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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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The Risks Of Gastric Lap Band Surgery
Author:
Donald Saunders
Weight loss surgery has advanced considerably in the past 50 years and modern forms of surgery such as gastric lap band surgery are certainly a lot safer and carry far fewer complications than early forms of open gastric bypass surgery. Nevertheless, there are risks and these should be fully discussed with your surgeon before embarking on surgery.
Gastric lap band surgery carries a number of risks which are specific to this form of surgery but it also carries the same risks that come will all major surgeries. In addition, there are a number of general risks which accompany any surgery involving patients who are overweight.
The first and most serious risk is that of death occurring either during surgery or shortly after and directly related to surgery. At this early stage (gastric lap band surgery has been around for some 12 years now but has only been licensed for use in the United States since 2001) very few deaths have been reported and it is difficult to give a figure, although it is generally held that the risk of death from gastric lap band surgery is less than 1%.
It is interesting to note that in one study in Australia no deaths at all were reported amongst a group of 2700 patients who have undergone laparoscopic adjustable gastric banding surgery since 1994. It should be said however that Australia has been in the forefront of pioneering the use of the laparoscopic adjustable gastric band and that over 90% of all weight loss surgeries conducted in Australia now use this method. This is significant as, in interpreting data from this study, it should be borne in mind that the experience of the surgeon is a very significant factor in terms of both risk and complication. Surgeons with considerable experience of this technique (having performed at least 100 procedures) show a very much higher success rate.
Many of the risks during surgery are general rather than "lap band" specific and are common surgical risks associated with such things as your age, weight, reaction to anesthesia and the presence of disease (whether or not this is directly related to your weight problem). The main "lap band" specific risk during surgery is that of gastric perforation (a tear in the wall of the stomach) which occurs in about 1% of cases.
The vast majority of complications will occur following gastric lap band surgery and most patients (in one US study the figure was as high as 88%) will experience some form of complication in the weeks and months following surgery. Such complications will not necessarily be serious and will range from mild to severe.
Approximately half of all patients will suffer varying degrees of nausea and vomiting and in the region of one-third of patients will also suffer from regurgitation (gastroesophageal reflux). About a quarter of patients will experience a slippage of the band and about one patient in seven will experience a blockage of the passage between the two sections of the stomach.
Other moderate to severe problems following gastric lap band surgery can include erosion of the band into the stomach and twisting or leakage of the access port. Difficulty in swallowing (dysphagia), constipation and diarrhea are also quite common.
In a very small number of patients (less than 1%) a whole series of non-series complications may arise including (but not limited to) inflammation of the stomach (gastritis), migration of the stomach above the diaphragm (hiatal hernia), inflammation of the pancreas (pancreatitis), dehydration, abdominal pain, gas (flatulence), chest pain and infection.
In general gastric lap band surgery, particularly when performed laparoscopically, carries fewer risks and complications than other forms of weight loss surgery, but these risks are nonetheless significant and should be fully discussed with your surgeon and understood before any decision is taken to undergo surgery.
Gastric bypass is a kind of surgical interference that is mostly used for significant weight loss if you are over weight. This surgical interference reduces your calorie intake. After the surgery, stomach will be small and you feel full faster to reduce amount of food. Part of stomach with small intestine will be literally skipped over so less amount of calories. Gastric bypass is also known as Roux-en-Y gastric bypass, Bariatric surgery - gastric bypass. In Gastric by pass stomach is made small by creating a new small pouch at the top of abdomen by using plastic bands or surgical staples. The smaller stomach connected directly with the middle portion of small intestine called as jejunum, bypassing the remaining part of stomach and upper potion of small intestine called as duodenum. After performing Gastric bypass the patient is recommended to reduce the quantity of his intake food as small intestine absorbs less calories at this stage. This leads to weight reduction. Doctors will...
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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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