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bariatric surgery - Yahoo! News Search Results
02/07/2012 02:17 AM
Orange Regional Medical Center offers free Seminar offered on weight-loss surgery
MIDDLETOWN Orange Regional Medical Center will host a free educational seminar on bariatric weight loss surgery at 6 p.m. on Tuesday, Feb. 7, at the hospital’s Multipurpose Conference Room, located at 707 East Main St. in Middletown.

01/25/2012 12:43 PM
Bariatric Surgery Should Be Covered By Insurance, Device Makers Say
Companies who build devices used in bariatric surgery want the procedure to be covered by health insurance.

01/31/2012 11:10 AM
Bariatric surgery in adolescents improves obesity-related diseases within first 2 years
Today, about one in five children in the United States are obese. That means that in just one generation alone the number of obese kids in this country has quadrupled.

01/18/2012 10:00 AM
Outcomes Show Gundersen Lutheran Bariatric Surgery Among the Best
LA CROSSE, Wis. , Jan. 18, 2012 /PRNewswire/ -- At Gundersen Lutheran Health System's Bariatric Surgery Center , three bariatric surgeons perform about 150 weight-loss surgeries each year. With exceptional ...

02/06/2012 11:15 PM
Nashville woman loses 10 dress sizes, diabetes
Rachael Poff dropped 140 pounds and 10 dress sizes less than a year after having bariatric surgery. The surgery also cured her diabetes.

02/06/2012 06:34 PM
My experience with Bariatric Surgery
At birth, I weighed 10 pounds and nine ounces. Since then, I've struggled with my weight. I have tried diets and assisted weight loss programs. While genetics played a role in my morbid obesity, overeating was also responsible. Food was my drug of choice for coping with life.

01/31/2012 09:23 AM
Bariatric Surgery in Adolescents Improves Obesity-Related Diseases Within First Two Years
Doctors at Nationwide Children's Hospital who perform weight loss surgery (bariatric surgery) on adolescents took a look at their patient population in a retrospective study published in the January 2012 print edition of Pediatric Blood & Cancer. They found that their patients had experienced a significant loss of excess body weight and showed improvement in many obesity-related diseases within ...

02/05/2012 03:09 AM
Bariatric Surgery Increase Leads to More Post-Weight-Loss Procedures
At his New Jersey plastic surgery practice, Dr. Robert Herbstman attributes a recent rise in the number of post-weight loss patients seeking cosmetic procedures to the increased popularity of bariatric surgery. (PRWeb February 05, 2012) Read the full story at http://www.prweb.com/releases/2012/2/prweb9166943.htm

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  Dietary Recommendations After Gastric Bypass Surgery

Author:
Protica Research

When obesity gets out of hand, unresponsive to dietary, lifestyle and medical interventions, drastic measures are needed to cut down calorie intake. Morbid obesity with a BMI (body mass index, a measure of malnutrition) above 40 kg/m2 is an indication for surgical procedures such as gastric bypass surgery. Gastric bypass is now a well-trodden path to lower BMI’s and achieve healthier lives in 18 months or so. First used in the 1950’s, only the last two decades have seen safe and successful gastric bypass surgery with any consistency. Half a century of meticulous observations and patient follow-up has led to the formulation of strict guidelines to ensure desired results.

Gastric bypass is a series of steps initiated starting with the decision to undergo the procedure. Identifying existing nutritional deficiencies is the first step towards surgery. Vitamin and mineral deficiency often occur in obesity, and need to be addressed before the procedure. The surgery itself has two goals; to reduce the volume of the stomach and shorten the food transit time in the intestine. After surgery the stomach cannot receive large meals or participate in digestion. This by itself limits food intake. Food also bypasses a large part of the intestine and has little time to interact with liver and pancreatic enzymes. As a result, nutrition absorbed from diet drops drastically. In most types of gastric bypass surgeries done today only 50 cm of the intestine is allowed to function in normal fashion. Compare this to food absorption taking over 7 feet of small and large intestine before surgery.

With such a radical reduction in the capacity to assimilate food, the postoperative period can be rather tricky. Only clear fluids are advised for the first two days while waiting for gut to recover. The gut is then re-trained for about two months before it can go back to a normal diet. During the recovery period the limitations imposed by the gastric bypass procedure should be kept in mind. After surgery the stomach has become much smaller and can only hold approximately eight ounces at a time. The stomach has also lost its ability to pulverize food to initiate digestion. Consequently the appropriate diet for postoperative recovery would be a liquid to soft solid diet that can be taken six to eight times a day in small quantities. Nutrient fluids are preferable since they can provide hydration and energy at the same time. Non-nutrient fluids are best avoided or at least restricted to in-between meals.

The type of nutrient chosen also deserves due consideration. The chosen macronutrient should not affect the stomach emptying time while providing enough energy to recover from the surgery. In this regard carbohydrates and fats are at either end of a spectrum and neither is suitable. Carbohydrates pass through very quickly and produce very uncomfortable symptoms like vomiting, bloating, diarrhea and sweating. Fat slows the gut considerably, and it is oftentimes ruled out because of its direct link to obesity. Research suggests that the macronutrients of choice after gastric bypass surgery are proteins. Proteins do not change gastric transit time significantly. A high-protein diet can also provide enough amino acids for repair and growth after a major surgical procedure like gastric bypass.

Apart from these advantages, a high-protein diet has a special role in the treatment of obesity. Gastric bypass restricts excessive calorie intake to prevent weight gain. However, accumulated adipose tissue also needs to be expended to achieve the desired weight loss. The basal metabolic rate (energy expenditure) should be increased simultaneously to burn stored fat and reduce BMI. This can be achieved by a high-protein diet since proteins in diet increase the basal metabolic rate by stimulating protein synthesis. Observations made during the postoperative period also confirm this proposition. Unless a high-protein diet is provided, weight loss often ceases despite controlled consumption.

Currently, a protein intake of up to 90 grams per day is recommended in the post-operative period. Given the trauma and the limitations the gut is subjected to during the procedure, such a high protein intake can be difficult to maintain. The gut is hardly ready and often fails to assimilate proteins and energy from traditional foods and diets. Therefore, a sugar-free fluid protein concentrate with a high bioavailability, adequate essential amino acids, vitamins and minerals is the most appropriate diet in the post-operative period. Digestion is further facilitated if the protein concentrate is already pre-digested, or hydrolyzed. Such a nutrient fluid can simultaneously supply concentrated energy and hydration even when taken in small quantities.

After recovery and return to a normal diet divided over 3 to 4 meals per day, a high-protein concentrate is still a relevant supplement between or during meals. The protein supplement continues to provide thermogenic action necessary to lose weight essential to sustain weight loss. It also compensates for any amino acid deficiency in the diet and maintains nutrition on bad days not uncommon in the months and years after a major surgery.

ABOUT PROTICA
Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com

You can also learn about Profect at http://www.profect.com

Copyright - Protica Research - http://www.protica.com

REFERENCES
1. Kellum JM, DeMaria EJ, Sugarman HJ. The surgical treatment of morbid obesity. Curr Prob Surg. 1998;35:791-858.

2. MacLean LD, Rhode BM, Nohr CW. Late outcome of isolated gastric bypass. Ann of Surg. 2000. 231:524-528.

3. Nutritional Implications of Bariatric Surgery: Perspectives of Practitioners Audiotape/Handout packages available post-conference.

4. Weight management—Position of ADA. J Am Diet Assoc. 2002;102:1145-1155

5. Faintuch J, Matsuda M, Cruz ME, et al. Severe protein-calorie malnutrition after bariatric procedures. Obes Surg 2004; 14:175–181.

6. Alvarez-Leite J.I. Nutrient deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care 7:569–575.

About the Author
ABOUT PROTICA

Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com

You can also learn about Profect at http://www.profect.com

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If you like the article above, you may be interested in the following article which is also related to Gastric Bypass...

How Does The Gastric Bypass Promote Weight Loss?
For people who are heavily overweight, and suffering from severe or morbid obesity, dieting and exercise will often produce a short-term weight loss and can bring some marked health benefits. Any weight loss is however short-lived and the vast majority of people (between 80% and 95%) will regain their weight, and often put on further weight, relatively quickly. It is no surprise therefore that many morbidly obese individuals turn in the end to the gastric bypass as a lasting solution to their problem. But just how does the gastric bypass promote long-term weight loss? To understand the mechanics of the gastric bypass we need to start by considering the normal digestive process. When we eat, food passes initially into the stomach where it is broken down by a strong acid solution. Once the digestive process has been completed in the stomach, food moves into the duodenum, which is the first part of the small intestine, and bile and pancreatic juice is added to the mix to continue the...
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gastric bypass surgery - Yahoo! News Search Results
01/16/2012 07:26 PM
Gastric Bypass Surgery a Lifesaver for Livingston County Man
Rochester, N.Y. - Don Linborg says gastric bypass surgery saved his life.

01/17/2012 06:39 PM
Gastric bypass superior to lap banding finds study
A new study evaluates the best option in terms of weight loss surgery for those who need it. Researchers found gastric bypass patients lose more weight than gastric banding patients and keep it off longer. Even though banding is a simpler operation, nearly half of those patients were still obese after six years.

01/20/2012 04:43 PM
Surgery that changed my life
A local 22-year-old woman had gastric bypass surgery last year & since has lost 150 pounds. She's been so happy with her results & the team at Sanford that she sent her doctor a thank you letter. She's

01/17/2012 05:39 PM
Long term, gastric bypass beats out banding: study
NEW YORK (Reuters Health) - Among weight-loss surgery options, gastric bypass comes with more complications shortly after surgery than gastric banding, but makes up for it with fewer long-term side effects and repeat operations, new research suggests. People who got bypass surgery also lost weight faster, and more kept it off, in the study of more than 400 obese Swiss patients. "What we would ...

01/29/2012 09:00 AM
Eye On New York: Weight Loss Surgery
A study shows gastric bypass surgery lost a little more than three-fourths of their weight. Dr. Melissa Bagloo, who specializes in bariatric surgery at NY-Presbyterian Hospital, spoke with CBS 2's Dana Tyler.

01/16/2012 03:48 PM
Weight Loss: Is Bypass Better Than Banding?
Gastric banding doesn't work as well as bypass surgery, according to a new study.

01/17/2012 12:01 AM
More, Faster Weight Loss Seen With Gastric Bypass Than Banding
MONDAY, Jan. 16 (HealthDay News) -- Gastric bypass surgery results in faster and longer-lasting weight loss than does gastric banding, according to a new study by Swiss investigators.

02/03/2012 09:27 PM
Companies behind gastric bypass bands refuse to sell to SoCal surgery centers
A Google Maps screenshot of a Lap-Band billboard on W 11th Street, Los Angeles, Calif. The billboards are under fire after the FDA criticized their misleading displays.

02/01/2012 06:27 PM
Dr. Oz Highlights the Benefits of Gastric Bypass Surgery, Even for Patients Who Are Not Morbidly Obese
LOS ANGELES, Feb. 1, 2012 /PRNewswire/ -- Dr.Mehmet Oz, a renowned cardiothoracic surgeon and author, recently dedicated an entire episode of his popular TV show Dr. Oz to the benefits of gastric bypass ...

02/06/2012 12:50 PM
Gastric Bypass 'is not a cosmetic surgery'
Weight loss has become a multi-billion dollar industry in America. There are thousands of fitness centers and diet plans that all claim to work. Especially this time of year, many people strive to lose weight for their New Year's resolutions.

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