March 27, 2012 |
A pair of landmark studies demonstrated that weight-loss surgery may be the best solution for Type 2 diabetics with poor control over their blood sugar. So, now what? Experts say that diabetes care is likely to undergo a profound shift. But before diabetics get in line for space on the operating table, a lot of questions need to be answered. Not least of those, say clinicians, is who will do those operations, how well and for how much. Bariatric surgery has exploded in recent years, and with that growth have come concerns about quality of care and patient safety.
August 16, 2010
In its potential to fight Type 2 diabetes, bariatric surgery is looking good -- very good. Bariatric surgeons themselves noticed the operation's potential some time ago, as these earlier stories noted: Gastric bypass: Is it a diabetes fix? Weight-loss surgery may soon be widely used Then other studies began to confirm the operation's ability to help patients quickly get control of their disease. Now we have a study, published Monday in Archives of Surgery, analyzing diabetes-drug use and healthcare costs in the wake of bariatric surgery.
October 22, 2013 |
While diet and exercise are available to all, bariatric surgery is likely to remain a solution available to just a small fraction of the 90 million Americans who are obese. But when it comes to inducing weight loss and improving obesity-related health conditions, a new study has found that there really is no contest between the two: Procedures such as gastric bypass, sleeve gastrectomy and gastric banding beat diet and exercise. By a long shot. A new study published Tuesday in the British Medical Journal finds that among subjects followed for at least six months and as long as two years, those who got weight-loss surgery lost on average 57 more pounds than those in nonsurgical weight programs.
May 25, 2012 |
Contestants on the reality TV program "The Biggest Loser"not only lost weight fast, they "rapidly and substantially" lowered their blood pressure and improved their metabolic function, the physician who is the show's medical consultant reported Friday to the American Assn. of Clinical Endocrinologists. Dr. Robert Huizenga, the medical director of the NBC program and several other shows, including Univision's " Dale Con Ganas ," says the combination of moderate calorie restriction and roughly four hours of daily exercise yields bigger health gains, more cheaply and with fewer complications, than bariatric surgery.
January 3, 2012 |
Weight-loss surgery clearly cuts the risk of heart attacks, strokes and death from cardiovascular disease, a new study shows. But the research also raises questions regarding which patients benefit the most from surgery. The study, published Tuesday in the Journal of the American Medical Assn. , is the first controlled clinical trial to measure the impact of bariatric surgery on heart health. The Swedish Obese Subjects study compared 2,010 middle-aged, obese people who had weight-loss surgery with 2,037 similar obese people who received normal medical care, which usually included counseling on lifestyle choices that affect weight.
January 15, 2007 |
More than 120,000 obese Americans had some kind of surgery to help them lose weight in 2004, with the biggest increase among middle-aged people, according to a study released Wednesday. In 1998, 772 people age 55 to 64 had gastric bypass, stapling or some similar procedure known as bariatric surgery to help weight loss. But that number ballooned to 15,086 in 2004, the Agency for Healthcare Research and Quality reported.
November 15, 2013 |
The weight loss that follows a successful bariatric surgery makes most patients feel younger. But a new study suggests that following bariatric surgery, some patients show signs of being biologically younger, as well. At Stanford University, researchers looked for evidence of change in bariatric surgery patients by measuring their telomeres -- regions of repeating DNA sequences at the end of a chromosome that grow a little shorter with age and chronic illness. Telomeres are considered a biomarker of the aging process.
October 12, 2011 |
Weight-loss surgery for morbidly obese adolescents has become more popular even though many questions about safety and effectiveness remain, according to a commentary published Wednesday in the New England Journal of Medicine . Until more is known about the long-term effects of such surgery, stringent requirements to qualify for the surgery should remain in place, said the author of the report. Weight-loss, or bariatric, surgery is much more common among adults, and studies show it produces many benefits for most patients.
June 24, 2011 |
Weight-loss surgery can cure many obese people -- perhaps more than 60% of them -- of their diabetes, at least in the short term, suggests a new analysis of several studies. Though previous research had suggested that weight-loss surgery could reverse diabetes, researchers from the Netherlands have formalized the evidence a bit through a review of nine studies published in the June Archives of Surgery . Among the studies included in the analysis, 424 people with Type 2 diabetes underwent Roux-en-Y gastric bypass surgery, in which the surgeon creates a small pouch in the stomach that restricts food intake and bypasses part of the small intestines to cut down on absorption.
March 10, 2011 |
Alcohol can be a minefield for anyone trying to lose weight. But for bariatric surgery patients, drinking can become increasingly problematic, a new study has found. Changes in the way the body absorbs and metabolizes alcohol after gastric bypass mean these patients need less alcohol to register intoxication on a breathalyzer, says a study published recently in the Journal of the American College of Surgeons . After drinking a single 5-ounce glass of red wine before their surgery, the study's 19 subjects had an average breath alcohol content of .024% -- well below the level at which most states consider a driver intoxicated.