taking BARIATRIC & METABOLIC HEALTH further, together
A young woman who has struggled with obesity her entire life. As an internal medicine physician, she felt very uncomfortable talking to her patients about weight – and decided it was time to take action to overcome obesity.
THE OBESITY EPIDEMIC
Obesity has become an epidemic in the United States. According to the CDC, more than one-third of U.S. adults are obese.1 Of this, over 6% are considered morbidly obese (BMI >40).2
In June of 2013, obesity was recognized as a disease by the American Medical Association. Despite this significant step in the right direction, the fact still remains: only 1% of the clinically eligible population is being treated for morbid obesity through bariatric surgery.
The role of surgery in overcoming obesity, featuring Amit Trivedi, MD
More patients struggle with obesity than ever before – and unfortunately for many, diet and exercise alone simply aren’t enough. For many patients, bariatric surgery is an effective tool in overcoming this disease.
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IMPROVING BARIATRIC AND METABOLIC HEALTH through awareness and education
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delivering versatile services to our patients and partners
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1. The Centers for Disease Control and Prevention, National Center for Disease Statistics website.
2. Cynthia L. Ogden, PhD; Margaret D. Carroll, MSPH; Brian K. Kit, MD, MPH; Katherine M. Flegal, PhD Prevalence of Childhood and Adult Obesity in the United States, 2011-2012 National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland United States Public Health Service, Rockville, Maryland JAMA. 2014; 311(8):806-814. doi:10.1001/jama.2014.732.
3. Jeffrey Levi, PhD, Laura M. Segal, MA, Kathryn Thomas, MJ, Rebecca St. Laurent, JD, Albert Lang and Jack Rayburn, MPH, The F as in Fat Report 2013: How Obesity Threatens America’s Future, Trust for America’s Health and the Robert Wood Johnson Foundation August 2013.
4. Survey of tissue reinforcement users to determine waste and time loss attributed to separately loaded buttress materials in the OR Online U.S. national sample of 125 surgeons and 125 OR nurses. Medtronic-sponsored study by ORC International, 11/9/11.
5. Reinforced Reload Pre-Clinical Testing, In-Vitro Mass Loss; Report: In vitro Mass Loss; 1/23/14 (2183-060-0).
6. Tsirline VB, Lau KN, Swan RZ, Montero PN, Sindram D, Martinie JB, Iannitti DA., Evaluation of an Innovative, Cordless Ultrasonic Dissector. Surg Innov, 2013.
7. Based on independent surgeon feedback collected during Medtronic-sponsored labs conducted on April 16-18, 2013 and April 30- May 3, 2013. Validation Report R0035742.
8. When compared to the Harmonic ACE™* on maximum power through 10 cm of porcine mesentery. Results show a statistically significant (P < 0.0001) difference in mean dissection speed. Tsirline VB, Lau KN, Swan RZ, Montero PN, Sindram D, Martinie JB, Iannitti DA., Evaluation of an Innovative, Cordless Ultrasonic Dissector. Surg Innov, 2013.
9. Kim FJ, Sehrt D, Pompeo A, Molina WR., Comparison of surgical plume among laparoscopic ultrasonic dissectors using a real-time digital quantitative technology. Surg Endosc, 2012.
10. Based on internal testing done on maximum power through 15 cm of porcine mesentery. Covidien report May 17, 2010 R0014725 Rev B.
11. AORN Report: Brogmus G, Leone W, Butler L, Hernandez E . Best practices in OR suite layout and equipment choices to reduce slips, trips and falls. AORN (Association of PeriOperative Registered Nurses) J 86:384–398.
12. Bench top testing, cadaver lab with surgeons, Comparison of GastriSail™ versus Standard bougie in Sleeve Gastrectomy in a Cadaver Model Report #PCG-025_rev 1 1/13/15.
13. ”Survey of tissue reinforcement users to determine waste and time loss attributed to separately loaded buttress materials in the OR.“ Online U.S. national sample of 125 surgeons and 125 OR nurses. Medtronic-sponsored study by ORC International, 11/9/11.
14. Reinforced Reload Bench Top Testing, Acute Hemostasis in Canine Small Bowel, 11/26/13, Report # 2183-075
15. Average 61% reduction in reload tip travel during firing when compared to Ethicon Endo-Surgery Echelon Flex™* in indicated media, n=10 surgeons, 172 total trials
16. Nguyen NT, Mayer KL, Bold RJ, et al. “Laparoscopic suturing evaluation among surgical residents.” J Surgl Res. 93(1):133-136 (2000).
17. Stringer NH. “Laparoscopic myomectomy with the Endo Stitch™ 10-mm laparoscopic suturing device.” Gynecol Laparosc. 3(2):299-300 (1996).
18. Adams JB, Schulam PG, Moore RG, Partin AW, Kavoussi LR. “New laparoscopic suturing device: initial clinical experience.” Urology. 46(2): 242-245 (1995).
19. Pattaras JG, Smith GS, Landman L, Moore RG. “Comparison and analysis of laparoscopic intracorporeal suturing devices: preliminary results”. J Endourol. 15(2):187-192 (2001).
20. Omotosho, P., B. Yurcisin, et al. “In vivo assessment of an absorbable and nonabsorbable knotless barbed suture for laparoscopic single-layer enterotomy closure: a clinical and biomechanical comparison against nonbarbed suture.” J Laparoendosc Adv Surg Tech A 21(10): 893-7 (2011). *Supporting evidence from a pre-clinical model
21. Based on Covidien acute porcine study report: “Comparison of Various Competitor Devices versus Covidien Sonicision™, LigaSure™ LF1637 and LigaSure™ LF1737 Devices in an Acute Porcine Study”. November 11, 2013; November 18, 2013; December 9, 2013; R0047634_A
22. Bench top testing, cadaver lab with surgeons, Comparison of GastriSail™ versus Standard bougie in Sleeve Gastrectomy in a Cadaver Model Report #PCG-025_rev 1 1/13/15
23. Comparative Testing of Covidien Endo GIA™ Black Reloads with Tri-Staple™ Technology and Ethicon ECHELON FLEX™ Black Reloads. Covidien Engineering Report # PCG-019