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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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How Does The Gastric Bypass Promote Weight Loss?
Author:
Donald Saunders
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 process of digestion. It is here in the duodenum that iron and calcium are absorbed into the body.
Food then continues on down the small intestine, which is almost 20 feet in length, passing first through the jejunum and then through the ileum and it is here that the body extracts the bulk of the calories and nutrients contained in the food that we eat. Finally, any food particles that cannot be digested are passed into the large intestine where they are stored until they are passed out of the body.
We gain weight because the food that we eat contains more calories than we need to support the level of activity within the body and so the body, having burnt up the calories that it needs, stores any left-over calories as fat which is dispersed throughout the body.
Gastric bypass works by altering the body's digestive process in one of two ways.
One form of gastric bypass (referred to as restrictive surgery) physically restricts the quantity of food that we can eat and so not only stops us from consuming more calories than the body needs but reduces our intake to fewer calories than are necessary and so forces the body to start burning off the reserves that it has laid down as fat.
The second form of gastric bypass (referred to as malabsorptive surgery) does not restrict the quantity of food that we can eat but creates a new passage for that food so that a substantial proportion of the small intestine is bypassed and the body is able to extract only a small number of calories. Once again this forces the body to dig into its fat reserves.
In many cases gastric bypass operations are in fact a combination of these two forms and will both restrict the intake of food and reduce adsorption by re-routing the food past much of the small intestine.
There are many variations of the gastric bypass and each has its advantages as well as its disadvantages. Some forms will be more suited to one individual than to another and in other cases it will be very much a matter of personal preference in consultation with your surgeon.
The gastric bypass is a powerful solution to the problem of obesity but it comes at a price and is not without both risk and complication. It is also important to understand that the gastric bypass is not in itself a magic cure for obesity and that you will need to learn to work with your new digestive system by adopting a whole new set of eating habits and a dramatic change to your lifestyle if you are to maintain the weight lost as a result of surgery.
Once the initial and virtually automatic weight loss has been achieved following the gastric bypass it is quite easy to abuse your new digestive system and to start putting the weight back on again.
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For more information about the gastric bypass please visit GastricBypassFacts.info
You lose weight after a gastric bypass surgery because you’re restricted to a very low calorie diet. You can only eat tiny portions because your stomach is much smaller. Some high-calorie foods high in sugar and fat cannot be eaten because they cause nausea and vomiting, and part of the digestive tract is bypassed, which reduces the absorption of nutrients and calories. If you’re looking for a safer alternative to gastric bypass, you might consider a doctor-supervised very low calorie diet (VLCD), without the surgery. VLCDs have been shown to result in weight loss of up to 15 to 20 percent of the patient’s initial weight in three to six months, but follow-up therapy is needed to maintain the weight loss. The diet itself may require hospitalization or a stay in a treatment center so your physician can monitor your progress and health. This can be expensive, but there are some advantages over gastric bypass surgery. Although there are some risks, a very low calorie diet is far safer...
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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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