See you in Edinburgh

We hope to see you at the forthcoming AUGIS Annual Scientific Meeting which will take place from Wednesday 19 – Friday 21 September at the Murrayfield Stadium in Edinburgh and will include bariatric free paper sessions.

The provisional Scientific Programme is available online at: www.augis.org/2018conference/scientific-programme/

All other details including information on the venue and hotel options can also be found on the Meeting Microsite: www.augis.org/2018conference/


AHP wins IFSO scholarship

Bariatric dietitian Sally Abbott is the European winner of an IFSO scholarship and will travel to Dubai for IFSO 2018.

Sally says: “I have been working as a bariatric dietitian in the NHS for four years and am an AHP member of BOMSS. I completed my Masters of Research and submitted my thesis abstract to IFSO 2018 in Dubai. At the same time, I applied to the IFSO integrated Health Scholarship in the hope of being able to travel to Dubai and present my own research.

“I am completely delighted to have won one of five global scholarships from IFSO and for my hard work and contribution to bariatric surgery in the UK to be publicly recognised.

“Winning this scholarship has given me the opportunity to attend and present at an international conference for the first time in my career. I hope that by presenting my abstracts at IFSO in September 2018, I will have opportunities to build networks with colleagues from around the world and bring home new knowledge to inform my own team’s dietetic clinical practice. Of course, I also look forward to exploring Dubai!”

Congratulations to Sally from all at BOMSS.

 


Call for AUGISt Trainee rep nomination

AUGIS Council is seeking nominations for the role of AUGIS Trainee Representative from September 2018. The primary role of Trainee Representative involves attending AUGIS Council meetings, chairing the AUGISt committee, writing for the AUGIS Newsletter and contributing to the Training Day.  There are also other responsibilities that arise on an ad hoc basis from both ASiT and AUGIS.

If you wish to be considered for the role of AUGIS Trainee Representative, an expression of interest should be to Mr Adrian O’Sullivan, Honorary Secretary of AUGIS, c/o Nichola Bartlett (nichola@augis.org). You must be a current paid up Trainee Member of AUGIS and AUGIS/BOMSS.

Applicants will also require a proposer and seconder, who should also both be current Trainee Members and must email their support to Nichola Bartlett (nichola@augis.org) prior to the closing date.

The deadline for nominations is 9am, Thursday 27 July.  If more than one person is nominated for the position a ballot will take place and nominees will be required to provide a 100 word personal statement to accompany the ballot.

 


Walsall to host mini gastric bypass session

Walsall Manor Hospital’s Bariatric Unit have managed to secure a visit by Doctor Rutledge who will be sharing his experience on Mini Gastric Bypass and he will be performing live surgery on Monday, 25 June.

Please click here for the programme for the day. If you would like to attend, contact Paula Lightwood, Bariatric Medical Secretary at Walsall Manor Hospital, on 01922 721172 ext 7763 to secure your place.


A date in Doncaster

The Bariatric unit at Doncaster Bassetlaw Teaching Hospitals is pleased to announce the second MGB/OAGB course on 24 May.

The course is for one day including live surgery and keynote lectures.The deadline for application is 24 April.

  • The course fee is £95 and the UGI trainees will enjoy 50% discount.
  • The course is for UGI trainees with bariatric interest and also for junior bariatric Consultants who are interested in the procedure.
  • Email Mr A Hussain, consultant bariatric surgeon, at abdulzahra.hussain@nhs.net or Sandra Patterson at sandrapatterson1@nhs.net  for a registration form and programme details.

By-Band-Sleeve Trial update

Message from Lead Surgeon Richard Welbourn

Nearly 10 years ago – January 2009 – I was co-chair of a scientific session at the Society of Academic & Research Surgery annual conference in Bristol.  My co-chair was Prof Jane Blazeby and over coffee we got talking about bariatric surgery.  After a few more meetings and time putting together a research team of surgeons, trials methodologists, statisticians, health economists and qualitative researchers we decided that we should conduct a randomised controlled trial (RCT) – but what operations to evaluate was the big question?  Fast forward two years and we were awarded a major NIHR grant for and RCT to compare gastric banding and gastric bypass operations.

We knew from data in the National Bariatric Surgery Registry that these two procedures comprised 80% of operations for severe and complex obesity in the UK and we thought it was important that we asked the most relevant question so the results would influence practice.  The operations and aftercare are very different and at the time no one thought it was possible to randomise patients – and this is where Prof Jenny Donovan and her team of qualitative researchers in Bristol came in.  She is a world-leading expert in teaching researchers how to randomise into clinical trials – putting patients into equipoise, a skill completely new to me – and for the first year of the study we had to demonstrate that we could indeed recruit.  The process involved all our clinic appointments being recorded and analysed so that the phrases we use encourage patient understanding of the equipoise and informed consent.  After much one-to-one tuition, the first two centres (Taunton and Southampton) were able to recruit sufficient patients to allow the study to progress from two centres to twelve.

Fast forward another five years from when the first patient was enrolled in 2012 and we have recruited altogether over 900 patients.  It is an extraordinary achievement for the UK, which has taken up bariatric surgery much later than many countries and still has one of the lowest per capita rates of surgery.  By comparison, the next largest RCT is around 220 patients.  “Collaboration is the new competition” is a phrase I have learnt from Jane Blazeby and Natalie Blencowe and this really represents a sea change from consultants doing individual pieces of research for the SpRs to publish in minor journals, to working together on a major project.

One of the challenges is that over time practice has changed and sleeve gastrectomy has largely taken the place of gastric banding in the NHS.  With primary endpoints of weight loss and quality of life at 3 years, there was always a risk that ‘technology creep’ would mean that the relevance of the original research question might change over time.  Therefore, the NIHR agreed to us adapting the study to add a third group, sleeve gastrectomy, and it became ‘By-Band-Sleeve’.  As a consequence, the sample size increased from 724 to over 1,300 patients – another hugely ambitious but get-able target.  It is a privilege to be involved in a research effort that could, when published, be regarded as a landmark demonstration of a well-conducted RCT.

 


Can you host BOMSS in 2019 or 2020?

We are looking for expressions of interest from anyone who wishes to host the BOMSS Annual Scientific Meetings in January 2019 & 2020.

If you are interested in hosting this event, please email Sarvjit Wünsch your expression of interest by 3pm on Thursday, 21 December.

We will invite you to present your chosen venue to BOMSS Council from 2pm on Wednesday, 24 January 2018 at the Telford International Centre.

Please see venue specifications below.

Criteria for hosting a BOMSS Meeting

The Meeting takes place in the 3rd week on January and runs from Wednesday to Friday.

The Venue

Hotel conference venue

Total number of hotel bedrooms: 350

The current formula is that all delegates and industry are able to stay in same hotel. We would like to encourage this, therefore hotel room prices should be negotiable (easier in January) to a level which allows AHPs and trainees to stay in same venue.

Range of alternative hotel accommodation (if necessary) within walking distance of main HQ Hotel.

Trade Exhibition

  • Minimum Trade Exhibition space of 400sqm²
  • Please note all catering should be contained in Trade exhibition area, this will facilitate delegate footfall and keep Industry very happy!
  • Exhibition set up on Wednesday
  • Breakdown on Friday, after lunch.

BOMSS Training Day

  • This takes place on Wednesday and is sponsored event.
  • 3 – 4 breakout rooms are required for the whole day.
  • It would be beneficial if the Training Day is serviced by a separate entrance.
  • This year there were 72 Training Day delegates.

The Scientific Programme

  • Main conference: Plenary room for 400 to be arranged in a cabaret seating layout
  • 3 x Breakout rooms to hold: 150/100/150 delegates
  • Additional rooms available for Industry sponsored sessions or workshops

Dinners

  • Drinks reception and Gala Dinner in Hotel up to 300 people
  • Council Dinner venue up to 25 people
  • Trainee’s Dinner venue up to 100 people

Transport links


How stigma affects patients after surgery

Dr Yitka Graham, a senior lecturer in public health, has produced a ground-breaking piece of research into how bariatric patients adjust to life after surgery. Healthcare professionals will be able to use her findings to support patients pre- and post-operatively by raising awareness of issues that they may encounter in social situations, discussing how other patients have dealt with these situations and how they might cope themselves.

The study, carried out by researchers from the Faculty of Health Sciences and Wellbeing, University of Sunderland, looked at the experiences of patients who underwent bariatric surgery and how it affected their lives and social interactions. The researchers found that social aspects of bariatric surgery did not appear to be widely understood by those who had not undergone bariatric surgery.

So far there has been little research into patient experiences of daily life and social interactions after bariatric surgery. Now AHPs can look at the paper –  ‘Patient experiences of adjusting to life in the first 2 years after bariatric surgery: a qualitative study’, published in Clinical Obesity ( doi: 10.1111/cob.12205) – for guidance.

Dr Graham’s paper found that after bariatric surgery, patients make major changes to their lifestyles, including dealing with altered eating habits and a rapidly changing physical appearance, while at the same time experiencing a period of psychosocial adjustment.

Patients were involved in the research, from design to dissemination to make sure that the patient voice was embedded into the study.  Patients were encouraged to speak about their experiences openly without being constrained by set questions. Most participants reported that prior to surgery, they had experienced weight-related stigma from others.  This had been a source of anxiety which they felt would reduce following surgery as they lost weight. However, the stigma of obesity was exchanged for the judgment of bariatric surgery as the weight loss mechanism.

Dr Graham says: “This study sought to explore patients’ experiences of adjustment to life after bariatric surgery. We found that many participants were reluctant to discuss their experiences of surgery in social situations, sometimes even with close relatives, with frequent partial or non-disclosure of the method of their weight loss. Within social environments, discussions surrounding bariatric surgery were reported to be a source of worry with regards to the potential risks of revealing having undergone bariatric surgery due to being judged by others.”

 


Call for Abstracts for BOMSS 2018

BOMSS 9th ANNUAL SCIENTIFIC MEETING, 25 – 26 January, 2018
International Centre, Telford

Deadline for abstract submission: 9am on Monday, 20 November 2017
The 9th Annual Scientific Meeting of the British Obesity and Metabolic Surgery Society will be held at International Centre in Telford from 25 – 26 January, 2018.

The deadline date for the submission of abstracts is 9am, Monday 20 November 2017 and successful authors will be notified by the Wednesday, 6 December 2017.

To find out more and to submit an abstract, please visit the BOMSS 2018 website at: http://www.bomss.org.uk/2018conference/abstracts/

The BOMSS Training will be taking place on Wednesday, 24 January 2018,and registration for BOMSS 2018 will open shortly so please look out for updates on the BOMSS 2018 website.