Surgery is no quick fix for obese teens
|
|
- Oswin Edwards
- 8 years ago
- Views:
Transcription
1 Surgery is no quick fix for obese teens By Anne Harding, Health.com June 22, :27 a.m. EDT Brandy Sanders, 19, who once weighed 383 pounds, has lost 33 pounds since her surgery in February. STORY HIGHLIGHTS Weight loss surgery among teens becoming more common as obesity rates rise Surgery usually requires preliminary weight loss and then a strict postsurgical regimen Teens need to have their bone density checked annually for at least 10 years after surgery (Health.com) -- At 16, Shaina weighed 242 pounds. She also had developed a complication of obesity in which pressure builds up within the skull, damaging the optic nerve. The only solution for Shaina, who had already started to suffer vision loss, was to lose weight -- fast. "Even though I lost 20 pounds on my own, I needed to lose like 50 pounds," Shaina says.
2 A doctor recommended bariatric surgery, and Shaina had the procedure in February Three months later, she is down to 184 pounds -- the first time she can remember weighing less than and has gone from a size 20 to a 12. "I had to get a whole new wardrobe," she says. More young people like Shaina, who are obese and often suffering from serious health complications, are undergoing operations to help them lose weight. While fewer than 1,000 teens have the surgery in the U.S. each year (versus 200,000 to 250,000 adults), it is becoming more common among adolescents as obesity rates continue to rise. "There's certainly more and more cases done every year, and unfortunately we're likely going to continue to go that route," says Shaina's doctor, Evan Nadler, M.D., the director of bariatric surgery and codirector of the Obesity Institute at the Children's National Medical Center, in Washington, D.C. Success stories like Shaina -- and those of celebrities like Al Roker and Star Jones -- might make bariatric surgery look easy. It's not. In fact, doctors are so concerned that teens might have unrealistic expectations that they require extensive presurgery evaluation and lifestyle changes to ensure that teens understand the serious risks, are dedicated to overhauling their health, and don't take the procedure lightly. Surgery usually requires preliminary weight loss and then a strict postsurgical regimen of dietary changes, vitamins, and exercise. If the teen and his family aren't fully committed, the results can evaporate quickly or fail to materialize in the first place. "We worry a lot if we have a child who thinks the surgery is going to be a magic fix," says Eleanor Mackey, Ph.D., a clinical psychologist at the Obesity Institute at Children's National Medical Center, who evaluates young people considering the surgery. Not a cosmetic procedure Bariatric surgery is not for the moderately overweight. Although there are no consensus national guidelines for bariatric surgery for adolescents, doctors generally follow the same national guidelines for adults: The patient should have a body mass index (BMI) of 40 or higher (for example, someone 5'4" would have to weigh at least 233 pounds to qualify), or a BMI of 35 (a weight of 204 for someone 5'4") or greater with serious obesity-related health problems, such as type 2 diabetes. "This is not a cosmetic procedure," says Marc Michalsky, M.D., surgical director for the Center for Healthy Weight and Nutrition at Nationwide Children's Hospital, in Columbus, Ohio. "Most of these kids are actually quite sick, and they feel quite sick." Doctors usually don't perform the surgery on children until they have gone through puberty and have stopped growing. This is because there could be increased likelihood of
3 a nutritional or vitamin deficiency after surgery, which could hinder bone growth and sexual maturation, Michalsky says. In addition, a young person must have the psychological maturity and family support to make permanent lifestyle changes, explains Thomas Inge, M.D., the surgical director of the Surgical Weight Loss Program for Teens at Cincinnati Children's Hospital Medical Center. "Two to three months are needed to really get to know the family and make sure the child really knows what they are getting into," Inge says. (The surgery may also require financial support: Many families pay out-of-pocket for the procedure, which usually costs between $10,000 and $20,000, although insurance companies do sometimes agree to cover it.) Inge says it takes a team of pediatricians, psychologists, exercise physiologists, dietitians, and social workers to get a true sense of whether a teen is ready for the surgery and to help that patient prepare for the surgery and follow-up. For instance, surgeons typically require that a patient make lifestyle changes-- becoming more active and eating healthier -- before undergoing the surgery. Doctors can evaluate whether a patient has made sufficient changes by tracking her weight and performance in a quarter-mile walk test, Inge adds. "We really look to make sure that kids are interested in the surgery, that they're not just being pushed into it, [and] that they have some understanding of what they're going to have to do to make sure their surgery is successful," Mackey says. Life after surgery The post-surgery recovery is no picnic. Patients stick to a liquid diet for weeks and then gradually phase in solid food. "My body was different day to day," recalls Michelle Montanti, 19, who had the procedure when she was 15 and weighed 250 pounds. She has since lost 110 pounds. "One day I could tolerate mac and cheese; the next day I was throwing up. It's a really hard transition." Shaina can still eat only soft food or food that has been mashed up. Bariatric surgeons like to say that the surgery is just a tool, not a magic bullet. Multiple follow-up visits with the surgeon and support team are required in the first year, and in order to get results from the procedure, young people must be committed to becoming more active and eating healthier for life, which often requires getting their families to do the same. "You really have to learn the difference between listening to your stomach and listening to your head," says Montanti, who is attending culinary school and aspires to make
4 cooking and nutritional videos for other bariatric surgery patients. "You have to retrain your body how to eat." Because bariatric surgery limits the amount of food patients can eat, adequate nutrition after surgery is important. Teen and adult patients alike need to take vitamins and minerals following surgery, in some cases for the rest of their lives. Iron is a common deficiency that puts patients at risk of anemia. Malnutrition is a major concern for patients who undergo a type of bariatric surgery called gastric bypass, in which part of the stomach and small intestine gets bypassed, says Nadler. "If bypass patients stop taking multivitamins, it can result in life-threatening malnutrition." In fact, because of the risk, Nadler performs only the other two types of weight-loss surgery -- gastric banding and sleeve gastrectomy, in which surgeons remove a large portion of the stomach. These types are less common than gastric bypass, but sleeve gastrectomy -- the surgery Shaina had -- is gaining in popularity, Nadler says. In addition, patients have to follow other diet rules, especially in the months after surgery, to avoid malnutrition, dehydration, and weight gain. These include eating regular, high-protein meals and not drinking liquids close to mealtime. Starting an exercise program is equally important for post-surgery weight loss. Brandy Sanders, 19, who weighed 383 pounds when she had surgery in February 2011, has been exercising with her mother for two hours a day. "Before I had the surgery, I could do seven minutes on the treadmill and I almost died," she says. "Yesterday I did 30 minutes and I was just huffing and puffing a little bit." Brandy has lost 33 pounds so far, and her goal is to get down to 230 pounds. "It would still be a lot more than I should weigh, but it would be a lot better than what I started out with," she says. Making changes without surgery Sometimes just the process of preparing for surgery is enough to trigger serious lifestyle changes that can help teens avoid it. Although bariatric surgery is much safer since it was first introduced in the late 1960s, it does carry a risk of side effects and serious complications -- such as stomach leakage (after gastric bypass and sleeve gastrectomy) and malfunctioning gastric bands -- that can require corrective surgery. Plus, there is little data on the potential long-term risks of bariatric surgery in adolescents. A recent study did show that young people lost bone mass after gastric bypass. (Inge and
5 his colleagues don't see this as a major concern, given that these patients started out with a much higher-than-normal bone density.) However, teens need to have their bone density checked annually for at least 10 years after surgery to make sure it's adequate, says Inge, who is currently recruiting teens for a 10-year study of bariatric surgery patients. Some extremely obese teens find presurgery prep can even change their lives for the better. Josh Caudill, a high school senior in Austin, Indiana, weighed 472 pounds and had tried the Atkins diet, Weight Watchers, and several fad diets when he decided to investigate weight-loss surgery. "I kept trying and I just couldn't do it," he says. "I was getting [to the point] where walking was hard." He visited the bariatric surgery clinic at a hospital outside Indianapolis, and the doctors there told him he'd have to lose 40 pounds before he could be a candidate. He asked one of his teachers, a vegetarian, for diet and exercise advice, and the two began taking regular walks together after school. Within two months he'd lost the 40 pounds, but he decided he wanted to lose more weight on his own. "Here I am 11 months in and I lost 122 pounds," he says. "I can jog a mile now. I lift weights probably five days a week." Caudill has been accepted to Purdue University, and he hopes to be down to 315 pounds by summer. "My main goal is between 230 and 250," he says. "That's my life goal." His father, who also struggles with obesity and recently had a second gastric bypass after regaining the weight he'd lost, urged him to get the surgery, Caudill says. "I think in some cases it's OK to have, but in my case, it's not for me." Copyright Health Magazine 2010
Weight Loss Surgery. Our Surgeons. A Patient s Guide
Our Surgeons Our bariatric surgeons and support staff provide the information and support necessary to achieve substantial and sustainable weight loss. Our surgeons: Weight Loss Surgery A Patient s Guide
More informationWeight Loss Surgery A Patient s Guide
Our Surgeons Ibrahim M. Ibrahim, MD, FACS, BSCOE Medical Director of Bariatric Surgery at Englewood Hospital Weight Loss Surgery A Patient s Guide Jeffrey W. Strain, MD, FACS, BSCOE Celinés Morales-Ribeiro,
More informationWeight Loss Surgery Program
Weight loss surgery helped me lose 112 pounds. Jennifer Weaver Weight Loss Surgery Program baylor university medical center at dallas Follow us on: Facebook.com/BaylorHealth YouTube.com/BaylorHealth When
More informationGASTRIC SLEEVE SURGERY FOR WEIGHT LOSS. www.malleysurgical.com GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS
GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS www.malleysurgical.com GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS 1 CONTENTS What is sleeve gastrectomy? Why choose sleeve gastrectomy? Health risks associated with excess
More informationBariatric Surgery Guide
One Bariatric Surgery Guide Get back to enjoying the everyday moments. Obesity is one of the nation s leading health issues. More than half of Americans are overweight and roughly 12 million Americans
More informationGASTRIC SLEEVE SURGERY FOR WEIGHT LOSS. www.carepointhealth.org GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS. 201-795-8175 CarePointHealth.
www.carepointhealth.org GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS 201-795-8175 CarePointHealth.org 1 CONTENTS What is sleeve gastrectomy? Why choose sleeve gastrectomy? Health risks associated with excess
More informationSome of the diseases and conditions associated with obesity include:
WEIGHT-LOSS SURGERY facts about obesity Obesity is rapidly becoming the nation s number-one health problem. Of the 97 million Americans who are overweight, 10 million are considered morbidly obese. Obesity
More informationPosition Statement Weight Loss Surgery (Bariatric Surgery) and its Use in Treating Obesity or Treating and Preventing Diabetes
Position Statement Weight Loss Surgery (Bariatric Surgery) and its Use in Treating Obesity or Treating and Preventing Diabetes People with diabetes Losing excess weight will assist in the management of
More informationSurgical Weight Loss Program for Teens
Surgical Weight Loss Program for Teens Surgical Weight Loss Program for Teens The Surgical Weight Loss Program team understands the impact that being severely overweight can have on your life. Our guiding
More informationWeight Loss Surgery Program
Weight Loss Surgery Program Weight loss surgery helped me loose 112 pounds. - Jennifer Weaver Follow us on: Facebook.com/BaylorHealth YouTube.com/BaylorHealth When Jennifer Weaver s husband was diagnosed
More informationSurgical Weight Loss. Mission Bariatrics
Surgical Weight Loss Mission Bariatrics Obesity is a major health problem in the United States, with more than one in every three people suffering from this chronic condition. Obese adults are at an increased
More informationHow To Lose Weight At A Weight Loss Program
Weight Loss Solutions Which solution is right for you? Which weight loss option is right for you? Kettering Weight Loss Solutions offers a variety of personalized options to meet your individual needs.
More informationDiabetes and Weight-Loss Surgery
WHITE PAPER Diabetes and Weight-Loss Surgery Treat the cause. Cure the symptom. Center of Excellence BARIATRIC SURGERY Written July 2011 Bariatric Surgery: The Cure for Type II Diabetes? For most individuals
More informationBariatric Surgery 101
Bariatric Surgery 101 Dr. Brent Bell, MD Bariatric / General Surgeon Medical Conditions Caused By Morbid Obesity Type 2 DM Hypertension Cholesterol Sleep Apnea Fatty Liver Asthma Osteoarthritis Reduced
More informationreally help your physical, social and emotional wellbeing helping you do more of the things you want and feel more confident and relaxed.
Weight loss surgery If you are seriously overweight, losing excess weight can transform your life. Find out how you can make that change with the help of Spire Healthcare. If you One are off seriously
More informationNHRMC General Surgery Specialists. Minimally Invasive Gastrointestinal Surgery Phone: 910-662-9300 Fax: 910-662-9303
Minimally Invasive Gastrointestinal Surgery Phone: 910-662-9300 Fax: 910-662-9303 W. Borden Hooks III, MD 1725 New Hanover Medical Park Drive Wilmington, NC 28403 Thank you for choosing NHRMC General Surgery
More informationBARIATRIC SURGERY. Personalized Weight Loss Program
BARIATRIC SURGERY Personalized Weight Loss Program Lafayette General Medical Center performs three major operations for weight loss surgery: Adjustable Gastric Band, Laparoscopic Sleeve Gastrectomy and
More informationVertical Sleeve Gastrectomy (VSG) - Also known as Sleeve Gastrectomy, Vertical Gastrectomy
Vertical Sleeve Gastrectomy (VSG) - Also known as Sleeve Gastrectomy, Vertical Gastrectomy The Vertical Sleeve Gastrectomy procedure (also called Sleeve Gastrectomy, Vertical Gastrectomy, Greater Curvature
More informationUnderstanding Obesity
Your Guide to Understanding Obesity As your partner in health for your life s journey, we want you to be as informed and confident as possible regarding the disease or medical issue you may be facing.
More informationSurgical Associates of Ithaca Guide to Weight-loss Surgery
Surgical Associates of Ithaca Guide to Weight-loss Surgery Please read through this entire guide. Weight loss surgeons Dr. John Mecenas and Dr. Brian Bollo are bariatric trained surgeons affiliated with
More informationBARIATRIC SURGERY MAY CURE TYPE 2 DIABETES IN SOME PATIENTS
BARIATRIC SURGERY MAY CURE TYPE 2 DIABETES IN SOME PATIENTS Thomas Rogula MD, Stacy Brethauer MD, Bipand Chand MD, and Philip Schauer, MD. "Gastric bypass surgery has become a popular option for obese
More informationWeight-Loss Surgery. Regain your quality of life.
Weight-Loss Surgery Regain your quality of life. If you are struggling with obesity consider weight-loss surgery at Aiken Regional. For the more than 10 million severely overweight people in the United
More informationWeight Loss Surgery Info for Physicians
Weight Loss Surgery Info for Physicians As physicians, we see it every day when we see our patients more and more people are obese, and it s affecting their health. It s estimated that at least 2/3 of
More informationObesity Affects Quality of Life
Obesity Obesity is a serious health epidemic. Obesity is a condition characterized by excessive body fat, genetic and environmental factors. Obesity increases the likelihood of certain diseases and other
More informationHow to Support Someone During the Bariatric Surgery Process
How to Support Someone During the Bariatric Surgery Process UHN Information for family and friends When someone you care about is going to have weight-loss surgery, you may have many questions. Read this
More informationWeight Loss Surgery. Malabsorptive: Your intestines are rearranged to reduce the amount of food absorbed into the system
The Region s Leader Weight Loss Surgery Table of Contents About Weight Loss Surgery 1 Laparoscopic Procedures 2 Adjustable Gastric Band 2 Biliopancreatic Diversion With Duodenal Switch 3 Rou-en-Y (RNY)
More informationNutrition for Bariatric Surgery W A L T E R R E E D N A T I O N A L M I L I T A R Y M E D I C A L C E N T E R
Nutrition for Bariatric Surgery W A L T E R R E E D N A T I O N A L M I L I T A R Y M E D I C A L C E N T E R Weighing Your Options Adjustable Gastric Band Gastric Sleeve Resection Restrictive and Malabsorptive
More informationBariatric Surgery Support NEWSLETTER. info@bariatricsurgerysupport.co.za HAPPY HOLIDAYS FROM ALL OF US!
info@bariatricsurgery.co.za NEWSLETTER HAPPY HOLIDAYS FROM ALL OF US! The Christmas Holidays are nearly upon us, and, like you, our Bariatric Surgery Support is looking forward to a well-deserved rest
More informationWeight Loss before Hernia Repair Surgery
Weight Loss before Hernia Repair Surgery What is an abdominal wall hernia? The abdomen (commonly called the belly) holds many of your internal organs. In the front, the abdomen is protected by a tough
More informationSUMMA HEALTH SYSTEM BARIATRIC CARE CENTER. Laura Ilg RD, LD Adrian Dan MD, FACS
SUMMA HEALTH SYSTEM BARIATRIC CARE CENTER Laura Ilg RD, LD Adrian Dan MD, FACS GOALS The Many Benefits of Bariatric surgery and Weight Reduction Bariatric Care Center Surgical Weight Loss Program Medical
More informationBariatric Surgery Guide Dr. Stewart s Weight Loss Specialists of North Texas
Welcome. This resource is created for you by Dr. Stewart and our bariatric surgery team with input from people who have found success through weight loss surgery. It is not intended to replace consultation
More informationIf you are morbidly obese, you should remember these important points:
What is Morbid Obesity? Morbid obesity is a serious medical condition. If you are morbidly obese, it means that you are severely overweight, usually by at least 100 pounds. It also means that you have
More informationWeight-Loss Surgery for Adults With Diabetes or Prediabetes Who Are at the Lower Levels of Obesity
Weight-Loss Surgery for Adults With Diabetes or Prediabetes Who Are at the Lower Levels of Obesity A Review of the Research for Adults With a BMI Between 30 and 35 Is This Information Right for Me? If
More informationNutrition After Weight Loss Surgery
Nutrition After Weight Loss Surgery Gastric Bypass Sleeve Gastrectomy Gastric Banding HOW YOU WILL USE YOUR NEW TOOL SUCCESSFULLY TEXAS CENTER FOR MEDICAL & SURGICAL WEIGHT LOSS What We ll Cover Today
More informationWhat is the Sleeve Gastrectomy?
What is the Sleeve Gastrectomy? The Sleeve Gastrectomy (also referred to as the Gastric Sleeve, Vertical Sleeve Gastrectomy, Partial Gastrectomy, or Tube Gastrectomy) is a relatively new procedure for
More informationFrequently Asked Questions: Gastric Bypass Surgery at CMC
Frequently Asked Questions: Gastric Bypass Surgery at CMC Please feel free to talk with any member of the Obesity Treatment Center team at Catholic Medical Center regarding any questions, concerns or comments
More informationINFORMATION FOR PATIENTS CONSIDERING BARIATRIC SURGERY: Obesity can lead to many health problems - these are mainly of the following types:
INFORMATION FOR PATIENTS CONSIDERING BARIATRIC SURGERY: Obesity can lead to many health problems - these are mainly of the following types: Obesity associated health risks: Psychosocial Cardiovascular
More informationPREOPERATIVE MANAGEMENT FOR BARIATRIC PATIENTS. Adrienne R. Gomez, MD Bariatric Physician St. Vincent Bariatric Center of Excellence
PREOPERATIVE MANAGEMENT FOR BARIATRIC PATIENTS Adrienne R. Gomez, MD Bariatric Physician St. Vincent Bariatric Center of Excellence BARIATRIC SURGERY Over 200,000 bariatric surgical procedures are performed
More informationChanges to Bariatric Surgery Prior Authorization Guidelines
Update August 2011 No. 2011-44 Affected Programs: BadgerCare Plus, Medicaid To: Hospital Providers, Physician Assistants, Physician Clinics, Physicians, HMOs and Other Managed Care Programs Changes to
More informationbariatric care center Surgical Weight Loss Management
bariatric care center Surgical Weight Loss Management I chose Summa because of their reputation and the follow-up care. Diana Harper Watch Diana s story at summahealth.org/diana Contents 3 Program Overview
More informationWeight Loss Surgery Information Session. WFBH Bariatric Surgery Program
Weight Loss Surgery Information Session WFBH Bariatric Surgery Program What makes us different? Center of Excellence (COE) High volume center > 1000 procedures since 2003 Less complications than non-coe
More informationSleeve Gastrectomy Weight Loss Surgery General Information
Sleeve Gastrectomy Weight Loss Surgery General Information What is obesity? How can weight loss surgery (WLS) help? In recent years, we have slowly begun to understand obesity as a disease a chronic disease
More informationConsidering Bariatric Surgery? Learn about minimally invasive da Vinci Surgery
Considering Bariatric Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Obesity Obesity is defined as having a body mass index (BMI) of 30 or greater. Obesity is a serious medical
More informationTreatment for Severely Obese Patients
Treatment for Severely Obese Patients Associate Professor Jimmy So Senior Consultant Surgeon Director, Centre for Obesity Management and Surgery (COMS) National University Hospital Obesity Shortens Lives
More informationGASTRIC SLEEVE INSTRUCTIONS
GASTRIC SLEEVE INSTRUCTIONS 3-6 months after surgery What you are likely to be experiencing Appetite you are probably getting hungry on most days, though not necessarily for 3 regular meals every day.
More informationThe first 6 weeks after gastric band/bypass surgery
Patient information The first 6 weeks after gastric band/bypass surgery Eating and drinking In the first 4-6 weeks after the operation it is vital that you keep to the diet that we have advised in order
More informationWhat s YOUR new beginning?
Take a moment and think about your dream for the future. What does it look like? Maybe it s finishing that half marathon you ve always wanted to try. Or keeping up with the kids on their long bike rides
More informationSubject: Weight Loss Surgery Policy. Effective Date: 1/00 Revision Date: 10/15
Subject: Weight Loss Surgery Policy Effective Date: 1/00 Revision Date: 10/15 DESCRIPTION OSU Health Plans supports covered members with a spectrum of service for obesity and weight loss attempts. The
More informationThe University of Hong Kong Department of Surgery Division of Esophageal and Upper Gastrointestinal Surgery
Program Overview The University of Hong Kong Department of Surgery Division of Esophageal and Upper Gastrointestinal Surgery Weight Control and Metabolic Surgery Program The Weight Control and Metabolic
More informationLiving and succeeding with a gastric band. Practical advice for patients
Living and succeeding with a gastric band Practical advice for patients page 2 Living and succeeding with a gastric band Bariatric surgery (weight loss surgery) is currently the most effective treatment
More informationhelping you lose weight { TO REGAIN YOUR LIFE }
helping you lose weight { TO REGAIN YOUR LIFE } Melinda LOST 117 LBS. and truly enjoys exercise now I cannot put into words how this surgery has changed my life. Just being able to do things walk, run,
More informationFad Diets vs Healthy Weight Management: A Guide for Teens
Center for Young Women s Health www.youngwomenshealth.org Fad Diets vs Healthy Weight Management: A Guide for Teens Fad diets are marketed as quick ways to lose weight. The most popular fads tend to change
More informationUniversity College Hospital. Laparoscopic gastric bypass. Centre for Weight Loss, Metabolic and Endocrine Surgery
University College Hospital Laparoscopic gastric bypass Centre for Weight Loss, Metabolic and Endocrine Surgery 2 3 If you need a large print, audio or translated copy of the document, please contact us
More informationWEIGHT MANAGEMENT PROGRAMS & RESOURCES
WEIGHT MANAGEMENT PROGRAMS & RESOURCES At Tufts Health Plan, we know it s important to help our members achieve and maintain a healthy weight. Being at a healthy weight can improve your health and reduce
More informationThe Evolution of Bariatric Surgery. History of the Development of a Successful Bariatric Program at the University of Iowa Hospitals & Clinics
The Evolution of Bariatric Surgery History of the Development of a Successful Bariatric Program at the University of Iowa Hospitals & Clinics It s a BIG Problem & it s Getting Worse Obesity is now a disease
More information~ An Introduction to Weight Loss Surgery and the Southern DHB Bariatric Program
~ An Introduction to Weight Loss Surgery and the Southern DHB Bariatric Program Mark Smith MBChB MMedSci FRACS Renee Ladbrook PGDipDiet BSc Table of Contents Morbid Obesity... 1 What are we talking about?...
More informationGP Guidance: Management of nutrition following bariatric surgery
GP Guidance: Management of nutrition following bariatric surgery Introduction Patients who are morbidly obese will have struggled with their weight for many years before going forward for bariatric surgery.
More informationGastric Sleeve Surgery
Gastric Sleeve Surgery Introduction Obesity is associated with many diseases such as diabetes, high blood pressure, heart problems, and degeneration of the joints. These diseases and the obesity itself
More informationComprehensive Center for. Bariatric Surgery. Weight-Loss Counseling, Evaluation, & Surgery
Comprehensive Center for Bariatric Surgery Weight-Loss Counseling, Evaluation, & Surgery Yes, there is a cure. Obesity is treatable. And solvable. It s dangerous and debilitating but fortunately medical
More informationMetabolic & Bariatric Surgery
Metabolic & Bariatric Surgery Are you...tired of struggling with your weight? aware those extra pounds are putting your health at risk? ready to start a new path to take charge of your life again? If so,
More informationORMISTON HOSPITAL WEIGHT LOSS SERVICE
ORMISTON HOSPITAL WEIGHT LOSS SERVICE Most patients achieve good to excellent weight loss results following gastric sleeve surgery, typically this is 50-60% of excess weight. A new beginning Welcome to
More informationNutrition After Weight Loss Surgery
Nutrition After Weight Loss Surgery Gastric Bypass Sleeve Gastrectomy Gastric Banding VITAMINS AND MINERALS AFTER SURGERY TEXAS CENTER FOR MEDICAL & SURGICAL WEIGHT LOSS What We ll Cover Today Why do I
More informationGastric Sleeve Guide A Pocket Guide for Any Gastric Sleeve Surgery Candidate
Gastric Sleeve Guide A Pocket Guide for Any Gastric Sleeve Surgery Candidate What is Gastric Sleeve Surgery? A gastric sleeve, also known as a sleeve gastrectomy, reduces the stomach to approximately 25%
More informationConsent Document for Bariatric Surgery
Consent Document for Bariatric Surgery I,, have read and understand the following document completely. In addition, my surgeon has discussed with me at length and I completely understand the risks, benefits,
More informationHOUSTON METHODIST SURGICAL WEIGHT LOSS
HOUSTON METHODIST SURGICAL WEIGHT LOSS Why choose surgical weight loss at Houston Methodist? Obesity causes many dangerous diseases and health conditions such as diabetes, high blood pressure, heart disease,
More informationDieting and Gallstones
Dieting and Gallstones WIN Weight-control Information Network What are Gallstones are clusters of solid material that form in the gallbladder. The most common type is made mostly of cholesterol. Gallstones
More informationWeight Loss Surgery Advisory
PATIENT NAME: D.O.B.: / / INSTRUCTIONS: As you consider surgical treatment for morbid obesity, it is very important that you fully understand (1) the nature of your condition, (2) the types of surgical
More information**Medicare and Medicaid have other Billing Codes and different eligibility. Please contact our office for more information. Thank you!
Checking Your Insurance Benefits IMPORTANT Please check your insurance coverage prior to any Nutrition or Diabetes Education appointment. You will be responsible for any services that are not covered.
More informationMEDICAL COVERAGE POLICY. SERVICE: Bariatric (Weight Loss) Surgery Policy Number: 053 Effective Date: 5/27/2014 Last Review: 4/24/2014
Page 1 of 6 MEDICAL COVERAGE POLICY Important note Even though this policy may indicate that a particular service or supply is considered covered, this conclusion is not necessarily based upon the terms
More informationA guide for physicians with patients who have undergone bariatric surgery
WEIGHT LOSS CENTER OF EXCELLENCE A guide for physicians with patients who have undergone bariatric surgery M STJOHNWEIGHTLOSS.ORG 866-823-4458 An overview of our program St. John Providence Weight Loss
More informationRoux-en-Y Gastric Bypass
Roux-en-Y Gastric Bypass Restrictive and malabsorptive procedure Most frequently performed bariatric procedure in the US First done in 1967 Laparoscopic since 1993 75% EWL in 18-24 months 50% EWL is still
More informationBariatric Surgery. Required forms: (Forms are located at OHCA Forms ) Certification Criteria for Providers. Treatment for Obesity
Bariatric Surgery Required forms: (Forms are located at OHCA Forms ) HCA-13A HCA-12A Certification Criteria for Providers To be eligible for reimbursement, bariatric surgery providers must be certified
More informationWhy are Vitamin and Mineral Supplements so Important Before and after Bariatric Surgery? 6/4/2014 1
Why are Vitamin and Mineral Supplements so Important Before and after Bariatric Surgery? 6/4/2014 1 All About Vitamins Reminder for those in Pre-Surgery or Supervised Weight Loss Program 1. Liver reduction
More informationOverview. Weight-Loss Surgery The Process BARIATRIC SURGERY SUPPORT
BARIATRIC SURGERY SUPPORT Overview Weight-Loss Surgery The Process Index: Overview Qualifying For Surgery Make An Appointment Comprehensive Consultation Surgery Life After Surgery Contact Us The purpose
More information12-05 1-13, 4-14, 6-15 Key Stakeholders: Surgery, IM Depts. Next Update: 6-16
HEALTHSPAN BARIATRIC SURGERY Methodology: Expert Opinion Champion: Surgery Issue Date: Review Date: 12-05 1-13, 4-14, 6-15 Key Stakeholders: Surgery, IM Depts. Next Update: 6-16 RELEVANCE: The CPG for
More informationWEIGHT LOSS SURGERY. Pre-Clinic Conference Jennifer Kinley, MD 12/15/2010
WEIGHT LOSS SURGERY Pre-Clinic Conference Jennifer Kinley, MD 12/15/2010 EDUCATIONAL OBJECTIVES: Discuss the available pharmaceutical options for weight loss and risks of these medications Explain the
More informationNutrition Management After Bariatric Surgery
Nutrition Management After Bariatric Surgery Federal Bureau of Prisons Clinical Practice Guidelines October 2013 Clinical guidelines are made available to the public for informational purposes only. The
More informationBariatric Patients, Nutritional Intervention for
SKILL COMPETENCY CHECKLIST Bariatric Patients, Nutritional Intervention for Link to Dietitian Practice and Skill Standard Met/Initials Prerequisite Skills Competency Areas Knowledge of how to conduct a
More informationINFORMATION SHEET FOR A LAPAROSCOPIC SLEEVE GASTRECTOMY
INFORMATION SHEET FOR A LAPAROSCOPIC SLEEVE GASTRECTOMY You are considering undergoing a laparoscopic sleeve gastrectomy for weight loss. The purpose of this information sheet is to provide you with the
More informationSouthcoast Center for Weight Loss
Introduction Introducing the Southcoast Center for Weight Loss Left: Tobey Hospital, Wareham Right: Southcoast Health System at Rosebrook Business Park, Wareham The Southcoast Center for Weight Loss is
More informationPost Op Diet Instructions, After Surgery
New Image Bariatric Surgical Associates John L Coon, MD FACS POST OP DIET #2 (GASTRIC SLEEVE MUSHY FOODS) Your surgeons and staff at New Image Bariatric Surgical Associates are well aware that that many
More informationTechnical Aspects of Bariatric Surgical Procedures. Robert O. Carpenter, MD, MPH, FACS Department of Surgery Scott & White Memorial Hospital
Technical Aspects of Bariatric Surgical Procedures Robert O. Carpenter, MD, MPH, FACS Department of Surgery Scott & White Memorial Hospital Disclosures Allergan, Inc. (Past) Faculty Member Educational
More informationGASTRIC BYPASS INSTRUCTIONS
GASTRIC BYPASS INSTRUCTIONS First office appointment after surgery Guidelines for 2-4 weeks after the day of surgery. What you are likely to be experiencing Pain. You probably have moderate pain, or maybe
More informationSudbury Bariatric Regional Assessment & Treatment Centre
Sudbury Bariatric Regional Assessment & Treatment Centre Outline Obesity as a Chronic Disease 5 A s of Obesity Management OBN & BRATC Referral Process Obesity Definition BMI Normal Weight 18.5-24.9 Overweight
More informationSection 2. Overview of Obesity, Weight Loss, and Bariatric Surgery
Section 2 Overview of Obesity, Weight Loss, and Bariatric Surgery What is Weight Loss? How does surgery help with weight loss? Short term versus long term weight loss? Conditions Improved with Weight Loss
More informationCenter for the Surgical Treatment of Obesity. Information Session
Information Session Rev Mar 2013 Bariatric Surgery Contacts Appointment Scheduling Office (773) 8343524 Intake Coordinator Laura Kujawa Laura.kujawa@uchospitals.edu (773) 8342161 Fax Number for Insurance
More informationIntroduction to obesity surgery
Introduction to obesity surgery Auckland weight loss Surgery Surgery ADDRESS Mercy Specialist Centre PHONE FAX EMAIL WEB 100 Mountain Road, Epsom, Auckland 09 623 2409 09 630 8589 info@awls.co.nz www.aucklandweightlosssurgery.co.nz
More informationMetabolic and Bariatric Surgery Center
Metabolic and Bariatric Surgery Center www.bannerhealth.com/universitytucsonsurgicalweightloss 1 Welcome to Banner University Medical Center s Metabolic and Bariatric Surgery Center Thank you for choosing
More informationabcdefghijklmnopqrstu
The Quality Unit Planning and Quality Division E: sara.davies@scotland.gsi.gov.uk Heather.knox@nhs.net T: 0131-244 2287 abcdefghijklmnopqrstu NHSScotland Board Chief Executives NHSScotland Board Medical
More informationKnowing changes everything.sm. INSIDE Bariatric Surgery Center PEM Mammography Epilepsy Monitoring Unit Sinus Surgery. Page A2. Page A5.
SYRACUSE, NEW YORK INSIDE Bariatric Surgery Center PEM Mammography Epilepsy Monitoring Unit Sinus Surgery Page A2 Page A5 Page A6 Page A7 Knowing changes everything.sm A1 UPSTATE IS HIGH-VOLUME, HIGH-QUALITY
More informationUW MEDICINE PATIENT EDUCATION. Weight Loss Surgery. What is bariatric surgery?
UW MEDICINE PATIENT EDUCATION Weight Loss Surgery Divided proximal roux-y-gastric bypass, laparoscopic adjustable gastric banding, and laparoscopic sleeve gastrectomy. This section of the Guide to Your
More informationChoosing a Safe and Successful Weight-loss Program
Choosing a Safe and Successful Weight-loss Program U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES NATIONAL INSTITUTES OF HEALTH WIN Weight-control Information Network Choosing a weight-loss program may be
More informationBariatric Weight Loss Surgery
BARIATRIC SURGERY Bariatric Weight Loss Surgery The heart and science of medicine. Weight loss surgery, also known as bariatric surgery, was developed as a tool to help people with morbid obesity reduce
More informationRoux-en-Y Gastric Bypass. A Surgical Treatment for Weight Loss
Roux-en-Y Gastric Bypass A Surgical Treatment for Weight Loss When Weight Becomes a Problem Is excess weight affecting your life and your health? A surgery called roux-en-y gastric bypass may help you
More informationDiabetes? Does Metabolic Surgery. Experts disagree about how surgery treats diabetes but agree more research needs to be done.
Does Metabolic Surgery The combination of type 2 diabetes and being significantly overweight is a huge burden. Doctors tell you to lose weight, in essence, to save your life. Weight loss, in addition to
More informationCatholic Medical Center & Androscoggin Valley Hospital. Surgical Weight Loss Options For a Healthier Tomorrow
Catholic Medical Center & Androscoggin Valley Hospital Surgical Weight Loss Options For a Healthier Tomorrow Presentation Overview Obesity Health Related Risks Who Qualifies for Weight Loss Surgery? Gastric-bypass
More informationHealth History and Review of Systems (Please check all that apply)
Health History and Review of Systems (Please check all that apply) Last Name: First Name: Date of Birth: / / q Male q Female Age: Marital Status: q Single q Married q Divorced q Separated q Widowed Who
More informationNATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Bariatric Surgery And Skeletal Health CE APPLICATION FORM
NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Bariatric Surgery And Skeletal Health CE APPLICATION FORM First Name: Last Name: Mailing Address: City: State: Zip/Postal Code: Country: Phone
More informationNE LESSON CODE NR-000-13 Fad Diets
NE LESSON CODE NR-000-13 Fad Diets OBJECTIVES Participants will be able to recognize a fad diet from brief descriptions. Participants will be able to list two red flags of fad diets. Participants will
More information