Bariatric Surgery in Teens: 7 Things Every PCP Should Know Bariatric Surgery in Teens: 7 Things Every PCP Should Know

Bariatric surgery is one of the few strategies shown to be effective in treating severe obesity in children. Dr Elizabeth Parks Prout provides key information, including new AAP recommendations.CHOP Expert Commentary
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Pediatrics Commentary Source Type: news

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We present a case of severe vitD deficiency-osteomalacia after gastric bypass operation for morbid obesity, treated with ergocalciferol intramuscularly. A 45-year-old woman was presented with hip pain and muscle weakness, which led ultimately to immobilization in a wheelchair. Fifteen years ago, she underwent roux-en-Y gastric by-pass for morbid obesity. Occasionally, she was treated with multivitamin supplements. On admission, iron deficiency anaemia, vitD deficiency (25OHD: 3.7 ng/ml) and secondary hyperparathyroidism were revealed. Bone turnover markers (BTM) were elevated. Radiological evaluation demonstrated insuffici...
Source: Journal of Musculoskeletal Neuronal Interactions - Category: Neurology Tags: J Musculoskelet Neuronal Interact Source Type: research
Conclusions: During 12 months after RYGB, %EWL was not associated with BPL or AL length. However, during 36 months postoperatively, the patients with longer BPL had a significantly higher %EWL in comparison to the patients with shorter BPL. PMID: 32489489 [PubMed]
Source: Videosurgery and Other Miniinvasive Techniques - Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research
Publication date: Available online 3 June 2020Source: Obesity Research &Clinical PracticeAuthor(s): Chao-Yung Wang, Keng-Hau Liu, Ming-Lung Tsai, Ming-Yun Ho, Jih-Kai Yeh, I.-Chang Hsieh, Ming-Shien Wen, Ta-Sen Yeh
Source: Obesity Research and Clinical Practice - Category: Eating Disorders & Weight Management Source Type: research
AbstractBackgroundThe respiratory coefficient (RQ), as determined by indirect calorimetry (IC), classifies diet as being carbohydrate rich (RQ  = 0.7–0.8), fat rich (RQ = 0.9–1.0), or overfeeding (RQ >  1). We hypothesized that preoperative RQ may be associated with weight-loss outcomes after bariatric surgery.MethodsFrom 2016 to 2018, 137 obese patients were enrolled in a Bariatric Registry and underwent dietary and behavioral counseling, followed by preoperative IC. Resting energy expenditure (REE) and RQ of all patients was measured. Patients were classified as ov...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionOur findings suggest that undergoing LRYGB with EOSS stage 3 has increased odds of major complications. As such, the EOSS demonstrates utility in identifying bariatric surgery candidates at risk of major postoperative morbidity. Further studies are required to assess the applicability of the EOSS for patients undergoing other forms of bariatric surgery.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Condition:   Morbid Obesity Intervention:   Procedure: sleeve gastrectomy with loop bipartition Sponsor:   Minia University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
PURPOSE: Bariatric surgery (BS) is considered the most effective treatment for severe obesity. Nevertheless, long-term studies have identified some concerning issues, such as increased postoperative rates of suicide and substance use disorders. Some invest...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
The superiority of bariatric surgery over best medical therapy (BMT) in the treatment of type 2 diabetes has been well demonstrated in high-quality randomized clinical trials. Furthermore, there is sufficient clinical and mechanistic evidence to support consideration of metabolic surgery for the patients with class 1 obesity (body mass index [BMI], 30.0-34.9; calculated as weight in kilograms divided by height in meters squared), type 2 diabetes, and inadequately controlled hyperglycemia. At 5-year follow-up, compared with BMT, the Systemic Therapy in Advancing or Metastatic Prostate Cancer: Evaluation of Drug Efficacy (ST...
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
Recent data support the use of bariatric surgery in adolescents with severe obesity following unsuccessful non-surgical treatments. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) have demonstrated...
Source: BMC Surgery - Category: Surgery Authors: Tags: Study protocol Source Type: research
AbstractPurpose of ReviewIn the treatment of epidemic obesity and metabolic disorders, conservative approaches often fail to achieve the treatment goal in patients with very high BMI. To date, bariatric surgery accomplishes the most sustainable results in patients with morbid obesity. This leads to a treatment gap for lower and middle classes of obesity defined by BMI. Primary endoscopic procedures, which are less invasive than surgery, may be able to sufficiently fill this gap. Furthermore, secondary endoscopic procedures have developed into an essential addition regarding complication management of bariatric surgeries. T...
Source: Current Obesity Reports - Category: Eating Disorders & Weight Management Source Type: research
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