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History of Bariatric Surgery
History of Bariatric Surgery

In the realm of medical science, few areas have witnessed as transformative a journey as bariatric surgery. From its tentative beginnings in the mid-20th century to the cutting-edge techniques of today, bariatric surgery has evolved into a critical tool in the battle against obesity and its related health complications. This Blog post traces the captivating History of bariatric surgery, focusing on its development and refinement from the 20th century onwards.

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Debunking Myths about Weight Loss Surgery
Debunking Myths about Weight Loss Surgery

Weight loss surgery, also known as bariatric surgery, has become an increasingly popular option for people suffering from obesity and its related health issues. While Bariatric surgery have been proven to be effective in promoting weight loss and improving overall health, there are still many myths and misconceptions surrounding them. In this article, we will debunk some of the most common myths about weight loss surgery and shed light on the reality of these transformative procedures.

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Bariatric Surgery in Adolescents
Bariatric Surgery in Adolescents: Exploring the Benefits and Considerations

Table of contents Introduction Bariatric Surgery in Adolescents Understanding Adolescent Obesity Types of Bariatric Procedures Benefits of Bariatric Surgery in Adolescents Considerations and Precautions Conclusion…

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Sleep Quality after Bariatric Surgery
Sleep Quality after Bariatric Surgery

Bariatric surgery is a life-changing procedure that has been proven to effectively help individuals struggling with obesity achieve significant weight loss and improve their quality of life. While the primary goal of bariatric surgery is fight obesity, there are additional benefits post-surgery, including improvements in sleep quality. In this blog post we will explore the relationship between bariatric surgery and sleep quality, examining the factors that contribute to better sleep, the potential mechanisms involved, and the long-term impact on patients’ well-being.

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Pros and Cons of Duodenal Switch Surgery
Pros and Cons of Duodenal Switch Surgery

uodenal switch surgery, also known as biliopancreatic diversion with duodenal switch, is a type of weight loss surgery that is used to treat severe obesity. The procedure involves reducing the size of the stomach and rerouting the small intestine to limit the absorption of calories and nutrients. While duodenal switch surgery can be an effective weight loss solution for some people, it also has its pros and cons that need to be carefully considered before making a decision.

Pros:

  1. Significant weight loss: Duodenal switch surgery is one of the most effective weight loss surgeries available, with patients typically losing 60-80% of their excess weight within the first 2 years after the surgery.
  2. Improved health: In addition to weight loss, duodenal switch surgery can also lead to improvements in obesity-related health conditions such as type 2 diabetes, high blood pressure, and sleep apnea.
  3. Increased satiety: The rerouting of the small intestine in duodenal switch surgery results in a decrease in hunger hormones, which can lead to increased feelings of satiety and reduced appetite.
  4. Long-term success: Studies have shown that duodenal switch surgery has a higher long-term success rate than other weight loss surgeries, with many patients maintaining significant weight loss for up to 10 years after the surgery.

Cons:

  1. Risk of complications: Duodenal switch surgery is a complex procedure that carries a higher risk of complications than other weight loss surgeries. Possible complications include infections, bleeding, and leaks from the surgical site.
  2. Nutritional deficiencies: Because duodenal switch surgery reroutes the small intestine, it can also limit the body’s ability to absorb certain nutrients, which can lead to nutritional deficiencies such as vitamin D, iron, and calcium.
  3. Permanent changes: Duodenal switch surgery is a permanent procedure that cannot be reversed. Patients must commit to making lifelong changes to their diet and lifestyle to ensure the long-term success of the surgery.
  4. High cost: Duodenal switch surgery is an expensive procedure that may not be covered by insurance. The cost of the surgery can also be compounded by the need for nutritional supplements and ongoing medical monitoring.

In conclusion, duodenal switch surgery can be an effective weight loss solution for some people, but it is not without its risks and drawbacks. Patients considering this surgery should carefully weigh the pros and cons, consult with their healthcare provider, and thoroughly research the procedure and the surgeon performing it. They should also be prepared to make lifelong changes to their diet and lifestyle to ensure the long-term success of the surgery.

References
  • Alexa E. Merz, Robin B. Blackstone, Michel Gagner, Antonio J. Torres, Jacques Himpens, Kelvin D. Higa, Raul J. Rosenthal, Aaron Lloyd, Eric J. DeMaria, Duodenal switch in revisional bariatric surgery: conclusions from an expert consensus panel, Surgery for Obesity and Related Diseases, Volume 15, Issue 6, 2019, Pages 894-899, ISSN 1550-7289,
    https://doi.org/10.1016/j.soard.2019.03.009.
  • Finno, P., Osorio, J., García-Ruiz-de-Gordejuela, A., Casajoana, A., Sorribas, M., Admella, V., … & Pujol-Gebellí, J. (2020). Single versus double-anastomosis duodenal switch: single-site comparative cohort study in 440 consecutive patients. Obesity Surgery, 30, 3309-3316.
  • Nakanishi, H., Matar, R. H., Vahibe, A., Dayyeh, B. K. A., Galvani, C., Pullatt, R., … & Ghanem, O. M. (2022). Single versus double anastomosis duodenal switch in the management of obesity: a meta-analysis and systematic review. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 32(5), 595-605.

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A Review of Bariatric Surgeries and Outcomes
A Review of Bariatric Surgeries and Outcomes

Bariatric surgery is a weight loss procedure that involves modifying the stomach and/or small intestine to help people with severe obesity lose weight. There are several types of bariatric surgery, each with its own benefits, risks, and outcomes. In this article, we will discuss the different types of bariatric surgeries and outcomes, safety, and efficacy rates.

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Weight Loss Surgery can help you with Type 2 Diabetes
Weight Loss Surgery can help you with T2DM

According to the CDC, more than 34 million Americans have diabetes (about 1 in 10), and approximately 90-95% of them have type 2 diabetes. People over age 45 most often get diagnosed with it, but an increasing number of children, teens, and young adults are also developing type 2 diabetes.

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Exercise and Weight Loss Surgery
Exercise and Weight Loss Surgery

If you are considering Weight-Loss Surgery or already undergone a Bariatric Surgery your commitment to start exercising along with healthy eating habits are extremely important to long-term success. Exercise and Weight Loss Surgery can be effective as an adjunct therapy for bariatric surgery patient, prior and after the surgery.

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Bariatric Surgery increases testosterone in adolescents
Bariatric Surgery increases testosterone in adolescents

As we have stated in this blog before, there are many additional benefits of bariatric surgery, beside the obvious weight loss,  from the Halo Effect to increasing life expectancy. A recent study published in the European Journal of Endocrinology shows that Bariatric surgery is associated with a robust increase in testosterone concentrations in male adolescents with severe obesity.

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Bariatric Surgery Risk/Benefit Calculator
Bariatric Surgery Risk/Benefit Calculator

The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), the program to achieve one national accreditation standard for bariatric surgery centers, a combination from the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgert (ASMBS). Both Institutions of which I am an active member, launched a couple of years a surgical risk/benefit calculator that will provide people considering Weight Loss Surgery with accurate patient-specific information to guide surgical decision making and informed consent. You can  Click here for direct access to the calculator.

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