During a sleeve gastrectomy, surgeons remove most of the stomach and create a long, slender pouch, or sleeve, from the remaining portion of the stomach, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases. Reducing the size of the stomach limits the amount of food you can eat.Removing most of the stomach also causes changes in gut hormones, suppresses appetite, lowers blood sugar and may make you feel fuller longer, according to the NIDDK.Despite the weight gain and the return of diabetes, Keidar believes surgery is still the best hope obese patients have. “The results are still better with surgery than from diet programs or other treatments,

Dr. Mitchell Roslin, chief of obesity surgery at Lenox Hill Hospital in New York City, “After Weight Loss Surgery’sthe metabolic rate goes down and that opposes weight loss, so you can be eating significantly less than you used to and begin to regain weight. No matter what the operation is, the body wants to go back to its original weight.”Dr. Anita Courcoulas, chief of the Section of Minimally Invasive Bariatric and General Surgery at the University of Pittsburgh School of Medicine, said, “There are still critical gaps in knowledge about the long-term results of bariatric surgery.”

Gastric Weight Loss Surgery, including this one, the rates of complete follow-up of patients are low. For example, in this study only 49 percent of people provided data three years after Gastric Weight Loss Surgery.”This means that people who do not return to their surgeon or medical center may have different experiences and/or different results from those who do,” said Courcoulas, who wrote an accompanying journal editorial.Five years after sleeve gastrectomy, people regain weight and fewer remain free from type 2 diabetes, she said.”This implies that longer-term and more complete follow-up is needed to determine more definitively the long-term outcomes of this procedure,Courcoulas. In addition, she noted that there aren’t many studies on selecting who the best patients are for these surgeries, and whether or not specific procedures have better or worse results. Sorce

2 of 2Next
Continue Reading on Next Page

Comments are closed.