Andreas Moritz See book keywords and concepts | Gallstones are also common among obese patients who lose weight rapidly after gastric bypass surgery. (In gastric bypass surgery, the size of the stomach is reduced, preventing the person from overeating.) One study found that more than one-third (38 percent) of patients who had gastric bypass surgery developed gallstones within three months after the surgery. The research findings, however, refer only to gallstones in the gallbladder. | Dr. Steven R. Gundry See book keywords and concepts | I bet you think a gastric bypass (stomach stapling) works by making a person's stomach smaller, right? Wrong. It works by increasing the speed with which food arrives at your lower bowel by putting a short circuit in your intestines that stimulates high levels of antihunger hormones. Even one or two days after gastric bypass, most patients completely lose their previously insatiable desire for food. | Marshall Editions See book keywords and concepts | Surgical procedures include gastric banding techniques, laparoscopic gastric banding, gastric wrap, intragastric balloon, biliopancreatic diversion, distal gastric bypass, and Roux en Y gastric bypass. These procedures are only performed on those whose obesity is so extreme that it threatens their health. Such surgery can successfully cure some diabetics once weight loss is achieved. Complications, both physical and psychological are quite high for these procedures. Consult your doctor for more information.
O ? | Gerald E. Markle and Frances B. McCrea See book keywords and concepts | Nor is gastric bypass without risks. Bariatric surgery is not a regulated or credentialed surgical subspecialty. About 8% of all procedures resulted in complications requiring further surgery. Thirty-day mortality ranges between .5% and 2%. One-year mortality among medicare beneficiaries has been reported as high as 4.6%.24
Cigarette smoking and obesity are generally conceptualized as a personal behavioral problems. In a limited sense, this is obviously true. Changing personal behavior can and does benefit one's health. Such change should be encouraged in myriad ways. | Mike Adams, the Health Ranger See article keywords and concepts | Let's do gastric bypass surgery. That will help your obesity," say some surgeons. They take out part of your digestive tract. Have you ever thought about this? It is like saying that if you have vision problems then you should rip out your eyes. gastric bypass surgery is no magic bullet solution, and people still get obese after having it. They just eat ice cream all day. Obviously, obesity is not a stomach size problem.
Did you know that mammograms give you cancer? The mammography equipment actually radiates your breast. | Mike Adams, the Health Ranger See article keywords and concepts | Something like one percent of all people undergoing gastric bypass surgery die on the operating table. That's going to happen in any country, anywhere you are. And whether or not there's medical insurance and malpractice insurance in effect at the time of your surgery doesn't affect your outcome. All it does is it gives people a chance to sue when they don't get the outcome they want.
Personally, I'm against radical Western surgical procedures to begin with, especially things like gastric bypass surgery. | Byron J. Richards, CCN See book keywords and concepts | As it turns out, gastric bypass dramatically lowers the levels of ghrelin because there are fewer stomach cells that can make it. This is permanent. A person might think this is good because they will not be hungry as often.
However, once the surgery is complete there is no normal ghrelin response to food.291 This is quite different than a normal-weight person's correct and healthy ghrelin function. gastric bypass surgery permanently destroys normal ghrelin function and rhythm.
This one finding is enough to call a halt to such surgeries. Why? | Bottom Line Health See book keywords and concepts | | The most commonly performed inpatient bariatric surgery is called the Roux-en-Y gastric bypass. In this procedure, the stomach is made smaller and a part of the small intestine is bypassed so that fewer calories and nutrients are absorbed, according to the National Institute for Diabetes and Digestive and Kidney Diseases (NIDDK). Among the risks from this procedure are infection, hernia and long-term nutritional deficiencies. | | A University of Washington study found the death rate for Medicare recipients 30 days after gastric bypass surgery was 2%. After 90 days, that rate was 2.8% and after one year, the death rate for bariatric surgery patients receiving Medicare benefits was 4.6%. This study also found that when the surgery was performed by a surgeon who had not done many of these procedures the death rate was 1.6 times higher than when the procedure was done by a more experienced surgeon.
REACTION
"I was not surprised by these findings. | Thomson Healthcare, Inc. See book keywords and concepts | RE, Gorman JH, Gorman RC et al: Prophylactic iron upplementation after Roux-en-Y gastric bypass: a prospective, buble-blind, randomized study. Arch Surg; 133:740-744. 1998
Bruner AB, Joffe A, Duffan AK: Randomized study of cognitive effects of iron supplementation in non-anemic iron-deficient adolescent girls. Lancet; 348(9033):992-996. 1996
Campbell NRC, Hasinoff BB: Iron supplements: a common cause of drug interactions. Br J Clin Pharmacol; 31(3):251-255. | Bottom Line Health See book keywords and concepts | | Because it is very difficult to lose weight through diet and exercise, it's not surprising that more people are turning to bariatric, or gastric bypass, surgery to treat their weight problems.
But several new studies point out the risks that are associated with this procedure.
STUDY FINDINGS
One study conducted by researchers at the University of Chicago and the University of California, Irvine, found that the number of bariatric surgeries being performed in the United States have increased dramatically, from 13,365 in 1998 to an estimated 102,794 in 2003. | Andreas Moritz See book keywords and concepts | One study found that more than one-third (38 percent) of patients who had gastric bypass surgery developed gallstones within three months after the surgery. The research findings, however, refer only to gallstones in the gallbladder. The damage done to the liver itself through this procedure is likely to be far greater than the negative effects that organ suffers as a result of a few gallstones accumulating in the gallbladder.
If substantial or rapid weight loss increases the risk of developing gallstones, the obvious way to reduce this risk is to lose weight more gradually. | Bottom Line Health See book keywords and concepts | | Hidden Dangers of gastric bypass Surgery
Edward Livingston, MD, Hudson-Penn Chair in Surgery, professor and chairman of gastrointestinal and endocrine surgery, University of Texas Southwestern School of Medicine, Dallas, and chairman of the bariatric surgery work group, Department of Veterans Affairs' national health care system.
David Zingmond, MD, PhD, assistant professor of medicine, Center for Surgical Outcomes and Quality, David Geffen School of Medicine, University of California at Los Angeles.
The Journal of the American Medical Association. | Dr. Steven R. Gundry See book keywords and concepts | Even one or two days after gastric bypass, most patients completely lose their previously insatiable desire for food. Gastric bands that merely reduce the stomach size have no effect on these hormones, which explains why weight loss is less effective, and why many gastric band patients rupture their stomachs or continually vomit because of their drive to keep eating.
How do you put this knowledge into action? | Gerald E. Markle and Frances B. McCrea See book keywords and concepts | One thing the physician can do to combat obesity is bariatric surgery, in which a gastric bypass (about 20% of these procedures restrict the gastric opening) results in significant long-term weight loss. In 1998, surgeons performed 13,365 of these surgeries. By 2002 the number was 72,177; in 2003 it was 102,794, almost an eightfold increase in five years! About 84% of bariatric surgeries were performed on women, a disproportionate amount given that two-thirds of all morbidly obese Americans are female.22
What might we expect in the future? | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | Complications and Side Effects
For centers that specialize in obesity surgery, the immediate operative mortality for both adjustable banding and gastric bypass procedures is relatively low and usually in the range of 0.5% to 1% [121]. These postoperative complications include wound infections, wound dehiscence, leaks from the staple line breakdown, stomal stenosis, marginal ulcers, pulmonary problems, and deep venous thrombosis. Other problems may arise in the later postoperative period. | | The procedure results in ingested food bypassing the majority of the stomach and variable lengths of the small intestine. gastric bypass is thus both a restrictive and malabsorptive procedure. Recently, adjustable gastric banding has become a more frequently used procedure. This restrictive-only procedure involves wrapping an inflatable band around the stomach to create a small pouch with a narrow outlet. The band is connected to a small subcutaneous reservoir so that the degree of gastric restriction can be adjusted postoperatively by injecting or aspirating saline from the device. | Mike Adams, the Health Ranger See article keywords and concepts | The Allopathia press is also reporting this week that gastric bypass surgery is really good for you! The more people who undergo the barbaric procedure, we're told, the healthier the population will be. Removing huge sections of a person's digestive organs is, we're told, a great way to reduce their risk of heart disease. Apparently, it's even better than teaching people how to be healthy in their food and dietary choices. In Allopathia, surgery triumphs yet again!
Raw foods are not raw, they're pasteurized!
The Allopathia version of the USDA (U.S. | Dr. Steven R. Gundry See book keywords and concepts | I'm worried about all those gastric bypass patients who lose 150 pounds in six months. I'd like them to let me know how they're doing twenty to thirty years from now.
So how fast is too fast? Working with the results of the Biospherians, Dr. Walford and his colleagues calculated that a rate of 50 pounds lost per year would allow heavy metals to be safely flushed from the body.3 Hence my personal planned weight loss of 50 pounds, basically a pound a week, in the first year. Here's my rule: You just can't beat 1 pound per week! But again, remember that everyone is different. | | She asked me if she had to go through with the gastric bypass surgery. I told her it was her decision, but that anyone who was doing what she had done probably didn't need it.
Now at 275 pounds, Rachel continues to follow Diet Evolution and is losing 4 pounds every month, as she heads toward a new life. I found out recently that her ex-husband had visited and asked her to remarry him and move back to Indianapolis, her hometown. She's leaving the motorized wheelchair behind. | | Bobby to perform gastric bypass safely. Rachel had every medical problem in the book: high blood pressure, diabetes, severe arthritis, and abnormal heart rhythms. It was difficult for her to understand that the budget-conscious food she was eating—beans, rice, macaroni and cheese, and pretzels—was killing her. But she was motivated by Dr. Bobby's promise that that if she dropped under 300 pounds, he would perform her stomach stapling surgery.
When Rachel hit 299 pounds, I called Or. Bobby and told him that she was ready for surgery. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | This increase in weight loss has to be balanced against a higher risk of nutritional deficiencies associated with the gastric bypass procedure. Weight loss tends to occur over a period of 18 to 24 months and is typically well maintained for as long as 14 years [122].
2. Reduction in Obesity-Related Comorbid Conditions
Most patients experience substantial improvements in obesity-related comorbidities such as sleep apnea, glycemic control, and hypertension [121, 122]. Studies looking at quality of life also report improvements following the surgical procedure and weight loss [123, 124]. | | Nutritional deficiencies are more likely in the gastric bypass versus the gastric banding procedures. In addition to the type of procedure, the risk and severity of postoperative nutritional deficiency is dependent on factors such as preoperative nutrition status, occurrence of postoperative complications, the ability to modify eating behavior, and compliance with prescribed vitamin and mineral supplementation [126]. Micronutrient deficiencies of thiamin, vitamin B)2, folate, and iron are common and require treatment. | | Up to 70% of patients undergoing a gastric bypass procedure will experience some degree of a "dumping syndrome."
Vomiting and intolerance to solid food are the most common side effects of a gastric restrictive procedure.
Vomiting following a restrictive procedure is frequently due to behavioral origin (e.g., inadequate chewing, quick consumption of fluid leading to overdistention of gastric pouch, large-volume meals); however, stricture, stenosis, marginal ulcers, and intestinal obstruction must be ruled out [126].
VI. | | Loss of weight and visceral fat also improved endothelial dysfunction and vascular inflammatory markers when combined with exercise, or secondary to gastric bypass surgery [176, 177]. Dietary factors modulate endothelial function; not only have postprandial hyperglycemia and hypertriglyceridemia been shown to generate oxidative stress and endothelial dysfunction [178], but meals high in advanced glycation end products, secondary to frying or broiling and cooking at high temperatures for long durations, have been reported to induce acute impairment of vascular function as well [179]. | Jack Challem See book keywords and concepts | The worldwide obesity epidemic drives the diabetes epidemic. In 2006, an estimated 246 million people worldwide had diabetes, a phenomenal increase from only 30 million just twenty years ago. That number is expected to climb to 420 million in less than twenty years. We believe that two to three times this many people already have prediabetes, creating the stepping-stone to a catastrophic health disaster. | Mike Adams, the Health Ranger See article keywords and concepts | In the US, it's $60,000 to $80,000. gastric bypass surgery in the U.S. can cost $10,000 to $20,000. Overseas it can be done for well under $5,000.
So where do the cost savings come from? How come these hospitals offshore can offer these services at much lower prices? The answer lies in the economics of healthcare in the United States and the amount of fraud and waste that is present in the U.S. healthcare system. I've spoken to many MDs over the years, and some insist that as much as 80% of all healthcare dollars that go through their office cover nothing but paperwork. | | Personally, I'm against radical Western surgical procedures to begin with, especially things like gastric bypass surgery. I think surgery should only be a last resort, and should never be used to treat chronic diseases like obesity, cancer, diabetes or heart disease. I think surgery is really only appropriate in very rare cases of those diseases, or when treating trauma and accident patients. In those cases, surgery is well justified and greatly needed. |
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