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?”
Bill asked us this interesting question this week: Can you please provide me with more information about gastric resection for treatment of gastroparesis?
I have severe refractory gastroparesis. My GI doctor and surgeon want me to do a pyloroplasty despite no evidence of vagal nerve damage. My issue is slowed motility. I already have a G and J tube. I’m very interested in your work with gastric fundus resection. I would like to learn more. I have an aunt who lives in Houston. Thank you. Continue reading “Is Pyloroplasty a Reasonable Solution for Gastroparesis?”
Major food companies like Kraft Heinz, Nestle, Campbell Soup and J.M. Smucker are reporting weak sales in the US market. American consumers are turning to healthier meals and snacks. The demand for fresh and healthier food is rising and food makers are struggling to adapt. For many years, processed food rich in sugar, salt and hydrogenated fat has been easy and cheap to produce and sell. Hard pressed consumers living in a fast pace modern life were easily sucked in the “buy one get one free” promotions for TV dinners. As processed food replaced traditional food home cooking vanished. Continue reading “Is Food Consumption Changing in the US?”
Gastric Bypass Long-term Complications
I am a 64 y/o female, 20 years post roux-en-y gastric bypass. I have GERD, a “small” hiatal hernia, Barrett’s esophagus, nighttime bile regurgitation, and bilious vomiting after any decent sized meal. I continue to get worse each year. My GI doctor does not believe it is possible for a gastric bypass patient to have GERD. He believes I simply misunderstand the meaning of GERD. I am so frustrated and miserable. Where should I go from here? Continue reading “Gastric Bypass Long-term Complications”
The Journal of the American Medical Association, JAMA, current issue is entirely devoted to the medical problem of obesity. I was particularly interested by two published randomized studies comparing gastric sleeve to gastric bypass surgery with a 5-year follow-up. The Swiss Multicenter Bypass or Sleeve Study, SM-BOSS, and the Finnish Sleeve vs Bypass, SLEEEPASS, study showed similar weight loss and type 2 diabetes remission rate at 5 years. Reoperation rate was similar to both gastric sleeve and bypass patients in both studies. Repeat surgery was mainly for GERD in gastric sleeve patients and internal hernia for gastric bypass patients. Continue reading “JAMA Obesity Theme Issue: Gastric Sleeve Surgery Is Here to Stay”