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weight loss surgery

New Study Finds Weight Loss Surgery Extends Lives

03/02/2023 by DrCurry

anatomy of gastric sleeve procedure

by Dr. Trace Curry, Cincinnati, Ohio

I remember when I did my first laparoscopic gastric bypass in 2003 at Wayne Hospital in Greenville, Ohio.  I was a general surgeon then, and I wanted to branch out and challenge myself with more advanced procedures.  Those were the very early days of laparoscopic weight loss surgery, and we were still fighting the bad rap of years of high complication rates from the same exact procedure being done with a huge 12 inch incision.  Originally, I had planned on weight loss surgery being just a small part of my general surgery practice, but when I saw how these procedures totally transformed my patients’ health with just a few tiny incisions, I quickly decided to dedicate my entire practice to this exciting field.  I could see a patient’s life expectancy improve right before my very eyes – in fact I once had a patient who was so obese and had such severe sleep apnea that he had to have a tracheostomy done (this was long before Thousand Pound Sisters).  When he came in for his 1 year post op check after his gastric bypass procedure, he proudly rode his bike right into my office, his trach tube long removed!

As a weight loss surgeon, the fact that weight loss surgery increases life expectancy is something that has been plainly obvious to me for the last 20 years.  Now, however, we have new data from a study spanning 40 years and including nearly 22,000 people that confirms this as fact!

These results were just published last Wednesday in the journal Obesity. It was a retrospective study out of Utah, meaning the researchers looked back at data from patients over past years. They looked at patients with and without weight loss surgery and matched patients for things such as age, sex, and BMI so they were comparing apples to apples. There were 21,837 matched surgery and non-surgery pairs and the follow up was up to a very impressive 40 years.  This study is important not only because of the large number of patients including such a large time span, but also because it involves data on American patients which may be more applicable to patients in my practice than if the data were taken from, say patients in Sweden or Africa.

Four procedures were examined (listed from most common to least common):

  • gastric bypass
  • gastric sleeve
  • gastric band
  • duodenal switch

The researchers found that patients who underwent one of these procedures were 16% less likely to die from any cause, 29% less likely to die from cardiovascular disease, 43% less likely to die from various cancers, and incredibly–72% less likely to die from diabetes!

There have been other large studies that support the data seen here, so I feel like it’s about time to shout it from the rooftops!  In the U.S., it’s estimated that only 2% of patients who qualify actually end up having weight loss surgery.  Some of this is related to lack of insurance coverage, and some to patients’ reluctance to seek out weight loss surgery.  Many patients are not even aware that, when they choose an insurance plan, it may exclude access to a surgical weight loss procedure which they qualify for medically.  Not because they don’t need it, but because language is written into their policy that says it’s not going to be covered, no matter how badly they need it.

Regardless of the reason, considering modern techniques, the complication rate for bariatric surgery procedures such as gastric bypass, gastric sleeve, Lap Band, and duodenal switch are miniscule compared to what they used to be 30 years ago.  This, given with the data we see from this study and others, should compel more insurance companies to provide coverage for these life-saving procedures and more patients to consider taking this step to be rid of the disease of obesity.

Trace Curry M.D.

 

Dr. Trace Curry is the medical director of JourneyLite Physicians and JourneyLite Surgery Center in Cincinnati, Ohio.  JourneyLite is a multi-specialty center that focuses on advanced outpatient laparoscopic weight loss surgery and incisionless weight loss procedures.  He has done over 7000 weight loss procedures in his career and is a key opinion leader in the field of surgical and incisionless weight loss.

Gastric Sleeve

vertical sleeve gastrectomy

Gastric Bypass

gastric bypass anatomy

SIPS

loop duodenal switch

Lap Band

lap band photo

Filed Under: Education Tagged With: duodenal switch, gastric band, gastric bypass, gastric sleeve, lap band, SADI, SIPS, weight loss surgery

SIPS Procedure (Loop Duodenal Switch/SADI)

loop duodenal switch
SIPS Procedure

The SIPS procedure, also called loop duodenal switch or the SADI procedure, is a modification of the standard duodenal switch operation designed to provide equivalent weight loss with less risk.

SIPS stands for Stomach Intestinal Pylorus Sparing, which means that ingested food still passes through the pylorus after a SIPS procedure.  The pylorus is the valve at the bottom of the stomach that controls the rate of emptying of food into the small intestine.  Preserving the pylorus has numerous advantages over a traditional duodenal switch, such as bile reflux gastritis, ulcers, and hypoglycemia/dumping syndrome.  Also, using a loop of intestine to connect the stomach to rather than a traditional Roux limb, only one connection needs to be made which could potentially reduce the leak rate.

SIPS/SADI/DS Infobit

Other Surgical Options

Gastric Sleeve

vertical sleeve gastrectomy

Gastric Bypass

gastric bypass anatomy

Lap Band

lap band photo

Infosession

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Meet Dr. Curry online!

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Interactive Online Weight Loss Navigator

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Surgical Weight Loss

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For a limited time save $1000 on select self-pay weight loss procedures!

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Gastric Sleeve

vertical sleeve gastrectomy

SIPS

loop duodenal switch

Gastric Bypass

gastric bypass anatomy

Lap Band

lap band photo

Revisions

050131-F-1936B-008
Doctors Ronald Post (left) and John Smear (center) and Physician's Assistant Debra Blackshire perform laparoscopic stomach surgery at Langley Air Force Base, Va., on Jan. 31, 2005.  The surgery will involve the removal of the gall bladder to help alleviate acid reflux disease.  DoD photo by Staff Sgt. Samuel Bendet, U.S. Air Force.  (Released)

Online Infosession

man looking at some information on his digital devices
Click here to watch Dr. Curry's online weight loss surgery infosession!

Are you considering weight loss surgery in Cincinnati, Dayton, or Columbus, Ohio? If so, education should be your first step in the process. As a leading bariatric surgery center in Ohio, we strive to educate our patients on all aspects of surgery. On this page, we will start by examining the broader definition of weight loss surgery.

Weight loss is defined as a decrease in body weight resulting from either diet and exercise or voluntary activities. However, extremely overweight people often have difficulty losing weight by engaging in voluntary activities or even with medically supervised diets, exercise and behavior modification programs.

In some instances, they may already have health problems as an effect of their weight problem, which are called co-morbidities. Weight loss surgery is often considered an option to help them lose weight, gain back their health, and eliminate their co-morbidities.  Type II diabetes is a great example, as most of the time this disease will go into remission after surgery.

Weight loss surgery is commonly known as bariatric surgery and involves surgical procedures done on the stomach and/or intestines to help a person  lose weight. This is usually considered an option for persons who have a BMI above 40. It is also an option for people with a BMI of 35 to 40 who are experiencing health problems such as Type II diabetes or heart disease.  Lower-risk procedures such as gastric banding are even sometimes offered to patients with a BMI of 30-35 on a case-by-case basis.

We offer 5 procedures as we feel a comprehensive approach is in the best interest of our patients.  Despite what you may read on some web sites, there is not a one-size-fits-all solution to obesity!

  • Lap Band
  • Laparoscopic Sleeve Gastrectomy
  • Laparoscopic Gastric Bypass
  • Laproscopic Loop Duodenal Switch (SIPS Procedure)

If you feel like surgery is not for you but you still want to lose weight and improve your health, we offer the non-surgical gastric balloons, as well as comprehensive medical weight loss programs with pharmacologic support including the diet pill Adipex (phentermine).

Use these pages to learn more about specific types of bariatric surgery. If you are seeking one of these weight loss surgery options in the Cincinnati, Ohio, or Northern Kentucky area, please watch our online seminar to learn more or to schedule a consultation.

Go back to weight loss navigator...

Infosession

man looking at some information on his digital devices

Meet Dr. Curry online!

Navigator

navigating with a compass

Interactive Online Weight Loss Navigator

eStore

Fast Track Chewy Bars

Protein, Vitamins, & More!

Weight loss surgery safer than previously thought

13/01/2014 by DrCurry Leave a Comment

164 Studies,
161,756 Patients
Over Nearly 10 Years:
What Does This Add Up To?

BARIATRIC AND METABOLIC SURGERY EVEN MORE EFFECTIVE THAN PREVIOUSLY REPORTED AND GETTING SAFER!

Click here for a link to the article about a recent publication in JAMA.

Dr. Curry

Filed Under: Anouncements Tagged With: bariatric surgery, gastric sleeve, lap band, weight loss surgery

Weight loss surgery cuts diabetes risk by 78%

03/09/2012 by DrCurry Leave a Comment

A new study study from Sweden shows that patients who had weight loss surgery reduced their risk of developing diabetes by 78%! 25 million + Americans have diabetes, don’t wait until you have it – do something about it now!

See ABC news story here.

Click here to register for an online seminar to find out more about your options!

Trace Curry MD

glucose meter
Don’t wait until you have to use one of these!

Filed Under: Uncategorized Tagged With: diabetes, gastric band, gastric bypass, lap band, realize band, sleeve gastrectomy, weight loss surgery

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