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Gastric bypass surgery has many forms and can involve stapling and banding of the stomach as well as bypassing a portion of the small intestine. The...
Britain's National Health Service could save millions of pounds a year by offering more weight-loss surgery for obese patients, a medical study said Wednesday.
Washington, Sep 8 : A new study has suggested that obese women who have undergone bariatric surgical procedures before pregnancy are three times less likely to develop gestational diabetes (GDM) than women who have bariatric operations after delivery.
Journal of the American College of Surgeons Study Finds Obese Women Who Undergo Bariatric Procedures Before Pregnancy Are Three Times Less Likely to Have Gestational DiabetesObese women who have bariatric surgical procedures before pregnancy were three times less likely to develop gestational diabetes (GDM) than women who have bariatric operations after delivery, according to new research ...
Triangle - The Brazilian Society of Bariatric and Metabolic Surgery (SBCBM), the world’s second-largest bariatric surgery society, today announced the launch of a center of excellence program for bariatric surgery providers in Brazil.
I would like to clarify some points on bariatric surgery after reading Christina Blizzard's article Obtuse plan for obese surgery (Sept. 1, The Nugget). Ontario has a plan to help more bariatric patients get this important surgery closer to home and save tax dollars in the process.[...]
Obese women who have bariatric surgical procedures before pregnancy were three times less likely to develop gestational diabetes (GDM) than women who have bariatric operations after delivery, according to new research findings published in the August issue of the Journal of the American College of Surgeons. The retrospective study also found that delivery after bariatric procedures was ...
An Ottawa doctor says Ontario's push to expand access to weight-loss surgery in the province is leading to longer wait times because of stricter rules on covering out-of-province procedures.
Re: Obtuse plan for obese surgery (Sept. 1). I would like to clarify some points on bariatric surgery after reading Christina Blizzard's column. Ontario has a plan to help more bariatric patients get this important surgery closer to home and save tax dollars in the process.[...]
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Gastric Bypass - Post-Operative Expectations
Author:
Donald Saunders
At a time when obesity is growing at an alarming rate, an increasing number of people are turning to gastric bypass surgery to solve their weight problem. But just how successful is gastric bypass surgery in terms of weight loss and can it really make a dramatic change to your life?
Gastric bypass has been around for more than fifty years now and, while there are of course risks as there are with any surgical procedure, in the vast majority of cases patients are more than satisfied with the results and enjoy a dramatically improved standard of living. But there is a price to pay.
Following a gastric bypass patients will need to adjust to a very different lifestyle and this can be hard unless adequate preparation is made in advance of surgery to ease patients gently into a post-operative regime.
Some changes are of course obvious. The basic principle behind gastric bypass surgery is to drastically reduce the size of the stomach and physically restrict the amount of food that the patient can eat and so patients clearly understand that the days of sitting down to a big meal are over. But other consequences of surgery are less obvious.
Even in small quantities the days of eating foods that are high in sugar or fat are also over. The consequences of eating such foods can be extremely unpleasant as the rapid absorption of these foods in the now shortened digestive tract can lead to very unpleasant feelings of faintness.
Patients also find that the dramatic change in their eating pattern also leaves them very short of water and they must adjust to constantly drinking small amounts of water throughout the day to avoid dehydration.
This fairly dramatic change in lifestyle is all well and good but just what can gastric bypass achieve in terms of weight loss?
There is of course no simple answer to this question as results will vary from person to person. As a guide however we need to start by understanding just how post-operative weight loss is measured.
The starting point is to assess just how much excess weight the patient is carrying. This is done by working out the patient's ideal weight. Measured in pounds, for a man this will be 106 plus 6 times his height in inches less 60. If that sounds complicated then here's an example. For a man 5ft 10ins tall his height in inches is 70. Deduct 60 from this and multiply the result of 10 by 6 to give you 60. Finally, add 106 and 60 together and the ideal weight for a man of 5ft 10ins is 166 pounds.
For a woman the principle is the same but this time a women's ideal weight is 100 plus 5 times her height in inches less 60.
Taking the example of our man above, if before surgery he weighs 366 pounds then his excess weight is 200 pounds. Weight loss is then measured in terms of the percentage of excess weight lost over time. So, if after 6 months he has lost 100 pounds then his weight loss will be 50 percent. In other words, at that point he will have lost 50 percent of his excess weight.
As a general guide the average patient can expect to lose about 50 percent of their excess weight within 6 months of surgery rising to 70 percent one year after surgery and to 80 percent after 2 years. For the majority of patients weight loss will not continue beyond 2 years and indeed some long-term weight gain will appear after 2 years, typically about 10 to 15 percent of the patient's excess weight.
Again, as a general rule, patients who are excessively overweight will lose a greater percentage of the excess weight (perhaps as much as 90 or 95 percent) while people who are less overweight may lose at little as 60 percent within 2 years of surgery.
It is interesting to note that patients very rarely lose 100 percent of their excess weight and thus do not achieve their ideal weight as a result of surgery. For this reason, it is sometimes said that gastric bypass cannot be said to be a complete success. The overwhelming majority of patients would not however agree with this statement.
While they may not reach their ideal weight and may have to condition themselves to a very different lifestyle following surgery, for most patients the results achieved and the improvement in their quality of life is simply unimaginable.
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When you get your gastric bypass surgery you will have a new stomach that only holds about three tablespoons of food at a time. You will gradually stretch you stomach so that it holds a cup to a cup and a half of food when you eat. Initially though your stomach will be very small and it will be easily upset. This is why you absolutely need to go on a special diet starting from the moment you wake up after surgery. You start off with liquids while in the hospital. These will be clear liquids like broth, Jell-O, juice and water. Believe me you may be thinking now that this is not appetizing or filling, but when you wake up you will feel differently. You will also be very thirsty and ice will do wonders for your pains If this goes well you can move up to something called full liquids. These are your breakfast shakes or weight watchers drinks. They have lots of protein which your body needs at this time. You should also start taking chewable vitamins as well to supplement your diet. ...
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Being overweight is the greatest risk factor for developing type 2 diabetes. With two thirds of the U.S. population now overweight and half of these individuals (one third) meeting the medical definition of obese, the connection between weight and type 2 diabetes is of great medical interest. Studies show that even modest weight losses reduce this risk. Even more interesting has been the ...
LONDON, Sept 8 — Providing surgical treatment for people who are morbidly obese could save British taxpayer-funded health services and the wider economy hundreds of millions of pounds a year, leading surgeons said today. In an economic impact assessment of obesity surgery, the Royal College of Surgeons and the National Obesity Forum said the ...
Plaquemine, La. — Plaquemine author Bonnie Case Lefebvre tells a fictionalized account of her daughter's love story and the harrowing death of her son-in-law after failed gastric by-pass surgery in her first novel, MD: Masters of Deceit, Story of a Medical Debacle.
Providing surgical treatment for people who are morbidly obese could save British taxpayer-funded health services and the wider economy hundreds of millions of pounds a year, leading surgeons said on Wednesday.
An Ottawa doctor says Ontario's push to expand access to weight-loss surgery in the province is leading to longer wait times because of stricter rules on covering out-of-province procedures.
By: Ann Compton Kibler, the resident hall coordinator for Honors Hall, once topped the scales at 520 pounds before deciding to have the weight loss surgery on June 3, 2009. ...
Report urges increase in gastric bypass ops as tens of thousands of patients 'missing out' The extremely low availability of surgery to correct obesity is leading over the long term to the expenditure of hundreds of millions of pounds in benefit payments and costs to the NHS, a report says. Not offering a gastric bypass or gastric band surgery to people who are extremely overweight means that ...
THURSDAY, Sept. 9 (HealthDay News) -- Obese women who have weight loss surgery before they get pregnant are three times less likely to develop gestational diabetes and are also less likely to require a cesarean section, a new study finds.
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