Category: Weight Loss Surgery

Weight Loss Surgery can reduce or cure diabetes

Weight Loss Surgery Can Reduce or Cure Diabetes

Now it was proven that weight loss surgery can reduce or cure diabetes. While there are many obesity-related diseases, perhaps none is as dangerous and as common as diabetes. The risk for diabetes increases dramatically the higher your body mass index, or BMI, as those struggling with morbid obesity that has a BMI over 40 are 600% times more likely to have diabetes than those with a BMI in the “normal” weight range, and countless more have pre-diabetes and other related diseases.

But for many, weight loss surgery can reduce or cure diabetes. When diabetes is caused by obesity, those that can lose a substantial amount of weight can often control the severity of their diabetes, and in some cases cure it altogether. The problem is that lifestyle interventions alone, such as diet and exercise, have a 95% failure rate within one year – meaning that most traditional weight loss efforts fail.

Bariatric Surgery for Diabetes

Weight loss surgery – especially gastric sleeve, gastric bypass, and duodenal switch – promote an average of between 60% and 70% excess weight loss, with some patients losing 100% of their excess weight in the process. The failure rate is very low as well. Only 6% of patients that receive duodenal switch, for example, fail to lose at least 50% of their excess body weight.

But of course, weight loss alone is often not the goal. For many, bariatric surgery is critical for fighting obesity-related diseases, such as diabetes. And the success rate of weight loss surgery on reducing or curing diabetes is significant.

According to a meta-analysis of numerous studies, 86% of patients that lost at least 55% of their excess body weight saw their fasting blood glucose return to near-normal levels, and their HbA1c levels return to “normal” and healthier levels. Only 14% of bariatric surgery patients still struggled with diabetes, and many of them still saw some symptom improvements. In most cases, patients no longer need to take any of their diabetes-related medications to see these improvements.

Perhaps most importantly, diabetes-related mortalities decreased by 92%.

Results of Weight Loss Surgery on Diabetes are Instant!

What is even more interesting about bariatric surgery is that many patients found that their diabetes was reduced – and sometimes cured – within only a few days after surgery, and well before any weight loss has occurred. This means that it is not weight loss alone that contributes to diabetes reduction. It may be weight loss combined with other factors unique to weight loss surgery, such as:

  • Decreased food intake.
  • Reduced nutrient absorption.
  • Changes to the gastrointestinal tract.

Researchers are still not entirely sure what may be helping insulin levels return to normal so soon after bariatric surgery, but it does help continue to paint a picture that indicates that weight loss surgery can fight and cure diabetes far better than diet and exercise alone.

Risks and Benefits of Bariatric Surgery to Reduce or Cure Diabetes

Diabetes is one of the leading causes of death in the United States. This health problem often drastically reduces an individual’s quality of life. Diet and exercise alone are rarely enough to cure the diseases. Bariatric surgery has perhaps the highest success rate to reduce or cure diabetes. The benefits of weight loss surgery may not be limited to weight loss alone.
Whether you should consider bariatric surgery a cure for your diabetes remains a decision between you and your doctor. Surgery does carry risks. But for many, diabetes is only one of the many benefits of weight loss surgery and combined it often makes important sense to consider the procedures for their health and quality of life.

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weight loss surgery patients

Handful of Weight Loss Surgery Patients Experience Lung Issues

A new study reports that patients with metabolic syndrome who have weight loss surgery are more likely to experience complications associated with the pulmonary system. A previous study done by Tufts Medical Center found that nearly 1% of patients who had pulmonary complications including atelectasis, pneumothorax or pneumonia had a history of metabolic syndrome.

Published in the February Issue of Clinical Anesthesiology, the study found that comorbid conditions of MetS (metabolic syndrome) such as high blood pressure, glucose intolerance and obesity oftentimes improved after bariatric surgery occurred. Researchers found that MetS who had bariatric surgery has not been studied closely enough to draw large conclusions.

The Tufts study looked at 158,405 different procedures with 52% being gastric bypass, 40% gastric banding and 4% gastric sleeve. Pulmonary complications in these surgeries included respiratory failure, pleural effusion, pneumonia, atelectasis, and acute respiratory distress syndrome. 78.5% of those studied were women with an average age of 45.7.

Nearly 20,158 of these patients had Metabolic syndrome or 12.7% total. The study found a close link to those with MetS and all pulmonary complications except pneumothorax, which was seen mostly in patients without MetS diagnosis. Respiratory failure and pneumonia were common for metabolic syndrome patients.

Researchers are trying to determine whether it is the existence of MetS that impairs the post-op processor if it is a combination of comorbidities that are responsible for this increased risk for complications in these patients. The researchers of both studies believe that medical testing is needed in order to draw a larger conclusion about this.
The Tufts’ study’s author, Dr. Schumann, believes that maybe these patients are just sicker and it makes sense that they run into more trouble after surgery. However, he also believes that it may be a combination of changes in the body that puts these patients at a higher risk for certain outcomes. Many suspects that inflammatory changes in the body may play an important role. This is where the next study should pick up from where these researchers left off.

Many of the researchers believe that the problem lies in the definition of the disease, however, many experts do believe it is the disease and not any comorbidities individually that cause this greater risk for patients. Once this is understood, patients with the Metabolic syndrome can be warned prior to having surgery for these complications.

Another Instance of Pulmonary Problems

In a 2013 PostGraduate Assembly, some researchers found that obstructive sleep apnea diagnoses and being overweight predicted a patient’s individual odds of being transferred to a step-down unit after surgery. They found that patients who used CPAP (continuous positive airway pressure) machines at home automatically continued on postoperatively. However, no word on the increased pressure in the esophagus down to the stomach was mentioned in regards to affecting the surgical site.

Whatever the instance, anything that affects the pulmonary system should be closely monitored and evaluated prior to weight loss surgery to prevent any dangerous life-threatening complications from occurring to patients.

weight loss brain

How Gastric Bypass Changes the Brain’s Response to Food

Gastric bypass is one of the most common types of bariatric surgeries, also known as weight loss surgery. It is well known that this procedure creates a much smaller pocket where food is stored, to reduce how much the patient eats and results in weight loss. But thanks to a new study conducted by the Medical Research Council, it might go a little further than that. The study looks at how gastric bypass changes the brain, specifically its response to food. This response lowers hunger and the act of eating for pleasure. It is great news for gastric bypass patients who became obese due to an emotional connection with food.

The Study

This study was conducted with 61 patients, both men, and women. About 21 people in the study had lost weight from the gastric bypass procedure, 21 lost weight from the gastric band procedure, also known as a lap-band, and the remaining 20 patients were in a control group who did not have a weight loss procedure. All three groups consisted of patients within the same body mass index (BMI). Functional magnetic resonance imaging (fMRI) was used to look at brain activity. This is a scanning technique that measures brain activity and looks for any changes in the individual’s blood oxygen levels.

The Results

The results of this study showed that there were definite changes in the brain’s response to food in gastric bypass patients versus gastric band patients. Patients who had gastric bypass performed had less activity in their brain when they were showing images of food for this test. This group also had less appealing outcomes for the foods high in calories and based on a scale for this study, found high-calorie foods less pleasant if they were to eat them post-surgery. Additionally, gastric bypass patients tended to have healthier eating habits as a whole, opting for healthier options and skipping most high-fat or high-caloric foods. While gastric banding patients also eat healthier and less in quantity, they did show slightly elevated brain response to food, in comparison. As expected, the control group that didn’t have weight loss surgery had the highest amount of response and show traits like impulsiveness, mood alterations, and binge eating.

The reason behind these results was less clear, though the hormone changes in gastric bypass patients might have something to do with it. This group tended to have more nausea and discomfort after eating foods high in sugar or fat, which may signal a hormonal change that also affects the brain’s response.

weight loss surgery affects food

Weight Loss Surgery Post-Op Eating

One of the most effective treatments for obesity is weight loss surgery, although there is a certain stigma attached to those who undergo its procedures. A lot of the time, many people find that it can impact greatly on their lives and really make a difference in the way they see themselves. As well as being an effective treatment of the problem of weight gain itself, it can also help to decrease the various other health issues that can come about because of it. Heart attacks, diabetes, and other issues can all be reduced. It was also discovered that one particular surgery –the gastric bypass- was one of the most effective ones.

The Gastric Bypass and the Gastric Band

With gastric bypasses, the digestive system literally bypasses the stomach. This means that undigested foods go straight into the intestines. With the gastric band, however, the stomach is physically restricted. This means that a person who eats a certain amount is going to feel physically full, even if they have not eaten what would normally be considered “enough.”

Studies on those who have undergone these weight loss procedures show that once the procedure was done, individuals tended to shy away from foods that were high in fat and sugar content.

Effects on the Brain

There is research to suggest that weight loss surgery actually has a considerable effect on the way that the human brain works. Many now believe that the brain patterns and function actually change in order to accommodate a new way of living and eating. MRI scanning techniques were used to examine the brain activities of patients. A control group of individuals who were not operated on was used as was a group of individuals who had undergone the surgery. Everyone was around the same weight level.

They found significant differences in the way that each person’s brain responded to food. Gastric bypass patients were found to have a lot less activity when it came to the reward regions of the brain. Food simply did not give them the level of pleasure that it normally would have in the past. To patients who had undergone the procedure, high-calorie foods just did not have the same appeal as they used to.

At present, there is no conclusive evidence as to what might cause these changes. However, differences in metabolism are thought to play a major role in these changes.