Newly discovered genetic switches that increase lifespan and boost fitness in worms are also linked to increased lifespan in mammals, offering hope that drugs to flip these switches could improve human metabolic function and increase longevity. These so-called epigenetic switches, discovered by scientists at the University of California, Berkeley, and the École Polytechnique Fédérale de Lausanne in Switzerland, are enzymes that are ramped up after mild stress during early development and continue to affect the expression of genes throughout the animal's life. The discoveries, published in two papers ‘Mitochondrial Stress Induces Chromatin Reorganization to Promote Longevity and UPRmt’ and ‘Two Conserved Histone Demethylases Regulate Mitochondrial Stress-Induced Longevity’ in the journal Cell...(more)

Should excess muscle be included in the definition of obesity?
Researchers have determined that obesity involves excessive body weight, including fat and muscle, for a given height and not just excess body fat as was formerly believed. The study was coordinated by Francisco B Ortega, a Ramón y Cajal researcher at the Faculty of Physical Activity and Sports Sciences at the University of Granada and published in the American journal Mayo Clinic Proceeding.In the study, ‘Body Mass Index, the Most Widely Used But Also Widely Criticized Index’, researchers analysed data of more than 60,000 people who were examined over an average of 15 years. The goal was to study how factors such as obesity can predict the risk of dying from cardiovascular disease...(more)