Erasing Cancer

Cancer Risk in Women after Bariatric Surgery

Erasing CancerThe long-term risk of cancer was reduced in women with severe obesity who got bariatric surgery compared to carefully matched patients who did not get bariatric surgery, according to new research published in the Annals of Surgery.

Obesity is a strong risk factor for many types of cancer. This study examined whether or not bariatric surgery affected the risk of developing cancer.

The results showed that bariatric surgery reduced the risk of cancer in women, particularly in obesity-associated cancers, including postmenopausal breast cancer, endometrial cancer, colon cancer, and pancreatic cancer.

(more…)

Read More

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.

(more…)

Read More

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).

(more…)

Read More

Liver Illustration

Obesity, Liver Disease, and Bariatric Surgery

Liver IllustrationBariatric surgery can lead to significant improvements in nonalcoholic fatty liver disease (NAFLD), according to results of a recent study.

Nonalcoholic fatty liver disease is a health problem strongly associated with insulin resistance and metabolic syndrome. It has become one of the most common causes of chronic liver disease and is becoming more widespread due to the rising incidence of severe obesity.

It is estimated that 75% to 90% percent of people with severe obesity have some degree of liver damage; however, many of the people who have fatty livers are unaware that they are at risk of serious health problems as the disease can remain symptomless for years.

(more…)

Read More

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.

(more…)

Read More

Gastric Bypass Long-Term Results

Gastric Bypass Surgery Satisfies Long-Term

Long-Term Results of Gastric Bypass SurgeryGastric bypass surgery gets high marks for patient satisfaction and maintenance of substantial weight loss at 11 years post-operatively, according to long-term results of a study published online March 26, 2012 in Surgery for Obesity and Related Diseases.

The researchers point out that this study is one of the few studies to provide information on a large group of gastric bypass patients over a long period of time, as most other present long-term studies have included few patients at the last time-point.  This study had a mean follow-up time of 11.4 years (range 7 to 17 years) and included results of 384 gastric bypass patients.

It is also important to note that while many studies have reported on the short-term benefits of gastric bypass surgery, such as the dramatic weight loss and nearly immediate improvement in obesity co-morbidities in the first 18 to 24 months after surgery, this study examines whether or not the benefits can remain over time.

(more…)

Read More

Bariatric Surgery Reduces Cardiovascular Risk

Bariatric Surgery Significantly Reduces Cardiovascular Risk

Cardiovascular RiskResearchers at the Cleveland Clinic found that obese patients had a 40% improvement in 10-year cardiovascular risk following bariatric surgery, based on a meta-analysis recently reported online in the American Journal of Cardiology.

The patients showed an average excess weight loss of more than 50%, which was associated with significant improvement in cardiovascular risk factors, including hypertension, diabetes, dyslipidemia, C-reactive protein (CRP), and endothelial function

The improvements and resolution of cardiovascular risk factors were not only impressive, but they occurred as early as three months after surgery. This new evidence further highlights the benefits of bariatric surgery to reduce cardiovascular risk factors.

(more…)

Read More

Bariatric Surgery Age

Older Patients Could Benefit from Bariatric Surgery

Bariatric Surgery AgeAge over 65 years is not a reason to withhold bariatric surgery, according to a multihospital study of more than 48,000 adults. The study suggests that older adults could potentially benefit from bariatric surgery as it can help improve comorbid illnesses.

The findings showed that patients age 65 or older were not at an increased risk of death or major adverse effects at 30 days, although they did have longer hospital stays. While age may not rule out surgery, researchers caution that older patients need to be evaluated on an individual basis.

(more…)

Read More

Gastric Plication Surgery

New Weight Loss Surgery Appears Safe and Effective

Laparoscopic Gastric Plication Surgery for Weight LossOne of the newest and most promising weight loss procedures is gastric plication surgery. The operation compares favorably to existing more-invasive bariatric procedures, offering patients minimal risk and quick recovery while producing similar weight loss results.

Like other bariatric operations, the procedure promotes weight loss by reducing stomach capacity to cause early satiety and limit calorie intake. Unlike other bariatric procedures, gastric plication does not involve stapling, cutting or removing stomach tissue or require a medical implant.

(more…)

Read More

Bariatric Surgery Denial

Bariatric Surgery Insurance Denials Pose Additional Patient Risks

Bariatric Surgery Insurance DenialPatients who were medically eligible for bariatric surgery but denied coverage by their health insurance were highly likely to develop obesity comorbidities within a few years even though their body mass index (BMI) remained relatively unchanged, according to a study recently presented at the 27th Annual Meeting of the American Society for Metabolic & Bariatric Surgery (ASMBS).

While it is well-known that bariatric surgery can resolve and improve many obesity-related comorbidities that are already present, researchers at Gundersen Lutheran Health System in La Crosse, Wisconsin evaluated medical records of patients and found that bariatric surgery can also prevent new diseases from developing.

(more…)

Read More