Elevated Hb A1C level and revisional bariatric surgery complications.

Background: Elevated Hb A1C is a modifiable risk factor for postoperative complications. However, in bariatric surgery, as published by our group and others, elevated preoperative Hb A1C may not be associated with increased postoperative complications. Previous literature has focused on primary bariatric surgery and has excluded the higher-risk revisional surgery cohort.

Routine preoperative endoscopy in patients undergoing bariatric surgery.

Background: The role of routine preoperative endoscopy before primary weight loss surgery remains controversial.

Objective: We reviewed our experience to determine the frequency of abnormal findings in patients undergoing routine preoperative endoscopy before bariatric surgery.

Setting: A tertiary level, academic-affiliated bariatric surgery practice.

Decreased access to bariatric care: an analysis of referral practices to bariatric specialists.

Background: Substantial evidence reveals tolerability and co-morbid disease resolution after bariatric surgery; however, few physicians refer morbidly obese patients for bariatric consultation.

Objective: To evaluate morbidly obese patient access to bariatric surgical consultation.

Setting: A multidisciplinary, private, bariatric center of excellence.

Biomedical engineering education through global engineering teams.

Most industrial projects require a team of engineers from a variety of disciplines. The team members are often culturally diverse and geographically dispersed. Many students do not acquire sufficient skills from typical university courses to function efficiently in such an environment.

Pulmonary considerations in obesity and the bariatric surgical patient.

Severe obesity can be associated with significant alterations in normal cardiopulmonary physiology. The pathophysiologic effects of obesity on a patient's pulmonary function are multiple and complex. The impact of obesity on morbidity and mortality are often underestimated.