January 2019 Health Matters

The latest news on the health and wellness issues that matter most • Novem Health Matters The latest ne s the health and wellness issues that matter most • January 2019

Help That New Year‘s Resolution Become A Reality

W ith the beginning of the New Year, a lot of people will decide to try to lose weight. Many of us make that resolution year after year without success and the idea of failing to lose weight once again can lead to depression and low self-esteem, which can contribute to more weight gain.

for weight loss and a nutritionist for diet,” explains Dr. Dailey. “If goals cannot be met, for the morbidly obese or for very overweight patients, then bariatric surgery may be indicated.” Dr. Dailey cautions that even for the right surgical candidates, the surgery is not magic and doesn’t make you automatically lose weight. “The main goal is not cosmetic but rather to be healthier,” says Dr. Dailey. “It takes the cooperation and commitment of otherwise healthy patients to exercise and maintain good eating habits.” When bariatric surgery is combined with intense nutritional training and exercise, patients can expect to lose 70 to 80 percent of excess body weight, explains Dr. Dailey. “With surgery alone, they may lose 40 to 50 percent of excess weight, but we encourage patients to commit to the entire program to get the best results.” Candidates for surgery are those for whom other weight loss strategies have failed. For those with a body mass index (BMI) over 40, the risk of the surgery is less than the risk of living at that weight for the long-term. Persons with a BMI over 35 with obesity–related complications or with a BMI over 30 with refractory diabetes are also candidates.

In the most commonly performed non-reversible, gastric sleeve surgery, 70 percent of the stomach is removed and the remaining portion resembles a much smaller, banana-shaped “sleeve,” Dr. Dailey explains. “Some of the mechanisms that cause weight loss after the sleeve are reduced hunger since the hormones that create hunger pathways in the mind are reduced,” says Dr. Dailey. “The receptive stretch the stomach undergoes when we eat large meals is prevented, which results in the consumption of smaller meals, and it makes the stomach empty faster so that it alters digestion, aiding weight loss.” In gastric bypass surgery, which has been in use as a surgical treatment for obesity for many years, the surgeon makes a small pouch that bypasses most of the stomach and goes straight to the intestine. This limits food intake and lowers the calories absorbed. Dr. Dailey reports that post-surgery, patient satisfaction is extremely high. Not only is significant weight loss seen, but also, expectations for additional weight loss continue for 12 to 18 months after surgery, with diligent exercise and nutrition education.

Bariatric surgery may help you break the cycle. If you are considered clinically obese and have been struggling for years to lose weight without success –NCH Bariatrics may be able to help you. Specializing in bariatric weight-loss surgery, NCH general surgeon Wesley Dailey, MD says that the program is reaping excellent results.

Dr. Wesley Dailey

But Dr. Dailey is quick to stress that surgical options for the clinically obese are a last-resort method of treatment. “Persons should first see a medical doctor to try the least invasive options first, such as medication

For more information about NCH Bariatrics, call (239) 624-0390.

NCH Bariatrics

There are a number of techniques used to perform bariatric surgery:

Medical Weight Loss Program NCH Bariatrics team includes experts from every medical specialty connected to obesity and weight loss. These professionals work together to design the safest, most effective individual treatment plan for you.

Gastric Bypass Gastric bypass surgery is a type of bariatric, or weight loss, surgery. During gastric bypass surgery, your physician makes changes to your stomach and small intestine to change the way they absorb and digest food. Sleeve Gastrectomy Surgeons perform laparoscopic sleeve gastrectomy by removing approximately 75-80 percent of the stomach. The remaining stomach is a tubular pouch that resembles a banana. Orbera ® This procedure involves inserting a balloon into the stomach and filling it. The filled balloon takes up space in the stomach resulting in feeling fuller, faster.

Weight Loss Improves: • Cholesterol • Triglycerides

• Female Fertility • Sleep apnea • Digestive problems like GERD

• Stroke risk • Breathing • Cardiac risk • Cancer risk • Heart rate • Diabetes • Kidney disease risk

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