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Nov. 17, 2008 – Medicare will draw the line at a body-mass index (BMI) of 35 to determine if a senior citizen is morbidly obese and qualified to receive coverage for bariatric surgery as a treatment for beneficiaries with type 2 (or non-insulin-dependent) diabetes, according to an announcement today by the Centers for Medicare & Medicaid Services (CMS).
TUESDAY, Nov. 18 (HealthDay News) -- Women who get pregnant after having weight-loss surgery have a lower risk of maternal and newborn complications than pregnant women who are obese, according to U.S. researchers who analyzed 75 studies.
Washington, November 18 : Increased physical activity after bariatric surgery helps patients drop more weight and improve their quality of life, reveals a new study.
A new study by researchers from The Miriam Hospital's Centers for Behavioral and Preventive Medicine suggests increased physical activity after bariatric surgery can yield better postoperative outcomes.
A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the Nov. 19 issue of JAMA.
Dr. Mary Mason wants to hear from you. She's answers your health questions every Wednesday on News 4 at Noon. This week, she's answering questions on bariatric surgery.
A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the November 19 issue of JAMA.
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Understanding The Gastric Bypass Diet
Author: Pat Murphy
Gastric bypass - the newest method of losing weight today - is effective but risky. This method is not for everyone, especially not for those who only want to lose a few pounds. There are several considerations that must be discussed with the doctor before undergoing the procedure. It involves surgery which makes the stomach smaller. To make the stomach smaller, a small pouch that can only hold small amounts of food is made and connected to the lower portion of the small intestine. The patient feels full easily and consumes minimal amount of food. As a result, excess weight is lost quickly. But there are also risks involved, and one of them is nutrition insufficiency. Because of smaller food intake, the patient does not meet required levels of nutrients which results in poor health. For this reason, the gastric bypass diet is formulated.
The surgery causes changes in the shape and size of the patient's stomach which cause discomfort and other side effects. However, these effects can be lessened by proper diet. Since the stomach is smaller, adjustment in food intake is necessary. Hence, the gastric bypass diet is divided into different phases to accommodate the strength and capabilities of the new stomach. The first phase is the clear fluid diet. This phase usually lasts for a couple of days after surgery. Clear broth, juice, water, non-fizzy soda, and gelatin are allowed in small amounts. The patient usually consumes three ounces every meal. Sugar and other seasonings are kept at minimal levels during this stage to prevent stressing the new stomach.
Three days following gastric bypass, patients are allowed to take a low-fat liquid diet. High-protein drinks like breakfast milk, food drinks, and adult supplement milk are recommended. Doctors also advise taking multivitamins and supplements at this stage to prevent nutrition loss. However, they stress that these must be chewable or in liquid form. The stomach is still in recovery and cannot handle digesting hard tablets and capsules. The low-fat liquid diet lasts for two weeks or until the doctor gives the signal to advance to soft food diet.
The soft diet is also called the puree diet because the food taken during this stage are mostly pureed. Common suggestions include baby food, mashed produce, soft eggs, cream cheese, and smooth gruel. Meats can also be reintroduced in the diet in pate or spreads. Again, emphasis is on the texture. The gastric bypass diet allows patients to eat almost anything as long as it is soft and smooth in texture. Doctors advise to keep food mildly seasoned but flavorful because this stage lasts for two months. Frustration from bland and soft food might make the patient eat foods that the stomach is not prepared to handle.
Regular diet resumes after two months of gastric bypass. This diet includes all the basic food groups but it is advisable to start with protein food to help build stomach muscle. By this time, the stomach is capable of handling differently textured food. Consuming liquids between meals is necessary to help the small stomach digest the food easily. Patients may have to forego rare meats to avoid gastrointestinal complications. Seek the advise of a nutritionist or dietician who can recommend ways to squeeze necessary nutrients in small food amount. Patients should follow the gastric bypass diet because proper nutrition is important whether you have a big or small stomach.
As I become acquainted with many of our LivingAfterWLS.com community members I’m finding that old snacking habits have crept back in to our lives. In my third year post-op I returned to the miserable habit of snacking and snacking on all the wrong foods. Crackers, popcorn, toast, cereal, pretzels, sugar-free candy, granola bars. The unpleasant result of this is I regained some weight, several dumping episodes, vomiting and bouts of fatigue. According to my bariatric center "Snacking, nibbling or grazing on foods, usually high-calorie and high-fat foods, can add hundreds of calories a day to your intake, defeating the restrictive effect of your operation. Snacking will slow down your weight loss and can lead to regain of weight." Almost universally the snacks WLS patients admit to eating are high carbohydrate, nutritionally void processed foods. In order to maintain weight loss after gastric bypass successful patients avoid these poor snack choices: Pretzels, potato chips, corn...
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A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the November 19 issue of JAMA.
Dr. Mary Mason wants to hear from you. She's answers your health questions every Wednesday on News 4 at Noon. This week, she's answering questions on bariatric surgery.
Women who get pregnant after weight-loss surgery tend to be healthier and less likely to deliver a baby born with complications compared to obese women, researchers said on Tuesday.
Women who undergo weight-loss surgery, known as bariatric surgery, and later become pregnant after losing weight may be at lower risk for pregnancy-related diabetes and high blood pressure - complications that can seriously affect the mother or her baby - than pregnant women who are obese, according to new findings from the Agency for Healthcare Research and Quality that are published in the ...
( Wiley-Blackwell ) Severely obese patents who underwent gastric bypass surgery had lost up to 31 percent of their BMI after four years. Blood pressure problems fells by 76 percent and diabetes by 90 percent. But 27 of the 50 patients experienced complications and ten patients had to be operated on again. The study, published in the British Journal of Surgery, was carried out to see if a longer ...
Undergoing gastric bypass surgery can improve pregnancy outcomes for obese women. Researchers at the Rand Corporation analyzed data from 75 studies that looked at various health issues among women who had bypass surgery.
Severely obese patients who underwent two different gastric bypass techniques had lost up to 31 per cent of their Body Mass Index (BMI) after four years, with no deaths reported among the 50 study subjects, according to an article in the British Journal of Surgery.
Severely obese patients who underwent two different gastric bypass techniques had lost up to 31 per cent of their Body Mass Index (BMI) after four years, with no deaths reported among the 50 study subjects, according to the November issue of the British Journal of Surgery.
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