2010年11月21日星期日

Morbid obesity is a complex

Weight Loss band
Morbid obesity is a complex, medical disease, which affects possibly as many as 30 million people in the United States. It is not a moral problem due to a lack of will power. Studies have shown that diets, medications, behavioral modification or exercise programs have a 95% failure rate in this population, due to underlying physiologic, chemical and genetic factors.

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Morbidly obese patients have a very high risk of associated health problems and early death; therefore the National Institutes of Health (NIH) has endorsed two procedures as effective in the treatment of obesity: Vertical Banded Gastroplasty (VBG) and Roux-en-Y Gastric Bypass (RnY). Either of these operations, depending on the circumstances, can be accomplished by an open technique. However, since the endorsement, the Adjustable Lap-Band (ALB) has replaced the Vertical Banded Gastroplasty in most Bariatric Surgeons’ opinions. They both work on the same principle, and that is they are both restrictive only.

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Surgery is an aid to dieting and assists individuals alter their eating habits by restricting food intake or limiting absorption of ingested food or both.

Weight Loss band
So, Dr. Hall offers the following surgical procedures: the Roux-en-Y Gastric Bypass (RnY) and the Adjustable Lap-Band (ALB) for weight loss. These procedures assist a patient in reducing food and caloric intake, and in addition, the RnY decreases food absorption. Each procedure is associated with medical risks and varies in the anticipated chance of success in losing weight.

Some facts to support your desire to have surgery

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 Health care for the ten to twenty million morbidly obese adults in America has been hampered by the misconception that body weight is not a physiologically regulated variable, but rather determined by acquired food habits and conscious and unconscious desires. Obesity represents a management challenge for physicians and a psychological and biological challenge for patients. Lack of respect for the morbidly obese is an issue of concern. A survey of morbidly obese individuals found that nearly eighty percent reported being treated disrespectfully by the medical profession.

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There are widespread negative attitudes that the morbidly obese adult is weak-willed, ugly, awkward, self-indulgent and immoral. This intense prejudice cuts across age, sex, religion, race, and socioeconomic status. Numerous studies have documented the stigmatization of obese persons in most areas of social functioning. This can promote psychological distress and increase the risk of developing a psychological disorder. The morbidly obese patient is at risk for affective, anxiety and substance abuse disorders. The obese often consider their condition as a greater handicap than deafness, dyslexia or blindness.

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There is considerable misinformation concerning the validity of bariatric surgery in the management of morbid obesity. Bariatric surgery is a recognized sub-interest in the field of General Surgery. It has been endorsed by the National Institutes of Health Consensus Conference, 1992. The American Society for Bariatric Surgery is recognized by the American College of Surgeons and a specialty surgical society in the Specialty & Service Society section of the American Medical Association. It must be emphasized that these procedures are in no way to be considered as cosmetic surgery.

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Surgical treatment is medically necessary because it is the only proven method of achieving long term weight control for the morbidly obese. Surgical treatment is not a cosmetic procedure. Surgical treatment of morbid obesity does not involve the removal of adipose tissue (fat) by suction or excision. Bariatric surgery involves reducing the size of the gastric reservoir, with or without a degree of associated malabsorption. Eating behavior improves dramatically. (1) This reduces caloric intake and ensures that the patient practices behavior modification by eating small amounts slowly, and chews each mouthful well. Success of surgical treatment must begin with realistic goals and progress through the best possible use of well-designed and tested operations. These have been worked out over the last thirty years, and are now standardized, clearly defined procedures, with well-recognized and documented outcome results.

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Prevention of secondary complications of morbid obesity is an important goal of management. Therefore, the option of surgical treatment is a rational one supported by the time honored principle that diseases that harm call for therapeutic intervention that is less harmful than the disease being treated. The biological basis for morbid obesity is unknown, though recent work has demonstrated a genetic component of between 25 and 50%, and several studies confirm the influence of genetically determined proteins produced by the fat cell which have a place in the control of satiety. This confirms that morbid obesity is a disease, not a disorder of willpower, as sometimes implied. The physiologic, biochemical and genetic evidence is overwhelming that clinically morbid obesity is a complex disorder. Contributing causes are inheritance, environmental, cultural, socioeconomic and psychological.

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Patients whose BMI exceeds 30 are potential candidates for surgery if they strongly desire substantial weight loss, because obesity morbidly impairs the quality of their lives. They must clearly and realistically understand how their lives may change after operation. In certain circumstances, less morbidly obese patients (with BMI's between 30 and 35) also may be considered for surgery. Included in this category are patients with high-risk co-morbid conditions such as life threatening cardiopulmonary problems (e.g. morbid sleep apnea, Pickwickian syndrome, obesity-related cardiomyopathy, or morbid diabetes mellitus). Other possible indications for patients with BMI's between 35 and 40 include obesity-induced physical problems that are interfering with lifestyle (e.g. musculoskeletal or neurologic or body size problems precluding or morbidly interfering with employment, family function and walking). Some candidates for surgical treatment of morbid obesity have such impaired health that they must be hospitalized pre-operatively and undergo treatment to improve their operative risk.

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Weight loss usually reaches a maximum between 18 and 24 months postoperatively. Mean percent excess weight loss at five years ranged from 48 to 74 % after gastric bypass and from 50 to 60% after vertical banded gastroplasty. In a study of over 600 patients following gastric bypass, with 96% follow-up, mean percent excess weight loss still exceeds 50% at fourteen years. Another 10 year follow-up series from the University of Virginia reports weight loss of 60% of excess weight at 5 years and in the mid 50's between years 6 and 10. Multiple other authors have reported 5 and 6-year follow-up of their patient series with similar weight loss results.

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Weight reduction surgery has been reported to improve several co-morbid conditions such as glucose intolerance and frank diabetes mellitus, sleep apnea and obesity associated hypoventilation, hypertension, and serum lipid abnormalities. A recent study showed that Type II diabetics treated medically had a mortality rate three times that of a comparable group who underwent gastric bypass surgery. Also preliminary data indicate improved heart function with decreased ventricular wall thickness and decreased chamber size with sustained weight loss. Other benefits observed in some patients after surgical treatment include improved mobility and stamina. Many patients note a better mood, self-esteem, interpersonal effectiveness, and an enhanced quality of life. They have lessened self-consciousness. They are able to explore social and vocational activities formerly inaccessible to them. Self body image disparagement decreases.

2010年11月17日星期三

Non-Surgical Treatment Options

Weight Loss Surgery
The most logical approach for losing weight is to eat less, eat more sensibly, and exercise more. If you are severely obese, this approach may not be enough to ensure lasting success. Sticking to a diet and exercise plan is difficult. The decision to abandon a diet is commonly made during times of stress or anxiety. Many who lose weight gain it back quickly when the diet ends. The cycle of losing weight and gaining it back is called the yo-yo effect. While temporary weight loss can help, the yo-yo effect can also make it harder to lose weight in the future. This repeated failure of permanent weight loss leads to feelings disappointment and depression.
Weight Loss Surgery
A physician or a dietician can help you change your lifestyle. A program of improved eating habits and exercise are critical factors in any successful weight reduction program. Recent published scientific reports (Annals of Internal Medicine - Jan 2005) document that non-operative methods alone have not been effective in achieving a medically significant long-term weight loss in morbidly obese adults. The average medical weight reduction trial is a 10-12 week study with average weight loss of 2.5 kg. The use of behaviour modification, diet and exercise show that the initial optimistic results have not been sustained. Most commercial weight loss programs (WeightWatchers, Jenny Craig, Dr. Bernstein) suffer from high dropout and failure rates. The cost of these programs contributes to frustration if a person fails to achieve their goals.

Weight Loss Surgery
Dieting often causes depression, anxiety, irritability, weakness and preoccupation with food. The treatment goal of any treatment plan for morbid obesity should be an improvement in health, achieved by a durable weight loss that reduces life threatening risk factors and improves performance of activities of daily living.

Weight Loss SurgeryWill Water Help Me Lose Weight?Will Water Help Me Lose Weight?
No doubt about it; if water is one of the keys for weight loss, we all need to know. Water is basically free and extremely abundant. So, does drinking a certain quantity of water help one lose weight? Yes, in a way... read on...

Water is an irreplaceable part of your diet. Its primary function is to transport nutrients and waste about your body. Almost everything in your body is in a solution of water. The way your body grows, repairs, and functions is to first transport material to and from the places where this material is needed. Water is the medium.

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Water Makes Weight Loss Possible - Weight loss involves metabolizing the tissues already present in and on your body. If you lose weight successfully, this metabolism will involve the consumption of body fat and the exclusion of skeletal muscle. Metabolizing this body fat involves transport of the fat to cells where it can be used, transport of the fat across cell barriers, breakdown and chemical reaction of the fat, and transport of waste materials out of the body. You need lots of clean water to do all of that.
Weight Loss Surgery
Weight Loss Requires Water - Of course you know that you need to start with clean water to wash and rinse clothes in your washing machine. If you attempt to wash clothes starting with dirty clothes and dirty water, you will not get those clothes too clean. Likewise; you need lots of clean water to keep your body internally clean. Just as an automobile produces exhaust while burning gasoline, your body produces waste while burning fat. Provide your kidneys and liver with ample water to clean your body. That's a half a gallon to a gallon of water daily.

Weight Loss Surgery
Water Does Not Make You Lose Weight - Water makes weight loss possible. For that matter, water makes life on this planet possible. Water is especially important when you are losing weight but it is not chemically involved in your weight loss process. As long as you drink enough water, weight loss will happen smoothly. Drinking lots and lots of water will have no additional benefits to your body.

Calculate Your BMI

2010年11月15日星期一

Abdominoplasty (Tummy Tuck)

Abdominoplasty (Tummy Tuck)

Weight loss the method
A tummy tuck, also named abdominoplasty is frequently a significant surgical method exactly where all loose skin tone and fatty tissue are eliminated via a big incision extending throughout the abdomen, typically from hip to hip. The muscle groups may well be also tightened to provide a firmer result. This leaves a flatter, reduced system profile and younger-looking abdomen.

Weight loss the method
This surgical treatment is for ladies who have extra skin tone and excess fat inside abdominal place and occasionally come across that even with exercise, they cannot accomplish a flat stomach. this can be especially typical right after significant fat loss, which may well outcome in loose skin, slack abdomen muscle groups and expand marks. However, owning a tummy tuck is not intended for fat handle and is also not really a substitute for normal actual action and also a healthful well balanced diet.

Weight loss the method
In the "full" tummy tuck, two surgical incisions are made, 1 throughout the reduced abdomen straight above the pubic place and also a next incision close to the patient's belly button. The patient's skin tone is divided through the wall of abdomen as properly as the surgeon pulls the loose abdominal muscle groups through the left and best suited flanks suturing them together. right after the tightening and suturing with the abdominal muscle groups is completed, extra skin tone is eliminated as properly as the belly key reset. Remaining incisions are closed with sutures and/or staples.

Weight loss the method
The "partial" or "mini" tummy tuck treats issue places under the belly key and is also regularly carried out on an outpatient foundation with neighborhood anesthetic. The surgeon may well propose that both a "partial" or "full" tummy tuck be carried out in conjunction with liposuction. Occasionally, liposuction alone may well provide probably the most desirable results.

Weight loss the method
The complete tummy tuck requires as very much as 5 several hours to complete, depending for the level with the procedure, the preferred out are available as properly as the pre-operative situation with the patient, and also a "partial" requires 1 to two hours.

Weight loss the method
During the abdominoplasty operation your plastic material surgeon will get rid of extra excess fat and skin tone out of your abdominal wall and may well also tighten your abdominal muscles. This operation typically produces a smoother, flatter abdomen and may well enhance the look of expand marks. one of the best outcomes are accomplished in ladies who are previously the right fat for their height.

Liposuction weight loss

Liposuction weight loss
Abdominoplasty (Tummy Tuck)
Weight loss the method
Liposuction may be the fastest-growing method inside the West. For millions of men and women who are striving to enhance their bodies and appearance, liposuction might be a desire are available legitimate due to the fact it removes extra fat that diet plan and physical exercise have small result on.

Weight loss the method
The reality is, specific locations of extra fat within your entire body are resistant to alter by exercise. No make a difference how numerous miles, sit-ups, weights, laps, or leg lifts you do, the extra fat remains. till you eliminate it via liposuction.

Weight loss the method
Liposuction is correct for disproportionately oversized hips, buttocks, thighs, bellies, and "love-handles," in inclusion to extra fat deposits on arms, calves, knees, ankles, above the breasts, and below the chin.
Liposuction might be carried out to most locations on the body; abdomen, hips, buttocks, inside and external thighs, knees, double chin and frequently the male 'breast' area. Suction-assisted lipectomy, also recognised as extra fat suction, is recognised as a method to eliminate undesirable extra fat deposits from particular locations on the body. Liposuction can alter the condition on the entire body however it cannot enhance fat or expand marks.

Weight loss the method
Liposuction is not really a treatment for obesity. There is recognised as a restrict towards the quantity of extra fat tissue that might be eliminated safely in the human being body. It is not intended for pounds manage and is also not really a substitute for typical actual action and also a healthful well-balanced diet. Liposuction is recognised as a plastic method by which undesirable extra fat deposits are eliminated from specific locations on the body. These extra fat deposits are usually people resistant to diet plan and exercise.

Weight loss the method
This method final results inside of a slimmer and much better entire body contour to the patient. more than the many years there are actually a amount of variations towards the fundamental liposuction technique.
There are two kinds of extra fat tissue, subcutaneous (fat straight below the skin) and also a deep layer of fat. each might be specific depending within the liposuction procedure. A pinch analyze is recognised as a very simple method to ascertain when you have sufficient extra fat tissue inside of a provided area. merely pinch your skin and assess the period of dermis in between your fingers. The medical professional throughout your primary go to may possibly also do a pinch test. locations in which there is small extra fat are not advised for liposuction.

Weight loss the method
The surgical treatment is accomplished below common anesthesia. The little device to eliminate fatty tissue, known as a canylla, is inserted below your skin via little incisions four to six mm in period inside the minimum noticeable locations. Then, the extra fat deposits are decreased with suction offered with a vacuum pump. possessing a whole lot more locations achieved at a single time final results inside of a a whole lot more well-balanced and organic look. It is typical for females to possess their hips, thighs, and abdomen achieved at a single time. The operation requires around a single hour, depending within the quantity of extra fat to become removed. Depending within the spot treated you will most likely be admitted being a day-case patient, despite the reality that occasionally an immediately remain may possibly be required.

Weight loss the method
However, there are definite hazards included in possessing numerous locations achieved at a single time. hazards of numerous methods consist of a prolonged publicity to common anesthesia. There can be a chance the fact that medical professional may possibly eliminate as well a good deal extra fat in the body. If as well a good deal liposuction is achieved in a single spot your skin sticks towards the underlying structures and appears unnatural. as well a good deal liposuction could also outcome inside of a substantial quantity of blood vessels reduction and surgical trauma towards the body. With numerous methods achieved at a single time, there can be a prolonged and a whole lot more distressing recovery process. soon after your operation, you'll have to put on an elasticated garment or bandages for a amount of weeks.

Weight loss the method
"Secondary" or "touch-up" liposuction is much less risky due to the fact there is recognised as a shorter working time, quicker recovery and also a reduced require for compression garments throughout the recovery process.

2010年11月13日星期六

Surgery

Surgery
El Camino Hospital provides the total variety of surgical methods ordinarily linked to big healthcare centers. should you do require a specific treatment, for example a center transplant, El Camino Hospital's specific affiliation with Stanford Hospital and Clinics provides you all of the advantages of the leading transplant center.

Surgery
Our group is at all times searching for revolutionary methods to create surgical treatment simpler on our patients. By utilizing scaled-down incisions, we reduce the probabilities of infection, lessen pain, pace healing, and decrease scarring.

Surgery
Cardiothoracic
Cardiac surgical treatment frequently refers to surgical treatment from the center and big vessels, and thoracic surgical treatment frequently refers to surgical treatment from the chest other compared to heart. frequently surgeons who function in each these locations are named cardiothoracic surgeons.
These are just some particular methods that our surgical clubs perform:

Surgery
Coronary Bypass
Coronary artery bypass grafting (CABG) is genuinely a surgical treatment employed to bypass blockages or obstructions while in the coronary arteries, and thus restoring the flow of oxygen and vitamins and minerals towards heart. At El Camino Hospital, our group is exploring methods that enhance patients’ results and comfort.

Surgery
Minimally invasive vein harvesting
If you require coronary bypass surgery, you may perhaps be considered a pick for this procedure. Minimally invasive vein harvesting is definitely an very important advance in cardiac surgery, which outcomes in fewer infections and also a faster recovery. however it's not provided at most cardiac surgical treatment centers. At El Camino Hospital, our group is specifically skilled to carry out this procedure.

Surgery
Traditionally, a surgeon helps make a prolonged incision while in the leg to get rid of the our blood vessel getting employed with the bypass graft, leaving the sufferer having a prolonged scar. This new technologies enables your surgical group to get rid of the vein via a single to 3 little leg incisions, each and every much less than a single inch in length. The little openings enable the surgical group to utilize a specific movie digital camera to determine the vein and get rid of the required portion with minimal trauma towards leg.

Surgery
Arterial grafting
In bypass surgery, surgeons normally make utilization of the veins while in the legs or arms. Surgeons are progressively utilizing arteries for example the kinds that operate along the within from the chest wall, a single on each and every part from the sternum, or an artery while in the arm. study exhibits these "arterial grafts" appear to final lengthier than vein grafts. This might be especially advantageous and result in much better long-term results, especially for more youthful patients.
Beating center Surgery
Surgery
Our group also has the capability to carry out bypass surgical treatment with out utilizing the heart-lung machine. this can be recognised as away pump coronary surgery. on this surgery, we run about the beating center with out relying on cardiopulmonary bypass (stopping the center and utilizing the center lung appliance to pump our blood towards organs). In some patients, particularly the elderly and all those with carotid artery blockages or kidney disease, this method may perhaps direct to some faster recovery and much less threat of needing a our blood transfusion.

Surgery
Our clubs also specialize in:
Valve surgical treatment (aortic valve surgery, mitral valve repair, valve replacement)
Aortic surgical treatment
Vascular
Vascular surgical treatment treats the vessels close to the heart. We function closely with our colleagues while in the cardiac catheterization lab to deal with a assortment of vascular disorders, including:
Aneurysms
Peripheral vascular disorder
Innovative procedures
Surgery
El Camino Hospital is among the number of hospitals while in the country that provides hybrid procedures, which combine each surgical and catheter techniques.

2010年11月12日星期五

How long will my Gastric Bypass Surgery take?

How long will my Gastric Bypass Surgery take?

Weight Loss Surgery
Your Gastric Bypass Surgery will take a few hours to complete, and the recovery period will take a few days.
Generally, patients are able to get out of bed the same day of the procedure, but are encouraged to stay in the
hospital for a few days to make sure complications do not arise. Following the immediate recovery period, there will

Weight Loss Surgery
be three to five weeks to return to your normal lifestyle.
For more information please see:
Obesity Questions
Lap Band Weight Loss Surgery Questions
What to Expect at Your Weight Loss Surgery
Post-Operative Care
To learn more about Gastric Bypass Surgery, please contact bariatric doctor Dr. Carson Liu to schedule your initial
consultation. Dr. Liu will clarify all aspects of your Gastric Bypass Surgery and help you take this important step
in the right direction.

Are there risks associated with Gastric Bypass Surgery?

Are there risks associated with Gastric Bypass Surgery?

Weight Loss Surgery
As with any surgery, there are risks associated with Gastric Bypass Surgery. Some of the more common bypass surgery risks include leakage where the intestine meets the stomach, bowel obstruction, and the formation of gallstones. To make sure you are not suffering from these problems, Dr. Carson Liu will help monitor your recovery and prescribe bile-thinning medication to help with the digestion process.

How much weight can I expect to lose after Gastric Bypass Surgery?

Weight Loss Surgery
Every patient is different, so it’s hard to determine exactly how much weight you will lose. Most patients lose about two third of their excess weight within the first 18 months after their surgery. This rapid weight loss period may be followed by a short period of slight weight gain while the body stabilizes, and another period of weight loss following that. In the end, you can expect to lose a large amount of weight, and greatly improve many different aspects of your life.

What are the other benefits of Gastric Bypass Surgery?

Weight Loss Surgery
Significant weight loss is only one of many different benefits that weight loss surgery like LAP-BAND® or Gastric Bypass Surgery can provide. Through Gastric Bypass Surgery, you can correct problems like:
Sleep apnea
Low self-esteem
Necessity of diabetes medication
Joint problems
Heartburn symptoms
Risk of heart disease

Gastric Bypass Surgery

Gastric Bypass Surgery
Gastric Bypass SurgeryThe most commonly performed gastric bypass surgery is the Roux-en-Y gastric bypass, in which staples are used to permanently close off part of the stomach to reduce the capacity of food a patient can consume at one time. Additionally, a Y-shaped piece of the upper intestine is attached to this small stomach pouch.

As a result, food from the stomach bypasses the initial sections of the intestine, which would normally absorb calories and nutrients after eating.

Gastric Bypass Surgery
Questions about Gastric Bypass Surgery
Bariatric Surgery in Los Angeles, California
What is Gastric Bypass Surgery?
Dr. Carson Liu performs Roux-en-Y Gastric Bypass Surgery at his Los Angeles, California weight loss surgery practice. This form of weight loss surgery has been performed for over 20 years and is renowned for its significant, long-term results.

Gastric Bypass Surgery
During Roux-en-Y Gastric Bypass Surgery, Dr. Liu will create a smaller stomach pouch by permanently dividing the existing stomach. This smaller pouch will hold much less food, allowing you to eat less. Once this “mini stomach” is created, the intestines are reconfigured, and a portion of the intestine is removed. The result is a digestive tract that absorbs few calories,
allowing you to lose the weight you need to lose.

2010年11月11日星期四

safe methods of losing weight

Weight Loss Surgery
Dr. D.J. Verret, Clinical Assistant Professor at the University of Texas Southwestern Medical School and Board Certified Otolaryngology Head & Neck Surgeon:

Weight Loss Surgery
“Though I am not performing the tongue patch diet, I would caution your readers about anything which places an implant in the mouth. There is a risk of infection as well as a risk of tissue growth into the implant causing long-term pain and scarring of the tongue. This can potentially lead to problems with chewing and speaking in severe cases.”

Weight Loss Surgery
Dr. Steven Dayan, Clinical Assistant Professor at the University of Illinois and Facial Plastic Surgeon & ENT:
“Medically speaking, I would be concerned because it’s a foreign body, and you’re placing it in a part of your body that is laden with bacteria. The mouth is the dirtiest part of your body and the risk for infection would be sizable. If you were to get an infection that would spread to your oral cavity and your throat, it would be quite dangerous. It’s preliminary to jump on this bandwagon. I would want to see more objective evidence that this is worth it.”
Weight Loss Surgery
Dr. Jennifer Jablow, Cosmetic Dentist in New York City:
“This procedure seems bizarre almost like a ‘shock’ therapy for eating solid foods. Many concerns are raised here. Besides the patient not getting proper nutrition, potential risks could involve the following:
- An inflammatory reaction to the patch that could lead the tongue to swell so much that it may obstruct breathing.

- Abrasions caused in the mouth from these ragged pieces of sutures scratching the mouth, which can become infected.
- The mouth becoming an acidic environment from reflux due to the all-liquid diet and cavities forming.
- Bad breath.

Weight Loss Surgery
Tanya Zuckerbrot, MS, RD:
“A much healthier and less extreme means of weight loss would be to implement a well-balanced diet consisting of high-fiber fruits and vegetables, whole grains, lean proteins, and a minimal amount of fat. This diet in addition to a regular exercise regime will yield the same benefits without the need for a surgical procedure or the pain involved.”
Weight Loss Surgery
At the end of the day, my advice is pretty simple when it comes to “tongue patch” diet: Keep your tongue in your mouth and stick to more traditional and safe methods of losing weight.

about weight loss surgery

 Weight Loss Surgery
Dr. Chugay told us he hasn’t seen any of that.
“I did the first procedure last spring, and so far, in the 67 patients – the side effects have been very minimal. There have been no medical issues or big problems. The only thing we’ve seen is a slight irritation of the tongue where we’ve had to remove the patch a week before.”

 Weight Loss Surgery
As a general rule, Chugay said patients keep the patch sutured to their tongue for 30 days, unless they opt to have it removed sooner.

 Weight Loss Surgery
So, what about all that solid research and strong scientific foundations? Well, Chugay said he’s discussed the procedure with several other surgeons across the country.

“Now we’re doing a study. We’re pulling all this data together and it will be published very shortly. It involves nine doctors around the U.S., Mexico and one in Canada,” he said.
Chugay said patients lose an average of 15 to 30 pounds in one month (one woman lost 39 pounds) – which comes as no real surprise, since patients are restricted to a liquid diet that adds up to a mere 750 calories a day.
 Weight Loss Surgery
The amount of calories you should be consuming each day depends on your age, weight, sex, height and level of physical activity. But, to put those 750 calories in perspective a little bit, we checked out the dietary guidelines published by the U.S. Department of Agriculture, and they recommend children between the ages of 2 and 3 consume 1,000 calories per day. Remember, we’re talking about full-grown adults who need to lose weight – not toddlers.

 Weight Loss Surgery
“This is the equivalent of the old jaw wiring that we used to do with the oral surgeons,” Dr. Carson Liu, a California-based bariatric surgeon, told us We would get oral surgeons to wire the mouth almost shut completely, but patients could only drink their calories. The problem with this is that it is a crash diet and unsustainable.”

 Weight Loss Surgery
In order to make sure his patients maintain a healthy lifestyle, Chugay said he and his team follow-up with patients for five to six months, “teaching them to take care of themselves, to eat right, exercise and deal with stresses.”
 Weight Loss Surgery
The liquid beverage – which contains carbohydrates, proteins, fats vitamins, minerals and fiber – is manufactured especially for Chugay and will costs patients $200 for a month’s supply.
However, if a person decides to get the patch, that month’s supply is on the house.
Still, after all this, I have serious reservations about this procedure. I can’t help but think, in many ways, it’s irresponsible. I mean, what ever happened to good old fashioned diet and exercise?
But that’s just my opinion. For more insight into this, we reached out to other experts to see what they have to say…

Bariatric Surgery in Los Angeles, California

Weight Loss Surgery
How far would you go to lose weight? Some people in California are so desperate to shed those unwanted pounds, they’re undergoing a surgical procedure that makes eating solid foods incredibly painful.
Weight Loss Surgery
More than 60 patients of plastic surgeon Dr. Nikolas Chugay, who has offices in Beverly Hills and Long Beach, have elected to have a patch surgically applied to their tongue.
Weight Loss Surgery
That’s right – a tongue patch. On his website, Dr. Chugay said it’s designed to “make chewing of solid foods very difficult and painful, limiting the patient to a liquid diet.”
Weight Loss Surgery
Now, seldom do I get outraged – actually, that’s not true – I get outraged a lot. But when I see physicians creating therapies that are potentially dangerous to patients, I cannot help but to criticize them.
To me, the oath “do no harm” is something every doctor must live by – and what separates good medical practice from the bad, is that good medical practice is founded on solid research and strong scientific foundations.

Weight Loss Surgery
But before going any further, in an effort to remain fair and balanced, my producers reached out to Dr. Chugay for a statement.
In a phone interview, he said he originally came up with the idea when he was traveling south of the border.
“A colleague of mine was doing something similar in Mexico,” he said. “Of course we need FDA-approved material. That’s why we use prolene mesh, which is the same material used for hernia repair. It’s a very strong material.

Weight Loss Surgery
 We use prolene sutures as well because it doesn’t cause a lot of inflammation or irritation to the tongue.”
Weight Loss Surgery
OK, so he uses FDA-approved material – but what about the potential complications from the procedure itself? When I first heard about this, all I could think of was bleeding, potential damage to the tongue and the risk of a severe infection – which could cause a patient to require corrective surgery.

2010年11月9日星期二

What is Weight loss band?

Weight loss band:
For many considering weight loss surgery, gastric banding–or weight loss band, as it’s more commonly known–is an appealing alternative to gastric bypass surgery.

Weight loss band :In the past several years, weight loss band procedures have gained tremendous popularity as a weight loss surgery treatment for morbidly obese patients.  Although performed laparoscopically, it is a major bariatric procedure, and individuals considering the  weight loss band undergo extensive physical and psychological evaluations before undergoing the surgery.

Weight loss band:
 Patients who are morbidly obese (with a BMI of 40+) and who suffer from weight-related diseases, such as obstructive sleep apnea and Type II Diabetes, are the most viable candidates. Typical screenings before Weight loss band:surgery include blood tests, imaging studies, and a consultation with a psychologist or psychiatrist.