Weight Loss Celebration

Greater, Lasting Weight Loss with Bariatric Surgery

Man Celebrating Weight LossA study examining weight change in patients of the Veterans Administration health system provides further evidence of the long-term benefits of bariatric surgery as a treatment for obesity.

Researchers examined 10-year weight loss results of veterans who underwent Roux-en-Y gastric bypass with nonsurgical matches and found that bariatric surgery led to significantly greater weight loss and that most of the weight loss was sustained long-term.

An additional examination of 4-year data compared the weight change differences between patients undergoing RYGB, adjustable gastric banding (AGB), and sleeve gastrectomy (SG).

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Bariatric Surgery Senior

Too Old? Outcomes of Bariatric Surgery in Older Patients

Bariatric Surgery SeniorIf you are over 60 years of age with obesity, new research shows that you may not be too old to enjoy the benefits of bariatric surgery. A number of recent studies prove that bariatric surgery is safe and effective in older patients, and that it leads to improvements in obesity related health conditions.

Although there is currently no specific age limit for bariatric surgery, it is generally accepted that patients should be between the ages of 18 and 60. Age requirements do not absolutely prevent one from having surgery, but advanced age is a risk factor that must be taken into consideration.

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Patient Records

Bariatric Surgery Analysis Examines Effectiveness and Risks

Patient RecordsA comprehensive investigation into the outcomes of bariatric surgery shows that the majority of bariatric patients experience substantial and lasting weight loss and improvements in obesity-related comorbidities.

The review also confirms the relative safety of the current bariatric procedures based on a reasonable risk of complications, a low reoperation rate, and a very low mortality rate.

According to the researchers, the prevalence of obesity and outcomes of bariatric surgery are well established, but the study was important because an analysis of surgery impact has not been updated since 2003 and much has changed in the last decade.

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6 Year Old Boy Has Bariatric Surgery

Obesity Surgery ChildrenAt what age are children just too young for bariatric surgery? 15 years old, or 11…what about 6?

It seems too young to be true, but newspapers in India are reporting that a 6 year old boy has undergone bariatric surgery. Doctors claimed he is the youngest patient to have weight loss surgery in the country.

At the time of surgery, the boy reportedly weighed more than 60 kg (132 pounds) and had a BMI of about 50. He was experiencing breathing problems, sleep apnea, and hormonal disorders.

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Updated Bariatric Surgery Guidelines

Medical Groups Issue Updated Guidelines for Weight Loss Surgery

Updated Bariatric Surgery GuidelinesThe American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery have updated their guidelines for weight loss surgery based on the most current clinical evidence.

The guidelines provide recommendations pertaining to the care of bariatric surgery patients before, during, and after surgery. The recommendations are developed to assist health care professionals in medical decision making for specific clinical conditions.

Some of the topics discussed in the update are the gastric sleeve procedure, bariatric surgery in specific patient groups (mild obesity, type 2 diabetes, age), nutritional and metabolic issues, assessment of comorbidities, informed consent, and psychosocial and behavioral evaluations.

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Bariatric Surgery Top Medical Innovation

Cleveland Clinic Names Bariatric Surgery Top Medical Innovation

Bariatric Surgery Top Medical InnovationBariatric surgery for diabetes control was selected as the top medical innovation for 2013 by physicians and scientists at the Cleveland Clinic.

The announcement was made today during the Cleveland Clinic’s 2012 Medical Innovation Summit. The highly anticipated Top 10 list is released annually naming the devices and therapies that will have a major impact on improving patient care within the next year.

It was selected as the top innovation “because it’s an effective treatment for diabetes, not just for weight loss, and this will have an impact on healthcare in 2013,” according to Philip Schauer, MD, director of the Cleveland Clinic’s Bariatric and Metabolic Institute.

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Robotic Bariatric Surgery

What Studies Show About Robotic Bariatric Surgery

Robotic Bariatric SurgeryThe safety and efficacy of robotic bariatric surgery was the subject of a study recently published online in Surgery for Obesity and Related Diseases.

Robotic-assisted technology has emerged as one of the most recent advances within the field of bariatric surgery. While there is agreement as to the technical advantages that robotic bariatric surgery offers compared to traditional surgical methods, there is much debate regarding clinical outcomes and financial issues.

The study, “Robotic bariatric surgery: a systematic review,” was conducted by researchers at the University Hospitals Case Medical Center in Cleveland, Ohio. The researchers concluded that “the application of robotics appears to be a safe option within the realm of bariatric surgery.”

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Bariatric Surgery vs Medical Therapy for Type 2 Diabetes

Bariatric Surgery vs Medical Therapy for Type 2 Diabetes

Bariatric Surgery vs Medical Therapy for Type 2 DiabetesInstead of reaching for their medications, obese diabetics may be better off heading to the surgeon’s office, according to the results of several new studies comparing medical therapy and bariatric surgery in the treatment of type 2 diabetes.

Type 2 diabetes, a condition often associated with obesity, is a disease that affects the body’s ability to convert glucose (sugar) into the energy that the cells need to sustain life. Without effective management of the disease, many serious health complications can develop.

The conventional treatment for type 2 diabetes typically includes medications coupled with lifestyle changes in diet and exercise.  As a cure has been elusive, the aim of treatment is to assist with the regulation of blood glucose levels and to minimize the effects of the disease.

This common approach to treatment may soon change, however, as three new studies have shown that bariatric surgery yields positive results in obese diabetic patients compared with medical therapy alone.

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Bariatric Surgery Trends

Bariatric Surgery Trends in California Hospitals

Bariatric Surgery TrendsThe increasing popularity of weight loss surgery prompted the State of California to examine hospitalization data for bariatric procedures, focusing on patient characteristics, cost, outcomes, and the hospitals where the surgeries were performed.

Among the key findings of the report is the fairly recent and rapid shift away from open Roux-en-Y gastric bypass, the rapid increase in Lap-Band procedures, the low mortality rates as well as the more common complication and hospital readmission rates associated with bariatric surgery.

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Medicare Coverage for Gastric Sleeve

CMS Considers Coverage of Gastric Sleeve

Medicare Coverage for Gastric SleeveThe Centers for Medicare and Medicaid Services (CMS) said they will consider a proposal to cover laparoscopic sleeve gastrectomy as a treatment for obesity for Medicare beneficiaries.

The agency is requesting public comments to determine “whether there is adequate evidence, including clinical trials, for evaluating health outcomes of laparoscopic sleeve gastrectomy for the indications listed in the current Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination.”

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