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Source: www.ncbi.nlm.nih.gov --- 4 days ago
Related Articles Postoperative hypoxemia in morbidly obese patients with and without obstructive sleep apnea undergoing laparoscopic Bariatric Surgery. Anesth Analg. 2008 Jul;107(1):138-43 Authors: Ahmad S, Nagle A, McCarthy RJ, Fitzgerald PC, Sullivan JT, Prystowsky J INTRODUCTION: The increased incidence of morbid obesity has resulted in an increase of Bariatric surgical procedures. Obstructive sleep apnea (OSA) is a commonly encountered comorbidity in morbidly obese patients. Sedatives, analgesics, and anesthetics alter airway tone, and airway obstruction and death have been reported in patients with OSA after minimal doses of sedatives and anesthetics, yet there is a lack of consensus regarding the care of these patients. In this study, we sought to determine whether obese patients with polysomnography-confirmed diagnosis of OSA were at significantly greater risk for postoperative hypoxemic episodes in the first 24 h after laparoscopic Bariatric Surgery than morbidly obese patients without a diagnosis of OSA. METHODS: Adult subjects (Body Mass Index, 35-75 kg/m(2)) scheduled to undergo laparoscopic Bariatric Surgery were studied. A finger pulse oximetry probe was placed preoperatively and oxygen saturation (Spo(2)) was recorded continuously. All subjects underwent preoperative polysomnography testing within 4 wk of Surgery. Anesthetic management was standardized, using propofol for induction and desflurane and remifentanil for mai ... Source: www.ncbi.nlm.nih.gov --- 8 days ago
Related Articles The effect of extended post-discharge chemical thromboprophylaxis on venous thromboembolism rates after Bariatric Surgery: a prospective comparison trial. Surg Endosc. 2008 Jul 12; Authors: Raftopoulos I, Martindale C, Cronin A, Steinberg J BACKGROUND: The effect of extended post-discharge thromboprophylaxis (ETP) on venous thromboembolism (VTE) rates following Bariatric Surgery (BS) is unknown. METHODS: 308 consecutive patients who underwent BS between 2003 and 2007 and who had >1 month of follow-up were included. In-hospital-only VTE prophylaxis (group A), or extended 10-day ETP (group B) was used in 132 and 176 patients, respectively. All patients underwent bilateral lower extremity venous Doppler studies (BLEVDS) prior to discharge. Primary endpoint was the incidence of VTE within 30 days postoperatively. VTE was defined as a clinically evident deep vein thrombosis or pulmonary embolism documented by positive BLEVDS, or computed chest tomography. The primary safety endpoint was bleeding associated with >/=2 g/dL decrease in hemoglobin compared with baseline, transfusion or reoperation. RESULTS: The incidence of VTE was 1.9% (6/308); 66.6% (4/6) of cases occurred after cessation of thromboprophylaxis. There were no deaths in either group. With the exception of percentage open surgical approach (A: 3% versus B: 0%, p = 0.03), percentage conversions (A: 0 versus B: 3.8%, p = 0.01), and hospital stay (A: 3 versus B: 2 ... Source: www.rsspad.com --- 7 days ago
Atlanta Weight Loss surgeon, Dr. James K Champion of the Videoscopic Institute of Atlanta has released the latest version of his Bariatric Surgery website, www.drchampion.com. (PRWeb Jul 16, 2008) Read the full story at http://www.prweb.com/releases/2008/07/prweb1059164.htm ... Source: www.theleafchronicle.com --- 10 days ago
Since it began about a year ago, Blanchfield Army Community Hospital's Bariatric Surgery department has helped people regain their confidence and explore areas of life they might not have been able to experience. ... Source: www.qctimes.com --- 9 days ago
Offers a comfortable place to talk about the changes that occur with surgical weight loss. Participants are encouraged to bring a support person. ... Source: www.nbc-2.com --- 1 day ago
Gastric bypass and lap band surgeries have been offered for years, but there hasn't been a complete program in Lee County, until now. Lee Memorial Health Systems has introduced a comprehensive Bariatric Surgery program. ... Source: www.fiercehealthcare.com --- 2 days ago
Frustrated by limits imposed by U.S. health plans--which typically require patients to have a BMI of 40--patients are increasingly going to Mexico to get Bariatric surgeries. They're doing this even though Mexican prices for Bariatric surgical procedures are only slightly lower than those in the U.S.--and even though there are still some questions as to whether they'll get a safe, high-quality procedure. Patients say they simply can't get their procedures in this country. Part of the reasons current guidelines are so restrictive is that they're somewhat dated. Current Bariatric Surgery guidelines were based on research from the 1970s and 1980s, before the introduction of gastric banding Surgery. Unlike the more invasive, irreversible gastric bypass, gastric banding can be performed laparoscopically and can be reversed if need be. Now, Mexican providers are making hay of the fact that it's hard to get procedures approved in the U.S. Scores of websites advertise Mexican Bariatric Surgery options, with many pitching their proximity to American airports. One clinic with a site in Cancun has an affiliation with a network of U.S. centers allowing patients to get refills of the solution required to inflate the gastric band and produce a feeling of fullness. The U.S. network, Fill Centers U.S.A., has served more than 3,100 patients since it opened less than two years ago. More than 95 percent of its patients had Surgery outside the U.S., ... Source: news.yahoo.com --- 9 days ago
A change comes in the law for New Hampshire health insurers when it comes to Bariatric Surgery as an option in treating diseases and ailments caused by obesity. ... Source: www.ncbi.nlm.nih.gov --- 11 days ago
Related Articles Cardiac Arrest After Intragastric Balloon Insertion in a Super-Obese Patient. Obes Surg. 2008 Jul 10; Authors: Cubattoli L, Barneschi C, Mastrocinque E, Bonucci P, Giomarelli PP A super-obese patient who suffered from severe sleep apnea (SSA) and other comorbidities underwent insertion of a BioEnterics intragastric balloon (BIB) before Bariatric Surgery. During the night, he was victim of cardiac arrest. After cardiopulmonary resuscitation and return of spontaneous circulation, he was transferred to intensive care unit. Two hours later, he developed an unexpected symptomatic bradycardia, and BIB was removed. The patient had no further cardiac complications, but he had a poor neurological outcome. In our opinion, such a severe cardiac event was the result of several causes. The BIB induces vagal nerve activation by stretching the gastric wall. In addition, super-obese patients with sleep apnea and other comorbitities have an increased risk of potentially fatal cardiac arrhythmias especially during the night. For all these reasons, we think that these patients may benefit from further preoperative cardiac investigations and a more intensive control during the first postinsertion day. PMID: 18618208 [PubMed - as supplied by publisher] ... Source: www.ncbi.nlm.nih.gov --- 7 days ago
Related Articles The value of current interventions for obesity. Nat Clin Pract Cardiovasc Med. 2008 Jul;5 Suppl 1:S3-9 Authors: Sharma AM Obesity greatly increases risk of cardiovascular disease, metabolic syndrome, and diabetes mellitus. Most obese patients are unable to sustain appreciable weight loss; the body has a natural tendency to return to its previous weight. Although Bariatric Surgery is effective, it is not without risk. Until better treatments for obesity are available, management remains focused on lifestyle changes, drug therapy, and treating the metabolic complications of obesity. The main cause of metabolic dysfunction in obesity is visceral fat. Fat deposition in and around organs, skeletal muscle, and other tissues is thought to occur when subcutaneous adipose tissue stores are full. Creation of additional adipose-tissue stores is prevented by the mature adipocytes, which inhibit the differentiation of preadipocytes in a negative feedback loop. This inhibition is mediated, in part, by the renin-angiotensin system. Indeed, angiotensin II blockade has been shown to promote adipogenesis in vitro. Clinical studies are currently underway to investigate whether the angiotensin-II-receptor blocker telmisartan can stimulate adipogenesis, with the aim of diverting intramuscular fat back into adipose tissue and thereby restoring insulin sensitivity. If this effect can be demonstrated in humans, this type of agent might become ... Source: www.theglobeandmail.com --- 3 days ago
Insulin pumps to be funded for adults with type 1 diabetes, more Bariatric Surgery and a provincial registry on tap in four-year strategy announced Tuesday ... Source: www.kansas.com --- 4 days ago
Wesley Medical Center said it has hired the state's first fellowship-trained Bariatric surgeon. Ian Villanueva was the operating surgeon in more than 350 advanced laparoscopic procedures -- 200 of which were laparoscopic Bariatric surgeries -- while completing his fellowship training in laparoscopic Bariatric and advanced gastrointestinal Surgery at Carolinas Medical Center in Charlotte, N.C., the hospital said in a release. He will be a member of Wesley's multidisciplinary team evaluating patients for the laparoscopic gastric bypass and the laparoscopic adjustable gastric band for morbid obesity. ... Source: www.spokesmanreview.com --- 11 days ago
JOIN THE HEALTH CARE LEADER Established in 1930, Rockwood Clinic is a physician-owner and operated multi-specialty health care organization that believes in treating each patient with expertise, knowledge and care. We are a growing group practice with the following positions available: Bariatric Coordinator Business Office Biller - Medicare Desk Coder Customer Service Representative Manager of Revenue Cycle Manager of Central Business Office LPN - Orthopedics LPN/RN - Cheney Medical Assistant Nephrology Oncology Urgent Care Valley Clinic General Surgery Quail Run (2 positions) Orthopedics Physical Therapy Massage Therapist Occupational Therapist Physical Therapist PC Support Technician Practice Manager - Orthopedics Practice Supervisor - Cardiology Receptionist Valley Clinic Float Pool Contact Center Quail Run Internal Medicine - Physical Therapy R.N. Urgent Care Nephrology Pediatrics Security Officer - Information Services Surgery Scheduler - General Surgery Warehouse Clerk - Purchasing Rockwood Clinic offers a generous benefits package and a friendly patient and community-focused workplace. Please visit our Web site for more information and to apply. www.rockwoodclinic.com (509) 838-2531 ( View ad ) ... REMINDER: ORLive Presents: Access to Surgical Intervention for Metabolic Syndrome and Other Diseases
Source: www.theheart.org --- 1 day ago
Bariatric Surgery for obesity such as gastric banding or gastric bypass is associated with a reduction in long-term cardiovascular events, a new study using risk models suggests. (Batsis JA et al. Am J Cardiol ; published online before print July 21, 2008.) ... Source: www.healthnews.com --- 2 days ago
If you are one of the millions of people in the United States living with morbid obesity, one of the options to consider is Bariatric Surgery, often referred to as weight loss Surgery. In the last 6 years more than 800,000 people who have had no long-term weight loss success through other means, have chosen this procedure to transform their lives. read more ... Source: www.fwicki.com --- 3 days ago
As observers eagerly wait to see when, or if, Gov. John Lynch gets a chance to sign a bill to mandate health insurance companies to cover Bariatric Surgery and other obesity-fighting measures, Sen. ... Source: www.bigfatblog.com --- 2 days ago
Good news everyone! Random Bariatric surgeon Dr. Michael Snyder apparently loves BFB! My name is Genesis Kobos and I work with a weight-loss product called FullBar, and its creator, Dr. Michael Snyder. We’re fans of Big Fat Blog and your honest approach to weight-loss and all that it entails, including not only the physical aspects of dieting, but the emotional as well. Hey, that's great. Thanks for writing! FullBar’s concept is basically "Bariatric Surgery in a bar." There are so many jokes, I don't know where to start. Tip to spammers: copy and paste doesn't work! ... Source: www.fwicki.com --- 6 days ago
BobClegg's legislation to ensure obesity related diseases and ailments are coveredby insurance, including Bariatric Surgery, will become law in New Hampshire. ... Source: www.fwicki.com --- 9 days ago
Description: This legislation compels insurance companies to cover weight-loss Surgery otherwise known as Bariatric procedures that a doctor determines to be ?medically necessary.?? Status: Gov. John Lynch allowed the bill to become law without ... ... Find more results for Bariatric Surgery on RSSMicro.com |
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(Prudent Press Agency)---MINNEAPOLIS, MN--On Tuesday, June 17, 2008, at 4:00 pm CDT, ORLive.com will broadcast a panel discussion entitled, "Access to Surgical Intervention for Metabolic Syndrome and Other Diseases." Dr. Henry Buchwald, Professor of Surgery, University of Minnesota, Minneapolis, Minnesota, will serve as moderator. The panel will include Dr. Neil Hutcher, Commonwealth Surgeons, St Mary's Bon Secours Hospital, Richmond, VA., Dr. Scott A. Shikora, Professor of Surgery, Tufts University School of Medicine, Chief, General, Bariatric and Minimally Invasive Surgery, Tufts Medical Center, Boston, Massachusetts, and Walter Lindstrom, Jr., Esq., Obesity Law and Advocacy Center, Chula Vista, CA., a leading advocate for the rights of persons suffering from obesity. Join this leadership panel as they discuss the challenges of access to surgical intervention for the resolution of metabolic syndrome and other diseases and suggestions for improvement. ...