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Women more likely to use post-op contraception after counselling

A study from the Netherlands examining contraceptive use pre- and post-operatively in women who underwent bariatric surgery has reported that 60% of women are using safe contraception post-operatively. However, only 62.6% of patients recall receiving contraceptive counselling but, the investigators noted, they were more likely to use safe contraception after surgery. Therefore, the authors recommended more counselling and monitoring in the post-operative and outpatient setting.

Weight loss prior to surgery may not be safe for all patients

Weight loss prior to metabolic and bariatric surgery may not be necessary for all patients and unsafe weight loss prior to surgery may compromise nutrition status and lead to increased infection rates, according to researchers from the University of Pennsylvania.

Bariatric surgery eligibility should consider more than just weight

Forty-five worldwide scientific and medical societies are pushing to change national guidelines that would allow more patients with the chronic diseases of obesity and diabetes to be eligible for bariatric surgery. As chronic obesity worsens, it comes not only with complications of diabetes, but may also include heart disease and cancer. Just like with any other chronic disease, the best course of action is early intervention, such as bariatric surgery.

Bariatric surgery patients at higher risk of death from substance abuse

The death rate from drug- and alcohol-related causes in patients who have had Roux-en-Y gastric bypass surgery is nearly triple that of the general public, according to University of Pittsburgh researcher. The study also found that fewer than half of those who died had triggered a safety protocol for problematic substance use. Only one of those who died was known to have received treatment for substance use disorder.

Bariatric surgery reduces the development of colorectal lesions

Bariatric surgery was associated with fewer incidences of new colorectal lesions in patients undergoing bariatric surgery compared with a control group not undergoing bariatric surgery, according to researchers from University of Virginia, Charlottesville, VA.

Bariatric surgery is cost-effective treatment for patient with T2DM

Performing bariatric surgery in patients with morbid obese with type 2 DM is a cost-effective strategy in Thailand, according to researchers from King Chulalongkorn Memorial Hospital (KCMH) and Thammasat University, Bangkok, Thailand. The authors note that although the evidence suggests that bariatric surgery is a successful long-term treatment in patients with morbid obese with type 2 DM, it is an expensive procedure with additional costs possible in the months following surgery. Therefore, they wanted to assess whether bariatric surgery is cost-effective in this group of patients. 

Psycho-social outcomes on bariatric adolescent patients

Dr Torsten Olbers is a professor of surgery and consultant bariatric surgeon at University of Linkoping in Sweden. His national and international reputation stems from combining a busy clinical activity with continuous academic productivity. As a regularly invited lecturer at international conferences, he has contributed to development of bariatric surgery worldwide and highlighted this at the XX Brazilian Congress on Bariatric and Metabolic Surgery.  

Post-op women at greater risk of pregnancy and birth complications

Women who have undergone bariatric surgery appear to be at higher risk of developing complications during pregnancy, and their babies seem more likely to be born prematurely, small for gestational age, have congenital anomalies and be admitted to intensive care, according to a comprehensive assessment of how bariatric surgery affects pregnancy outcomes, presented at this year's European Congress on Obesity (ECO) in Glasgow, UK.

Rheumatic disorders improved post-op risk of fractures increased

A literature review by researchers looking at the complex relationship between obesity, various rheumatic diseases and bariatric surgery has underscored the need to establish long-term prospective controlled trials evaluate the risk-benefit ratio of bariatric surgery in patients with morbid obesity and rheumatic diseases.

Patient behaviours associated with post-surgery weight regain

In the years following bariatric surgery, a person's overall eating behaviours and the amount of time spent watching television, playing video games and using a computer for recreation are a better indication of long-term weight loss success than specific weight control practices like counting calories, according to findings by the University of Pittsburgh Graduate School of Public Health.

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