Bariatric surgery

4

Category : Medical Rants

In Obesity Epidemic, Many Now Turn to Surgery. I harp on fitness and diet. Fortunately, I have a body habitus that allows success towards my goals. Some people have major weight problems. I watched a moving interview which Tim Russert conducted with Al Roker, discussing Roker’s weight loss surgery. Al Roker has a web page and has several discussions of his surgery, the most poignant – Here’s The Story!. Jane Brody has done a wonderful job of synthesizing information on bariatric surgery.

This nation is in the midst of an expanding epidemic of excess weight, the consequence of overconsumption and underactivity that has resulted in a chronic net increase in caloric intake over expenditure. About 60 percent of American adults are overweight or obese, including about 3 percent of adults who are morbidly obese, weighing 100 pounds or more above their ideal weights.

Despite a false start with an intestinal bypass operation that initially gave weight-loss surgery a bad name, modern versions of so-called bariatric surgery are safer and more effective, and they are becoming increasingly popular among the largest Americans.

The American Society for Bariatric Surgery estimates that in the year now ending, 63,100 weight-reduction operations will have been performed, up from 23,100 five years ago.

Surgery is a final option. It is a last resort. Surgery has significant risks.

Surgical weight reduction is now limited to those who are extremely obese, with a body mass index, or B.M.I., of 40 or more, or 35 for those with medical complications caused by obesity. The B.M.I. can be calculated in several ways: in one, a person’s weight in pounds is divided by height in inches squared, then multiplied by 703.

You can calculate your own BMI – Body Mass Index Web Calculator. I have run a few numbers to bring a BMI of 40 into perspective. At 6 feet I would have to weigh 295 to reach morbid obesity (BMI of 40). At 5’6″ the weight is 248. At 5′ the weight is 205. We are discussing the morbidly obese. Note that patients with serious medical complications are eligible at lower weights.

Again I must emphasize the risks of surgery.

The operation, even though sometimes done through a laparoscope, is hardly a minor procedure. Like all operations, it has risks and complications, including blood clots, wound problems and death. About 15 percent of patients experience complications, and 0.5 percent to 1 percent die because of the surgery.

For many patients the risks are worth the benefits. Patients must make a careful and informed decision with a full understanding of those risks.

But the benefits are profound. In addition to durable weight loss, bariatric surgery can rapidly reverse Type 2 diabetes, improve cardiac function and blood lipid levels, correct breathing problems like sleep apnea, reduce blood pressure, improve the quality of life and lower health care costs, disability and the risk of premature death.

Many patients whose weight had kept them from working or taking part in physical and other activities are able to go back to their jobs, exercise regularly and maintain active social lives.

Sexual interest is often restored and women who were infertile because of hormonal problems are able to conceive. In addition, there are the emotional benefits of extreme weight loss: an improvement in self-image and self-esteem and lifting of depression.

I have cared for a number of patients who have had successful bariatric surgery. This is a major decision for patients. It requires careful physician counseling and support. It is the right treatment for some patients. This review is worth saving for interested patients.

viagra
free viagra
buy viagra online
generic viagra
how does viagra work
cheap viagra
buy viagra
buy viagra online inurl
viagra 6 free samples
viagra online
viagra for women
viagra side effects
female viagra
natural viagra
online viagra
cheapest viagra prices
herbal viagra
alternative to viagra
buy generic viagra
purchase viagra online
free viagra without prescription
viagra attorneys
free viagra samples before buying
buy generic viagra cheap
viagra uk
generic viagra online
try viagra for free
generic viagra from india
fda approves viagra
free viagra sample
what is better viagra or levitra
discount generic viagra online
viagra cialis levitra
viagra dosage
viagra cheap
viagra on line
best price for viagra
free sample pack of viagra
viagra generic
viagra without prescription
discount viagra
gay viagra
mail order viagra
viagra inurl
generic viagra online paypal
generic viagra overnight
generic viagra online pharmacy
generic viagra uk
buy cheap viagra online uk
suppliers of viagra
how long does viagra last
viagra sex
generic viagra soft tabs
generic viagra 100mg
buy viagra onli
generic viagra online without prescription
viagra energy drink
cheapest uk supplier viagra
viagra cialis
generic viagra safe
viagra professional
viagra sales
viagra free trial pack
viagra lawyers
over the counter viagra
best price for generic viagra
viagra jokes
buying viagra
viagra samples
viagra sample
cialis
generic cialis
cheapest cialis
buy cialis online
buying generic cialis
cialis for order
what are the side effects of cialis
buy generic cialis
what is the generic name for cialis
cheap cialis
cialis online
buy cialis
cialis side effects
how long does cialis last
cialis forum
cialis lawyer ohio
cialis attorneys
cialis attorney columbus
cialis injury lawyer ohio
cialis injury attorney ohio
cialis injury lawyer columbus
prices cialis
cialis lawyers
viagra cialis levitra
cialis lawyer columbus
online generic cialis
daily cialis
cialis injury attorney columbus
cialis attorney ohio
cialis cost
cialis professional
cialis super active
how does cialis work
what does cialis look like
cialis drug
viagra cialis
cialis to buy new zealand
cialis without prescription
free cialis
cialis soft tabs
discount cialis
cialis generic
generic cialis from india
cheap cialis sale online
cialis daily
cialis reviews
cialis generico
how can i take cialis
cheap cialis si
cialis vs viagra
levitra
generic levitra
levitra attorneys
what is better viagra or levitra
viagra cialis levitra
levitra side effects
buy levitra
levitra online
levitra dangers
how does levitra work
levitra lawyers
what is the difference between levitra and viagra
levitra versus viagra
which works better viagra or levitra
buy levitra and overnight shipping
levitra vs viagra
canidan pharmacies levitra
how long does levitra last
viagra cialis levitra
levitra acheter
comprare levitra
levitra ohne rezept
levitra 20mg
levitra senza ricetta
cheapest generic levitra
levitra compra
cheap levitra
levitra overnight
levitra generika
levitra kaufen

Comments (4)

Unfortunately I have been involved in the “clean-up” on these cases where there were horrible outcomes. Finding the right surgeon and team of drs is paramount.

Isn’t the mortality rate for all invasive surgical procedures approximately .5 – 1%? This statistic was thrown at me as I researched weight loss surgery options and scared the hell out of me.

I absolutely agree that choosing the right surgeon and team is paramount for success, however. I have been very fortunate in my recovery.

hi,
if you have to chose the way to die – it’s better through the surgery(at least there’s a hope that’s everything will be fine) than through the fat choking . and yes, to find a doctor is important, but more important is to beleive that you ear doing the right thing for yourself.

My name is Lindsay and I am 15 going to be 16 in June and I am thinking of haveing bariatric surgery I know I ‘m young but they are starting to operate on younger people and I think I am very qualifyed by the BMI and health problems but I cant seem to get my info together I live in maine and if anyone could help me find a good place to find information it would be greatly apresiated