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Recent News and Articles on the Keywords: weight-loss surgery + surgery patients + complications  Related to the article below (Last Update: 5/5/2008)


Market Wire (press release)
Surgery Shows Promise For Treatment of Diabetes
Washington Post, United States - May 3, 2008
It also remains unclear whether the benefits outweigh the risks of short-term complications that come with any surgery, the costs -- about $25000 -- and the ...
Surgery holds promise as diabetes treatment Fort Wayne Journal Gazette
all 11 news articles »

HealthNews-Stats (press release)
Affordable Gastric Bypass in Argentina
HealthNews-Stats (press release), NY - May 3, 2008
After the weight loss surgery, patients may experience body aches, mood changes, dry skin, tiredness, hair thinning and hair loss. ...
Laparoscopic surgery on pancreas has fewer complications
Tehran Times, Iran - Apr 29, 2008
Compared to standard surgery, laparoscopy resulted in fewer complications (57 percent vs. 40 percent). Patients who had the laparoscopic procedure also had ...

HealthJockey.com
A Weight Loss Surgery without Slicing your Organs!
HealthJockey.com, India - Apr 30, 2008
Patients don?t have to worry about the complications of the more invasive revisional surgery, such as incisional herniation, infection, adhesions and ...
Minimally Invasive Pancreas Surgery Leads To Fewer Complications ...
Science Daily (press release) - Apr 25, 2008
Laparoscopic procedures had fewer complications (40 percent v. 57 percent) than standard surgery, and patients experienced lower blood loss and stayed about ...
Weight Loss Surgery Without Incisions? It's a First in San Francisco
Emediawire (press release), WA - Apr 29, 2008
This new outpatient procedure is for patients who have have previously undergone weight loss surgery and regained excess weight. San Francisco, CA (PRWEB) ...
Obesity Warranty - Laura Faber
WZTV, TN - Apr 28, 2008
The "BLIS" warranty offers coverage of certain complications for different types of weight loss surgery. Patients can also buy an extended warranty to cover ...
Is Laparoscopic Pancreas Surgery Better?
Ivanhoe, FL - Apr 29, 2008
Laparoscopic surgery is the norm for many procedures these days -- removing the gall bladder, repairing the stomach valves, and weight loss surgery -- but ...

CTV.ca
Lasik patients air grievances in front of FDA panel
CTV.ca, Canada - Apr 25, 2008
While, I wouldn't go with Lasik, I've had plastic surgery for my own psychological well being. I did the weight loss first, 100lbs in a year, and to resolve ...
We Paid For A New Body
Glasgow Daily Record, UK - Apr 29, 2008
Here, three Scots weight-loss surgery patients discuss their decisions for going under the knife and their progress since making that life-changing ...
Source: Google News

Surgery Decreases Long-term Mortality, Morbidity, and Health Care Use in Morbidly Obese Patients. -
NV Christou, JS Sampalis, M Liberman, D Look, S … - Annals of Surgery, 2004 - annalsofsurgery.com
... to both physical and psychologic problems.3-6 Bariatric surgery has been shown to
be an effective method for producing weight loss in obese patients in both ...

BARIATRIC SURGERY Surgery for Weight Control in Patients With Morbid Obesity -
BM Balsiger, MM Murr, JL Poggio, MG Sarr - Medical Clinics of North America, 2000 - Elsevier
... In the authors' experience, 4 reoperative surgery was required ... Weight loss after
reoperation was greater with a surgical ... in 80% to 90% of patients back toward ...

Reoperative Bariatric Surgery Lessons Learned to Improve Patient Selection and Results. -
KE Behrns, CD Smith, KA Kelly, MG Sarr - Annals of Surgery, 1993 - pubmedcentral.nih.gov
... CONCLUSIONS: Reoperative bariatric surgery in selected patients is safe and effective
for unsatisfactory weight loss or for complications of previous bariatric ...

Bariatric Surgery A Systematic Review and Meta-analysis -
H Buchwald, Y Avidor, E Braunwald, MD Jensen, W … - JAMA, 2004 - Am Med Assoc
... addition, meta-analysis of within-study surgery effects on weight loss and diabetes ...
general population compared with subgroups of patients with diabetes ...

Complications of the Laparoscopic Roux-en-Y Gastric Bypass: 1,040 Patients-What Have We Learned? -
KD Higa, KB Boone, T Ho - Obesity Surgery, 2000 - Springer
... NIH criteria for considera- tion for weight reductive surgery. ... patients and 1.5 days
for patients without complications ... Average excess weight loss was 70% at 12 ...

Gastric Bypass Surgery in Adolescents With Morbid Obesity -
RS Strauss, LJ Bradley, RE Brolin - NCP- Nutrition in Clinical Practice, 2002 - ASPEN
... was to review retrospec- tively all patients undergoing bariatric ... Results: The average
weight before surgery was 148 ... excess of 30 kg (mean weight loss was 53.6 ...

… of Morbidity and Age a Predictor of Mortality for Patients Undergoing Gastric Bypass Surgery. -
EH Livingston, S Huerta, D Arthur, S Lee, S De … - Annals of Surgery, 2002 - annalsofsurgery.com
... bypass surgery. Summary Background Data: Gastric bypass results in sustained weight
loss for seriously obese patients, but perioperative complications can be ...

Weight loss with physiologic impairment. A basic indicator of surgical risk. -
JA Windsor, GL Hill - Annals of Surgery, 1988 - pubmedcentral.nih.gov
... Before major surgery, 102 patients had a careful history taken to ascertain if there
had been recent weight loss and a reduction in the capacity for ...

COMPLICATIONS OF SURGERY FOR OBESITY -
TK Byrne - Surgical Clinics of North America, 2001 - Elsevier
... Patients expect to do well, have no complications ... no adverse sequelae from the procedure
or the weight loss. ... of these factors make bariatric surgery perhaps one ...

Weight loss and dietary intake after vertical banded gastroplasty and Roux-en-Y gastric bypass. -
RL Brolin, LB Robertson, HA Kenler, RP Cody - Annals of Surgery, 1994 - pubmedcentral.nih.gov
... partitioning: a randomized prospective comparison of one hundred patients. ... Gastric
bypass: analysis of weight loss and factors determining success. Surgery. ...

Source: Google Scholar

40% of Weight-Loss Surgery Patients Develop Complications

A growing number of people opt for surgery as a way to lose weight, but four in 10 develop complications within six months after surgery, according to a new U.S. government report.

However, one expert says that the report is based on old data and in fact, the procedure has become safer and less invasive, with only a fraction of the complications the report authors found.

In the report, published in the August issue of Medical Care, the authors looked at 2,522 insurance claims for bariatric surgery -- the general term for surgery to combat obesity -- done in 2001 and 2002.

"We found that the complication rate in the hospital was 22 percent, but it went up to 40 percent over the next six months," said lead author William Encinosa, a senior economist at the Agency for Healthcare Research and Quality, which sponsored the study.

The most common complications were dumping syndrome, which includes vomiting, reflux and diarrhea; complications resulting from the surgical joining of the intestine and stomach, such as leaks or strictures; abdominal hernias; infections and pneumonia, the researchers found.

"These additional medical utilizations are expensive," Encinosa said. Costs averaged $36,542 for obesity surgery patients who had complications in the six months after surgery, compared with an average of $25,337 for patients without complications.

Moreover, medical care costs for patients who were readmitted to the hospital because of a complication averaged $65,031, compared with $27,125 for those who didn't have to be rehospitalized.

"Insurance companies could save a lot of money if they could reduce these complications," Encinosa said. Encinosa said he didn't know how insurers could reduce costs, but he did say that as doctors develop more experience with the procedure, the rate of complications decreases.

Encinosa noted that even with a high complication rate, the surgery is cost-effective because losing weight reduces the risk of expensive diseases such as diabetes and high blood pressure. "The long-run cost benefits outweigh these complications," he said.

However, one expert said that the data used in the report is old and doesn't reflect the current procedure and its complications.

"This study was done over five years ago," said Dr. Philip R. Schauer, president of the American Society for Bariatric Surgery and director of the Bariatric and Metabolic Institute at the Cleveland Clinic Foundation. "Lots of hospitals and surgeons had just begun getting into bariatric surgery at that time, and there were no standards, so one can expect a significant complication rate," he added.

Schauer said that the American Society for Bariatric Surgery and other groups have established standards to qualify hospitals and doctors in preforming the procedure. "Complications are decreasing as there are more generalized standards across the country," he added.

When you look at the complications, many are minor ones, Schauer said. "For example, 19.5 percent of the complications were dumping, vomiting and diarrhea," he said. "These are common after weight loss surgery, self-limited and innocuous, and, in most, cases don't require medical treatment. That's nearly half of the complications." h

Schauer noted that in 2001 the most common operation was open bariatric surgery that necessitated making a large incision. A lot of the other complications are the result of this type of an open abdominal incision, including leaks or strictures, abdominal hernias and wound infection, he said.

Today, he said, most surgery is a minimally invasive laparoscopic procedure. "More than 60 percent of these operations are done laparoscopically," he said. "Within two to three years, it will be more like 90 or 95 percent."

Light Drinking Cuts Risk for Death, Heart Attack

Another study adds to the growing evidence that a drink each day helps lower heart risks and extend life span.

Moreover, the effect appears to be due to something other than alcohol's anti-inflammatory effects, the Florida researchers found. Prior studies have found that light to moderate drinking reduces blood levels of inflammatory markers such as C-reactive protein and interleukin-6.

"Light to moderate alcohol intake is associated with lower risk of cardiovascular disease in older subjects," concluded lead author Dr. Cinzia Maraldi, of the Institute on Aging at the University of Florida, Gainesville.

As reported in the July 24 issue of the Archives of Internal Medicine, Maraldi's team collected data on nearly 2,500 adults without heart disease, aged 70 to 79. Half of this group never drank or only drank occasionally. During an average 5.6 years of follow-up, 397 of the participants died, and 383 suffered some kind of cardiac event, the researchers reported.

The researchers found that those who drank lightly to moderately -- one to seven drinks per week -- had a 27.4 percent lower risk of death and close to a 29 percent lower risk for cardiac events, compared with the never or occasional drinkers.That difference held even after the researchers controlled for blood markers of inflammation. "The anti-inflammatory effect doesn't seem to explain these benefits," Maraldi said.

But the researchers stressed that the benefit was only seen in light-to-moderate drinkers. Heavy drinkers were actually more likely to die or experience a dangerous cardiac event than teetotalers or occasional drinkers, they noted.

Maraldi believes more research is needed into just how light drinking eases heart risk. Alcohol may act on specific cells or molecules to reduce the risk of cardiovascular disease, or it may interact with genetic factors, the researchers speculated.

One expert thinks that the protective effect of alcohol may be a combination of factors including anti-inflammatory and vasodilatory (artery-opening) effects."I don't think they have proven that it is not an anti-inflammatory effect, that's pretty hard to know," said Dr. Marc Siegel, an associate professor of medicine at New York University School of Medicine.

Siegel thinks that whether alcohol is protective or not, it does have toxic effects on the body.

"There is less cardiac death at low-to-moderate drinking, and there is more longevity," Siegel said. "The problem with alcohol is, it's toxic to the stomach, it's toxic to the liver, and it's toxic to the brain. I am cautious about recommending alcohol, because of its toxic effects," he said.

"If we didn't have alcohol in the world, our health would be better, not worse," Siegel said. "Overall, alcohol is very bad for us."

 
 
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