Increase access to bariatric surgery for PCOS treatment

Access to bariatric surgery should be increased as part of the main treatment considerations in women with obesity and polycystic ovarian syndrome (PCOS). The paper, ‘A Review of the Impact of Bariatric Surgery in Women With Polycystic Ovary Syndrome’, published in Cureus, led by California Institute of Behavioral Neurosciences & Psychology, Fairfield in the US, also recommends that additional research with better study designs are required in the future to investigate the relationship between PCOS and bariatric surgery.

Vietnamese Americans without obesity 60% more likely to have diabetes

Vietnamese-American adults who did not have obesity were 60% more likely to have diabetes than those without obesity, non-Hispanic, White Americans, after accounting for age, sex, sociodemographic factors, smoking history and exercise level. Overall, only 9% of Vietnamese Americans with diabetes in the study had obesity. In comparison, half of all non-Hispanic White Americans with diabetes had obesity.

Abnormalities in laminin expression associated with Hirschsprung disease

Researchers from Le Bonheur Children's Hospital and the University of Tennessee Health Science Center who are trying to determine the mechanisms underlying abnormal development of the enteric nervous system in Hirschsprung disease, have reported delineating interactions between migrating neural crest cells and the extracellular matrix in a model of Hirschsprung disease using a variety of in vitro and in vivo approaches.

Obesity rates among Irish primary school children deceasing

According to the latest The Childhood Obesity Surveillance Initiative (COSI) in the Republic of Ireland (COSI) survey - carried out as part of the World Health Organization and European Union's effort to measure weight trends in young children - obesity rates in primary school children across Ireland are decreasing. The prevalence of obesity in children aged six to ten has continued to go down year on year.

The relationship between eating disorders and body dysmorphia

People with eating disorders are 12 times more likely to be preoccupied with perceived flaws in their physical appearance than those without, according to researchers from Anglia Ruskin University (ARU). The study authors claim their research provides more evidence of the complex relationship that exists between body dysmorphic disorder (BDD) and eating disorders. Furthermore, they recommended that practitioners working with BDD subjects should screen for eating disorders due to the high morbidity associated with eating disorders.

Bariatric surgery significantly cuts pancreatic cancer risk in diabetic patients

Bariatric surgery significantly cuts the risk of developing pancreatic cancer in people with obesity and diabetes, a new 20-year analysis has found. The study, presented at UEG Week 2020 Virtual, analysed 1,435,350 patients with concurrent diabetes and obesity over a 20-year period.

Parathyroid axis monitoring may decrease the impact of bariatric hyperparathyroidism

Parathyroid axis monitoring could benefit patients who at high-risk of hyperparathyroidism after bariatric surgery, according to researcher from the US, who noted that patients with renal failure, hypertension and anaemia would likely benefit from earlier follow-up with parathyroid axis monitoring (outpatient monitoring of calcium, vitamin D and PTH levels). They also reported that monitoring is likely most beneficial for patients younger than 45 years of age.

Bariatric surgery could be effective in improving sexual function in males

Bariatric surgery could be effective in improving male’s sexual (erectile) function in patients with obesity, according to Chinese researchers, however, due to the limited number of studies evaluating this topic, the authors noted that additional studies are required to confirm their findings. The paper, ‘The relationships between bariatric surgery and sexual function: current evidence based medicine’, was published in BMC Urology.

Third UK bariatric report shows safety and effectiveness of surgery

The British Obesity and Metabolic Surgery Society (BOMSS) and dendrite Clinical Systems have published the Third National Bariatric Surgery Registry (NBSR) Report that outlines the safety and effectiveness of bariatric and metabolic surgery. This latest report examines data from 19,104 Roux-en-Y gastric bypass (RYGB) procedures, 13,841 sleeve gastrectomy (SG), 4,499 gastric bands (GB) and 1,515 One Anastomosis Gastric Bypasses (OAGB) performed between 2013 and 2018. Mirroring global trends, SG replaced RYGB to become the commonest bariatric procedure in the UK in 2018.

Consensus statement on the prevention of opioid-related harm in adult surgical patients

An international group of global experts including anaesthetists, surgeons and other healthcare professionals have come together to publish a consensus statement on the prevention of opioid-related harm in adult surgical patients. The consensus statement, ‘An international multidisciplinary consensus statement on the prevention of opioid‐related harm in adult surgical patients’, was published in Anaesthesia (a journal of the Association of Anaesthetists).

Similar complication rates for primary and revisional robotically-assisted RYGB

There are similar overall early and late complication rates between primary and revisional robotically-assisted laparoscopic Roux-en-Y gastric bypass (RYGB), with higher rates of gastrojejunal strictures and readmissions for oral intolerance in the revisional group, according to a study by researchers from Texas. The results were reported in the paper, ‘Outcomes of primary versus revisional robotically assisted laparoscopic Roux-en-Y gastric bypass: a multicenter analysis of ten-year experience’, published online in Surgical Endoscopy.

PCOS increases risk for gestational diabetes and hypertensive disorders

A study by researchers at McGill University has identified polycystic ovary syndrome (PCOS) as an independent risk factor for gestational diabetes (GDM), gestational hypertension (GHTN) and preeclampsia (PEC) of pregnancy. After controlling for all potential confounding effects, women with PCOS were at a two-fold higher risk of developing GDM, a 50% increased risk for the development of GHTN and a 30% increased risk of developing PEC, compared to women without PCOS.