If I cannot exercise how will my surgeon assess my cardiac status prior to surgery

Many overweight people have difficulty completing a regular stress test. But just because you have difficulty walking on a treadmill isn't a reason not to evaluate your heart. In fact, it is probably even more important to evaluate the heart in a person who is out of shape. Surgery does stress the heart, and it is crucial to be sure a person's heart will withstand surgery. If this is your situation, one option available to your doctor is a dobutamine stress echocardiogram. In this type of...

What does the RouxenY procedure entail Is this the type of surgery that celebrities like Al Roker and Carnie Wilson

The Roux-en-Y procedure (Figure 2.4) is the most commonly performed bariatric surgery. Reportedly, both Al Roker and Carnie Wilson underwent the Roux-en-Y surgery. While it is primarily restrictive, it does have a malab-sorptive component (but nothing like the BDDS). This procedure creates a very small stomach pouch, which is stapled horizontally, separating it from the rest of the stomach. In some cases the small stomach pouch is physically separated from the rest of the stomach. Initially the...

Is there any medication that can help prevent gallstones from forming during rapid weight loss

One large multicenter study reported that treating patients with ursodiol (a medication that prevents gallstone formation) at a dose of 600 mg per day was highly effective in preventing gallstone formation during the rapid weight loss phase immediately following surgery. In this study gallstones formed in 32 percent of people who received placebo (sugar pill) versus 2 percent of those treated with ursodiol at 600 mg per day. Based on this data some centers routinely use 600 mg of ursodiol per...

Bibliography Of Gastric

Annual Deaths Attributable to Obesity in the United States. Journal of the American Medical Association 282 (1999) 1530-38. Balsiger, B. M., et al. Prospective Evaluation of Roux-en-Y Gastric Bypass as Primary Operation for Medically Complicated Obesity. Mayo Clinics Proceedings 75 (2000) 673-80. Blackburn, G. L. Managing Obesity in America An Overview. Johns Hopkins University School of Medicine Advanced Studies in Medicine 2 (2002) 40-49. Brolin, R. E. Bariatric Surgery...

What about gastric banding Is it more successful than verticalbanded gastroplasty

Gastric banding (Figure 2.2), also known as lap band surgery, uses an inflatable silicone band to divide the stomach and create a very small stomach pouch. While the diameter of the band is generally about two inches (five centimeters), the surgeon can adjust the diameter by pumping saline into the band from a reservoir implanted under the patient's skin. Just as with vertical-banded gastroplasty, blockage of the band can be problematic, and unfortunately the reservoir implanted beneath the...

Exercise

Once I have surgery, what kind of an exercise program should I be striving for After surgery the best exercise program is the one you will stick with. For many people, daily exercise means the difference between achieving their ideal weight and settling for a less dramatic success. In addition, as I noted earlier, without exercise, many people begin to gain some weight back after about a year of consistent weight loss. Exercise can improve your overall health. It can also markedly improve blood...

Sample Letter from Your Primary Care Doctor or Surgeon

To Whom It May Concern Re Donna Smith (DOB 11 30 69) I am writing to request coverage for gastric bypass surgery for my patient Ms. Donna Smith. Ms. Smith is a thirty-three-year-old woman who is 5'3 tall and weighs 295 pounds, giving her a BMI of 52. She already suffers from many obesity-related disorders including diabetes, hypertension, hyperlipidemia, and sleep apnea. She has also been diagnosed with polycystic ovary syndrome and has been unable to become pregnant. I believe all her...

Will I need to have a cardiac stress test also called an exercise test before surgery

It is possible your surgeon will want you to have an exercise stress test prior to your surgery. People who are likely to require a stress test include people who have had heart disease, diabetes, or a stroke. In addition if you have multiple heart disease risk factors including high blood pressure, high cholesterol, cigarette smoking, or a strong family history of heart disease your doctor may request that you have a stress test. Men over the age of forty-five and women over fifty-five may...

What kinds of complications can occur in the first few months after the surgery

One of the big risks associated with gastric bypass surgery, especially if it is performed in the summer, is dehydration. The stomach pouch is very small, generally one to two ounces. If it is very hot you might have a hard time drinking enough water to prevent dehydration. I advise trying to sip water all day long and staying out of the hot sun. Vomiting is a very common occurrence. Vomiting can occur early on as a result of swelling (due to the surgery) of the tissue surrounding the opening...

Think I am a good candidate for gastric bypass surgery What do I need to do to obtain insurance coverage for this

Unfortunately, it is not enough for you to think you will be a good candidate for surgery you must also meet the National Institutes of Health guidelines for surgical eligibility. These guidelines state that candidates for obesity surgery must have 1. A BMI of 40 or more, or in some cases a BMI of 35 or more in association with one or more major obesity-related medical or physical problems. 2. Failed all previous attempts at weight reduction by conventional means (diet, exercise, counseling,...