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Weight-Loss Surgery Tied to Lower Heart Risks

Posted 14 Nov 2016 by Drugs.com

MONDAY, Nov. 14, 2016 – Weight-loss surgery may significantly reduce obese people's risk of heart failure, a new study indicates. Researchers compared more than 25,800 obese people who had weight-loss (bariatric) surgery with more than 13,700 obese people who tried to lose weight through a program of major lifestyle changes. Both groups had no history of heart failure. Four years after the start of treatment, the weight-loss surgery group had lost more weight, had a nearly 50 percent lower risk of heart failure, and had lower rates of heart rhythm problems, diabetes and high blood pressure than the lifestyle-changes group, the findings showed. Both groups had similar rates of heart attack and death, according to the study, which was scheduled for presentation Monday at the American Heart Association (AHA) annual meeting, in New Orleans. "Our study shows an association between obesity ... Read more

Related support groups: High Blood Pressure, Diabetes, Type 2, Obesity, Hypertension, Heart Disease, Weight Loss, Insulin Resistance, Pre-Diabetes, Gastric Bypass Surgery, Diabetes Mellitus, Prevention of Cardiovascular Disease, Cardiovascular Risk Reduction, Ischemic Heart Disease, Abnormal Glucose Tolerance, Gastrointestinal Surgery, Hypertensive Heart Disease

Follow-Up Appointments Boost Weight-Loss Surgery Success

Posted 6 Nov 2016 by Drugs.com

SATURDAY, Nov. 5, 2016 – Regular follow-up visits with a doctor translated into greater health improvements for weight-loss surgery patients, new research indicates. "This study shows there is great value in seeing patients at routine intervals after surgery in terms of health outcomes," said study co-author Dr. Andrea Schwoerer. She was at the Brody School of Medicine at East Carolina University at the time of the study. "Unfortunately, many patients, reportedly as many as 50 percent, are lost to follow-up and therefore may not benefit as much as they can from weight-loss surgery, no matter how well it was performed," she added. In the study, the researchers compared outcomes for more than 51,000 patients. Some had three follow-up visits. These visits occurred at 3, 6 and 12 months after the weight-loss surgery (complete follow-up). Others had only one or two follow-up visits ... Read more

Related support groups: Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Weight-Loss Surgery Brings Bigger Heart Benefits to Women: Study

Posted 4 Nov 2016 by Drugs.com

FRIDAY, Nov. 4, 2016 – After weight-loss surgery, women may have a lower risk of heart disease than men, a new study suggests. The study included nearly 2,000 patients whose risk for heart disease was assessed in the decade before their surgery and one year after the procedure. All patients had a significant reduction in their heart disease risk after weight-loss (bariatric) surgery. But, women had a 41 percent reduced risk while men had a 35.6 percent reduced risk, a roughly 20 percent difference, researchers reported. The study was to be presented Friday at ObesityWeek, an annual conference hosted by the American Society for Metabolic and Bariatric Surgery (ASMBS) and the Obesity Society. "This study shows there is a gender disparity in cardiac outcomes for patients undergoing bariatric surgery," said lead study author Dr. John Morton, director of bariatric surgery at Stanford Health ... Read more

Related support groups: Obesity, Weight Loss, Gastric Bypass Surgery, Prevention of Cardiovascular Disease, Cardiovascular Risk Reduction

Weight-Loss Surgery May Lower Risk of Pregnancy Complications

Posted 28 Oct 2016 by Drugs.com

FRIDAY, Oct. 28, 2016 – Women who undergo weight-loss surgery gain major benefits when it comes to pregnancy, a new study suggests. Researchers found these women appear to be less likely to need a cesarean-section delivery and more likely to have a normal-sized baby. "These findings are important because we were able to confirm that obese women who undergo bariatric [weight-loss] operations prior to conceiving do not have worse outcomes, compared with obese women who don't have these procedures," said senior study author Dr. Aliu Sanni. He is medical director of the department of metabolic and bariatric surgery at Eastside Medical Center in Snellville, Ga. "We want to make sure that bariatric surgery performed before pregnancy will have benefits for these women, and that having a procedure won't harm the baby," he said in a news release from the American College of Surgeons. It's well ... Read more

Related support groups: Obesity, Weight Loss, Delivery, Gastric Bypass Surgery, Premature Labor, Gastrointestinal Surgery, Cesarean Section, Labor and Delivery including Augmentation

Weight-Loss Surgery Pays Off for Severely Obese Teens

Posted 26 Oct 2016 by Drugs.com

WEDNESDAY, Oct. 26, 2016 – Weight-loss surgeries can help severely obese teens shed pounds. And now a study finds these procedures can also pay for themselves in health care savings over time. "Our analysis indicates that it can also be cost-effective when assessed over a relatively short time horizon," wrote a team led by Dr. Chin Hur of Massachusetts General Hospital in Boston. According to background information in the study, up to 6 percent of American youths are severely obese, and that rate is expected to rise. Lifestyle changes – diet and exercise – are the first-line treatment for these teens, but this approach rarely leads to significant lasting weight loss, the researchers said. So, weight-loss (bariatric) surgery is increasingly being viewed as an option for these teens. But the surgeries can be expensive, and there's little data on whether those expenses outpace cost ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Gastric Bypass Surgery

Having Baby Too Soon After Weight-Loss Surgery May Raise Risks

Posted 19 Oct 2016 by Drugs.com

WEDNESDAY, Oct. 20, 2016 – Infants born to mothers who've had weight-loss surgery have a higher risk for complications, and the risks are greatest for those born within two years of the surgery, a new study finds. "A recently postoperative mother with underlying nutritional, metabolic, and physiological changes is at an elevated risk for perinatal complications," concluded a team led by Dr. Brodie Parent, of the University of Washington Medical Center in Seattle. One obstetrician who reviewed the findings said the issue is arising more frequently as bariatric (weight-loss) surgeries surge in popularity. "I have been acutely aware of the recent increase in patients who have had bariatric procedures," said Dr. Brian McKennna, who directs gynecology at Northwell Health's Southside Hospital in Bay Shore, N.Y. "Many of these patients have had serious nutritional deficits even before their ... Read more

Related support groups: Obesity, Weight Loss, Delivery, Gastric Bypass Surgery, Premature Labor, Labor Pain, Gastrointestinal Surgery, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation

Are There Alternatives to Statins?

Posted 27 Sep 2016 by Drugs.com

TUESDAY, Sept. 27, 2016 – Statins are the go-to therapy for lowering "bad" LDL cholesterol, but other treatments also can effectively reduce risk of future heart problems, a new evidence review reports. These alternative therapies – including a heart-healthy diet, other cholesterol-lowering medications, and even intestinal bypass surgery – seem to confer the same level of heart health protection as statins when cholesterol levels decrease, according to the findings. Nonstatin therapies reduced the risk of heart problems by 25 percent for each 1 millimole per liter (mmol/L) decrease in LDL cholesterol levels. That's very similar to the 23 percent reduction per 1 mmol/L decrease seen with statins like atorvastatin (Lipitor) and simvastatin (Zocor), the researchers said. What's more, the benefits of these therapies stack up if more than one proves effective at lowering a person's ... Read more

Related support groups: High Cholesterol, Lipitor, Simvastatin, Crestor, Atorvastatin, Pravastatin, Welchol, Zocor, Cholestyramine, Lovastatin, Zetia, Rosuvastatin, Vytorin, Hypertriglyceridemia, High Cholesterol - Familial Heterozygous, Gastric Bypass Surgery, Questran, Pravachol, Livalo, High Cholesterol - Familial Homozygous

Weight-Loss Surgery Sheds Pounds Long Term

Posted 31 Aug 2016 by Drugs.com

WEDNESDAY, Aug. 31, 2016 – Weight-loss surgery helps people drop a significant amount of weight, and now a new study confirms that much of the weight appears to stay off for at least 10 years. "This study suggests that patients interested in bariatric surgery, especially gastric bypass surgery, should be able to lose a significant amount of weight and keep that weight off for a very long time," said study researcher Matt Maciejewski. He's a professor of medicine at Duke University School of Medicine, in Durham, N.C. While other research has found that weight-loss surgery is the most effective treatment for obese patients, there is less data on long-lasting effects. The new study is notable because of the decade-long follow-up, said Maciejewski, who is also a research career scientist at Durham Veterans Affairs Medical Center. In the two-part study, Maciejewski's team first looked at ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Gastric Bypass Surgery

Could Weight-Loss Surgery Boost Odds of Preemie Birth?

Posted 25 Aug 2016 by Drugs.com

WEDNESDAY, Aug. 24, 2016 – Mothers-to-be who've had weight-loss surgery may have increased odds for premature delivery, researchers report. "Women and their doctors should be aware of this risk increase, and women with previous bariatric [weight-loss] surgery should be carefully monitored during pregnancy," said Dr. Olof Stephansson, lead researcher on a new study from Sweden. The current findings contradict results from a smaller study by the same team. However, the earlier research involved fewer than 600 women who had undergone weight-loss surgery. This time, the researchers assessed nearly 2,000 births after the surgery. The investigators found that 8.4 percent were preterm – before 37 weeks' gestation. That compared with 6.8 percent among nearly 6,600 women of similar size who didn't have the weight-loss procedure. "We cannot say what is causing this risk increase, but we have ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Gastric Bypass Surgery, Prematurity/Underweight in Infancy

Weight-Loss Surgery Helps Treat Type 2 Diabetes

Posted 24 May 2016 by Drugs.com

TUESDAY, May 24, 2016 – Weight-loss surgery quickly improves blood sugar control in people with type 2 diabetes, and should be recommended or considered as a treatment for certain obese people with diabetes. That's the message of a joint statement endorsed by 45 international professional organizations. It appears in the June issue of the journal Diabetes Care. "Given the rapid developments in the field, it is important to focus on this topic for those who care for individuals with diabetes. These new guidelines, based on the results of multiple clinical studies, validate that [weight-loss] surgery is indicated in certain people with diabetes and can yield significantly improved outcomes," editor-in-chief of Diabetes Care Dr. William Cefalu said in a journal news release. These are the first guidelines recommending surgery as a treatment option specifically for diabetes, he added. The ... Read more

Related support groups: Surgery, Diabetes, Type 2, Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Weight Loss Surgery May Boost Good Cholesterol in Obese Boys

Posted 5 May 2016 by Drugs.com

THURSDAY, May 5, 2016 – Weight loss surgery could help severely obese teenage boys reduce their risk for heart disease by increasing their levels of "good" cholesterol, a preliminary study suggests. The surgery also enhances the protective effects of HDL cholesterol, the researchers said. "We already knew that weight loss surgery improves weight and cholesterol numbers. This new research shows that there are actually changes in the way HDL functions in adolescents, which may lead to a reduction in long-term cardiovascular risk," study author Dr. Amy Shah, a pediatric endocrinologist at the Cincinnati Children's Hospital, said in an American Heart Association news release. The small study involved 10 severely obese teen boys. The participants had an average age of 17 and weighed an average of 367 pounds. The researchers noted that 90 percent of the boys were white. The teens underwent a ... Read more

Related support groups: Obesity, High Cholesterol, Weight Loss, Hypertriglyceridemia, Gastric Bypass Surgery, Prevention of Cardiovascular Disease, Cardiovascular Risk Reduction, Hyperlipoproteinemia

How Important Is Surgeon's Skill for Weight-Loss Surgery Outcomes?

Posted 13 Apr 2016 by Drugs.com

WEDNESDAY, April 13, 2016 – A surgeon's skill level does not seem to have a big impact on long-term outcomes for weight-loss surgery patients, a new study suggests. However, one weight-loss surgeon disagreed with the study's conclusion. Prior research had found an association between surgical skill level and short-term outcomes after a type of weight-loss surgery called laparoscopic gastric bypass. But, the long-term impact was unknown. The new study was led by Dr. Christopher Scally, of the University of Michigan in Ann Arbor, and included more than 3,600 patients. The patients underwent weight-loss surgery performed by one of 20 different surgeons. Each surgeon's individual skill level was assessed by experts who viewed videos of the surgeons as they performed weight-loss operations. Surgeons ranked in both the highest and lowest levels had been practicing an average of 11 years. One ... Read more

Related support groups: Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Weight-Loss Surgery Gets People Moving, Study Shows

Posted 5 Apr 2016 by Drugs.com

TUESDAY, April 5, 2016 – Weight-loss surgery seems to help ease joint pain and improve mobility in the long run, new research suggests. "Previous studies have reported improvement in pain and function [after weight-loss surgery]," said study author Wendy King, an associate professor of epidemiology at the University of Pittsburgh. However, most of those studies only followed people for a year after their procedure, she added. "We found through three years of follow-up that, depending on the measure, 50 to 75 percent of adults with severe obesity who had bariatric [weight-loss] surgery experienced clinically significant improvements in pain, physical functioning and walking time," she said. "Our findings reinforce the findings of shorter-term studies." King's team evaluated more than 2,200 men and women who had weight-loss surgery at one of 10 hospitals across the United States. The ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Weight-Loss Surgery May Help Control Type 2 Diabetes in Long Run

Posted 4 Apr 2016 by Drugs.com

MONDAY, April 4, 2016 – New research adds to growing evidence that weight-loss surgery helps patients with type 2 diabetes lower their blood sugar levels for at least five years. "Left unchecked, diabetes can lead to kidney failure, blindness and limb amputation," study co-author Dr. Sangeeta Kashyap, an endocrinologist at the Cleveland Clinic's Endocrinology & Metabolism Institute, explained in a hospital news release. "At the five-year mark, bariatric [weight-loss] surgery's metabolic effect persists and is more effective at treating type 2 diabetes in moderate and severely obese patients when compared to medical therapy," Kashyap added. Diabetes affects 29 million people in the United States, according to the U.S. Centers for Disease Control and Prevention. More than 70,000 people die each year from complications associated with diabetes, the American Diabetes Association reports. ... Read more

Related support groups: Diabetes, Type 2, Obesity, Weight Loss, Gastric Bypass Surgery

Non-Surgical Procedure May Be New Weight-Loss Tool

Posted 4 Apr 2016 by Drugs.com

SUNDAY, April 3, 2016 – A procedure long used to halt stomach bleeding may offer another way to treat severe obesity, a preliminary study suggests. The study, of seven severely obese adults, found that the minimally invasive procedure caused no serious complications. It also spurred some weight loss: Patients lost 13 percent of their excess weight, on average, over the next six months. Experts stressed that the procedure – bariatric artery embolization – is not approved for weight loss, and remains in clinical trials. It's not clear whether or how it could fit in with the current treatments for severe obesity. Those treatments include invasive procedures such as gastric bypass surgery, which alters the digestive tract to limit how much food a person can eat and the body's absorption of calories. "Those procedures are highly effective, but they also have risks," said Dr. Clifford ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

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