| |
| Weight
Loss Surgery |
 |
|
It
is no secret. America, and the world, is becoming a
more frequently obese society. Not only obese, but morbidly
obese. By some estimates, 400,000 deaths each year can
be attributed to obesity. Morbid obesity has passed
tobacco as the number one cause of preventable death
in the U.S. And, while those numbers are staggering,
they pale in comparison to the millions of individuals
with severe health risks that impact their daily quality
of life. These risks include diabetes, high blood pressure,
sleep apnea, joint problems/pain, back pain, heartburn,
increased cancer risk, infertility, and depression.
Further, we sometimes forget the psychological consequences
of obesity. This includes discrimination, negative self-image,
and social isolation.
|
 |
 |
 |
| Bariatric
Surgeons: Dr. James Dickinson, Dr. Stefan Pettine, Dr.
Michael Roller, and Dr. Robert Quaid |
 |
| We
define obesity in terms of the body mass index (BMI):
BMI > 25 = overweight; BMI >30 = obese; BMI>
35 = severe obesity; BMI> 40 = morbidly obese. This
number is calculated based on your height and weight.
We will do surgery if the BMI is > 35 and there are
significant health problems, or alternatively if the BMI
> 40. These criteria have been long established by
the NIH. They were arrived by knowing that major health
problems and risk of dying both begin to increase dramatically
at that level of BMI. As an example, a morbidly obese
person has an 89% increase risk of dying over 5 years
compared to a normal weight person. |
| |
|
| To
calculate BMI: |
| |
|
| |
Example:
Weight = 150 lbs, Height = 5'5 (65")
Calculation: [150 ÷ (65)2] x 703 = 24.96 |
| |
|
| |
Or,
click here
for a BMI calculator. |
|
| |
|
What
about medical treatment for obesity? A successful diet
and exercise program can be expected to produce at most
a 20 pound weight loss. This is almost always temporary
with inevitable weight regain exceeding that which was
lost. Weight loss drugs produce similar results, but
can not be used long term because of side effects. Weight
loss surgery, by comparison, provides permanent weight
loss and will average 60% weight loss of a person's
excess weight (example: if 100 pounds overweight, this
would be 60 pounds). Surgery is the only viable solution
for the morbidly obese person.
What
can surgery do? It will cure diabetes, sleep apnea,
hypertension, and hyperlipidemia in over 80% of patients.
No other medical treatment available can come close
to that kind of results!! Further benefits include:
life extension by many years, significantly decreased
obesity-related costs (medications, food, health related
care, lost days at work) and a return to an active lifestyle
with friends and family.
There
are two primary surgeries that are done in the United
States and around the world: Lap Band and Gastric Bypass.
There are differences and similarities between the two.
Gastric Bypass has been around the longest and has the
longest follow-up information (roughly since 1992).
It is still considered the gold standard for weight
loss surgery because of this. Lap Band received FDA
approval in the United States in 2001. It had been performed
in the rest of the world since 1993.
As
to which procedure you will receive, well, that choice
is up to the patient. There is not a right or wrong
choice. The surgeons at NCSA will explain the details
of both and what the patient must do to be successful.
They may guide you to which surgery would be best for
you.
Learn
more: Laparoscopic Banding
| Gastric Bypass Surgery
Obesity
has truly become an epidemic. The numbers are staggering.
Three in five Americans are either overweight or obese.
In the past 20 years adult obesity has doubled. It is
estimated that there are 10 million morbidly obese people
in the United States. And our children are affected
as well: 17 % of kids aged 2- 19 were overweight in
2004. This is important because we know 75% of obese
children become morbidly obese adults. And finally,
the economic impact is significant: over $200 billion
obesity related costs annually, which is 10% of our
national medical costs. The good news is there are solutions
for you. Spend some time with our surgeons and we will
devise the proper course of action for you.
|
 |
| BACK
TO TOP |
 |
|
|
|
|