Publication output of National Health Service Bariatric centres in England

Description

Obesity has been identified as an independent risk factor for a wide range of health conditions. Therefore, there is a clear need for high quality Bariatric research in order to improve patient selection, outcomes and safety for patients with obesity. We sought to identify and compare the quantitative and qualitative publication output from Bariatric centres in England. We identified 42 National Health Service (NHS) Trusts and 162 surgeons providing Bariatric services in England. A median of 4 (range 1–7) Bariatric surgeons were identified per centre. Eight NHS Trusts (19%) and 75 surgeons (46.3%) had no Bariatric publications during the study period, while 87 surgeons published a total of 432 Bariatric papers. Only 15 surgeons (9%) had ≥10 publications within the study period. However, these surgeons produced >50% of all Bariatric publications. Departments with more than 4 surgeons produced a significantly higher number of Bariatric publications (median 8.5 vs 2, p = 0.01). There is significant variation in research contribution amongst Bariatric centres in England. Academia should be encouraged and promoted across all bariatric services in order to broaden our understanding on Bariatric outcomes by expanding the service and proportional increase in funding. Given that a number of health conditions can afflict individuals living with obesity, bariatric surgery research becomes all the more important.
Publication date: 2021/5/6 - Journal: Obesity research & clinical practice - Publisher: Elsevier
Authors: Vasileios Charalampakis, Leeying Giet, Markos Daskalakis, Martin Richardson, Abd A Tahrani, Kamal Mahawar, Rishi Singhal
 
 
 
 
 
 
 

Loss to follow up after laparoscopic Roux en Y gastric bypass: An audit of midterm outcomes of 313 cases from a UK referral centre.

Loss to follow up after laparoscopic Roux en Y gastric bypass: An audit of midterm outcomes of 313 cases from a UK referral centre.
 
 
Publication date: 2020/3/1- Conference: OBESITY SURGERY - Publisher: SPRINGER
Authors: Abeerah Pervez, Tsun Yu Kwan, Susan Manu, Hazel Williams, Rishi Singhal, Rajwinder Nijjar, Martin Richardson, Markos Daskalakis
 
 
 
 
 
 
 

Gallbladder torsion is a rare cause of acute abdominal pain and can be a diagnostic challenge for the general surgeon. We herein present a case of an 81-year-old man who presented with right-sided abdominal pain and signs of intra-abdominal infection. Transabdominal ultrasound, computed tomography (CT) and magnetic resonance cholangio-pancreatography (MRCP) scans could not identify with certainty the underlying cause of the symptoms and eventually the patient underwent a diagnostic laparoscopy, which revealed the presence of gallbladder torsion. Sequentially, a laparoscopic cholecystectomy was performed in a standard fashion and the patient had an uneventful post-operative recovery. Our case highlights the importance of diagnostic laparoscopy as a diagnostic and treatment tool in unclear cases of acute abdomen.

 
 
Publication date: 2020/8/22 - Journal: Journal of Current Surgery - Publisher: Springer-Verlag Description 
Authors: Charalampos Seretis, Kasun Wanigasooriya, Morgan Cleasby, Raju Tirumularaju, Markos Daskalakis
 
 
 
 
 
 
 

Guidelines for the learning period of sentinel lymph node biopsy in breast cancer do not address important details such as the false negative rate way of calculation and the number of patients with positive axilla that should be included among the cases of this period. The aim of this study was to identify refinement points which should be included in the guidelines..

 

Methods

A systematic review was conducted conforming to PRISMA guidelines. The MEDLINE and Cochrane databases were searched for all articles published prior to April 2019 matching all of the keywords ‘bariatric’, ‘paraplegia’ and ‘spinal cord’. Articles were assessed for relevance and full texts reviewed.

In addition, clinical records were reviewed for three patients who underwent bariatric surgery at a single UK private institution. Non‐identifiable demographic, clinical, operative and outcome data were obtained from electronic records.

 
Results
Twenty seven articles were retrieved from the initial database search, of which nine eligible full texts were reviewed. Eight articles were case reports or case series and the final article was a systematic review. All cases reported had positive outcomes with significant weight loss, improvement in mobility and increased quality of life. Outcomes from the three diversely aged patients in our case series were similarly positive, with no significant post‐operative complications.
 
Conslusions
Patients with obesity and paraplegia may significantly benefit from bariatric surgery. There is a need for multi‐centre cohort studies to evaluate outcomes and the choice of bariatric intervention. UK guidelines do not include criteria based on mobility or neurological deficit, resulting in a potential missed opportunity to offer a cost‐effective treatment that can significantly improve quality of life for patients with severe obesity and paraplegia.
 
Publication date: 2020/6/7 - Journal: Clinical Obesity - Publisher: Blackwell Publishing Ltd
Authors: Georgia R Layton, Shivam Bhanderi, Mohamed Sahloul, Vasileios Charalampakis, Markos Daskalakis, Rishi Singhal