More Benefits than One: Weight Loss and Diabetes

Gastric bypass surgery takes out the left side of the stomach, which contains the hormone that causes hunger, reducing the size of the stomach while still allowing it to function. This causes the patient to have less appetite, eat less, and eventually start to lose weight.Gastric bypass surgery takes out the left side of the stomach, which contains the hormone that causes hunger, reducing the size of the stomach while still allowing it to function. This causes the patient to have less appetite, eat less, and eventually start to lose weight.
However, the weight isn’t the only thing that is lost as gastric bypass surgery can give better control for diabetes and obesity than lifestyle modifications alone. The surgery can improve and then eliminate the symptoms of Type 2 diabetes.
Many doctors agree that a change in lifestyle coupled with gastric bypass surgery is a great way to use the surgery to its best effect. The lifestyle change can include medication, diet changes to focus on proteins, exercise programs, and support from doctors and counselors.
How is this possible?
● A study showed that the heavy weight loss with people who had the surgery caused the blood sugar of those with diabetes to lower dramatically, also decreasing their risk of stroke and heart problems, and the benefits lasted longer over time.

● The changes in weight and blood sugar were easily accepted by the body without the need for medication.

● The patients also showed improvements in their quality of life, work performance, and self-esteem.

Weight loss surgery can also even cure diabetes, cutting down on the need for medications, although one of the major effects of gastric bypass surgery is that it is irreversible and your body might have trouble absorbing the same level of nutrients and vitamins as before, which could lead to health problems if the diet and lifestyle changes are not kept up after the surgery.
However, if you meet all the qualifications and are prepared to make and keep the major lifestyle changes needed for success, you can contact a weight loss clinic near you for gastric bypass surgery and hopefully lessen the effects of diabetes later in life, giving you two benefits for the price of one.

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What You Need To Know about Gastric Sleeve Surgery

Weight loss is a big dealformany individuals and can be a little difficult to attain. Some are able to achieve it with diet changes and exercise while others fail to reach their targets. Obesity causes other health complications including high blood pressure and diabetes. A solution for this lies in bariatric surgery or weight loss surgery.It may sound like a radical option just to shed off some pounds but it has worked for many and corrected other complications due to obesity.

 

One of the procedures is known as gastric sleeve surgery. This procedure entails removing the left side of the stomach leaving the new stomach pouch in the shape of a banana. The new stomach works normally but of course, the amount of food that it can hold is drastically reduced. After surgery, patients have to adopt new eating habits for the new stomach. The weight loss experienced afterwards is worth the procedure.

 

Not everyone can have this procedure because of health reasons. Doctors have requirements for prospective candidates.

 

• The patient must be more than 100 pounds over the idealbody weight, a BMI of more than 40 or that of more than 35 with extreme health problems like diabetes and high blood pressure. These medical problems must be related to being extremely overweight.

 

• The patient should have tried to attain a healthy body weight for a considerable and continuous amount of time without results.

 

There is a lot to learn about bariatric surgery and those interested in it should do more research to gain a better understanding. Talking to a specialist provides an opportunity to ask any questions and to see if they are a candidate for weight loss surgery.

Reasons Why Bariatric Surgery Should Not Wait Until Tomorrow

Obesity is difficult to live with and for various reasons regardless of age. You willfind that those with weight issues tend to have problems with social interaction; it affects their personality, and most ofall it causes a barrage of health issues that interfere with their quality of life.

 

Thankfully, bariatric surgery can solve all these problems and then some. Many look at weight loss surgery only as an avenue for weight loss but there is much more than meets the eye. Patients have a lot to gain from this procedure.

 

• Joint pain comes with excessive weight because a pound of weight puts about four pounds of pressure on the knees. Since this procedure is aimed at weight loss, joint pain is bound to reduce afterwards. This gives more freedom to move around and comfort while doing so.

 

• Patients experience an increase in energy after surgery because they are better able to move around. This encourages more physicalactivity, whichin turn leads to further weight loss and toning. This helps to keep the weight off.

 

• Obesity comes with sleeping problems such as obstruction of the windpipe that causes excessive snoring. If the constriction is prolonged one may end up with sleep apnea. This surgery can reverse sleep apnea and improve the quality of sleep.

 

• Having an active and interesting sex life may be difficult for those that are obese. Weight loss surgery helps bring back energy and stamina during sex.

 

• Basic travel can also prove stressful with obesity. Airplane seats may be uncomfortable. If one is traveling for a holiday, it may be difficult to relax and comfortably walk around in shorts or bathing suits.

 

With all the useful ripple effects of bariatric surgery, anyone considering it has a lot to look forward to. Weight loss surgery can bring about a complete lifestyle makeover in addition to weight loss.

Study Shows Gastric Bypass Surgery is Successful for Long-Term Weight Loss and Remission of Type 2 Diabetes in the Severely Obese

A study in the New England Journal of Medicine revealed that patients with severe obesity who underwent gastric bypass showed positive results a decade later. The results include remission of type 2 diabetes and weight loss.Although scientists have been researching bariatric surgery for many years, few controlled or long-term studies are available.

 

Three groups of participants – Ted D. Adams and his team gathered 1,156 participants with severe obesity and evaluated them after 2, 6, and 12 years.Not all participants underwent surgery; 418 participantshad weight loss surgery, 417 participants had requested information on surgery but didn’t have a procedure, and 321 didn’t consider bariatric surgery at all.The researchers carried out clinical investigations on all the participants and were able to monitor 90 percent of them for 12 years, to determine whether they hadhypertension, type 2 diabetes,or dyslipidemia.

 

A remission of type 2 diabetes – The surgery group lost 90 pounds on average during the 12 years. The non-surgery participants lost an average of 6.3 pounds, while the second non-surgery group didn’t lose any weight during the period. Adam and his team also realized that after two years, 75 percent of the surgery group had experienced a remission of type 2 diabetes – a greater percentage compared to any of the two non-surgical groups. The authors concluded that remission of type 2 diabetes happened because patients had gastric bypass surgeries prior to starting insulin-based treatment.

 

Other favorable outcomes for the surgical group – The mean weight for the group that underwent surgery stabilized after six years, and remained constant through year 12. The rates of dyslipidemia and hypertension were also better in this group than in the non-surgical group.

 

The results indicate that gastric bypass or weight loss surgery can result in substantial, long-term weight loss, improving the quality of life in people with severe obesity.

 

Weight Loss Following Bariatric Surgery May Reduce Eye Damage

A recent study suggests that early eye damage caused by diabetes, high blood pressure, and obesity may possibly be reversed by bariatric surgery. Changes to the retina’s vascular structure may be due to damage caused by diabetes, hypertension, obesity, and other chronic diseases. Although these diseases are common, how weight loss following bariatric surgery affects the retinal microvasculature is still being studied.

 

Joint research – Robyn Tapp (University of Melbourne), Dr Antti Viljanen (Turku University, Finland), and other scholars from Finland, London, Singapore, and Hong Kong studied obese participants for the impact of weight loss on the retina’s vascular structure, following bariatric surgery.

 

Two groups –The researchers conducted the study at Turku PET Centre, Finland. The research included 22 obese patients scheduled for bariatric surgery along with an age-matched control group. The researchers performed detailed eye examinations at the beginning and 6 months later, to find out whether the participants had any signs of obesity-related impairments in the vascular structure of their retinas.

 

Noticeable changes in obese participants – Six months after the bariatric surgery, the team discovered that the obese participants had lost about 57 pounds on average. They also showed an improvement in the vascular structure of their retinas. Venular widening and arteriolar narrowing were less pronounced. Such changes were not observed in the control group.

 

The conclusion of the research study was that the ability of the vascular structure of the retina can improve after bariatric surgery andthat there is the possibility of reversing obesity-related changes in the retina.

 

The long-term benefits of bariatric surgery not only can improve longevity, long-term weight loss and resolve co-existing disease, the surgery may also improve eye health from damages caused by obesity, diabetes, and hypertension, among other diseases.

 

Study Shows Weight-Loss Surgery Can Significantly Improve Rheumatoid Arthritis

Patients with morbid or severe obesity that also have Rheumatoid Arthritis (RA) may find that bariatric surgery does not only improve the RA symptoms, but it can also help reduce the severity of the disease. Thestudy was published in the Arthritis Care & Research journal showing a breakdown of the study and its implications.

 

Surgery reduces the severity of RA – Researchers from Harvard Medical School and Boston’s Women’s Hospital reviewed the records of 53 individuals with RA that had weight loss surgery in 20 years (1993 to 2013). They found that of 6 percent of the patients had moderate to severe RA, one year post-operative, compared to 57 percent of these patients who had the same condition before undergoing the surgery.

 

High remission rate after surgery – Six years post-operative, 74 percent of the participants were classified to be in remission, which is way higher than the 24 percent who attained remission with RA medication before weight loss surgery. And, 28 percent of these didn’t require any medication.

 

The long-term weight loss benefit– Over a decade ago, the National Institute of Health highly recommended bariatric surgery as the most effective way to lose weight and maintain weight loss over a long period, for morbidly obese people. Averagely, those who undergo bariatric surgery lose 19 to 23 percent of their entire body weight. So other than improving RA, those undergoing the surgery can shed off weight sustainably for the long-term.

 

Reduces obesity-related diseases–Losing weight is known to reduce other complications associated with obesity, including diabetes, heart disease, gastroesophageal reflux, high blood pressure, depression, sleep apnea, respiratory disease, and urinary stress incontinence.

 

According to El-Bogdadi, the President of the DC Rheumatism Society, being diagnosed with RA increases the risk of obesity-related conditions even in individuals who aren’t overweight. It’s recommended that those diagnosed with RA should maintain a healthy weight and lifestyle. Those who are obese and diagnosed with RA should consider weight loss surgery which can improve RA by indirectly by alteringthe factors related to RA.

 

Weight-Loss Surgery Shows Long-Term Results

An observational study has revealed that the benefits of gastric bypass were noticeable 12 years post-operative. According to a study published in the New England Journal of Medicine, severely obese people that had gastric bypass surgery experienced a sustained reduction of weight loss, 12 years after the surgery. The research group collected the observational data after 2 years, 6 years, and finally after 12 years.

Three groups – The study comprised of 1,156 severely obese patients; 418 underwent gastric bypass (Roux-en-Y). The second group (non-surgery group 1) of 417 participants sought out surgery, although they didn’t have the surgery because of insurance coverage. Non-surgery group 2 comprised of 321 people who didn’t seek out surgery at all.

Sustained weight loss – After 12 years, the non-surgery participants did not achieve any significant average in weight loss: group 1 had a mean change of 2 percent while group 2 had a mean change of 0.9 percent. After two years, the surgery group registered a mean percent weight change of 35 percent. The same benefits were also observed 6 years following surgery with a mean percent weight change of 28 percent. After 12 years, the results were similar to those measured after six years.

Remission of type 2 diabetes-Two years, post-operative, 75 percent of the surgery group with type 2 diabetes experienced remission, and 62 percent sustained it for six years, post-operative. After 12 years following the surgery, more than 50 percent of type 2 patients remained in remission. The rate of remission for patients in the two non-surgery groups was significantly lower.

Cardiovascular-related benefits – 12 years following gastric bypass surgery, significant remission rates were also reported for LDL cholesterol, HDL cholesterol, and triglyceride levels in comparison to the nonsurgical groups.

The overall benefits of undergoing gastric bypass are substantial: it can actually help type 2 diabetics better manage and sometimes even reverse their condition.

 

Gastric Bypass Surgery: Long Term Outcomes

People prefer bariatric surgery because it is safer and less invasive. Gastric bypass is the most preferred, and then there’s sleeve gastrectomy, gastric bands, Roux-en-Y, and biliopancreatic diversion. Among these, Roux-en-Y is the most common surgical procedure. In this procedure, the surgeon makes a small pouch above the stomach, and no other part of the stomach will receive food except the pouch. This significantly limits what you can consume. The surgeon connects the pouch to the small intestine, at a part below where the main stomach attaches to the small intestine. Therefore, food bypasses a large part of the small intestine, limiting the absorption of calories and nutrients.

Here are the outcomes of this procedure:

• Weight loss in the long-term- For those with about 100 lbs. to lose and with a BMI above 40, gastric bypass is their ideal option to regain health. Two years after the procedure, a patient loses 60 percent of their excess weight.

• Remission of other diseases-two to five years post-operative, people experience a remission oftype 2 diabetes and cardiovascular disease. There’s also symptom relief from other conditions such as depression, sleep apnea, joint, and back pain.

After Gastric bypass surgery, some patients may experience:

• Deficiency of vitamins and minerals (30 percent)

• Dumping syndrome – nausea, weakness, or vomiting because of the fastmovement of food along the gut, especially after the consumption of carbohydrates or sweets (50 percent).

• Gallstones due to fast weight loss (20%)

• Stomach stenosis – This is the narrowing of the opening found at the point where the stomach links to the intestine (below 5 percent).

• Hernias ( below 5 percent)

• Bowel obstruction (3 percent)

• Staple line leakage (3%)

• Pulmonary embolism (2%)

However, when patients stick to the recommended diet, consume vitamin supplements, and adhere to follow-up visits, the overall rate of these complications following gastric bypass is below 6%. Those intending to undergo this surgery will find that its advantages outweigh the possible risks.

 

Gallbladder Removal Should Be Performed Before Bariatric Surgery

According to a new study published in the British journal of Surgery, gallbladder surgery also known as cholecystectomy, should precede bariatric surgery, and that means it should not happen after or during (RYGB) Roux-en-Y gastric bypass.

Researchers from Orebro University in Sweden and Karolinska University Hospital, among other medical institutions, carried out the study using data gathered between 2007 and 2013 from a register of 79,386 cholecystectomy patients in Sweden, and 36,098 Scandinavian obesity patients.

The purpose of the research was to establish the optimal order of gallbladder surgery and gastric bypass surgery when both surgical procedures are indicated. The main outcomes of the study were operation times, complication rates, and reoperation rates.

The study’s results revealed that:

• Performing cholecystectomy after gastric bypass led to a higher aggregate complication risk. However, the aggregate complication risk was lower when cholecystectomy preceded gastric bypass.

• A complication after carrying out the first procedure independently led to a higher complication risk of the subsequent procedure.

• When cholecystectomy took place at the same time as gastric bypass, there was a high complication risk.

• When both gall bladder surgery and gastric bypass were performed at the same time, an average of 61.7 minutes was added to the surgery’s total duration.

The lead author of the research, Viktor Wanjura, concluded that, for patients who have obesity and the symptoms of gallstone disease, the best approach is to perform gallbladder surgery (cholecystectomy) before gastric bypass, to avoid post-op complications.

For many years, gastric bypass has been the benchmark for bariatric surgery. This procedure entails performing laparoscopic surgery (minimally invasive) to make a stomach pouch from the entire stomach. The surgeon then connects a part of the small intestine to the stomach pouch, thus leaving a tiny opening for food to pass. The outcome is a sensation of fullness after you eat small amounts of food.

Can Weight Loss Surgery Overcome Genetics?

Just because a family has a long history of members who are obese doesn’t mean that outcome is inevitable. Even if a person is already obese, there is hope. The sleeve gastrectomy procedure can make a very big difference in helping people overcome genetic predispositions for obesity.

 

The sleeve gastrectomy procedure is designed to limit the amount of food a stomach can hold. The procedure involves the removal of a portion of the stomach. The remaining stomach is reshaped to resemble a sleeve or banana. While not as intensive as the gastric bypass, the gastrectomy may have exceptional results for people with genetic tendencies toward obesity. The procedure not only shrinks stomach holding capacity, it also modifies the mechanisms in the brain that promote hunger. People who undergo the procedure often report they no longer feel hungry and they tend to no longer crave the higher-calorie foods they once did. While specific results may vary, many patients who undergo the sleeve procedure lose about 50 percent of their excess body weight within a two-year period.

 

People who are obese may find that surgery offers them a way to address genetic predispositions. This procedure alone, however, cannot guarantee success. In order for any bariatric procedure to be truly successful, patients must commit to lifestyle changes that promote weight loss and eventual maintenance of it.

 

Obesity is a serious concern for about a third of the American population. Whether genetics play a role or not, losing weight can dramatically improve overall health. Obesity is strongly linked to diabetes, heart disease and certain forms of cancer, among other serious health complications. Losing weight through any means can help safeguard health. It is strongly recommended that people who are obese talk to their doctors about all weight loss options. Genetic predisposition or not, shedding pounds can have positive and lasting impacts on health.