Weight-loss Surgery or Diet and Exercise? Long-term Results Can Save Your Life

To maintain a healthy weight medical professionals emphasize that diet and exercise are key. If you want to lose weight, you must control calories and expend more by exercising. This has been the standard approach for decades. Recent research is telling a different story.

A growing number of studies, including one published in Medical News Today, are finding that for those who are obese, weight-loss/bariatric surgery may be more effective at reducing body weight than the old idea of changing habits and watching what you eat. The findings also suggested that bariatric surgery also increased remission rates in obese patients with Type 2 diabetes as well as heart disease.

 Bariatric surgery helps you lose weight and lowers your overall risk of associated medical problems in one of two ways:

  • Restriction. Surgery is used to physically limit the amount of food the stomach can hold, which limits the number of calories you can eat.
  • Limiting the absorption of nutrients including calories. Surgery is used to shorten or bypass part of the small intestine, reducing the amount of nutrients and number of calories the body absorbs.

Some of the more popular weight-loss surgeries are:

  • Gastric bypass – involves the creation of a small pouch in the top of the stomach. The pouch is the only part of the stomach that receives food. The small intestine is then cut a short distance below the main stomach and connected to the new pouch. Because food now bypasses a portion of the small intestines, absorption and calories are reduced.
  • Gastric banding – involves placing an inflatable balloon (band) around the top part of the stomach; this creates a small stomach pouch above the band with a narrow opening to the rest of the stomach. A port is then installed under the skin. By injecting or removing fluid, the band/balloon can be inflated or deflated, controlling the amount of food the stomach can hold.
  • Sleeve gastrectomy – In this approach, part of the stomach is separated and removed. The remaining section is formed into a tube-like structure; the smaller stomach cannot hold as much food. It also affects the production of hormones that produce hunger.

Why does bariatric surgery appear to be the preferred option over other weight loss options for those considered obese?

It appears to all come down to the success rates of changing old habits. Unfortunately, only slightly more than 5 percent of people are successful in changing their lifestyles on a long-term basis. Health experts claim that the overall risks associated with obesity which include heart disease, high blood pressure, Type 2 diabetes and other life threatening conditions, outweigh the risks and complications of surgery.

Weight-loss surgery isn’t a magic bullet or an easy fix by any means, but research shows it may be the best answer for many people suffering from severe obesity and the deadly health conditions that often accompany it. If you’re considering bariatric surgery in the Las Vegas area, Dr. Tsuda and his expert team are ready to help you find the best treatment for your unique situation.

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When GERD is the Word – What to Consider when Diagnosed with Gastroesophageal Reflux Disease

Many people experience acid reflux from time to time – that feeling commonly thought of as heartburn or acid indigestion. Gastroesophageal Reflux Disease (GERD) is mild acid reflux that occurs at least twice a week, or moderate to severe acid reflux that occurs at least once a week. While most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications, some people with GERD may need stronger medications or surgery to ease symptoms.

Make an appointment with your doctor if you:

  • Experience severe or frequent GERD symptoms
  • Take over-the-counter medications for heartburn more than twice a week

When you swallow, a circular band of muscle around the bottom of your esophagus (lower esophageal sphincter) relaxes to allow food and liquid to flow into your stomach. Then the sphincter closes again.

If the sphincter relaxes abnormally or weakens, stomach acid can flow back up into your esophagus. This constant backwash of acid irritates the lining of your esophagus, often causing it to become inflamed.

Conditions that can increase your risk of GERD include:

  • Obesity
  • Bulging of the top of the stomach up into the diaphragm (hiatal hernia)
  • Pregnancy
  • Connective tissue disorders, such as scleroderma
  • Delayed stomach emptying

Factors that can aggravate acid reflux include:

  • Smoking
  • Eating large meals or eating late at night
  • Eating certain foods (triggers) such as fatty or fried foods
  • Drinking certain beverages, such as alcohol or coffee
  • Taking certain medications, such as aspirin

Your doctor is likely to recommend that you first try lifestyle modifications and over-the-counter medications. If you don’t experience relief within a few weeks, your doctor might recommend prescription medication or surgery.

The options include:

  • Antacids that neutralize stomach acid 
  • Medications to reduce acid production known as H-2-receptor blockers
  • Medications that block acid production and heal the esophagus known as proton pump inhibitors
  • Medication that helps strengthen the lower esophageal sphincter. 

GERD can usually be controlled with lifestyle changes and medication, but if these don’t help or you wish to avoid long-term medication use, consider the revolutionary LINX device. This device consists of a ring of tiny magnetic beads which is wrapped around the junction of the stomach and esophagus. The magnetic attraction between the beads is strong enough to keep the junction closed to refluxing acid but weak enough to allow food to pass through when swallowing. The LINX device can be implanted using minimally invasive surgery.

As the first LINX-trained surgeons in Las Vegas and as the first digestive institute in the area to offer the only FDA-approved treatment for GERD, Dr. Shawn Tsuda and Dr. Heidi Ryan at VIPSurg are ready to help you fight back against gastroesophageal reflux disease. Call  702-487-6000 to schedule an appointment. 

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The Family that Plays Together Gets Healthy Together

Even though it gets tougher to find time for ourselves when we become parents, exercise remains just as important as it ever was. In fact, with little ones watching us as an example, exercise becomes even more important. If we as adults wish to create a future full of happy, healthy, disease-free adults for our kids, it’s time we start practicing what we preach.

Our kids model our behavior. If we want our kids to eat well, we need to eat well. If we want them to exercise, we need to exercise.

This modeling creates a culture of wellness in the home. In this environment, children learn that healthy habits are a positive way of life, not punishment for Mom and Dad for eating too much delicious food. One great way to be good exercise role models for your children is to find exercise activities you can do as a family. Here are some suggestions to get you started: 

  • Take a walk. Walking is a wonderful family activity. There are so many benefits to walking, and the whole family can participate (even the baby in her stroller and the family dog too). Whether you head into town or just cruise the neighborhood, building a walk into your daily schedule ensures that it won’t get put off.
  • Jump rope. Jumping rope is a kid-friendly exercise that is great for the whole family. In fact, kids usually dominate at this exercise once they get the hang of it thanks to their lower center of gravity. Just ten minutes of jump rope is enough to get the blood flowing, and with more than one person, it’s fun to learn all kinds of fun jumps.
  • Try structured exercise.There are many types of more structured exercises that can be done as a family. Some families like to take martial arts or yoga classes together. 
  • Try roller blading or biking. Head out as a family unit to try your hand at skating or biking. Both can be great exercise activities that are fun for any active family.
  • Get to work in the garden. Kids are great at digging up dirt, so let them turn over the soil and help you plant new bulbs. Research shows that gardening is as good as weight training when it comes to preventing osteoporosis, and if you’re planting vegetables, it can make them more appetizing to kids. 

When you’re planning your exercise routine, keep in mind that everyone in the family
needs to do this. Try to find activities that are fun and exhilarating for the entire group!

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Plan for the Perfect 4th of July

Sunshine! Barbecues! Fireworks! The big national day is coming, and who doesn’t love a good July 4th celebration? If you’re planning on hosting or even just attending any of the festivities, planning and preparation can go a long way toward being safe and healthy this Independence Day. The fun times of the 4th can be fraught with peril if you’re not careful, but don’t worry; we’ve got the best tips to make sure this is your best 4th of July ever.

  • Bring some earplugs. A report from Loyola University Health System found that the sounds of summer—such as fireworks and marching bands—can damage your hearing. In fact, fireworks have a sound decibel of 150, and ear protection is recommended for decibels above 85. When noise is too loud, it begins to kill the hair cells and nerve endings in the inner ear; the longer you’re exposed to loud noise, the more likely you are to permanently damage your hearing. Toss some plugs in your bag or use your hands to cover your ears in a pinch. 
  • Swim in clear water. Swimming is great exercise, and a super way to cool off when overheated; However, a good rule of thumb is to only dip into clear, good-smelling water. For lake goers, make sure there isn’t any blue-green algae, or slimy, smelly, green film floating on the lake’s surface. Some forms of this can produce toxic bacteria that’s bad news for your health. 
  • Practice smart and safe eating. Keep from throwing your diet to the (hot) dogs by choosing wisely. Try to fill up on the delicious fresh fruits and veggies of summer instead of high carb, high calorie picnic foods. Choose lean proteins like skinless, grilled chicken over fatty burgers or ribs, for example. Avoid food-borne illnesses by eschewing mayonnaise-based salads. Instead go for options with oil and vinegar-based dressings which are generally lower in calories and risk of spoilage. 
  • SPF in advance. Applying your sunscreen in advance—and reapplying frequently—means you can significantly improve your skin’s protection from harmful rays.  
  • Follow the heat & humidity rule. To keep from dehydrating, implement the 70/70 rule: When the temperature and humidity are both above 70, you enter the dehydration danger zone. Stay safe by sipping frequently from a water bottle and drinking plenty of water before, during, and after activity.
  • Alternate your alcohol. If you choose to have a cocktail or two, the safest way to consume them is to make sure you have plenty of food in your stomach and to alternate each cocktail with a non-alcoholic beverage like water or decaf soda to help stave off alcohol-induced dehydration.

With a bit of preparation, some thoughtful food choices, and common-sense summer safety, you can have a wonderful holiday celebration. And don’t deprive yourself of a treat! Just choose wisely to get the most “bang” for your calorie choice. Happy holiday planning from all of us at VIPSurg.

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5 Steps to Lead a Healthier Lifestyle

Do you think that you are living a healthy lifestyle? It’s easy to put off healthy living habits, but if you feel that you need to make improvements to your lifestyle for your health, you’re not alone. Although it’s hard to get out of old habits, a healthy lifestyle can give you more energy, improved mental health, and can increase your chances of defeating illnesses.

Here are five steps you can take to managing a healthier lifestyle:

1. Include fruits and vegetables in your diet

Adding fruits and vegetables is a perfect foundation for starting a healthy routine. Vegetables and fruits contain plentiful amounts of nutrients such as vitamins and antioxidants that help boost your immune system and fight off disease. Antioxidants help fight eye disease, promote healthy skin, and overall health. The World Health Organization recommends eating fruits and veggies as a regular part of your diet, so you’ll have a better chance of fighting some cancers, diseases, and heart disease. Make sure to eat five to nine servings of varied vegetables and fruits per day.

2. Drink water

You can save money and improve your health by drinking water throughout the day. This natural liquid offers the benefits of hydration, nourishment, and improved wellbeing. Water can cleanse toxins from the body, improve brain function, energize muscles, control weight gain, and balance body temperature and fluids. It’s recommended to drink about 8 glasses, or 64 ounces, of water per day.

3. Manage your mental health

When it comes to building a healthy lifestyle, it’s easy to concentrate on the physical aspects of health and ignore the mental upkeep. Remember that your mental health is a foundation of your overall health. It’s important to manage and asses your feelings on a day-to-day basis. If you feel negative towards others, you could cause more unhappiness at work, school, or in your social life. Some ways you can improve your mental health include:

  • Exercise
  • Socialize with loved ones
  • Join a club
  • Sleep 7-9 hours every night
  • Do something creative

If you continue to feel unhappy or even depressed, consult your physician or talk to a professional about ways you can improve your mental health.

4. De-stress

Sometimes it’s beneficial to stop, take a deep breath, and relax. You can help maintain your physical and mental health by decompressing from a long, stressful school or work week. Try some relaxing activities to help you relieve stress. Take advantage of meditation, listening to music, reading, watching a comedy, or exercising. These activities can help you unwind, and they cause feelings of happiness and clam.

5. Exercise

Exercise is a great way to stimulate your health, and studies show that physical activity photo-1527247737617-ca8e5f18e4f6helps improve longevity and overall health. Try to exercise up to three times a week. The American Heart Association advises for 150 minutes of exercise each week or an hour at least three times a week. Remember to keep your workouts fun. You should enjoy your workout and not feel like it’s a chore. Some fun physical activities include:

  • Dancing
  • Yoga
  • Aerobics
  • Running
  • Hiking

These lifestyle tips can help you maintain healthy and happier habits. Talk to your healthcare professionals about ways to improve your health. We are here for you at VIPSurg if you are interested in weight-loss/bariatric surgery in the Las Vegas area. Call (702) 487-6000 for all your general and bariatric surgery needs. 

Benefits of Robotic Surgery

Robotic surgery, or robot-assisted surgery, allows doctors to perform many types of complex procedures with less trauma to the patient than is possible with conventional techniques. Da Vinci robotic surgery enables your surgeon to operate with enhanced vision, precision, and control.

Robotic surgery with the da Vinci Surgical System was approved by the Food and Drug Administration in 2000. The technique has been rapidly adopted by hospitals in the United States and Europe for use in the treatment of a wide range of conditions.

Da Vinci Robotic Surgery is a type of minimally invasive surgery. Minimally invasive is often preferable to operating on patients through large incisions. 

During robotic surgery, miniaturized surgical instruments are inserted through a series davinci1of quarter-inch incisions. The surgeon controls these instruments and a camera from a console located in the operating room. The surgeon operates the special “wristed” robotic arms while looking through a stereoscopic high-definition monitor that allows him or her to see inside the patient, giving a better, more detailed 3-D view of the operating site than the human eye can provide. 

Every movement the doctor makes with the master controls is replicated precisely by the robot. When necessary, the surgeon can even change the scale of the robot’s movements. Because of the console’s design, the surgeon’s eyes and hands are always perfectly aligned with his view of the surgical site, minimizing surgeon fatigue.  

Since procedures can now be performed through very small incisions, patients experience several benefits compared to open surgery, including:

  • Less trauma on the body
  • Minimal scarring
  • Faster recovery time
  • Fewer complications, such as surgical site infection

The da Vinci System represents the latest in surgical and robotics technologies. Your surgeon is 100% in control of the da Vinci System always. Da Vinci technology translates your surgeon’s hand movements into the smaller, precise movements of tiny instruments inside your body. 

At VIPSurg, our doctors specialize in minimally invasive surgical techniques including the laparoscopic Roux-en-Y gastric bypass, laparoscopic adjustable gastric band, sleeve gastrectomy, foregut surgery, ventral and inguinal hernia repairs, endoscopy, and basic laparoscopy, using the da Vinci Robotic Surgery System whenever it benefits our patients. Call for an appointment to see how we can help with your surgical needs.

Don’t Let Travel Derail Your Healthy Lifestyle

It’s summer, and for many, that means travel and vacation. While fun and exciting, leaving home takes one out of usual routines, places temptations in the way that aren’t usually there, and often makes it difficult to stick to a healthy eating and exercise plan. Do travel and living a healthy lifestyle have to be mutually exclusive? NO! Fortunately, having a wonderful vacation doesn’t have to mean sabotaging all your hard-earned diet and fitness progress. 

With a little planning and these helpful tips, you can come home from vacation feeling healthier than when you left. Preparation is key!

  • If you’re on the road, bring a cooler filled with delicious, healthy food, such as vegetables with hummus, fresh fruit, and grilled chicken. Pack water to keep you hydrated. Road trip picnics provide a great opportunity to add some activity and stretch those legs. Plan to find some place with a short walking trail or playground for a little respite from the car. 
  • Choose wisely when making quick food stops. Fast food restaurants fall short when you’re looking for a variety of healthy options. On the other hand, if you stop at a grocery store, you will find many whole foods like rotisserie chicken, whole-grain breads, fruits, and vegetables. If you happen to find one with a salad bar, you can find a delicious, healthy meal already prepared right in the supermarket.
  • If you are staying at a hotel, find a grocery store on the way to pick up healthy, appealing items to have in your room for when you need a snack. Otherwise, you might be tempted to hit the over-priced mini bar or vending machines for something you wouldn’t even want if you were home. 
  • Even though breakfast may come with your hotel room, use your best judgment at the buffet. Avoid pastries and baked goods. Choose simple, whole-food options. Fresh fruit, yogurt, and oatmeal are good ways to start your day. A little egg for a protein source can benefit you as well.
  • Travel offers many opportunities to be just as active, if not more so, than when you’re home. Walking on the beach, hiking in the mountains, swimming, touring new areas, and even shopping can all be counted toward your daily physical activities.
  • Keep in mind that rest and relaxation are healthy “activities” too. 

Treat yourself kindly while vacationing. If there are some foods that make your experience more special, you should indulge yourself. However, if you eat healthier and make wise food choices, you will have more energy to enjoy your vacation time and return home recharged and ready to continue your healthy lifestyle journey.

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