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.

Life After Bariatric Surgery

For many who think weight-loss surgery may be the only way to be healthy and live longer, the fear of how life might be after the procedure keeps them from taking life-saving measures. Be informed so that you can make educated decisions about your health. These facts can help you on the way to knowing what’s best for you and give you a glimpse into what one can usually expect after surgery.

Your recovery will depend on which procedure you choose (gastric sleeve, gastric bypass, lap-band, and duodenal switch surgery). For example:

  • Average Hospital Stay: Ranges from outpatient (return home same-day) to 2-3 days
  • Average Time Until Back to Work: Ranges from 3 days to 2 weeks
  • Average Time to Full Recovery: Ranges from 3 days to 6 weeks
  • Pain: Ranges from mild discomfort to manageable with pain medication
  • Diet: Ranges from a few limited foods to a strict and slow transition from clear liquids to solid foods
  • Back-to-Normal Activity: Ranges from 3 days to 4-6 weeks

Life after weight loss surgery includes (depending on your chosen procedure):

  • Full recovery in 1 to 6 weeks
  • Excess weight loss between 25% and 90+%
  • Many obesity-related health problems cured or improved
  • Significant diet and exercise changes
  • Good and bad changes in how friends, family, and strangers treat you
  • Challenges such as sagging skin, digestion issues, and weight regain

Improvements to your physical health can be as impressive as your rapid weight loss family-eating-at-the-table-619142_1920after bariatric surgery. Conditions such as Type 2 Diabetes, high blood pressure, GERD, and other issues related to metabolic syndrome have been shown to get better or completely go away following gastric sleeve, gastric bypass, lap-band, and duodenal switch surgery.

It is important to emphasize making healthy food and lifestyle choices even before weight-loss surgical procedures. Bariatric surgery is a tool. Use it to make changes for a long, healthy, productive, and happy life.

If you live in the Las Vegas area and are considering bariatric surgery, schedule an appointment at VIPSurg. Our team can help find the perfect treatment for you!

Bariatric Surgery and Adolescents: Weighing the Risks Against the Benefits

The number of adolescents who are overweight or obese has leveled off in recent years, but unfortunately, the number who are severely obese — heavy enough to qualify for bariatric surgery — nearly doubled from 1999 to 2014. As a result, more doctors and parents are facing an extremely difficult dilemma: Should morbidly obese teenagers have bariatric surgery?

While surgery is the only thing that seems to work for these kids, the idea of weight-loss surgery for teens fills many parents and doctors with trepidation because we must weigh the benefits against the potential problems. Which is worse, risks from surgery or the likelihood of serious health risks from remaining obese?

An estimated three to four million adolescents are heavy enough to meet the criteria for bariatric surgery, but only about 1,000 teenagers per year undergo the surgery. Some medical centers will not perform it on teenagers, and many pediatricians never mention it to their heavy patients.

Obesity carries serious health risks in teenagers — including type 2 diabetes, high blood pressure, sleep apnea, acid reflux, fatty liver and high cholesterol levels — that tend to be eased by surgery. Other health problems associated with obesity in teens include asthma, polycystic ovarian syndrome, and skin fungal infections.

Added to that are social and mental health problems, including isolation and depression. Obesity in teens is associated with significant mental and physical challenges.

According to the Surgeon General, overweight adolescents have a 70% chance of becoming overweight or obese adults. The likelihood increases to 80% if one or both parents are overweight or obese.

In the past, teenagers had two options:

  1. Lose weight by changing diet and exercise habits
  2. Live with current and future consequences of obesity

While the first option is ideal, unfortunately it is not effective for as many as 70% of teens who try it. However, as advances in weight loss surgery for adults have reduced complication and mortality rates, more teens – and their doctors – have begun exploring surgery as a valid option.

If you’d like to learn more about bariatric surgery options and if it might be right for you, contact us for a consultation. Visit https://bit.ly/2GePjXn for contact options and information.

Fat Boy, Healthy and lose weight concept

Benefits of Robotic Surgery

Technology is changing the way we do practically everything now, and the medical world isn’t immune. The da Vinci robot is changing the way surgeons are performing operations and is providing benefits to both patients and doctors.

While the surgeon sits at a modified computer console, he/she can control the instruments and camera. Placing their fingers into the master controls, the surgeon operates the arms of the da Vinci robot while simultaneously looking through a stereoscopic high-definition monitor that gives a better, more detailed 3-D view of the operating site than the human eye can provide. Every movement he makes with the master controls is replicated precisely by the robot. The robot’s “hands” have a high degree of dexterity, allowing surgeons the ability to operate in very tight spaces in the body that would otherwise only be accessible through open (long incision) surgery.

Using the da Vinci robot allows surgeons to perform a growing number of surgical procedures. Since these surgeries can be done through very small incisions, patients experience many benefits compared to open surgery, including:

  • Less trauma on the body
  • Shorter hospitalization
  • Reduced pain and discomfort
  • Faster recovery time and return to normal activities
  • Smaller incisions, resulting in reduced risk of infection
  • Reduced blood loss and transfusions
  • Minimal scarring

The surgical team supervises the robot at the patient’s bedside. Unlike traditional surgery where the surgeon stands over the patient sometimes for hours, a surgeon using the da Vinci system is seated, substantially decreasing surgeon fatigue. Add in the greater visualization abilities, enhanced dexterity, and greater precision and there are major advantages for both patients and surgeons using robotic surgery alike.

Dr. Tsuda and Dr. Ryan at VIPSurg are expert robotic surgeons. Call 702-487-6000 to schedule a consultation.

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Bariatric Surgery: Busting the Myths and Misconceptions

Weight-loss surgery is a potentially life-saving procedure that helps you lose a substantial amount of weight by shrinking the size of your stomach and reducing food intake. Gastric bypass, lap band, and gastric sleeve are the three most recognizable names in bariatric surgery, but there are also a variety of other options thanks to continued medical advancements. Still, there remains a significant portion of the morbidly obese population who are unwilling to consider treatment for a variety of reasons; unfortunately, their reasons are often based on misconceptions or myths related to bariatric procedures.

Let’s bust 3 common weight-loss surgery myths:

Myth: Most bariatric surgery patients regain most if not all of their lost weight.Truth Vs Myth Bowling Facts Investigating Busting Untruth

Truth: Although some weight-loss surgery patients regain weight after their procedure, it’s not the norm. According to the American Society for Metabolic and Bariatric Surgery, up to 50% of patients may regain a small amount of weight in the years after surgery, but it usually only amounts to 5% of weight lost. Most patients embrace the life-changing effects of weight-loss surgery by improving their diets and habits.

Myth: The risks of weight-loss surgery outweigh the risks of obesity.

Truth: Weight-loss surgery is a quite safe procedure. Studies show that bariatric surgery patients reduce their mortality rates by up to 89% compared with severely obese people who avoid treatment.

Obesity is a disease linked with a number of serious health conditions including heart disease, stroke, diabetes, high blood pressure, and cancer. The National Institutes of Health lists obesity as the second leading cause of preventable death in the United States.

Myth: Weight-loss surgery is nothing more than a cop out for people who are too lazy to diet and exercise.

Truth: Those affected by severe obesity are resistant to long-term weight loss by diet and exercise. The National Institutes of Health Experts Panel recognizes that sustained weight loss is nearly impossible for those affected by severe obesity and may only be achievable through bariatric surgery. Diet, exercise, and lifestyle changes are part of treatment, but in order to shed the necessary amount of weight to make a life-changing, healthful impact, bariatric surgery may be the best option.

If you are struggling with severe obesity and are considering surgery, schedule a consultation at VIPSurg. Our team of experts will look at your personal situation and help find the right treatment for you.

 

 

 

5 Common Signs and Symptoms of a Hernia

Hernias are caused when fatty tissue or internal organs squeeze through weak muscle walls and connective tissue. A hernia can occur in any part of the body, but the most common areas are the inner groin (inguinal hernia), outer groin (femoral hernia), near the navel (umbilical hernia), upper abdomen (hiatal hernia), or at the site of a recent surgical scar (incisional hernia) They can be mildly to extremely painful, and they sometimes go away when you press on them or lie down. They are aggravated by coughing or sneezing. If a hernia doesn’t resolve itself, you may require surgery.

Here are 5 common signs and symptoms of a hernia:

  1. Visible Lump – often the first indication of a hernia is a visible lump or bulge which left untreated becomes very painful as more tissue is forced through the opening, widening and splitting the muscle, forming a large sac. Sometimes patients notice the bulge before the pain, but often there’s pain before the lump is noticeable to the naked eye.

**It’s very important that you go to your doctor as soon as you notice a lump anywhere as it may signify another health issue.

  1. Pain — ranging from slightly uncomfortable to severely painful, patients report everything from just seeing the bulge with no pain to excruciating pain that cannot be ignored
  2. A Full Feeling — A heavy, bloated, or uncomfortable feeling in your gut is common to those with umbilical or hiatal hernias. A feeling often described as a dragging sensation in the groin may be an inguinal hernia.
  3. Stomach Upset — including indigestion, nausea, and bowel issues may occur with hernias located in the groin or abdominal areas. If a hernia becomes strangulated (or blood supply is cut off), you will experience nausea and vomiting. A strangulated hernia requires immediate emergency medical attention as it is life-threatening to the patient.
  4. Difficulty with Daily Activities — as hernias grow and pain worsens, the quality of your daily life is affected. When common activities such as work, picking up children, and exercise become difficult and uncomfortable, hernia-repair surgery is often the answer.

At VIPSurg, our surgeons are experts in hernia repair using minimally invasive daVinci robotic surgery. Schedule a consultation to learn more.

HERNIA