COVID-19: Analysis on numbers in intensive care from Italy

A new report on COVID-19 data to March 18 from Italy, prepared by an Italian expert for the European Society of Anaesthesiology (ESA), states that the rate of increase in the number of patients in intensive care units (ICU) with COVID-19 in Italy may have peaked in Lombardy, and may still be peaking in Italy as a whole. The report is by Davide Manca, Professor of Process Systems Engineering at Politecnico di Milano, Milan, Italy.

Researchers produce proteins that reduce excess levels of triglycerides

Researchers Mark Castleberry, a doctoral student, and professor Sean Davidson, both in the UC College of Medicine, have found a way to produce Apolipoprotein A5 (APOA 5) protein in the laboratory. It plays an important role in metabolising and clearing excess levels of triglycerides from the bloodstream. Their findings, ‘Functional recombinant apolipoprotein A5 that is stable at high concentrations at physiological pH’, were published in the Journal of Lipid Research.

Covid-19: A message from BOMSS President, David Kerrigan

Dear Colleagues,

Elective bariatric surgery in both the NHS and private sectors will effectively cease for the next 3- 6 months to help the NHS cope with the extraordinary pressures that the coronavirus outbreak has brought.

In the midst of this organised chaos and uncertainty, it’s important that we support each other, our colleagues and our patients.

David Kerrigan

David Kerrigan

COVID-19: CMS recommends delay on all elective surgeries

The Centers for Medicare & Medicaid Services (CMS) announced that all elective surgeries, non-essential medical, surgical and dental procedures be delayed during the 2019 Novel Coronavirus (COVID-19) outbreak.

The CMS announced in a statement that as more healthcare providers are increasingly being asked to assist with the COVID-19 response, it is critical that they consider whether non-essential surgeries and procedures can be delayed so they can preserve personal protective equipment (PPE), beds, and ventilators. 

Significantly fewer heart attacks and strokes for bariatric patients

Bariatric surgery resulted in 60% fewer fatal and non-fatal heart attacks and strokes among 3,701 men and women who had surgery, compared to the same number of patients who did not, during an average of 11 years following the surgery. In addition, patients who had bariatric surgery lost significantly more weight (an average of over 10 kg more) and type 2 diabetes was more likely to improve to the point where the patients no longer required medication to maintain normal blood sugar levels.

Bypass patients maintain 20% weight loss vs 5% non-surgical

People with severe obesity who underwent bariatric surgery maintained significantly more weight loss at five years than those who did not have surgery, according to a Kaiser Permanente study. Although some weight regain was common after surgery, regain to within 5% of baseline was rare, especially in patients who had gastric bypass instead of sleeve gastrectomy.

David

David Arterburn

Endoscopic treatment of LOAGB complications safe and effective

Endoscopic treatment of laparoscopic one anastomosis gastric bypass complications (LOAGB) complications are effective and relatively safe, according to researchers from Tel Aviv University and Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. The study authors noted that anastomosis-related complications were more “amenable” to endoscopic treatment, compared to staple line leaks.