Trenton, NJ – Weight-loss surgery such as the type that New Jersey Gov. Chris Christie underwent may not just improve people’s waistlines, but their health.
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Obesity causes or worsens myriad health problems, from diabetes to heart disease, severe sleep apnea to arthritic knees. Christie has revealed that after struggling with his weight for 20 years and the reality check of turning 50, the desire to be healthy for his four children motivated him to have an operation called stomach banding.
“He’s doing the right thing,” said Dr. Jaime Ponce, president of the American Society for Metabolic and Bariatric Surgery. “He’s at the age he really needs to address his problem, to live longer, in a better way, with a better quality of life.”
Specialists perform about 160,000 weight-loss operations a year in the U.S., according to a recent analysis by the surgeons’ group. Surgery isn’t a panacea, it isn’t for everyone — and some forms work better than others.
Some questions and answers about the different types:
Q: What is the most common form of weight-loss surgery?
A: In the U.S., it’s gastric bypass, sometimes called stomach-stapling. It generally results in the most weight loss. Doctors wall off a small pouch in the stomach, so that it can hold only a small amount of food. Then, they reroute that food past part of the intestine so the body also absorbs fewer calories.
Q: How is stomach banding different?
A: It’s a less invasive operation, and unlike gastric bypass, it’s reversible — the band can be removed if necessary. Best known by the brand name Lap-Band, an adjustable band is placed around the stomach to restrict how much food someone can eat at one time. As initial weight is lost, the band can be tightened. Typically, patients don’t lose as much as with gastric bypass.
Q: Are those the only options?
A: The third major approach is called a gastric sleeve, which removes a large chunk of the stomach and thus cuts production of one of the body’s hunger-stimulating hormones. Other, less used options including a complex operation called a duodenal switch that also involves rerouting food.
Q: How well do these operations work?
A: Over a year or two, weight-loss surgery can lead to loss of 50 percent to even 80 percent of the person’s excess weight — if they stick with a healthy diet and exercise. More important, research shows weight-loss surgeries can reverse Type 2 diabetes in patients who lose enough weight and keep it off. Gastric bypass causes the fastest weight loss, and stomach banding a more gradual loss.
But patients don’t always benefit enough to justify surgery. The Agency for Healthcare Research and Quality cited reports that within five years, up to a third of stomach banding patients aren’t maintaining their weight loss.
“You don’t want somebody to always drink milkshakes because they’re going to defeat the surgery over time,” Ponce said.
Q: Is surgery safe?
A: Most are done laparoscopically — through small incisions — and Ponce’s group says the risk of death is lower than for operations to remove a gall bladder or replace a hip. However, patients may suffer infection, blood clots, and broken or leaking stitches or staples.
After surgery, side effects can include vitamin deficiencies as food is digested differently, and vomiting as people learn to eat less and chew well. Gastric bypass patients also may suffer a complication that causes cramping and diarrhea, especially after eating sweets. The gastric band may slip out of place.
Q: Who’s a candidate?
A: Generally, someone who is about 100 pounds overweight and has failed other attempts to lose. Doctors evaluate body mass index, a measure of weight for height. Candidates have a BMI of at least 40, or a BMI of 35 along with a weight-related health problem. For example, someone who is 5-foot-10-inches and weighs 279 pounds has a BMI of 40.
In 2011, The Food and Drug Administration relaxed the rules for stomach banding, allowing it for patients with a BMI as low as 30 who have a weight-related medical condition.
Weight-loss surgery can cost anywhere from $14,000 to $20,000; insurance tends to cover it for people who are sicker and more obese.
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Online:
BMI calculator: http://tinyurl.com/b53foz
Weight-loss surgery: http://asmbs.org/
There is another form of bypass surgery and it’s called Rouh-en-Y where the surgery is performed so that the food goes directly into the small intestines and bypasses most of the stomach.
I had the roux-en-y in 2001 and I lost almost 250 pounds. I would do it again in a split second if I had to do it all over again. #Lifechanger
Where in Torah does it say we can mutilate ourselves rather than exercise self control and work a little bit at being healthy? This is unnecessary and dangerous surgery. If Mr. Christie would learn the proper way to eat for his body type and stick to it he’d have lost the weight and remained healthy. Now he’s walking around with missing parts and having to live an artificial life style.
This works: http://www.naturalhealthyellowpages.com/metabolic/self_test.html
I was never heavy and I ate a ton but I wanted to try vegetarianism, in part because we didn’t have good kosher availability. Boy, did that mess me up and I was doing it the right way. I really studied it and I love to cook so what started out as a fun challenge turned into poor health and a 45 lb. weight gain with concurrent high LDL due to a triglyceride level thru the roof.
I didn’t remain on the veggie diet for more than a few months but the effects lasted about 5 years. When I eliminated ALL gluten grains, I lost the 45 lbs and all the associated inches. Best of all, Triglycerides dropped 90 pts. into normal range.
“Let your food be for medicine.” You won’t need “medicine” if you do.
Go w the sleeve. I had it done 10 months ago and lost 135lb,no vommiting no vitamin deficiantcy, i can eat watever i want just a quarter of what i used to.
Everyone has his own opinion. Those of you who don’t have a weight problem think it is just a matter of self control. But, I know that is not the answer because I’ve tried losing weight several times and it isn’t easy. So if Gov. Christie wants to lose weight a different way, it’s nobody’s business as long as it isn’t dangerous to him, because he is a good man and I am hoping he’ll be the next president.