July 26, 2021
Bariatric SmartBrief
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Therapies & Devices
Patients who had Roux duodenal switch surgery experienced more weight loss than patients who had single anastomosis duodeno-ileostomy with sleeve gastrectomy, but they also had more long-term complications, according to a study presented at the 2021 annual meeting of the American Society for Metabolic and Bariatric Surgery. Researchers found the groups had similar long-term resolution rates for type 2 diabetes, hypertension, obstructive sleep apnea and gastroesophageal reflux disease.
Full Story: General Surgery News (free registration) (7/21) 
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Tesomet gains orphan drug status for hypothalamic obesity
(Sarah Silbiger/Getty Images)
Saniona's Tesomet is the first drug to treat hypothalamic obesity to receive orphan drug status from the FDA. Tesomet is a combination therapy that includes tesofensine, a triple monoamine reuptake inhibitor, and metoprolol, a beta-1 selective blocker.
Full Story: Healio (free registration) (7/26) 
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Patients in a digital weight loss program shed fewer pounds during the first seven weeks of the program in 2020, during the COVID-19 pandemic, when compared with participants during the same time frame in 2019, according to a study published in Obesity. "It's a novel look at how a major environmental stressor like COVID can impact a weight-loss journey," said researcher Gary Foster.
Full Story: Healio (free registration)/Endocrine Today (7/26) 
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Health News & Research
A study published in The Lancet linked gastric bypass, vertical-banded gastroplasty and gastric banding to a higher risk of anemia. "These findings highlight the importance of long-term compliance to nutritional supplementation and monitoring to enable prevention and early detection of serious nutritional deficiencies after bariatric surgery," researchers wrote.
Full Story: Healio (free registration)/Endocrine Today (7/21) 
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Patients' ability to connect to the Internet and use digital health tools a "sixth vital sign" that health professionals should be alert to, as it may affect whether patients can receive needed care, according to a commentary in the Journal of Diabetes Science and Technology. Digital health technologies can make a major difference in patient outcomes across a wide range of medical conditions, write Dr. David Klonoff of the Diabetes Research Institute at Mills-Peninsula Medical Center and colleagues.
Full Story: Healio (free registration)/Endocrine Today (7/23) 
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A study in BMC Gastroenterology found that adherence to a low-FODMAP, gluten-free diet for six weeks resulted in improvements in symptom severity and normal gut microbiota among patients with irritable bowel syndrome. Specifically, those who followed a low-FODMAP, gluten-free diet had significantly reduced fecal calprotectin, increased Bacteroidetes and reduced Firmicutes to Bacteroidetes ratio.
Full Story: Healio (free registration) (7/21) 
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Nutrition, Wellness & Lifestyle Support
Fitness trackers boost activity in diabetes, heart disease
A study in JAMA Network Open found that adults who were overweight with diabetes, heart disease or both who used fitness trackers, such as step counters and accelerometers, had a 70% boost in physical activity levels, as well as small improvements in blood glucose, blood pressure levels and body weight. However, the researchers said that the improvements in physical activity levels were still generally lower compared with those recommended by HHS.
Full Story: United Press International (7/20) 
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A study in the journal Critical Reviews in Food Science and Nutrition found that the risk for coronary heart disease increases by 9% for every 1.75 ounces of beef, pork or lamb eaten, and by 18% for every 1.75 ounces of meats like bacon, sausage and ham eaten. The study, based on a meta-analysis involving more than 1.4 million individuals, did not find a link between consumption of poultry and higher odds for CHD.
Full Story: CNN (7/21) 
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A study in Circulation: Cardiovascular Quality and Outcomes found that patients with heart failure and coronary artery disease experienced better one-year survival rates when they increased regular physical activity at home or in a rehabilitation program after implantation of a cardioverter defibrillator, compared to those who did not exercise more. The study analyzed data from 41,731 Medicare beneficiaries with an implantable cardioverter defibrillator.
Full Story: Healio (free registration)/Cardiology Today (7/21) 
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ABE News
The worldwide spread of obesity and resulting increase in rates of chronic disease and other serious conditions threatens health systems, economies, and individual lives. Bringing the problem back under control will take multifaceted country-level as well as global-level efforts, and they cannot begin in earnest soon enough. Fundamentals of Obesity is an on-line only learning program that gives the learner in-depth knowledge of Bariatric Endoscopy in the treatment of obesity. This program is a pre-requisite to the STAR Certificate Program -- Bariatric Devices course that is coming up on November 13-14, 2021. View details of this course or register here.
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The Business of Health Care
The Medicaid claim denial rate and total cost of incomplete payment are significantly higher than for either Medicare or commercial insurance, according to a working paper by researchers at the University of Chicago and colleagues. High claim denial rates and costs along with lower reimbursement rates lead to low physician participation in Medicaid and impede access to care, the researchers say.
Full Story: Medscape (free registration) (7/19) 
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I love to think about chance -- about how one little overheard word, one pebble in a shoe, can change the universe.
Anne Tyler,
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