Tuesday, May 9, 2017

Adolescent #BariatricSurgery: What is known? What are the pros/cons?

As a medical anthropologist focused on bariatric surgery, I’m thrilled to have this opportunity to share my story with the #obsm community. My passion for understanding the challenges that adolescents with obesity experience is an extension of my compassion for those who face bullying. Adolescents with obesity are especially vulnerable to bullying. Even when able to escape explicit bullying, adolescents with obesity are more likely to be socially marginalized. Rather than the chronic disease we now understand it to be, society still treats obesity as a character defect. These inequities have far reaching consequences: children with obesity lag behind their normal-weight peers in educational attainment.

Bullying and stigmatization are just two of the challenges that teens with severe obesity face. Due to physical limitations and interpersonal consequences, they routinely miss out on activities and milestones their peers take for granted. Despite their young age, they report struggling for years to lose weight. They (or their parents) seek bariatric surgery because nothing else has worked. In their risk calculus, committing to an irreversible alteration of their bodies with unknown long-term outcomes is a justifiable risk to improve their health and the quality of their lives. But their request for life-altering surgery is controversial. There are many misconceptions—such as bariatric surgery being “too extreme,” “experimental,” and “driven by vanity.”

As a social scientist working in medicine and bioethics, I'm committed to bringing the voices and perspectives of adolescents who undergo bariatric surgery to health care providers and researchers. Teens’ accounts—of their decision-making, the challenges they encounter after surgery, and their creative approaches to managing these challenges—will help providers understand adolescents’ reasons for choosing bariatric surgery, while offering a clearer idea of what information and support they need to succeed. I’m excited to bring the topic of bariatric surgery to the #obsm chat, which connects the surgical community to internists, family medicine physicians, pediatricians, and specialists treating patients with obesity.

Please join us in our next chat on May 14 at 9 pm EST. We are excited to have guest moderator, Dr. Marc Michalsky join us. Dr. Michalsky is a Teen-LABS co-investigator who led the development of the ASMBS (American Society of Metabolic and Bariatric Surgery) best practice guidelines for adolescent bariatric surgery and the ACS (American College of Surgeons) national adolescent bariatric accreditation standards.

We will be discussing the following topics:

T1: What are the most common motivations for adolescents seeking #bariatricsurgery? Do these differ between parents and children?
T2: Who (if anyone) should have #bariatricsurgery before the age of 18? Who should not?
T3: What evidence exists on adolescent #bariatricsurgery? What research is needed?
T4: What barriers are faced by adolescents seeking #bariatricsurgery? What are the pros and cons of waiting until age 18?
T5: Are adolescents prepared for #bariatricsurgery and the requisite lifestyle changes? What information and support do they need?

Guest post written by Janet Childerhose, PhD. Janet is a medical anthropologist and Hecht-Levi postdoctoral fellow at the Johns Hopkins Berman Institute of Bioethics. Her research explores adolescents' experiences of bariatric surgery to treat severe obesity and the ethical questions this intervention raises.

The #obsm chat leadership:
Arghavan Salles, MD, PhD
Heather Logghe, MD
Amir Ghaferi, MD, MS
Neil Floch, MD
Babak Moeinolmolki, MD

Author's note: The original blog post has been edited to reflect the cancellation of Drs. Kimberley Steele and Thomas Inge. We regret that they are no longer able to join us.

Monday, March 27, 2017

#InspireSurgResearch: Connecting via Twitter to meet the needs of #SurgResearchers

By Dr. Angie Ingraham

"Passion is energy. Feel the power that comes from focusing on what excites you."
~Oprah Winfrey

Surgical research excites me. My pursuit of a career in academic surgery is inspired by a desire to better meet the needs of my patients, a love for lifelong learning, and inspiring and supportive mentors. Over the course of my career, the American College of Surgeons has fueled this passion through research opportunities, educational conferences, and access to world class mentorship. 

I am excited to share my passion for surgical research and the American College of Surgeons with like-minded residents and junior faculty as the Surgical Research Committee Liaison for the American College of Surgeons Resident and Associate Society (ACS-RAS). Initially, my top priority is connecting with residents, fellows, and junior faculty to better understand how the American College of Surgeons can support them in surgical research.
Photo Credit

The Surgical Research Committee (SRC) is a standing committee of the ACS that focuses on the progress of academic surgery and the funding, content, and direction of surgical research.

The SRC sponsors several educational programs including:

●      Symposia (Panel Sessions and Lectures) at the annual Clinical Congress
●      Profile in Surgical Research

The SRC is seeking input from the Resident and Associate Society of the American College of Surgeons (RAS-ACS) membership on the following research related topics:

●      Research in general and how RAS-ACS sees the College helping in the research mission
●      Research courses that RAS would like the College to develop (or modifications to the existing courses)
●      RAS’s opinion regarding the Surgical Forum and other research presentations and panels during the annual Clinical Congress

The SRC wants to design and redesign research and educational programs to meet the needs of the RAS-ACS membership in addition to that of Fellows of the ACS. To do so, the SRC needs the input of residents, fellows, and junior faculty.

Given the ease of social media for public dialogue, I would like to engage in an ongoing #InspireSurgResearch Twitter dialogue. Please use the hashtag to share how the ACS can serve you better in promoting and sustaining academic surgical research. 

I look forward to connecting with you via Twitter!

Dr. Angie Ingraham
ACS Surgical Research Committee Liaison