Could Bariatric Surgery Be the Right Choice for You?

Invest in your health advice on blackboard

Weight-loss surgery is a major, permanent life change. Most people don’t even consider it if they haven’t exhausted all other options. As a matter of fact, many people research weight-loss surgery for years and never act. Whether it is fear of a drastic life change or fear of failure, making this choice could be a matter of life and death.

The truth is, bariatric treatment could drastically improve the health, happiness, and lifespan for millions of Americans who currently qualify for it. If you are one of them, and you’re hesitating to have the surgery, here are some things to think about:

Why are you considering bariatric surgery? 

  • Obesity-related health problems
  • Depression
  • Out of breath quickly
  • Obesity discrimination
  • Relationship problems
  • Poor self-image
  • Failed diet and exercise programs

If you and your bariatric doctors decide that surgery makes sense for you, be prepared to do a lot of work both before surgery and for the rest of your life. Bariatric surgery should be thought of as one of the most effective tools available, but in order to succeed you must be ready to completely change your life.

According to the National Institutes of Health guidelines, you could be a good candidate for bariatric treatment if one of the following applies…

  • You have a body mass index (BMI) of 40 or more (“morbidly obese” or “super obese”)

OR

  • Your BMI is between 35 and 39.9 (“severely obese”), and you have a serious obesity-related health problem.

As mentioned above, bariatric treatment may be the best tool to make you happier and healthier, but that’s all it is — a tool. You will be the key to making it successful.

If you would like to talk to a doctor to see if bariatric surgery is a good option for you, schedule a consultation at VIPSurg. Their team of experts can help you make the right decision for your unique situation.

 

Obesity’s Link to COPD

According to estimates, 6% of American adults have chronic obstructive pulmonary disease (COPD), and 35% of those COPD patients are considered obese. In addition to being common among COPD patients, studies have also suggested that obesity leads to a higher risk of acute exacerbations, indicating that obesity may be a risk factor. 

Now a U.S. study suggests that obese people with COPD who get weight loss surgery may go to the hospital less often with acute breathing problems after their operations. The study found that among obese adults with COPD, those who had bariatric surgery to lose weight, needed to go to the emergency room or have inpatient care half as often as before surgery.

The researchers examined data on 481 obese adults aged 40 to 65 who had COPD and underwent bariatric surgery in California, Florida, and Nebraska. They followed patients from 2005 through 2011 to see how hospital and emergency room visits for COPD in the two years before weight loss surgery compared to the two years afterwards.

At the start of the study, when patients were 13 to 24 months away from getting their operations, 28% of them had an emergency department (ED) or hospital visit for acute COPD symptoms. During the second year of the study, the 12 months right before surgery, these rates didn’t change much, but compared with that first year of the study, the chances of an ED or hospital visit dropped by 65% in the first year after bariatric surgery. 

Just 12% of patients had a COPD visit during that time. During the last year of the study, 13 to 24 months after surgery, the odds of an ED or hospital visit were 61% lower than in the first year of the study. These findings suggest that benefits of bariatric surgery may extend beyond remission of chronic health problems associated with obesity to include COPD and other respiratory conditions.

If you are considering bariatric surgery, schedule a consultation at VIP SURG. Their expert team can help you find the right treatment for your unique situation.

Elderlay woman with oxygen suplement (COPD)

Plastic Surgery After Dramatic Weight Loss

Dramatic weight loss either through bariatric surgery or diet and exercise is truly a life changing event. You look and feel better, but after any substantial amount of weight loss, the skin and tissues often lack the elasticity to conform to the reduced body size. Hanging skin can affect both comfort and self-confidence and can be a daily reminder of past obesity. Bariatric plastic surgery after weight loss is often done for medical reasons as much as or more than for aesthetic reasons. 

However, before having bariatric plastic surgery after weight loss, consider the following:

  • Are you at your low weight? Wait until you’re at your low weight and have stayed there for several months. If you had weight loss surgery, you’ll need to wait at least one year, preferably two. 
  • How is your current physical and mental health? Better overall physical health means less likelihood of complications. Work with your primary care physician to determine if your physical health is appropriate for plastic surgery. Mental health is a big consideration. Surgery preparation and recovery can be a lengthy process, and you must have the proper mindset going into it.
  • Would you do this for mental reasons, health reasons, or both? Mentally, the saggy skin may cause you to feel embarrassed both with and without clothes on. Physically, it can cause a myriad of issues ranging from annoying to potentially serious, including:
      • Difficulty getting dressed
      • Difficulty exercising, which may impact long-term weight maintenance and health
      • Skin fold rashes or breakdown of skin
      • Skin fold infections

These are just a few of the issues to think about before deciding to move forward with plastic surgery after weight loss. You should consider the severity of the mental and physical issues caused by your excess skin and weigh that against the risks and side effects of surgery along with how much it will cost.

If you live in the Las Vegas area and are considering bariatric surgery, VIPSurg is ready to help. Dr. Tsuda and his team of experts can help find the right treatment for you.

Ältere Frau zeigt ihren Arm mit Elastizitätsverlust

Aging and Obesity: Is Bariatric Surgery an Option for the Elderly Patient?

The good news is that improved life expectancy is allowing baby boomers to enter their golden years in unprecedented numbers. The bad news is that rates of obesity among this aging demographic are climbing in never-before-seen numbers as well, putting this population at risk of developing cancer, heart disease, diabetes, lower extremity arthritis, sleep apnea, and stroke, all of which can lead to disability. Treatment guidelines to lose weight in the elderly have been difficult to define, yet it is very clear that obesity in the elderly contributes to worsening of multiple parameters which along with the metabolic problems mentioned already, include cognition, functionality and quality of life. While ample evidence supports the safety and effectiveness of weight-loss aka bariatric surgery in the general adult population, more information is needed in patients age 60 years and older.

Surgical treatment of obesity in the elderly, particularly over 65, remains controversial; this is explained by the increased surgical risk or the lack of data demonstrating its long-term benefit. Few studies have evaluated the clinical effects of bariatric surgery in this population.

The risk of any surgical intervention increases as one gets older. However, weight-loss surgery is very safe, and the potential benefits routinely outweigh any of the associated risks if there are no other health issues that would dramatically increase the risk of surgery.

Ideally, a comprehensive assessment would focus on psychosocial and functional status in addition to physical data. An excellent support system of family, friends, or caregiver resources is imperative. The selected patient should be capable of engaging in physical interventions focusing on mitigating muscle loss and osteoporosis and of maintaining changes in eating behavior as needed as well. A recommended “pre-habilitation” program may include a physical therapist to assist with strength and endurance training and a nutritionist to aide in enhancing protein intake, vitamin D, and other nutrient sufficiency.

Identifying goals of care, quality of life, and improved function should be considered as primary objectives of undergoing surgery. Goals of the surgery include not only weight loss but also improvements in physiological function, comorbidity, and quality of life, and reduction in institutionalization.

If you live in the Las Vegas area and are considering bariatric surgery, VIPSurg is here to help. Dr. Tsuda and his team of experts can find the best treatment for your unique situation.

Old obese woman walking with stick

 

 

 

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.

Doctor measuring obese man waist body fat. Obesity and weight loss.

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.

Benefits of Bariatric Surgery: More than Just Weight Loss

Do you think you’d eat less if you felt full after eating just a small amount of food? That’s exactly what bariatric surgery does. That’s why people lose weight and keep it off after weight-loss surgery. Bariatric surgery reduces the stomach’s storage capacity, limiting food intake and helping you feel full much sooner than usual.

There are several types of bariatric surgery. Options include gastric bypass, sleeve gastrectomy, and gastric banding. Your doctor can help determine if you’re a candidate for one of these procedures, and, if so, which surgery is best for you.

Losing weight and keeping it off is extremely important for mitigating the potential health problems associated with obesity. You must keep the weight off for a minimum of five years to consider weight loss a success and one that can result in potentially lifesaving benefits resulting in a healthier you.

Benefits of sustained weight loss through bariatric surgery include:

  • Long-term remission for type 2 diabetes. A recent Cleveland Clinic study suggests that bariatric surgery causes long-term remission of difficult-to-control type 2 diabetes. The results of this study show the procedure is highly effective for obese patients with type 2 diabetes, allowing almost all patients to remain free of insulin and adjunct medications for at least three years after surgery.
  • Improved cardiovascular health. Weight loss surgery decreases a person’s risk of coronary heart disease, stroke, and peripheral heart disease. Blood pressure and cholesterol levels can return to normal, or near normal after surgery, reducing these risks and improving overall well-being, 
  • Relief of depression. Many obese people feel depressed because of poor body image and social stigma. Even younger people who carry significant excess weight find it difficult to participate in activities they might otherwise enjoy, leading to social isolation and depression. Losing this excess weight can improve emotional health in these patients.
  • Eliminate obstructive sleep apnea. Achieving and sustaining a normal weight range often allows people with sleep apnea to stop using a CPAP machine at bedtime.
  • Joint pain relief. Carrying around excessive weight puts a lot of stress on your weight-bearing joints, often causing chronic pain and joint damage. The significant and sustained weight loss that occurs after bariatric surgery relieves the stress on joints and often allows people to stop using pain medications and enjoy much more mobility, 
  • Improve fertility. Weight loss surgery can also improve fertility during childbearing years.
  • Alleviate other medical conditions. Weight loss surgery can alleviate metabolic syndrome, pregnancy complications, gallbladder disease, and more.

To learn more about bariatric surgery and if it might be right for you, contact VIPSurg for a consultation. Dr. Tsuda and his team of experts can help find the proper treatment for your unique situation.

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