Endocrine Abstracts

Bariatric surgery has become one of the fastest growing areas of medicine. However, the surgical procedure is only one step in the management of obesity. How should the clinical pathway for the obese individual be designed to ensure optimal results and provide the healthcare savings predicted by the health economic studies?The Health and Social Care Act 2012 redesigned the NHS in England with local commissioning of clinical services and national commissi...

Obesity poses a major threat to health, increasing the risk of degenerative diseases and the burden of health costs. Those with severe and complex obesity (often with a BMI > 40 kg/m2) have the greatest burden of co-morbidity and reduced life expectancy are now 2% of the UK population. These patients comprise the majority of referrals to tier 3 obesity services in primary and secondary care. Bariatric surgery is recognised as an effective intervention for approp...

The growing adoption of bariatric surgery (BS) as treatment for severe and complex obesity, is resulting in the emergence of both iatrogenic and nosohypokatastatic (disease substitution) diseases. Malabsorption (an integral part of gastric bypass surgery) may compound mineral, vitamin and trace element deficiencies that also result from poor nutrition that can be worsened by the restricted intake imposed by BS. Thiamine deficiency (especially in those who have frequent vomitin...