GERD and Hiatal Hernia: Could LINX® Reflux Management System Be Right for You?

Acid reflux, heartburn, and indigestion are all common symptoms of gastroesophageal reflux disease or GERD. This common problem afflicts over 20 million people every day here in the United States.

A hiatal hernia is when the stomach slips up into the chest. Hiatal hernias can worsen acid reflux because the typical sphincter mechanism in the lower esophagus is dysfunctional, and there is a mechanical disturbance of the natural flow of solid foods and liquids. Pregnancy, obesity, coughing, or constipation increase intra-abdominal pressure, which can worsen the symptoms of reflux and worsen a hiatal hernia.

Generally, hiatal hernias occur more often for patients who are overweight, women, and over 50 years old. Hiatal hernias can be diagnosed with upper endoscopy (EGD), an esophagram or upper gastrointestinal (UGI) series.

The LINX® Reflux Management System is a small and flexible band of interlined titanium beads with magnetic cores. To select the right size, the esophagus is measured with a specialized tool for all patients undergoing placement of a LINX device. First, a necklace-like tool is placed around the lower esophagus at the level of the lower esophageal sphincter (LES) to get the best fit for the LINX device. The measurement tool is then removed, and the LINX device is implanted, making sure the ends of the band are aligned and securely linked.

Magnetic attraction between the beads helps the lower sphincter resist opening to gastric pressures, preventing reflux of the acidic content in the stomach into the esophagus. The device is designed so that normal swallowing pressures temporarily break the magnetic bond, allowing food and liquid to pass normally into the stomach. Due to the magnetic attraction, the device will assist in closing the lower sphincter immediately after swallowing, augmenting the lower esophageal sphincter and restoring the body’s natural barrier to reflux.

If you suffer from GERD and would like to decrease, or in some cases, completely stop taking medication for this problem, the LINX® Reflux Management System could be the perfect solution for you. Schedule an appointment at VIPSurg to learn more.

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Stats Don’t Lie: Learn How Bariatric Surgery is Helping Hundreds of Thousands of People Regain Their Health

In the early nineties, fewer than twenty thousand bariatric surgeries were performed in the U.S. each year. Now the number is around two hundred thousand. Only in the past few years has what was once considered a high-risk and extreme measure been transformed into a relatively standard, safe, and straightforward one. There is strong consensus that bariatric surgery is effective, and Medicaid now covers it in forty-eight states. 

Research into conventional weight-loss methods has repeatedly pointed to an overwhelmingly dispiriting conclusion—that diet and exercise alone, no matter how disciplined the individual, fail all too often. Still, only about one per cent of those who medically qualify for bariatric surgery get it. 

Over the centuries, suggested strategies for losing weight have included bitter tonics, bleeding, sea air, amphetamines, Turkish baths, tapeworms, purgatives, low-fat diets, high-fat diets, cinnamon, more sleep, less sleep, and the “vigorous massage of the body with pea-flour.” Surgery is an old idea, too. One of the earliest surgical approaches to weight loss, dating back at least a millennium, was simple: the jaw was wired mostly shut. Another story from pre-anesthesia days tells of a rabbi “being given a sleeping potion and taken into a marble chamber, where his abdomen was opened, and many baskets of fat were removed.”

But the health risks associated with obesity have become apparent—higher rates of stroke and heart disease, Type 2 diabetes, infertility, sleep apnea, osteoarthritis, and an increased risk of certain cancers. In addition, bariatric procedures have improved dramatically. 

Robotic surgery and laparoscopy, which became the norm in the past decade, result in fewer complications like hernias. Physicians now have a better sense of how to prevent and treat the complications of surgery. 

As recently as seventeen years ago, there was a one-per-cent chance of dying from a bariatric procedure—a relatively high risk. Now it is 0.15 percent, which is less than that for a knee replacement, a procedure commonly recommended to people who have developed joint problems from carrying around excessive weight.

Around seventy-five per cent of bariatric patients have sustained weight loss five years after their surgery, and that percentage is higher if you don’t include lap-band patients in the analysis. Weight loss through diet and exercise rarely leads to more than short-term changes—a quite small percentage of patients see sustained weight loss. 

Today, obesity is second only to tobacco as a killer in this country. If you live in the Las Vegas area and are seeking long-term weight loss and health benefits, schedule an appointment at VIPSurg. We will help you find the best treatment for your unique situation.

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LINX: A Small Device Getting Big Results

Most of us experience heartburn or indigestion once in a while. Sometimes it comes from overeating; other times it happens from eating or drinking something acidic or spicy which irritates the digestive tract. Frequent heartburn, however, can be a sign of a more serious disorder known as gastroesophageal reflux disease (GERD). GERD is a digestive disorder that affects the lower esophageal sphincter (LES), which is the ring of muscle between the esophagus and stomach. While GERD can often be controlled with diet changes and/or medication, more severe cases require surgery. The LINX device and procedure is changing the lives of people who suffer from chronic GERD.

Doctors believe that some people suffer from GERD due to a condition called hiatal hernia. A hiatal hernia occurs when the upper part of the stomach bulges through the diaphragm muscle which separates the abdomen and chest.

The diaphragm has a small opening (hiatus) through which the esophagus passes before connecting to the stomach. With a hiatal hernia, the stomach pushes up through that opening and into the chest.

A small hiatal hernia usually doesn’t cause problems. You might never even know you have one unless your doctor discovers it when checking for another condition. A large hiatal hernia, however, can allow food and acid to back up into the esophagus, leading to heartburn.

You might think that although heartburn can be very uncomfortable and even quite painful, surgery seems like an aggressive treatment for a common condition. Unfortunately, the long-term effects of GERD can be increasingly serious.

Left untreated, GERD can cause:

  • Esophagitis – inflammation of the esophagus.
  • Esophageal stricture – the esophagus becomes narrow, making it difficult to swallow.
  • Barrett’s esophagus – the cells lining the esophagus change into cells similar to the lining of the intestine. This can develop into cancer.
  • Respiratory problems – it is possible to breathe stomach acid into the lungs, which can cause a range of problems including chest congestion, hoarseness, asthma, laryngitis, and pneumonia.

Fortunately, when changes in lifestyle, diet, and medication don’t help, there is a Actual size.Actual benefits are immeasurable.minimally invasive procedure that is having life-changing results for GERD patients. It’s called LINX. This simple ring of titanium magnets is a small device that brings big results.

LINX is easy to understand and love because it is simple. The beauty of this quarter-sized device is that it does exactly what your failing LES is supposed to do — prevent stomach acid from entering your esophagus.

Why is LINX so great?

  • Unlike other procedures to treat reflux, LINX is implanted around the outside of the LES and requires no alteration to the stomach.
  • LINX preserves normal physiological function so you can belch or vomit as needed. The titanium beads open and close to let food down, and if it needs to come up, it can.
  • Designed for a lifetime. LINX is constructed of titanium, and the permanent magnets mean LINX will be working for you for the long haul.
  • Designed for everyday life. The device will not affect airport security. And you can still have an MRI.
  • LINX is designed to start working the moment the device is implanted.

Are you ready to take back control of your digestive health? LINX is intended for patients diagnosed with Gastroesophageal Reflux Disease (GERD), and who are seeking an alternative to continuous acid suppression therapy. Are you concerned with a lifetime of medication, pharmacy visits, and potential side effects? If this sounds like you, and you live in the Las Vegas area, schedule a consultation at VIP Surg. LINX can change your life.

 

 

 

 

DASH Your High Blood Pressure Away

DASH stands for Dietary Approaches to Stop Hypertension. The DASH diet is a lifelong approach to healthy eating that’s designed to help treat or prevent high blood pressure (hypertension). The DASH diet encourages you to reduce the sodium in your diet and eat a variety of foods rich in nutrients that help lower blood pressure, such as potassium, calcium, and magnesium.

Because the DASH diet is a healthy way of eating, it offers health benefits besides just asparagus-2169305_960_720lowering blood pressure. The DASH diet is also in line with dietary recommendations to prevent osteoporosis, cancer, heart disease, stroke, and diabetes.

The DASH diet emphasizes vegetables, fruits, and low-fat dairy foods — and moderate amounts of whole grains, fish, poultry, and nuts.

Here’s a look at the recommended servings from each food group for the 2,000-calorie-a-day DASH diet:

  • Grains: 6 to 8 servings a day — Grains include bread, cereal, rice and pasta. Examples of one serving of grains include 1 slice whole-wheat bread, 1-ounce dry cereal, or 1/2 cup cooked cereal, rice or pasta.
  • Vegetables: 4 to 5 servings a day — Vegetables are full of fiber, vitamins, and such minerals as potassium and magnesium. Examples of one serving include 1 cup raw leafy green vegetables or 1/2 cup cut-up raw or cooked vegetables.
  • Fruits: 4 to 5 servings a day — Like vegetables, fruits are packed with fiber, potassium and magnesium and are typically low in fat.
  • Dairy: 2 to 3 servings a day — Milk, yogurt, cheese and other dairy products are major sources of calcium, vitamin D and protein. But the key is to make sure that you choose dairy products that are low fat or fat-free because otherwise they can be a major source of fat — and most of it is saturated. Examples of one serving include 1 cup skim or 1 percent milk, 1 cup low fat yogurt, or 1 1/2 ounces part-skim cheese.
  • Lean meat, poultry and fish: 6 servings or fewer a day — Meat can be a rich source of protein, B vitamins, iron and zinc. Choose lean varieties and aim for no more than 6 ounces a day.
  • Nuts, seeds and legumes: 4 to 5 servings a week — Almonds, sunflower seeds, kidney beans, peas, lentils and other foods in this family are good sources of magnesium, potassium and protein. They’re also full of fiber and phytochemicals, which are plant compounds that may protect against some cancers and cardiovascular disease. Serving sizes are small and are intended to be consumed only a few times a week because these foods are high in calories. Examples of one serving include 1/3 cup nuts, 2 tablespoons seeds, or 1/2 cup cooked beans or peas.
  • Fats and oils: 2 to 3 servings a day — Fat helps your body absorb essential vitamins and helps your body’s immune system. But too much fat increases your risk of heart disease, diabetes and obesity. Examples of one serving include 1 teaspoon soft margarine, 1 tablespoon mayonnaise or 2 tablespoons salad dressing.
  • Sweets: 5 servings or fewer a week — You don’t have to banish sweets entirely while following the DASH diet — just go easy on them. Examples of one serving include 1 tablespoon sugar, jelly or jam, 1/2 cup sorbet, or 1 cup lemonade.

While the DASH diet is not a weight-loss program, you may indeed lose unwanted pounds because it can help guide you toward healthier food choices.

Remember, healthy eating isn’t an all-or-nothing proposition. What’s most important is that, on average, you eat healthier foods with plenty of variety — both to keep your diet nutritious and to avoid boredom or extremes. With the DASH diet, you can have both.

If you live in the Las Vegas area and are dealing with health issues that come with obesity, contact VIP Surg. Dr. Tsuda and his team can help you find the treatment that works best for you. Call 702-487-6000 today for an appointment.

 

Is Obesity a Disease?

Whether or not obesity should be considered a disease is a matter of debate. In 2013, the American Medical Association, the nation’s largest group of physicians, voted to recognize obesity as a disease. The decision was controversial to say the least.

The decision was meant to improve access to weight loss treatment, reduce the stigma of obesity, and underscore the fact that obesity is not always a matter of self-control. Others argue that calling obesity a disease automatically categorizes a large portion of Americans as “sick,” when they may not be. Instead, critics say obesity should be considered a risk factor for many diseases, but not a disease in and of itself.

Experts on one side of the issue say obesity, like alcoholism, depression, and anxiety, is a disease. There are definite medical patterns: hormone imbalances, neurotransmitter deficiencies, and nutritional exhaustion that all contribute to obesity. Many patients that are obese have underlying medical issues that need to be addressed.

On the other hand, with more than one third of the American population presently classified as obese, it is clear that there are many causes for excessive fat accumulation like genetic issues, too little exercise/physical activity, too much food, inappropriate food selection, eating while watching television, etc. In many cases, obesity is the result of a specific lifestyle which can typically be reversed (at least in the short term) by adopting a different lifestyle.

Obesity increases the risk of developing a number of serious health conditions, including:

  • Coronary heart disease
  • High blood pressure
  • Stroke
  • Type 2 diabetes
  • Cancer
  • Sleep apnea
  • Gallstones
  • Osteoarthritis
  • Infertility or irregular periods

The Center for Disease Control (CDC) says people should aim to make long-term changes, such as eating healthy on a regular basis, and boosting daily physical activity. Even small amounts of weight loss — such as 5% to 10% of your total body weight – can have health benefits.

For some, obesity as a disease invalidates the importance of discipline, proper nutrition, and exercise and enables individuals with obesity to escape responsibility. For others, obesity as a disease is a bridge to additional research, coordination of effective treatment, and increased resources for weight loss.

Ultimately, obesity is a complex entity that can have many causes; some are endocrine (like thyroid malfunction or hyperfunctioning of the adrenal gland or Cushing’s syndrome), but often the condition is from a combination of inactivity and overeating. For others, there are genetic factors that produce a tendency to be overweight even with the consumption of what would be for most people an appropriate number of calories. Whether the causes are hormonal, genetic, or reside in the brain is often difficult to determine.

If you’re in the Las Vegas area and looking for treatment for obesity and the life-threatening conditions that often accompany it, schedule an appointment with VIP Surg. Our experts can help you find the right treatment for your unique situation.

Eliminate the Need for Potentially Harmful Acid Reflux Meds

Nearly 20 percent of Americans suffer from regular bouts of heartburn, acid indigestion and other symptoms of chronic gastroesophageal reflux disease (GERD). GERD is a severe, chronic acid reflux condition in which acidic stomach contents back up into your esophagus. The muscle connecting the stomach to the esophagus is weak or relaxes abnormally, allowing this abnormal movement.

Over the last 20 years, the most popular and effective GERD medications on the market, both prescription and over-the-counter, have been a class of drugs called proton pump inhibitors (PPIs). However, long-term use of PPIs have been found to harmful to the body.

Over the last few years, there have been many studies looking at whether long-term PPI use contributes to gut infections, bone loss, chronic kidney disease,  and even dementia. As a precaution, experts recommend that people who have been taking more than one PPI a day for many years seek a medical re-evaluation to see if they still need and are benefitting from the medication.

Here are a few classic symptoms of GERD to look out for:

  • Heartburn: For many people, acid indigestion (known as heartburn) is more than an occasional annoyance after eating a greasy meal. Research shows that more than 60 million people suffer from this burning sensation that can extend from the breastbone to the neck and throat. Heartburn sufferers may also experience a sore throat, hoarseness, chronic cough, asthma, or a feeling of a lump in the throat. Because there can be chest pain associated with GERD, heartburn sometimes is mistaken for heart attack.
  • Regurgitation: a sensation of acid backed up in the esophagus. Other common symptoms are: feeling that food may be trapped behind the breastbone, heartburn or a burning pain in the chest (under the breastbone), increased by bending, stooping, lying down, or eating, more likely or worse at night, relieved by antacids, nausea after eating

Untreated GERD can damage the food pipe, and contribute to Barrett’s esophagus, a risk anatomy-demon-3factor for esophageal cancer, so it’s important not to ignore.

Fortunately, there is a simple, minimally invasive laparoscopic procedure that starts to have a positive impact from day one and eliminates the need for medications for GERD.  LINX is easy to understand and love because it is a simple, quarter-sized device that does exactly what your failing Reflux Barrier is supposed to do — prevent stomach acid from entering your esophagus. LINX is designed to start working the moment the device is implanted.

If you’re interested in learning more, schedule an appointment with Dr. Shawn Tsuda. He can help you decide if LINX is a good option for you.

Heart Health after Bariatric Surgery

Obesity has become a global pandemic affecting virtually all ages and socioeconomic groups and is majorly contributing to the international burden of chronic illness, including diseases of the cardiovascular system. Traditional treatments to achieve weight loss such as diet, lifestyle, and behavioral therapy have proven relatively ineffective in treating obesity and associated cardiovascular risk factors in the long term. These treatments have been specifically ineffective on the morbidly obese subgroup of patients.

Weight-loss (bariatric) surgery can be a useful tool to help break the vicious weight gain cycle and achieve long term weight loss and improved overall quality of health and life.

  • Bariatric surgery has been shown to help improve or resolve many obesity-related conditions, such as type 2 diabetes, high blood pressure, heart disease, and more.
  • Bariatric surgery, such as gastric bypass, gastric sleeve, and laparoscopic adjustable gastric banding, works by changing the anatomy of the gastrointestinal tract or by causing different physiologic changes in the body that change energy balance and fat metabolism. It is important to remember, however, that bariatric surgery is a “tool.” Weight loss success also depends on many other important factors, such as nutrition, exercise, behavior modification, and more.
  • Bariatric surgery may improve a number of conditions and hormonal changes to reverse the progression of obesity. Studies find that more than 90 percent of bariatric patients are able to maintain a long-term weight loss of 50 percent excess body weight or more.

Most, if not all, of the cardiovascular risk factors associated with obesity are improved or even resolved after bariatric surgery. The amount of improvement in cardiac risk factors is generally proportional to the amount of weight lost. The degree of weight loss varies with different bariatric procedures.

If you live in the Las Vegas area and want to learn more about your bariatric surgery options, schedule an appointment with Dr. Shawn Tsuda. He and his team of experts can help you find the right treatment for you.
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