Abstract submission for the DDF is open

Abstracts for the DDF – June 22-25, 2015 – are welcome on a range of topics, for both oral and poster presentation.

Topics include: Endoscopy (including video), Inflammatory Bowel Disease, Liver (basic science, clinical science, liver cancer, transplant and viral hepatitis), Oesophagus, stomach, duodenum, pancreas and neuroendocrine, small bowel and nutrition, colon and anorectum (including colorectal cancer diagnosis and prevention / screening for BCSP), neurogastroenterology: functional disorders, motility and clinical physiology, gastroenterology service: development, delivery, IT, education and training.

To submit an abstract, visit the dedicated page here.


BOMSS welcomes updated NICE Guidance

BOMSS welcomes updated guidance from the National Institute for Health and Care Excellence (NICE) on eligibility for bariatric surgery (published on November 27).

The new guidance strengthens the focus on people with Type 2 diabetes. It states that those who have been diagnosed in the past decade and have a BMI over 35 should be assessed for surgery. The guidelines also suggest doctors should consider those with a BMI of 30 or more on a case-by-case basis.

BOMSS strongly endorses access to surgery for people with diabetes with appropriate follow-up, the involvement of physicians and the use of a shared care model of chronic disease management.

Mr Richard Welbourn, president of BOMSS and one of the experts who advised NICE on the updated guidance, says: “Surgery can be a powerful treatment for diabetes. There are published data on 26,000 surgical patients with impressive recovery from diabetes and functional status with those who have had diabetes for the shortest period recovering quickest.” (UK data from the NBSR – www.nbsr.co.uk ).

The 2014 NBSR report, which was released on November 10 showed that 65.1% of patients with Type 2 diabetes at the point of surgery showed no indication of diabetes two years after surgery and were able to stop their diabetic medications – a cost saving to the health service.

Mr Welbourn added: “Bariatric surgery improves people’s health and also saves on healthcare costs.”

BOMSS also supports lifestyle interventions such as dieting to improve diabetes control and possibly reduce medications for some patients. But data shows that 70% of bariatric patients cannot climb three flights of stairs so are not physically able to exercise their weight away.


Scientific Programme for BOMSS 2015 unveiled

The Provisional Scientific Programme for the  6th BOMSS Annual Scientific Meeting taking place from 22 – 23 January 2015 at the Gosforth Marriott Hotel, Newcastle, is available.

For 2015, registration for the two day meeting will include entrance to the Gala Dinner on Thursday, 22 January 2015, so please make sure you register before 7 January 2015 to guarantee your place. To benefit from the Early Bird rate, register before 1 December 2014 at: http://www.bomss.org.uk/2015conference/registration/

To benefit from the competitive accommodation rates, please book your rooms by the beginning of December, via Mice Concierge by clicking on the following link:  http://www.miceconcierge.com/events/BOMSS2015

To find out more about the BOMSS Training Day on the 21 January 2015 go to: http://www.bomss.org.uk/2015conference/training-day/


Registration and call for abstracts for BOMSS 2015 opens

Registration and the call for abstracts is now open for the 6th BOMSS Annual Scientific Meeting which will take place from January 22 – 23, 2015 at the Gosforth Marriott Hotel, Newcastle.

Council members Mr Sean Woodcock and Mr Peter Small and their teams have put together a superb programme that starts off with a Training Day on Wednesday, January 21, 2015 which will include hands-on practical skills and mutli-disciplinary sessions.

The conference proper starts on Thursday 22 January and, over two days, we look forward to the invited presentations from international experts Professor John Dixon (Melbourne), Professor Carel le Roux (Dublin), Professor W-J Lee (Taiwan) and Dr Robert Rutledge (USA), as well as our own Professor Francesco Rubino (KCH), Professor Roy Taylor (Newcastle) and Dr Melanie Bash (Newcastle).

BOMSS is your society and there is something here for the whole MDT in this programme. More than 300 delegates attended the last Scientific Meeting and we look forward to having even more in 2015, so submit your abstracts, present your work, and compete for the prestigious Council Prize on Friday 23 January 2015.

For 2015, registration for the two-day meeting will include entrance to the Gala Dinner on Thursday 22 January 2015, so please make sure you register before the 7 January 2015 to guarantee your place.

You can also book accommodation at competitive rates via Mice Concierge by clicking on the following link:  http://www.miceconcierge.com/events/BOMSS2015


BOMSS nutritional guidance

BOMSS Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery

for and on behalf of BOMSS Council, October 2014
BOMSS Guideline Working Party

Mary O’Kane, Jonathan Pinkney, Erlend Aasheim,
Julian Barth, Rachel Batterham, Richard Welbourn

Summary

Bariatric surgery is now an essential option for the treatment of obesity and its associated comorbidity. Many patients presenting for surgery will have pre-existing vitamin deficiencies and all bariatric surgical procedures compromise nutrition to varying extents, and have the potential to cause clinically significant micronutrient deficiencies. Therefore, long term nutritional monitoring and follow-up are essential components of all bariatric surgical services. However, there are no current standard guidelines in the UK for the biochemical monitoring and replacement of essential micronutrients in patients undergoing different forms of bariatric surgery. Furthermore, a survey of members of BOMSS revealed a wide diversity of local guidelines and practices. This suggested a need for standard guidelines. We undertook a review of existing guidelines and the associated literature on micronutrient deficiencies following bariatric surgery. Our aim was to summarise existing evidence for the monitoring and replacement of vitamins and minerals prior to, and following bariatric surgery, and to make recommendations for safe practice in the UK setting. This publication is an abbreviated version of the fuller report.

Download the BOMSS Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery

BOMSS nutritional guidelines


BOMSS statement on MGBs

BOMSS has released a position statement on mini gastric bypass operations (MGBs).

In an MGB, the stomach is divided to form a long gastric pouch with subsequent anastomosis of that pouch to the jejunal loop. The narrow tube of gastric pouch affords a restrictive component and the bypassed small bowel contributes the malabsorptive element.

BOMSS has published a position statement on the use of MGBs which describes its benefits as including the requirement for a single anastomosis – making it a more technically simple operation than other options and one which has fewer potential sites for leaks and internal hernias.

Professor Duff Bruce, BOMSS member and consultant surgeon at Aberdeen Royal Infirmary, said; “Results to date suggest non-inferiority of MGB compared to the gold standard Roux-en-Gastric bypass in terms of mortality, weight loss, comorbidity resolution and quality of life.

“If the MGB is introduced into routine bariatric surgical practice it is recommended that it is within the confines of careful prospective data collection by surgeons working within the framework described in BOMSS Professional Standards guidelines. Follow-up data should be submitted to the National Bariatric Surgery Registry.”

Some potential disadvantages of MGBs have been noted and include the possible risk of reflux, a theoretical association between biliary reflux and oesophageal carcinoma and a lack of long-term outcome data.

BOMSS will review its MGB position statement after two years.


BOMSS unveils post-op poster for GPs

BOMSS has issued a traffic lights-style poster to help GPs care for patients who have had bariatric surgery.

Council member Mr Sean Woodcock designed the at-a-glance poster displaying a range of possible symptoms which will require referral back to bariatric specialists. Symptoms are categorised in traffic light colours to show whether they warrant emergency, urgent or routine attention. The poster – “Primary care management of post-operative bariatric patients” – also suggests how soon after an operation the symptoms are most likely to occur.

Mr Woodcock, consultant surgeon at Northumbria NHS Foundation Trust, said: “The poster will help GPs decide how urgent the situation may be if a patient presents symptoms following an operation and how quickly they should be referred back to a specialist.

“Bariatric procedures are often extremely beneficial to people with serious weight problems but like all operations there can be complications. This traffic lights-style poster will help GPs decide how serious any complications may be and help make sure they refer patients to a specialist in good time.”

The poster – Primary care management of post-operative bariatric patients can be viewed at http://www.bomss.org.uk/primary-care-management-of-post-operative-patients/

 


Consultation on NICE guidance opens

New draft guidelines from the National Institute of Health and Care Excellence (NICE) on eligibility for bariatric surgery have been released.

Consultation on the proposed new guidelines is now open – and will close at 5pm on August 8. It is anticipated that full guidance will then be issued in November.

Current guidance says surgery is an option for people with a BMI above 35 who have other health conditions.

The update in guidance strengthens the focus on those with type 2 diabetes. It states that people who have been diagnosed in the past decade and have a BMI over 35 should be assessed for surgery.

The guidelines also suggests doctors should consider those with a BMI of 30 or more on a case-by-case basis.

The Guidelines can be viewed here – http://www.nice.org.uk/Guidance/GID-CGWAVE0682/Consultation


Looking forward to a strong BOMSS presence at AUGIS

The 18th AUGIS Annual Scientific Meeting will be held at the Brighton Centre, Brighton, from September 18-19

BOMSS always has a strong presence at the AUGIS meetings and we expect the same to be the case this year.

Among many invited national and international speakers, Dr Justin Dimick of the University of Michigan has agreed to give this year’s BJS Lecture: Does Surgical Skill Really Count? There will also be a plenary session discussing current topical issues including Service Commissioning, the Shape of Training and Emergency Surgery.

As usual there will be a plenary short paper session for the BJS prize in addition to a parallel paper session on Bariatric (and OG and HPB) topics.

The Provisional Scientific Programme for the meeting – which will be updated as it develops – is available now on the AUGIS 2014 Annual Scientific Meeting microsite which gives delegates access to all the necessary information for the Meeting.

Registration for the meeting will be opening shortly. Click on the link to access the microsite: http://www.augis.org.uk/brighton2014/

The Brighton Centre is ideally placed on the seafront in the centre of town.