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Advanced energy devices improve delivery/outcomes

Nearly nine out of ten (88%) surgeons believe advanced surgical energy devices could revolutionise the way surgery is performed in the future resulting in cost savings for the NHS, according to the results of an industry survey. It is estimated that it can cost up to £400 per day for an average patient on an NHS surgical ward, indicating real financial benefits to reducing length of stay. It has been projected that a reduction in length of stay of between two and six days per patient could save NHS trusts £15.5million-£46.5 million a year in total.

US physicians feel under-trained for obese patients

US primary care physicians feel they are not sufficiently prepared to treat obesity, and that nutritionists and dieticians are more qualified to help obese patients lose or maintain their weight, according to a survey published in BMJ Open.

Rise in adolescent bariatric surgery stalls

The number of adolescent bariatric surgeries performed in the USA has plateaued in the last 10 years, with no increase in the number of operations performed since 2003, according to a new paper published in the Archives of Pediatrics and Adolescent Medicine.

While the rate of bariatric procedures increased from 0.8 per 100,000 US adolescents in 2000 to 2.3 per 100,000 in 2003, it remained steady in 2006 and 2009, with 2.2 operations per 100,000 and 2.4 operations per 100,000 respectively.

Audit reveals England and Wales diabetes risk

A national audit has revealed the toll of diabetes in England and Wales, finding that people with the condition were at a 40% higher risk of death than the general population, and were 65% more likely to suffer heart failure.

Dr Bob Young, clinical lead for the National Diabetes Information Service, who performed the audit, said that it demonstrated the need for improvement in the treatment of diabetes.

Bariatric surgery on the rise in USA

Both the number of bariatric operations and the cost of dealing with obese patients in the USA have increased slightly over the last 18 months, according to a survey of hospitals.

The survey, which was commissioned by healthcare contracting company Novation and sent to hospitals ran by VHA and UnitedHealth Group, found that 74% of responding facilities reported an increase in the number of bariatric surgeries performed in the last year and a half.

Bariatric patients at risk of substance abuse post-surgery

Bariatric patients may be at risk of increased drug, alcohol and tobacco use following surgery, according to a new report published in the Archives of Surgery.

Refugees face double burden of obesity and malnutrition

25% of Algerian refugee households suffer from both obesity and malnutrition - are aid efforts taking the wrong approach?

Journal Watch: 05/10/12

This week: gastrointestinal leak after gastric bypass, outcomes after revisional Roux-en-Y gastric bypass, vitamin D deficiency after malabsorptive surgery, and more.

Canadian public bariatric surgery infrequent, inequitable

The number of eligible bariatric surgery candidates in Canada outnumbers the number of publicly-funded procedures performed annually almost one thousand times over, and the most eligible candidates often go without surgery, according to a report in the International Journal for the Equity of Health.

International surgery trends: banding down, sleeves up

Henry Buchwald has presented the results from an international survey of bariatric surgery trends at the IFSO annual congress in New Delhi, India, which showed that while bariatric surgery is as popular as it was four years ago, sleeve gastrectomy is replacing gastric band surgery to such an extent that the latter may soon disappear altogether as a stand-alone procedure.

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