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Diabetes
Everything in the library about diabetes — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Surgical Management
1 item
Kanika Bowen-Jallow, MD and Faisal Qureshi, MD - 2024 Pediatric Bariatric Surgery Update Course
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Kanika Bowen-Jallow, MD and Faisal Qureshi, MD presents on “Post Operative Care” discussing ERAS protocols, Gallbladder and GERD concerns at the 2024 Pediatric Bariatric Surgery Update Course.
video19:25 · Feb 2024
Evidence & Research
1 item
Adolescent Bariatric Surgery: Pediatric Obesity 2017
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Dr. Tom Inge discusses the role of bariatric surgery in the adolescent patient population, including the recent evidence behind it. He also discusses the development of the Teen-Longitudinal Assessment of Bariatric Surgery.
video32:47 · Sep 2018
Patient & Family Education
1 item
Behind the scenes of podcast creation with Dr. Gregory Hall
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Strategic Moves with Kenn Dowell Podacst | Strategic Moves Media Network | ”Meet Dr. Gregory Hall how he change my life and Watch What He Did Next...” Strategic Moves with Kenn Dowell Podacst | Strategic Moves Media Network 40 ? 30 : 10)" @
podcast40:31 · Jul 2026
Long-Term Care
1 item
Transition of Care - A general overview by Silja Kosolove
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Video on on a general overview of transition of care by Silja Kosolove (Chapter 1 of the Helsinki series). ERNICA (https://ern-ernica.eu/)
video21:33 · Nov 2023
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Adolescent Bariatric Surgery: Pediatric Obesity 2017
Cardiovascular mortality begins to climb in the overweight range and increases definitively for adolescents at or above the 95th percentile BMI, leading to early cardiovascular death.
Host summaryThomas Inge summarizing a resource — not the host's own clinical position4:00 ↗
FAS-5 study achieved 81% participation (58 of 74 eligible) at 8-year follow-up, mostly with in-person research visits.
clinicalThomas Inge8:00 ↗
At 8-year mean follow-up, gastric bypass patients had a mean BMI decline of 29%.
clinicalThomas Inge13:00 ↗
Baseline BMI strongly correlates (R=0.75) with follow-up BMI: patients starting with BMI in the 60s end above 40, while those starting in the 40s reach near-normal BMI.
clinicalThomas Inge15:00 ↗
Remission rates at 8 years: 88% for diabetes, 64% for dyslipidemia, 75% for hypertension.
clinicalThomas Inge17:00 ↗
Among those without baseline comorbidities, incidence rates were 0% for diabetes, 50% for dyslipidemia (small denominator), and 3 of 29 developed hypertension.
clinicalThomas Inge18:00 ↗
Follow-up BMI predicts probability of hypertension, dyslipidemia, high CRP, high insulin, insulin resistance, and low HDL; higher residual BMI is metabolically harmful.
clinicalThomas Inge20:00 ↗
At 8 years, FAS-5 cohort showed low iron stores with anemia, elevated PTH, and low vitamin D in substantial numbers.
clinicalThomas Inge23:00 ↗
In AMOS study, non-surgical controls with severe obesity gained weight over 5 years (BMI 42→45).
Host summaryThomas Inge summarizing a resource — not the host's own clinical position25:00 ↗
AMOS gastric bypass patients had dramatic BMI reduction from 45 to 30, stable at 5 years, similar to adult controls and SOS cohort.
Host summaryThomas Inge summarizing a resource — not the host's own clinical position26:00 ↗
AMOS showed 83% dyslipidemia remission, 12 of 12 hypertension cases resolved, and 75% inflammation (CRP) resolved.
Host summaryThomas Inge summarizing a resource — not the host's own clinical position28:00 ↗
AMOS had high internal hernia rates due to unclosed mesenteric defects at laparoscopic gastric bypass; closing defects prevents this complication.
clinicalThomas Inge29:00 ↗
In AMOS, low vitamin D was found in >50% of gastric bypass patients and also in controls; low B12 and iron deficiency anemia were noted.
Host summaryThomas Inge summarizing a resource — not the host's own clinical position30:00 ↗
Teen Labs enrolled 242 adolescents (161 bypass, 67 sleeve, 14 band) at 5 centers; median age now 24, with 203 completing 5-year visits (72% in-clinic, 17% field).
clinicalThomas Inge31:00 ↗
Adding 33 sleeve gastrectomy patients to Teen Labs will provide 80% power to compare bypass vs. sleeve for outcomes including blood pressure, PTH, HDL, and BMI.
clinicalThomas Inge32:00 ↗
Severely obese patients have greater bone mineral density due to loading; rapid weight loss after bariatric surgery drops bone mass, raising the question of whether it stabilizes or continues to decline (bariatric bone disease).
clinicalThomas Inge34:00 ↗
Operating earlier after diagnosis of severe obesity may yield lower residual BMI and better long-term metabolic outcomes.
opinionThomas Inge32:47 ↗
FAS-5 study had a residual mean BMI of 38 at 8 years, with many patients remaining severely obese; this residual obesity is metabolically harmful.
clinicalThomas Inge32:47 ↗
The 33 new sleeve patients can be enrolled within a year from consortium sites with ongoing clinical follow-up, enabling long-term comparisons.
clinicalThomas Inge32:17 ↗
Kanika Bowen-Jallow, MD and Faisal Qureshi, MD - 2024 Pediatric Bariatric Surgery Update Course
ERAS recommendations for bariatric surgery include carbohydrate drink the night before surgery and clear liquids up to 2 hours prior to surgery
Host summaryKanika Bowen-Jallow summarizing the discussion — not the host's own clinical position0:34 ↗
Aprepitant is given in pre-op 1-2 hours prior to surgery and has become standard in patients with high risk for post-operative nausea
clinicalKanika Bowen-Jallow1:30 ↗
Multiple preoperative pills given in pre-op area have not been observed in the stomach during intraoperative scoping
clinicalKanika Bowen-Jallow2:00 ↗
DVT prophylaxis with Lovenox or subcutaneous heparin is administered at the start of the case, though practices vary greatly among surgeons
clinicalKanika Bowen-Jallow3:00 ↗
ASMBS recommends DVT prophylaxis intraoperatively and postoperatively before discharge, but most patients do not go home on DVT prophylaxis unless there is a specific indication such as family history
Host summaryKanika Bowen-Jallow summarizing the discussion — not the host's own clinical position3:30 ↗
Minimizing narcotics helps prevent postoperative nausea, achieved by running medications like propofol at low baseline during anesthesia
clinicalKanika Bowen-Jallow3:49 ↗
New literature demonstrates laparoscopic TAP block is not superior to local infiltration of incisions for pain control
Host summaryKanika Bowen-Jallow summarizing the discussion — not the host's own clinical position4:10 ↗
Ondansetron is used in the OR prior to extubation, while aprepitant is given preoperatively in holding to achieve synergistic anti-emetic effect
clinicalKanika Bowen-Jallow4:00 ↗
The number one concern after sleeve gastrectomy is nausea, retching, and vomiting
clinicalKanika Bowen-Jallow4:30 ↗
Haloperidol is not used due to sedative effects that interfere with waking patients in the PACU
clinicalKanika Bowen-Jallow4:44 ↗
Total daily acetaminophen dose should not exceed 4000 mg per day when combining IV and oral administration
clinicalKanika Bowen-Jallow5:10 ↗
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