Bariatric surgery is increasingly seen as a treatment option for patient with type 2 diabetes (T2DM) and severe complex obesity (SCO). There is however no consensus on how to manage this cohort preoperatively and postoperatively. Patients with T2DM having cardiac surgery benefit from glycaemic optimisation prior to surgery. National Health Service Diabetes in the United Kingdom recommends that ...

ASMBS pediatric committee best practice guidelines Marc Michalsky, M.D., F.A.C.S., F.A.A.P.*, Kirk Reichard, M.D., F.A.C.S., F.A.A.P., Thomas Inge, M.D., F.A.C.S., F.A.A.P., Janey Pratt, M.D., F.A.C.S., Carine Lenders, M.D., F.A.A.P. Chair, American Society for Metabolic and Bariatric Surgery Pediatric Committee, Gainesville, Florida Co-Chair, American Society for Metabolic and Bariatric Surger...

OBJECTIVES To analyze recent nationwide trends in the use of adolescent bariatric surgery and to compare early postoperative outcomes of adolescents and adults undergoing these procedures. DESIGN Analysis of national administrative data by using survey analysis techniques. SETTING Data obtained from the Nationwide Inpatient Sample from 1996 to 2003. PARTICIPANTS Adolescents (aged <20 year...

IMPORTANCE Bariatric surgery is a well-documented treatment for obesity, but there are uncertainties about the degree to which such surgery is associated with health care cost reductions that are sustained over time. OBJECTIVE To provide a comprehensive, multiyear analysis of health care costs by type of procedure within a large cohort of privately insured persons who underwent bariatric surg...

BACKGROUND Although, there have been extensive research on the motivations driving patient to undergo cosmetic procedures, there is still a big question mark on the persuasive factors which may lead individuals to undergo cosmetic surgery. The present study evaluated various factors affecting patients undergoing cosmetic surgery in Bushehr, Southern Iran. METHODS From 24th March 2011 to 24th...

Background Bariatric surgery is a very effective treatment for morbid obesity, generally improving the obesity related metabolic derangements. Epicardial fat (EPIFAT) is a visceral fat depot measurable in cardiac magnetic resonance. Changes in EPIFAT after bariatric surgery has been described, but it is not well characterized. We hypothesized that the reduction of the thoracic fat components af...

PURPOSE OF REVIEW Morbid obesity is associated with a high prevalence of psychopathological conditions that might have an impact on postsurgery outcomes. This review summarizes recent data about psychological disorders in obese patients before and after bariatric surgery as well as the assessment and impact of these factors on postsurgery outcomes. RECENT FINDINGS Psychological health and qua...

C osmetic surgery is growing in popularity, fueled by a culture of youthful attractiveness, unprecedented affluence and TV “makeover” shows. In 2004, U.S. doctors performed almost 9 million procedures, including such popular operations as breast augmentations, tummy tucks and liposuction. Once the province of celebrities and wealthy matrons, cosmetic surgery today is within the reach of everyon...