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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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Very Low Calorie Diets – An Alternative To Gastric Bypass Surgery
Author:
JL Good
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 than surgery when the patient receives regular care from a physician.
The diet usually consists of liquid shakes or bars that have been specially formulated to include all the vitamins and minerals the patient needs. Using the pre-made shakes and bars makes it easy to regulate the number of calories without sacrificing nutrition.
A new five-year study financed by a large BlueCross BlueShield insurance plan is designed to find out if a VLCD, with or without weight loss medication, is as effective in treating obesity as the more expensive and dangerous weight loss surgeries. At this time, most group insurance policies do not cover any treatment associated with obesity, but the Roux-en-Y gastric bypass procedure is being added as a benefit to some plans.
Obesity treatment was scourged from most policies after the diet pill scams of the 80’s and 90’s, but insurance companies are discovering that the costs of obesity are extremely high. If weight loss treatment, either surgery or doctor-monitored VLCD, can reduce the incidence of diabetes and heart disease that accompany obesity, the reduction in these chronic illnesses would more than pay for the additional costs of covering weight loss treatment. If it is proven that a VLCD results in long-term weight loss, this treatment may be added as a benefit to some policies.
A VLCD diet contains around 800 calories a day and the typical patient can lose up to 44 pounds in three months. In past studies it has been found that most obese patients who reduce their weight through doctor-supervised diet will regain much of the lost weight unless they receive ongoing behavioral therapy and nutritional counseling. This is also true for some post-gastric bypass patients.
There are always side effects associated with major changes in diet, and patients on a very low calorie diet may experience fatigue, constipation, nausea or diarrhea. These symptoms are usually temporary. The fast weight loss can also trigger one of the major complications associated with gastric bypass surgery – gallstones or gallbladder infection. Medication is available to reduce this risk, but it is important to become aware of the symptoms of gallstones and seek immediate treatment if the symptoms appear.
It is possible that a low-calorie diet of 1,000 to 1,200 calories a day may be just as effective for long-term weight loss as a VLCD. The weight will drop more slowly, but the diet is easier for most people to accept as a long-term lifestyle.
Behavioral changes are the most important aspect of any obesity treatment, either surgical or dietary. The weight will only stay off as long as new, healthier diets are maintained. Regular exercise is equally important.
Behavioral modification and nutritional counseling can help, and your physician or the obesity center at a local hospital should be able to give you a referral to a qualified counselor. The obesity center should also be able to assist you in finding a physician who can provide the necessary medical supervision if you decide to try a very low calorie diet as an alternative to gastric bypass.
More and more importance is placed on gastric bypass surgery as one of the best methods of eliminating excessive fat. However, the risks involved and the cost of gastric bypass surgery are often some issues patients need to consider. Bariatric surgery (another name used for gastric bypass) is a solution to eliminating fat – here are some more facts about it. Getting ready for Bariatric surgery Before the surgical procedure is performed, you will undergo some laboratory tests with your surgeon’s supervision. Different pre-operative gastric bypass surgery analysis have to be performed so as to ensure maximum chances of success for the procedure. Some other special measures might have to be taken prior to gastric bypass surgery, such as stopping to smoke and consume alcohol, sometimes even a few weeks before the surgical procedure. As with any surgery, blood clotting medication is to be avoided. You might also be asked to donate your own blood, weeks before the gastric bypass surgery,...
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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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