5-Year Outcomes: Bariatric Surgery vs Medical Therapy for Diabetes

Good Better Best SignThe final results of the STAMPEDE trial, a study evaluating the use of bariatric surgery and intensive medical therapy in patients with type 2 diabetes and a BMI of 27 to 43, showed that treatment with bariatric surgery was more effective with favorable and durable outcomes.

Bariatric surgery led to more and longer lasting weight loss, greater improvements in health, less pain, and most achieved good to acceptable glycemic control.

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Chicken Kebabs

Study Confirms Protein Intake Recommendations

Chicken KebabsWhen it comes to eating after bariatric surgery, weight loss surgery patients are constantly reminded to “eat protein first” and that “protein is the priority.”

Although this recommendation is always at the top of dietary guidelines, there is little research that has examined the association between protein intake and fat free mass loss.

A new study has examined the protein intake goal and confirms that these aren’t merely words, but good and accurate advice for healthy weight loss after bariatric surgery.
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Patient Files

Sleeve Gastrectomy: Increase in Use, Weight Loss, and Revisions

Patient FilesSleeve gastrectomy has rapidly become a popular weight loss surgery. Over the last five years, it has gone from a relatively rare operation to the most commonly performed bariatric procedure.

While the use of this procedure has increased in recent years, there is still much to learn about long term weight loss and complications.

Early outcomes are promising, but new information continues to shed light on how the results hold out over time.

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Rapid Rise

The Rapid Rise of Sleeve Gastrectomy

Rapid Rise ChartSleeve gastrectomy emerged as the top bariatric procedure in America in 2013, according to new estimates from the American Society for Metabolic and Bariatric Surgery (ASMBS).

The ASMBS numbers showed that 179,000 bariatric procedures were performed last year; 42.1% of the procedures were sleeve gastrectomy, 34.2% were gastric bypass, 14% were gastric banding, 1% were biliopancreatic diversion with duodenal switch, and about 6% were revisions.

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Woman with heartburn

GERD: Gastric Bypass vs Sleeve Gastrectomy

Woman with heartburnIf you have gastroesophageal reflux disease (GERD) and are considering weight loss surgery, then the increasingly popular sleeve gastrectomy may not be the best procedure for you.

According to a review of the Bariatric Outcomes Longitudinal Database, pre-operative GERD was associated with worse outcomes and decreased weight loss in patients who had undergone sleeve gastrectomy compared to patients who had undergone gastric bypass surgery.

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Failure Success

Gastric Band Failure, Gastric Sleeve Success

Failure to SuccessSleeve gastrectomy is a safe and effective revisional procedure for failed or complicated gastric banding with good surgical outcomes and 2 year weight loss, according to results of a study published online November 13, 2013 in Surgery for Obesity and Related Diseases.

Gastric banding is a bariatric procedure involving the placement of a medical device around the top of the stomach to restrict food intake. While many gastric band patients achieve successful results with minimal side effects, some patients require band removal because of insufficient weight loss or band-related complications.

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Research

Surgeons Surveyed on Sleeve Gastrectomy

ResearchThe results of a survey completed by surgeons experienced in sleeve gastrectomy show that despite the increasing popularity of the procedure, all sleeves are not the same.

Sleeve gastrectomy varies in many technical aspects of the procedure, including surgical approach, staple-line technique, bougie size, and stomach shape.

Survey Results

To find out more about the range of differences and outcomes with sleeve gastrectomy, surgeons experienced in the procedure were asked to complete an online questionnaire.

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Stomach Illustration

Sleeve Gastrectomy – Does Size Matter?

Illustration of StomachThe gastric sleeve procedure has quickly become one of the most common types of weight loss surgery, jumping from obscurity to importance in only a few years.

Despite it’s newfound popularity among patients and surgeons, there are many technical aspects of the procedure including bougie size that remain controversial.

What is a Bougie?

The bougie (prounounced BOO-zhee) is a measuring tool in the form of a long, thin, flexible tube. The surgeon uses it as a guide when dividing the stomach.

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5-Year Results With The Gastric Sleeve

Doctor and PatientThe gastric sleeve procedure continues to grow in popularity as an alternative to gastric bypass or gastric banding as a surgical treatment of obesity, yet little is known about the long-term results.

In the continuing study of this procedure, researchers at Claraspital in Basel, Switzerland have published new research concerning the weight loss, health modifications, and complications observed in gastric sleeve patients over more than 5 years.

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Five-Year Results With Gastric Sleeve

Five-Year Study Examines Sleeve Gastrectomy Outcomes

Five-Year Results With Gastric SleeveThe safety and effectiveness of sleeve gastrectomy as a bariatric surgical procedure was demonstrated once again in a recently published five-year study. The results showed this new and upcoming type of weight loss surgery achieved good long-term weight loss and resolution of co-morbid medical conditions.

Sleeve Gastrectomy (SG), also known as the gastric sleeve, has been quickly gaining universal acceptance among bariatric surgeons, health insurance providers, and patients. Although the popularity of this newer bariatric surgical procedure continues to grow, long-term clinical data on outcomes is limited at this time.

The results of this five-year study provide additional evidence supporting sleeve gastrectomy as an alternative to gastric bypass and gastric banding.

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