Posts Tagged ‘gastric bypass’

Can Weight Loss Surgery Cure Type 2 Diabetes?

Diabetes Treatment Weight Loss SurgeryThe typical treatment methodology for Type 2 diabetes includes medications, diet changes, and exercise, but two recent studies have found that weight loss surgery, also known as bariatric surgery, may in fact be much more effective in curing Type 2 diabetes. Not only that, but those with Type 2 diabetes who underwent weight loss surgery also saw decreases in blood pressure and cholesterol.

Findings from the two new studies were published this week in The New England Journal of Medicine and have helped shed light on a trend doctors have been noticing for years, that bariatric surgery often rids its patients of Type 2 diabetes as well.

“Type 2 diabetes is one of the fastest growing epidemics in human history,” and in the U.S. alone, the number of diabetes cases has tripled over the last 30 years. There are currently over 20 million Americans living with diabetes.

The first study compared two different types of bariatric surgery with the typical medical treatment regimen for Type 2 diabetes. After two years of following the participants, those in the surgical weight loss group had complete Type 2 diabetes remission rates of 75%-95%, whereas those in the standard medical treatment group saw no remissions from diabetes. The second study compared two surgical procedures with a more intense medical treatment regimen.Findings showed ~40% remission rates in the surgical group, whereas the rates were much lower, 12%, for the medical treatment group.

In addition to the findings from these studies, research at Emory has shown that bariatric surgery can also aid in the improvement of Gastroesophageal reflux disease (GERD), sleep apnea, depression, and joint pain among other conditions. The sleeve gastrectomy and gastric bypass procedures were two of the surgeries evaluated in the studies up above, both of which are offered at the Emory. For more information on the study and these procedures, see the links the below.

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Why does Weight Loss Surgery Demand Continue to Grow?

More and more people in Georgia are considering weight loss surgery as an option for returning to a healthy body weight. Because those who are overweight are at a higher risk for the development of conditions such as diabetes and heart disease, for many people, weight loss surgery means both regaining activity and mobility via a healthier body weight and the possibility of a longer, healthier life in general.

Dr. Edward Lin

Dr. Edward Lin

Because the demand for information on surgical weight loss options is growing, Dr. Edward Lin of the Emory Bariatric Center has been taking big action to help educate the community. Today, he held an online chat on the topic of surgical weight loss options (check out the transcript) to help answer questions on the pros and cons of weight loss surgery and dig deeper into the differences between each type of weight loss surgery.

Dr. Lin’s efforts were also recognized by Fox5 News of Atlanta recently, in a story documenting Emory patient, Jim Blackburn’s experience in undergoing a gastric bypass with Dr. Lin as his surgeon.

At 47, and 420 pounds, Jim Blackburn was ready to lose weight in a serious way. “I think I added up 24 different diets that I had been on. I had severe sleep apnea. I had a fatty liver condition, and I was on a lot of medications,” Jim told Fox5. He was worried he wouldn’t make it long enough to watch his children grow up. “My knee joints, ankle joints, hips, I hurt. At 47 years old, that was, that was frightening.”

After Jim decided to undergo surgery, he found Dr. Lin, who looked at Jim’s family history of obesity, his failed weight loss attempts, and identified Jim as a good candidate for gastric bypass.

But according to Dr. Lin, gastric bypass, a permanent procedure, is not for everyone. Pros of the gastric bypass procedure include: dramatic, rapid weight loss and reversal of health problems (including 85% reversal of Type 2 Diabetes cases). However, gastric bypass is a major surgery and is only reversible in a medical emergency. It also comes with a few short term risks, including bleeding and infection. But, because gastric bypass is permanent, it forces patients to adopt new lifestyle and eating habits, typically resulting in better long-term weight loss results.

In contrast, a lap band procedure comes with fewer risks and is a less invasive surgery. The band that is placed around the entrance of the stomach during the procedure can also later be loosened, tightened, or removed, making it less permanent than a gastric bypass. Because of its flexibility, patients who undergo this procedure require “a lot more willpower and mind control,” said Dr. Lin.

Two years after his gastric bypass procedure, Jim Blackburn is now 200 pounds lighter and feeling great. And as findings from a recent study support, family members of weight loss surgery patients, such as Jim’s wife who has since his surgery lost 80 pounds, also benefit from being around relatives who have undergone surgery.

For more information on each of the procedures discussed above and others, check out the Emory Bariatric Center website.

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Weight Loss Surgeries Help Families Get Healthier, Too

Weight Loss Surgery Online ChatA recent study found that family members living with patients who underwent weight loss surgery dropped significant amounts of weight and made more positive lifestyle changes.  In this study, 35 morbidly obese patients underwent Roux-en-Y gastric bypass surgery. Overweight spouses and family members living with the patient attended three lifestyle counseling sessions before surgery and five sessions after surgery. At these sessions, patients and their family members learned about healthy eating habits (portion control and a healthy diet) and how to increase physical activity.

At one year after surgery, patients lost an average of 100 pounds and decreased their body mass index (BMI) from 48.7 to 33.3. In addition, their overweight spouses and family members lost an average of 10 pounds and decreased their BMIs from 38 to 36.3.Family members also watched less television, exercised more, and reported fewer instances of uncontrollable eating.

The result of this study reinforces the importance of social support as a motivator to maintain healthy changes. If we mimic the positive lifestyle changes of those around us, we might find ourselves making healthier decisions more often. You may not realize, but people may use you as an inspiration to change their lifestyles! It is important to remember that over time, small steps turn into large strides.

If you’re interested in learning more about weight loss surgery and the options that exist for you or someone you know, now is the perfect time to sign up for a free online chat with Dr. Edward Lin of the Emory Bariatric Center. You don’t be ready for surgery or live in Atlanta to attend, just sign up using this form, and you can ask Dr. Lin all of your questions on weight loss surgery during the chat on January 26th.

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