Felsenreich et al. recently published in the journal of Obesity Surgery a very interesting study on gastric sleeve surgery long-term outcomes. The study is titled: “Update: 10 years of sleeve gastrectomy-the first 103 patients” and includes all patients who had gastric sleeve surgery prior to 2006 at participating bariatric centers in Austria. Continue reading “Does Gastric Sleeve Surgery Cause Barrett’s Esophagus?”
Gastric sleeve surgery is currently the most commonly performed weight loss procedure in Houston. With this increase in gastric sleeve popularity, we have witnessed a rising number of patients with insufficient weight loss following gastric sleeve surgery. Continue reading “Insufficient Weight Loss after Gastric Sleeve Surgery”
In this day and age of excessive calorie consumption, sedentary lifestyle and associated obesity, intermittent fasting, IF, seems like a much-needed solution. Stopping food intake for certain periods of time allows the digestive system, brain and other organs to take a break from metabolizing ingested calories. Continue reading “Intermittent Fasting and Weight Loss”
I read with great interest the study published in Surgery for Obesity and Related Diseases by DeMaria et al. It is a retrospective review of 96 gastric bypass patients who underwent conversion of to distal gastric bypass between 2010 and 2016. The Roux or alimentary limb is cut at the jejuno-jejunostomy and transposed distally leaving a common channel between 150 to 200 cm in length. Continue reading “Gastric Bypass and Sleeve Gastrectomy Revision Surgery”
Shabir asked: “I like to know right at this moment how long will it be when everyone who suffers from diabetic gastroparesis will get a g poem procedure when that seems to be the best solution and another thing I like to ask is why is there so little treatment options for diabetic gastroparesis in this day and age when there are so many people suffering. Thank you looking forward to hearing from”. Continue reading “Question of the Week: G-POEM for Gastroparesis”
“Eat food, not too much, mostly plants”, Michael Pollan’s seven words to healthy eating represents the most reasonable nutrition advice we can give to patients. Plant-based diet is the healthiest, safest and most environmentally friendly diet to consume. Numerous studies have demonstrated the benefits of vegetarian diets in terms of reducing the risk of cancer, hypertension, stroke, heart disease… Adding a small amount of animal protein to a plant-based diet prevents vitamin Continue reading “Is Keto Safe?”
3 months after sleeve gastrectomy, a patient of mine lost 65 pounds and so did her husband on whom I did not operate. My patient was on a typical post gastric sleeve diet consuming 900 calories a day with excellent appetite control. Her husband was similarly enjoying great satiety while consuming a high fat diet amounting to at least 2500 calories a day. Continue reading “A Bariatric Surgeon Perspective on Keto Diet”
I’ve had gastric sleeve surgery and had acid reflux so bad my doctor did gastric bypass surgery. Now I have acid reflux worse. Can I be fixed? Or do I just have to live with it the rest of my life? Sincerely, Dwight Continue reading “Acid Reflux, Sleeve Gastrectomy, Gastric Bypass”
I read with great interest the recently published review article “Mechanisms in bariatric surgery: Gut hormones, diabetes resolution, and weight loss” by Holst et al. The study is published in Surgery for Obesity and Related Diseases journal, May 2018 issue. Continue reading “How Does Bariatric Surgery Work? A New Review Article”
David Nocca, MD, head of Bariatric Surgery department at the University of Montpellier in France is currently conducting an international bariatric workshop about a new weight loss procedure: Nissen-Sleeve operation. The French team have already published a pilot study in SOARD in 2016 demonstrating Nissen-sleeve surgery feasibility and safety in 25 patients. The authors advocate that this approach eliminates acid reflux following gastric sleeve surgery with comparable weight loss outcomes to the traditional sleeve gastrectomy. A secondary advantage of Nissen-sleeve surgery is a decrease in the risk of staple line leak at the angle of His. The authors further advocate that the risk of remnant gastric fundus ischemia in Nissen-sleeve surgery is low given the rich blood supply of the stomach. Continue reading “Nissen-Sleeve operation, is it an option?”