Posts Tagged ‘bariatric surgery’

When Lifesaving Medical Care is “Cosmetic”

February 20, 2018 — Shawn Alvarado is not healthy and he knows it. He has a sedentary job, working as a dispatcher for a moving company. Now 53 years old, he’s been gaining weight ever since he was a teen. He weighs almost 500 pounds. He has heart disease, diabetes, and sleep apnea. Without a gastric bypass, his cardiologist […]

Weight Loss Surgery: The False Stigma of an Easy Way Out

February 13, 2018 — An unfounded stigma surrounds weight loss surgery. This prejudice has its primary roots in forgivable ignorance about the reality of a body’s resistance to weight loss. A widespread view is that obesity is a chosen way of life, not an actual disease. The Pattern of a Disease The World Obesity Federation recently published a statement […]

Still Getting Ready to Rethink Obesity

January 20, 2018 — The big JAMA obesity issue came out this week with a promising theme: “Reimagining Obesity in 2018.” It was full of good new data on bariatric surgery. But it was a little short on imagination. At JAMA, judging by the content of this special issue, they’re still not quite ready to rethink obesity. Count Calories, […]

Cutting the Risk of Death by 43% with Bariatric Surgery

January 17, 2018 — JAMA released a special issue devoted to obesity late yesterday. Bariatric surgery is front and center. The study that’s grabbing headlines is a retrospective study of survival after bariatric surgery. In a very careful analysis, researchers found that after approximately 4.5 years, bariatric surgery cuts the risk of death by almost half, compared to usual […]

Bariatric Surgery Can Protect Teen Hearts

January 9, 2018 — In severe obesity, teen hearts are at risk. High blood pressure, cholesterol, and type 2 diabetes can begin harming these young people early in life. But a new study published yesterday in Pediatrics confirms that bariatric surgery can resolve these risk factors for teens. An 85% Drop in Teens with ≥ 3 Risk Factors At the […]

Hucksterism, Nihilism, and Reality in Obesity

December 15, 2017 — The time is coming near. As this year draws to a close and the next year opens, people are lining up to sell you inspiring stories of weight loss. These stories are all about people who have changed their lives in dramatic ways. Sometimes they’re selling a product or a program. Sometimes it’s a book. […]

Liver Function Improves after Bariatric Surgery

December 14, 2017 — Many people think obesity is all about weight and height and BMI. To them, we suggest pausing to think about the liver. Everyone has one. No one can live without it. And in obesity, liver function suffers. But with a new study published in Diabetes Care, we find some encouragement. Researchers found that six months […]

Biology? Not So Important in Obesity, Say PCPs

December 13, 2017 — We have a new window into the thinking of primary care physicians (PCPs) about obesity. But the view is dismal. On the subject of obesity, physicians believe that that biology is not so important. Why do people with obesity tend to regain weight? Physicians say behavioral factors are more important than biology. Likewise, they rated […]

How Will Health Policy Angst Affect Obesity Care?

November 2, 2017 — Efforts to repeal and replace Obamacare have come and gone this year. They may come again. But for now, seven years after passage of the Affordable Care Act, the direct impact on obesity care has been hard to see. At the ObesityWeek advocacy forum Wednesday, you could hear just about any perspective you wanted. The […]

Does a Gastric Sleeve Affect Teen Brain Function?

November 1, 2017 — At ObesityWeek, the Obesity Journal Symposium is always a good bet and yesterday was no exception. Among five excellent papers, one was especially intriguing – a study of how a gastric sleeve affects teen brain function. It was a small, but careful study with tantalizing results. Alaina Pearce and colleagues studied 36 patients in one active […]