Andrew Currie

@parthaskar @DrSelvarajah @AbbieSBrooks @GoggleDocs @BenAllenGP @DSNforumUK @ShivaniM_KC @DrHFRyan @drpatrickholmes @padsbigsis @NICEComms And recognise that Bariatric-metabolic surgery remains a durable and more effective therapy and that the whole pathway of obesity as a chronic disease needs to be funded.

The space of #Obesity is now lined up with a slew of medications on their way The #NHS has a decision to make Prioritise it, fund primary care properly, plan roll out Or accept that this isn’t a priority and people have to depend on self funding Leadership- be honest.

New—Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy for severe obesity (By-Band-Sleeve): a multicentre, open label, three-group, randomised controlled trial thelancet.com/journals/landi… #BariatricSurgery #obesity #OpenAccess

Access to obesity services is severely restricted across England. Over 1/3 of areas have restricted or no access to tier 3 services, while 1/5 have no bariatric surgery service. My investigation for @bmj_latest👇 @bariatricBOMSS @NHeslehurst @UK_ASO bmj.com/content/386/bm…

@SurgeonGlaysher Small bite technique

UK doctors are calling for a national public awareness campaign to inform people of the risks of going overseas for weight loss surgery. Ahmed Ahmed, BOMSS Secretary, has spoken with @bmj_latest on this important issue - bmj.com/content/384/bm…

How effective is bariatric surgery compared with medical/lifestyle management for long-term control of type 2 diabetes? Watch this and learn the answer: ja.ma/48DuOwF

@MarkCheetham Agreed. The move from central NHSE to local commissioning no doubt contributes to the variation. A small study we did in this area: link.springer.com/article/10.100…

@MarkCheetham doi.org/10.1002/bjs.10…

@MarkCheetham Very true - both prevention and treatment are key like all long term conditions. Some good studies in this area: ncbi.nlm.nih.gov/pubmed/36259310 doi.org/10.1002/bjs.10…

#OpenAccess "Results of the ARROW survey of anti-reflux practice in the United Kingdom" ow.ly/zyKz50Piff2

@OMGhanemMD Nice paper - makes a strong argument against RYGB as a therapy of last resort - but how to make it a more visible choice for people living with T2 diabetes and obesity who are in primary care or in diabetes clinics? @parthaskar @kamleshkhunti

🚨TOP ASMBS 2023 paper🚨 ➡️Predictors of #diabetes remission 🔺pre-operative duration of diabetes 🔺HbA1c 🔺insulin use 🔺number of anti-diabetic meds 🔺% total weight loss Essentially, the earlier a diabetic pt gets #BariatricSurgery, the better the DM resolution afterwards

@DerbyPBunit @ib9994 @JessieAElliott @Innov_Medicine @SAGES_Updates @MISIRG1 @MedicalAdv @imedverse @BehindTheKnife @rbarbosa91 @altaf_awan12 @javlatif Nice work - how far down the common channel / how far away from the new roux-cc anastomosis, did you form your new j-j

@JessieAElliott @Innov_Medicine @SAGES_Updates @MISIRG1 @MedicalAdv @imedverse @BehindTheKnife @rbarbosa91 @altaf_awan12 @ib9994 @javlatif Thanks for your question. Main risk is the size of jejuno-jejunal anastomosis. Literature states 60mm anastomosis has increased risk of intussusception hence we create a 45mm jejuno-jejunal anastomosis during Lap or 🤖 RYGB

𝗡𝗮𝗿𝗿𝗮𝘁𝗲𝗱 𝗩𝗶𝗱𝗲𝗼: 𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝗼𝗳 𝗝𝗲𝗷𝘂𝗻𝗼-𝗷𝗲𝗷𝘂𝗻𝗮𝗹 𝗜𝗻𝘁𝘂𝘀𝘀𝘂𝘀𝗰𝗲𝗽𝘁𝗶𝗼𝗻 𝗣𝗼𝘀𝘁 𝗟𝗥𝗬𝗚𝗕 𝗶𝗻 𝗔 𝗣𝗿𝗲𝗴𝗻𝗮𝗻𝘁 𝗣𝗮𝘁𝗶𝗲𝗻𝘁 #FOAMed #GITwitter #MedEd #SurgEd #SoMe4Surgery

📢📢📢 We are glad to introduce the 8th IFSO Global Registry Report 2023 > 480,970 Metabolic and Bariatric Surgeries (MBS) > 24 countries > 2 regional registries representing > 81.4% of known registries Check it out here: ifso.com/ifso-registry.…

Life expectancy after bariatric surgery or usual care in patients with or without baseline type 2 diabetes in Swedish Obese Subjects pubmed.ncbi.nlm.nih.gov/37438611/

@DerbyPBunit @javlatif @Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @IHPBA @rbarbosa91 @altaf_awan12 @ib9994 @MedicalAdv @imedverse Have been involved in a couple of operations @RoyalSurrey where the hot axios had been lost to follow-up and ended up having to do a gastrotomy and removal

𝗖𝗮𝘀𝗲 𝗣𝗿𝗲𝘀𝗲𝗻𝘁𝗮𝘁𝗶𝗼𝗻 🔴Background of chronic pancreatitis secondary to ETOH excess 🔴Transfer from DGH following CT showing large pseudocyst 🔴Main symptoms is ongoing pain and early satiety 🔴MRCP demonstrated 11cm x 8cm pseudocyst with no DPDS and PD stone - images below 🔴Proceeded to EUS Drainage and Hot Axios insertion 🔴Good clinical outcome with symptom resolution 🔵Planned admission 6 weeks later for removal of Hot Axios stent 🔵Endoscopy and CT images below What is the Dx? WWYD?

@kamleshkhunti @ProfBatterhamMD @ADA_DiabetesPro @AmarPut @AbdTahrani @ABCDiab @EASDelearning @AskDrShashank @docwas @AliRacaniere @profmjdavies @LDC_tweets @ArodaMd doi.org/10.1111/cob.12…

Nice review @ProfBatterhamMD et al New insights into the treatment of obesity New additions discussed @ADA_DiabetesPro last week dom-pubs.onlinelibrary.wiley.com/doi/full/10.11…

@kamleshkhunti @ProfBatterhamMD @ADA_DiabetesPro @AmarPut @AbdTahrani @ABCDiab @EASDelearning @AskDrShashank @docwas @AliRacaniere @profmjdavies @LDC_tweets @ArodaMd A very good review. Worth noting that @bariatricBOMSS NHS data shows patients receive bariatric surgery for their obesity and T2D at late stage in the disease course - major access to evidence-based care issue! doi.org/10.1111/dme.15…

doi.org/10.1016/j.soar… reflecting on what happened in the UK so that we can prepare for future crises ✅ @SOARD_JOURNAL using the comprehensive NBSR dataset @bariatricBOMSS with @kmahawar @CurrieSurgery @OKhanBariatric @MrAhmedAhmed6