Weight Loss Surgery Blog by TexasBariatric.com header image 1

Weight Loss Surgery, In Under Two Hours? It’s No Dream!

April 21st, 2009 · No Comments

Whether you’re undergoing a procedure for weight loss, enlarged tonsils or something cosmetic, let’s face facts; it’s still surgery. And that means that there are a host of factors to consider, such as cost, health complications, and transportation needs, just to name a few. But for those considering weight loss surgery, one troublesome element – the long stay in the hospital – may be a thing of the past.

According to a study published in the Journal of the Society of Laparoendoscopic Surgeons (JSLS), patients may qualify for a revolutionary, quick AND effective weight loss procedure, performed on an outpatient basis. Surgeons and their teams are now offering minimally invasive adjustable gastric banding and gastric bypass surgeries, which are completed in less than two hours.

A Life-Saving Alternative for Patients
Healthcare professionals believe that this fast turnaround could not have come at a better time. Recent estimates show that the ever-growing obesity epidemic has skyrocketed. About 205,000 individuals underwent  bariatric surgery in 2005, compared to 1992’s 16,200 procedures.

Typically, these procedures – most often, either laparoscopic adjustable gastric banding (LAGB) or laparoscopic Roux-en-Y gastric bypass (LRYGB) – were performed in a hospital setting. But in an effort to drive more patients to having surgery, researchers sought out alternatives, especially that of ambulatory surgery centers (ASCs). Over the course of a six-year study (2002-2008), the researchers examined these facilities’ safety and effectiveness for these bariatric procedures. They performed a total of 248 weight loss surgical procedures (210 LAGB and 38 LRYGB procedures).

The findings showed that these facilities were as effective and safe as hospital settings. Those patients undergoing LRYGB procedures had an average body mass index (BMI) score of 44.7, while the average for those undergoing LAGB procedures was 43.79. However, 12 months after the procedures these BMI scores dropped an average of 69.62% and 32.58%, respectively. Meanwhile, the typical amount of time for the procedures was 112.80 minutes (for LRYGB surgery) and 72.10 minutes (for LAGB surgery).

“This marks a turning point in the battle against obesity, by shifting life-changing weight-loss surgery to the outpatient arena with minimally invasive surgery,” says lead author, Kent Sasse, M.D., M.P.H., FACS. “This study further validates the hypothesis that an overweight person can safely undergo weight-loss surgery in about two hours, at an outpatient surgical facility, return home later the same day, take very little time off, and lose a large amount of weight.”

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Diet After Diet… Why Not Consider Weight Loss Surgery?

April 21st, 2009 · No Comments

In the twisting journey to lose weight, does it seem like you’re experimenting with a never-ending series of diets and eating plans … all to no effect? Well, recent studies show that it may not be your imagination. But they also shed further light on the potentially life-changing benefits of weight loss surgery!

It has been revealed that prior to undergoing weight loss procedures such as lap band surgery, or gastric banding surgery, the typical patient has tried their luck with an average of 24 diets and exercise regiments. These findings were spotlighted at the most recent annual meeting of the American Society for Metabolic and Bariatric Surgery.

Bariatric Procedures May Hold the Key to Success
The researchers focused on 409 bariatric surgery patients; these included those men and women who had undergone either gastric bypass or adjustable gastric banding procedures. It was shown that the majority were usually 100 or more pounds overweight before surgery. These patients also suffered from an average of five obesity-related conditions, including: type 2 diabetes, high blood pressure and/or sleep apnea.

The researchers noted that for those patients who most closely followed the advised post-surgical recommendations, an average of 123 pounds were lost during the first year. Those who didn’t follow the guidelines as closely typically lost about 92 pounds. At the five-year mark, the more diligent patients lost over 127 pounds, while the less responsible lost 100 pounds. According to healthcare and weight loss surgery professionals, the level of compliance is the “the difference between a good result and a great result.”

While every surgery team and patients may have unique guidelines to follow, there are certain points to consider. These post-surgical guidelines include: recommendations for regular exercise; changes to eating habits; receiving nutritional counseling and psychological support, and attending patient support groups; keeping a food diary; and visiting surgeons and/or doctors regularly. Estimates show that for 2007, about 205,000 people had bariatric surgery.

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Man Receives New Lease On Life, Vows To Run The New York City Marathon

March 16th, 2009 · No Comments

Todd Starnes, a news radio anchor and reporter, had been diagnosed with a near-fatal heart condition. Doctors told him that open-heart surgery would be necessary to save his life. But surviving that was only the first obstacle. Todd, who was 37 at the time, also weighed 300 lbs. Needless to say, he needed to institute a serious lifestyle change. After surgery, an exercise and diet regimen was crucial for his survival. For most people that’s more than enough. Other than open heart surgery and losing 100 lbs through conventional means, there was one more thing he wanted to add to this grueling to-do list: run the New York City Marathon. [Read more →]

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Establishing Lifelong Healthy Eating and Exercise Habits After Weight-Loss Surgery

March 16th, 2009 · No Comments

After gastric bypass or laparoscopic adjustable gastric banding (lap-band) surgery, your stomach is reduced to the size of a walnut or small egg - a fraction of its normal size. Your digestive system has been altered to promote healthy weight loss, and therefore what and how you eat, and how much, must be changed as well. If you adhere to the recommended dietary and exercise recommendations, you can expect to lose 50 to 60% of your excess weight following surgery. [Read more →]

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Genetics May Determine Bariatric Surgery Outcomes

February 16th, 2009 · No Comments

A recent study has shown that two obesity-related genetic variations have been associated with higher body mass index (BMI) among those that suffer from morbid obesity (BMI of 40 or higher) that undergo bariatric weigh-loss procedures to help lose weight. However, a consistent variable that determines the success of these surgeries in keeping off the weight in the long term has yet to be determined and may prove reliable in implementing future procedures. [Read more →]

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Can Healthy Exercise & Diet Reduce Metabolic Syndrome?

January 5th, 2009 · No Comments

A growing number of studies are dedicated to the medical condition known as metabolic syndrome. This mysterious malady may be particularly harmful for overweight and obese adults. But there may be good news. Recent studies find that regular exercise and a healthy diet may actually reduce the risk of this condition.

In a new study published in the American Journal of Health Promotion, a program of daily exercise, along with a diet rich in calcium, were found to reduce the risks of this condition. Metabolic syndrome is actually a group of potentially harmful symptoms, including high blood pressure and cholesterol, large abdominal girth, and insulin insensitivity. When combined, these symptoms may increase patients’ risks for heart disease and type 2 diabetes.

With this study, 5,077 Illinois adults provided information about such health matters as: chronic health conditions, exercise habits and their intake of fruit, vegetables and other sources of calcium. The study revealed that this condition was more common in certain groups,. including:

  • Older, less affluent people
  • People with less education, and
  • People who engaged in less physical activity, consumed calcium-rich foods less frequently and had hypertension (high blood pressure) and hypercholesterolemia (high cholesterol levels)

It’s estimated that 23.7-34.5% of the nation’s adult population suffers from metabolic syndrome. The study’s findings showed that those adults who reported little or no daily exercise were at risk for almost double the risk of developing the condition. Adults not consuming calcium-rich foods regularly were shown to have about 1.5 times the risk of developing metabolic syndrome as those consuming calcium-rich diets.

It’s important to note that a diagnosis of  metabolic syndrome does not mean a definite future of diabetes or heart disease.  Instead,  this diagnosis is an opportunity to reduce or even prevent the future likelihood of heart disease or diabetes, which are irreversible, but manageable.

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Have You Explored the Benefits of Gastric Sleeve Surgery?

December 5th, 2008 · No Comments

Men and women considering undergoing weight loss surgery may be in store for a state-of-the-art holiday gift. San Antonio’s own medical professionals are offering a much less-invasive surgical procedure; one that requires little more than a single, tiny incision!

Known as “gastric sleeve surgery,” this remarkable procedure is considered the midway point between gastric bypass surgery and LapBand procedures.  The steps for this procedure are as follows:

  1. A single incision is made at the belly button.
  2. The surgeon then inserts a camera and special tools.
  3. Next, the surgeon removes the big, round part of the stomach. This comprises about 2/3 to 3/4 of the entire stomach. An area no bigger than a small tube is left to hold food. As a result, patients  eat much less and actually feel less hungry.

According to Dr. John Gonzales Jr., a frequent practitioner, the gastric sleeve procedure is winning over patients. “It’s not quite as invasive as the gastric bypass in that there’s no rearrangement of the anatomy. However, it’s a little bit more invasive than the band in that we’re excising a portion of the stomach,” he says.

The success of the gastric sleeve surgical procedure may be due to the removal of the stomach’s fundus. The left part of the stomach, this region allows gases produced by chemical digestion to accumulate for up to an hour. In addition, the hormone known as the grehlin, thought be a leading hunger hormone, is removed, as well. The entire gastric sleeve procedure takes less than 30 minutes, and any scars are concealed in the belly button.

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Medicare Redefining Bariatric Surgery Coverage for the Morbidly Obese

December 5th, 2008 · No Comments

The road to overcoming obesity rates has been filled with speed bumps. But thanks to  Medicare, patients will have to work even harder to receive coverage for bariatric surgery.

According to the a memorandum released by Centers for Medicare & Medicaid Services (CMS), the agency has restructured the requirements for senior citizens to receive coverage for these weight loss procedures. Now, seniors will have to show a body mass index (BMI) of 35 to be considered “morbidly obese.” With this score, patients will qualify for coverage for bariatric surgery as a treatment for beneficiaries with type 2 (or “non-insulin-dependent”) diabetes. Beneficiaries afflicted with type 2 diabetes –  and BMI scores below 35 – would not receive coverage.

In 2006, Medicare beneficiaries were given access to expanded coverage for bariatric surgery. These patients had been required to undergo surgery from highly qualified surgeons that were certified by one of two governing organizations: the American College of Surgeons or the American Society for Bariatric Surgery. In addition, Medicare’s 2006 decision allowed for only four types of bariatric surgery procedures: gastric bypass; open and laparoscopic Roux-en-Y gastric bypass; laparoscopic adjustable gastric banding; and open and laparoscopic biliopancreatic diversion with duodenal switch.

With the new decision, Medicare beneficiaries must now exhibit a serious health condition, other than morbid obesity. These conditions may include osteoarthritis, hypertension, or coronary artery disease. Unfortunately, those patients with type 2 diabetes, but not considered morbidly obese, will not qualify for coverage. This new decision stems from Medicare’s position on the health benefits of bariatric surgery. Specifically, the agency believes that that there’s not enough evidence of these procedures’ effectiveness for  improving the health of  non-morbidly obese people.

Would you like to review the agency’s position, or submit your thoughts and comments? If so, the proposed decision is available on the CMS Coverage website.  Comments will be accepted for 30 days following the memorandum’s posting.  CMS will issue a final decision memorandum within 90 days of the proposed decision.

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Approach Cleansing Diets With Care, Experts Advise

December 5th, 2008 · No Comments

The 2002 documentary Super Size Me dealt a devastating blow to junk food fans, and the fast food industry, in general. But it now appears that this documentary may have had a powerful impact on the diet industry, specifically cleansing diets.

The movie’s director, Morgan Spurlock, ate nothing but McDonalds’ meals three times a day, for an entire month. During this time, his health plummeted, including serious liver failure, mood swings, and excessive weight gain. But following the movie’s completion, Spurlock underwent a healthy, 14-month program of exercise, along with a purely vegan diet. This so-called “Detox Diet,” which was also the basis for a book written by Spurlock’s dietitian and girlfriend, has now drawn the attention of medical experts.  You see, the effectiveness of these cleansing diets has long been debated among medical professionals.

The Body’s Natural Detoxifying Abilities

The bottom line? No matter what plan you choose, it’s usually unhealthy to follow a dietary plan so restrictive. Studies show that these programs are typically missing key nutrients shown to be essential for optimal health. Additionally, quick weight loss may not be realized. Even such time-tested methods as taking laxatives will fail eventually. That’s because most of the weight lost is water, which is rapidly replaced.

Most healthcare professionals advise that healthy  livers and colons can provide the proper levels of detoxification in the human body. Therefore, enemas and other types of colon cleansers are unnecessary. However, patients with enlarged colons or those that are unable to fully cleanse themselves may benefit from these medications. Patients with chronic constipation preparing for colonoscopies may also need these cleansing products.

Regardless, physicians advise that following a healthy eating plan can successfully cleanse the body of food-based toxins. Dietitian Debbie Berg states: “If someone’s trying to get healthy, I would advise them first to go to more natural foods, whole grains, fruits and vegetables for 90 percent of their intake for about a week and see how they feel. They’ll get rid of a lot of salt, sugar, get processed foods out, and I think they can get just the same benefits [as a cleansing diet].”

When considering a cleansing diet, it’s important to proceed carefully. You should also discuss your plans with a physician or healthcare provider first. “Everything in moderation is good,” says Dr. Sherif Kaiser, head of the bariatric program at Winchester (NV) Medical Center. “You don’t want to start a diet when people are starving.” Dr. Kaiser goes on to state that reducing portion sizes and calories are more effective for weight loss.

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Study Shows Bariatric Surgery May Hold Benefits For Pregnancy

December 5th, 2008 · No Comments

Are you obese, and considering having a baby? If so, here’s another reason to consider weight loss surgery. New research suggests that these procedures may actually increase the chances of getting pregnant. In fact, women who become pregnant after weight loss surgery were shown to be healthier, in general.

According to a study recently published in the Journal of the American Medical Association (JAMA), undergoing bariatric surgery may normalize obese women’s menstrual cycles and hormone levels. This may increase the likelihood of becoming pregnant. Weight loss due to these procedures may contribute to reduced risks of premature delivery. There may also be reduced risks of delivering babies with low birth weights, or exceedingly large-bodied babies. Medical experts still consider natural weight loss the preferable method for overcoming obesity, though.

Post-Surgery Pregnancy Pros & Cons

Clinical studies illustrate the proposed benefits of weight loss surgery for pregnancy. Nationwide, 150,000 women of child-bearing age had weight loss surgery from 2002-2005 (the years covered by the study). These procedures may reduce the risks of problems for mothers and their newborn children. Among these conditions are high blood pressure and diabetes.  Obese women not undergoing weight loss procedures were more likely to deliver babies with complications.

Gastric bypass surgery was the specific procedure linked to increased fertility. With this procedure, the stomach’s size is reduced, enabling food to avoid entering part or all of the small intestine. Gastric bypass surgery may alter patients’ digestive systems by reducing the volume of food that can be eaten and digested. After having bariatric surgery, medical experts advise patients to wait one year before becoming pregnant. But according to Melinda Maggard, a surgeon and a study researcher, some patients were able to get pregnant earlier, without any problems. These procedures may also be effective for overweight, but not obese, women having trouble becoming pregnant.

Researchers warn patients not to undergo these procedures just for a fertility boost.  In addition, losing excessive weight through bariatric surgery may actually lead to unplanned pregnancies. That’s because the patients’ previous birth control doses may not be absorbed as well. As such, post-surgical female patients may want to consider alternative birth control methods.

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