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Yahoo! News Search Results for bariatric surgery
08/29/2008 12:47 PM
Weight-loss surgery won't "cure" sleep apnea (Reuters via Yahoo! News)
In people who are obese, weight-loss surgery will likely lead to an improvement in obstructive sleep apnea (OSA) but it won't eliminate the nighttime breathing disorder. Many patients will have residual OSA one year after weight-loss surgery (also known as bariatric surgery), results of a study indicate.

09/01/2008 10:26 AM
NH's Clegg speaking at convention forum on obesity (Boston Globe)
New Hampshire Sen. Bob Clegg who lost over 100 pounds after having bariatric surgery is speaking Tuesday at a forum on obesity being held in conjunction with the Republican National Convention.

09/05/2008 03:25 PM
5 candidates in NH's 2nd District GOP primary (Boston Globe)
Only one of the five Republicans competing for the chance to unseat Democratic U.S. Rep. Paul Hodes has won an election before, but all claim the right experience for Congress.

09/02/2008 12:22 AM
Clegg taking part in obesity forum (Concord Monitor)
State Sen. Bob Clegg, who lost more than100 pounds after having bariatric surgery, is scheduled to speak today at a forum on obesity being held in conjunction with the Republican National Convention in St. Paul, Minn.

09/04/2008 12:12 PM
Making a life-changing choice (Creston News Advertiser)
CNA photo by BEN FROTSCHER Teaching moment: Creston cross country coach Pat Schlapia demonstrates running technique with help from Dana Miller during Creston’s cross country camp held in August. Since having the Lap-Band surgery, Schlapia has lost more than 100 pounds.

08/29/2008 04:17 AM
Dr. Joel Aronowitz, Specialist in Los Angeles Body Lift, Announces Plastic Surgery Options After Bariatric Surgery ... (PRWeb)
Los Angeles cosmetic surgeon , Dr. Joel Aronowitz, has respected experience in plastic surgery procedures for post bariatric weight loss patients. Special consideration may be necessary for these patients' health and wellness. Dr. Aronowitz and staff have an established specialty of procedures for after weight loss. (PRWeb Aug 29, 2008) Read the full story at ...

08/31/2008 11:53 PM
Bariatric Center to Open at North Iowa Hospital (KIMT Mason City)
Mason City, IA - Those in north Iowa looking to loose some weight have a new option. Mercy Medical Center of North Iowa announced it will open a bariatric center. Gastric bypass surgery and the lap-banding procedure will both be available.

08/30/2008 04:16 AM
Auburn doctor joins bariatric surgery group (The Post-Standard)
Dr. Carl Weiss III has been named a fellow of the American Society for Metabolic and Bariatric Surgery. He is the director of the Finger Lakes Weight Loss Program at Auburn Memorial Hospital as well as the hospital's chief of surgery.

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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...

Gastric Bypass - The Nightmare for Food Lovers
While the gastric bypass may seem like the perfect solution to those who are obese, I'd like to explain just how the surgery affects the lifestyle of those who've had gastric bypass surgery. If the lovers of food really know the drastic lifestyle change involved in the months and years after gastric bypass surgery then, unless they we're considering the operations for alleviating an immediate health concern, certainly wouldn't go through with the gastric bypass procedure. Why's that, you ask? Meal times, snack times, gorgeous roast chicken, beans, carrots, potatoes, naughty cakes and treats are all banished after surgery. Yes you can have your roast chicken and all the normal food you enjoy now (except sweet and salty food), but how does half a cup sound, and that's it! Your full meal could be half a cup of chicken and that's it - no more food for that sitting. As your stomach is 'stapled' during surgery it can only hold a certain amount - it's no miracle that patients of the...
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Yahoo! News Search Results for gastric bypass surgery
09/02/2008 09:53 AM
ASK DR. WEIL: Optimizing nutrition after weight-loss surgery (Lancaster Online)
Q. What supplements should a 50-year-old woman take after weight-loss surgeryA. To be truly successful, gastric-bypass surgery requires lifelong changes in your eating habits in order to lose weight, maintain your losses and ensure that you are getting adequate nutrition with...

09/02/2008 06:23 PM
Weight Loss Surgery to be Offered at Mason City Clinic (KIMT Mason City)
MASON CITY, Iowa - An area medical center is offering a new program to help folks struggling with weight loss. Mercy Medical Center North Iowa in Mason City is opening a bariactric clinic. The clinic will offer gastric bypass and lap-band surgery to those who qualify.

09/03/2008 03:56 AM
Why bypass surgery helps in diabetes (News-Medical-Net)
To manage obesity, various different surgical procedures can be performed on the stomach, including so-called bypass surgery in which, as well as reducing the size of the stomach, a bypass is created to send food directly into the distal gut (which, before the operation, is far from the stomach).

09/04/2008 12:00 PM
How Weight Loss Surgery Helps Diabetes (CBS News)
Obese diabetes patients who have gastric bypass weight loss surgery often show dramatic improvement in blood sugar control within days, long before significant weight loss occurs.

09/02/2008 12:01 PM
How gastric bypass rapidly reverses diabetes symptoms (PhysOrg)
A report in the September Cell Metabolism, a publication of Cell Press, offers new evidence to explain why those who undergo gastric bypass surgery often show greater control of their diabetes symptoms within days. It also helps to explain why lap-band surgery doesn't offer the same instant gratification. By studying mice that have undergone both procedures, the researchers show that changes in ...

09/02/2008 11:27 AM
How gastric bypass rapidly reverses diabetes symptoms (EurekAlert!)
( Cell Press ) A report in the September Cell Metabolism, a publication of Cell Press, offers new evidence to explain why those who undergo gastric bypass surgery often show greater control of their diabetes symptoms within days.

09/02/2008 04:03 PM
DR. WEIL: Gastric bypass means lifelong diet changes (Rocky Mountain News)
Gastric bypass surgery requires lifelong changes in eating habits in order to lose weight, keep it off and ensure that you're getting adequate nutrition with limited food intake.

09/02/2008 09:13 PM
How Gastric Bypass Rapidly Reverses Diabetes Symptoms (Science Daily)
A report offers new evidence to explain why those who undergo gastric bypass surgery often show greater control of their diabetes symptoms within days.

09/02/2008 04:23 PM
Gastric bypass anatomy leads to diabetes control (Reuters via Yahoo! News)
The rapid and substantial control of diabetes seen after gastric bypass surgery is due, at least in part, to the intestinal rearrangement involved in the procedure, the results of an animal study suggest.

09/04/2008 09:14 AM
How Gastric Bypass Rapidly Reverses Diabetes Symptoms (Medical News Today)
A report in the September Cell Metabolism, a publication of Cell Press, offers new evidence to explain why those who undergo gastric bypass surgery often show greater control of their diabetes symptoms within days. It also helps to explain why lap-band surgery doesn't offer the same instant gratification.

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