>> WEIGHT LOSS IS A POPULAR TOPIC. THE TRENDS AND FADS.
>> SOME BARIATRIC SURGERIES AS
AN OPTION IN DIFFERENT TYPES TO
CONSIDER.
DEADLY MISCONCEPTIONS OUT THERE
TOO.
>> MORNING ANCHOR AND HEALTH
REPORTER KIRSTEN O’CONNOR IS
HERE TO ASK A DOCTOR.
>> AND THAT IS RIGHT LADIES.
DEFINITELY A LOT OF QUESTIONS
SO HERE TO HELP US OUT WITH
SOME OF THOSE POINTS THAT MAY
BE A LITTLE DIFFICULT TO RAISE
TO YOUR DOCTOR.
HERE’S A BARIATRIC SURGEON AT
THE MEDICAL CENTER.
THANK YOU SO MUCH FOR BEING
WITH US TODAY.
>> THANK YOU FOR HAVING ME.
>> SOME OF THESE QUESTIONS
PEOPLE HAVE STARTING OFF NOT
UNDERSTANDING WITH THESE
BARIATRIC SURGERIES ARE ABOUT.
SOME PEOPLE HAVE CALLED IT A
LAZY WAY OF LOSING WEIGHT.
WHY IS THAT NOT THE CASE?
>> TYPICALLY WE ARE DEALING
WITH A DIFFERENT POPULATION.
SO WEIGHT LOSS SURGERY IS
REALLY GOOD FOR PATIENTS THAT
ARE TYPICALLY 80 TO 100 POUNDS
OVERWEIGHT.
YOU HAVE SOME ASSOCIATED
MEDICAL CONDITIONS WHICH IS
DIABETES AND HIGH
BLOOD-PRESSURE.
AND THEY TYPICALLY FIELD ALL
OTHER TYPES OF TREATMENT
WHETHER IT BE DIET OR MEDICAL
WEIGHT LOSS.
SO THEY BASICALLY COME TO THE
POINT WHERE THEY INTRODUCE IT.
>> SO THEY HAVE TRIED OTHER
>> USUALLY SURGERY IS NOT THE
FIRST LINE OF TREATMENT THAT WE
DISCUSSED.
TYPICALLY PATIENTS WILL MEET
WITH HER MEDICAL DOCTOR AND
THEY MAKE IT DIETARY
NUTRITIONAL ACCOUNTS AND MEET
WITH NUTRITIONIST.
SOMETIMES THEY WILL BE PUT ON
MEDICATIONS FOR THE WEIGHT
LOSS.
SO NOT REALLY THE FIRST
TREATMENT CHOICE THAT WE
DISCUSSED.
>> SOME OF THESE PATIENTS TO
COME IN PROBABLY HAVE A LOT OF
STEPS WRITING WANT TO CALL THEM
HOOPS BUT THINK THEY HAVE TO GO
THROUGH BEFORE.
NOT ONE AND DONE PROCESS LIKE
HEY I’M COMING IN FOR THE
SURGERY AND WERE GETTING READY
FOR TOMORROW.
>> CORRECT.
TYPICALLY WE ARE DEALING NOT
ONLY WITH PATIENT FACTORS THAT
MIGHT INCLUDE MEDICAL
CONDITIONS THAT WARRANT A
LITTLE BIT MORE OF A WORKUP
PRIOR TO SURGERY.
WE ARE DEALING WITH SOME
PSYCHOLOGICAL ASPECTS THAT NEED
TO BE DISCUSSED.
WHICH MIGHT INCLUDE SOME
PSYCHOLOGICAL DISORDERS,
TYPICALLY EATING DISORDERS.
MAYBE HISTORY AND SUBSTANCE
ABUSE.
ALSO DEALING WITH INSURANCE
MANDATES THAT REQUIRE THE
PATIENT TO ACTUALLY GO THROUGH
MEDICAL SUPERVISED WEIGHT LOSS
PRIOR TO DISCUSSING A SURGERY.
>> SO WHAT ARE THE SURGICAL
OPTIONS.
I KNOW PEOPLE HAVE HEARD ABOUT
THE SLEEVE BEFORE BUT WHAT ARE
SOME OF THE OTHER ONES YOU HAVE
PERFORMED?
>> TYPICALLY TWO TYPES OF
PROCEDURES.
WE HAVE WHAT ARE CALLED
RESTRICTIVE PROCEDURES WHICH
TYPICALLY BLOCK HOW MUCH WE CAN
EAT AND LIMITS HOW MUCH YOU CAN
EAT.
IT IS REALLY ONLY INVOLVING
PARTITIONING A STOMACH AND
MAKING A STOMACH SMALLER.
AND THEN WE HAVE WHAT ARE
BYPASS TO LIMIT THE AMOUNT OF
ABSORPTION OF CALORIES THAT ARE
INGESTED.
>> AND SO WHEN THAT HAPPENS IS
IT POSSIBLE FOR THE PATIENT TO
GO BACK TO THE SAME KIND OF
SITUATION THAT THEY WERE IN
PREVIOUSLY?
>> THERE IS DEFINITELY THE
ABILITY FOR PEOPLE TO GO BACK
AND DO CERTAIN BAD BEHAVIORS.
THERE ARE DIFFERENT PROCEDURES
AS WE DISCUSSED.
AND SOME OF THE PROCEDURES MAKE
IT EASIER FOR PATIENTS TO
POTENTIALLY GET BACK INTO SOME
POOR HABITS.
SO FOLLOW UP IS CRITICAL WITH
ALL OF THESE PROCEDURES.
FOLLOW UP NOT ONLY WITH YOUR
MEDICAL DOCTOR, FOLLOW UP NOT
ONLY WITH YOUR BARIATRIC
SURGEON BUT ALSO FOLLOW UP WITH
NUTRITIONIST AND MANY TIMES
ALSO FOLLOW UP WITH
PSYCHOLOGICAL PERSONNEL.
>> IT SOUNDS LIKE IT COULD BE
ONE OF THE MOST EXTREME CASES
OF WEIGHT LOSS BOTH MENTALLY
AND PHYSICALLY.
>> I DO NOT KNOW ABOUT THAT
BECAUSE A LOT OF THESE PATIENTS
HAVE REACHED THE POINT WHERE
NOTHING ELSE HAS WORKED.
AND THIS IS THEIR CHANCE FOR
SUCCESS.
AND AS WE GO THROUGH THE
HISTORY OF BARIATRIC SURGERY WE
HAVE STARTED TO LEARN A LOT
MORE ABOUT CAUSES OF OBESITY
AND HOW WE CAN FIGHT A LOT OF
THE FACTORS THAT LEAD PEOPLE TO
BECOME OBESE.
A LOT OF THESE PROCEDURES
CREATE NOT ONLY DIMINISHED
ABILITY TO PUT LARGE QUANTITIES
OF FOOD BUT IT ALSO CHANGES THE
WAY THE BRAND WORKS AND TAKES
AWAY THIS INHERENT PROPERTY
THAT IS BUILT INTO US TO
PROTECT OURSELVES TO ALWAYS EAT
AND EAT AND EAT.
SO BY LIMITING THE AMOUNT YOU
EAT AND TAKE AWAY THE STRIVING
HUNGER PATIENTS CAN GET ON
TRACK AND LEAD MORE OF A NORMAL
LIFESTYLE AS FAR AS EATING AND
LIFE CHANGER.
>> ABSOLUTELY.
>> VERY GREAT QUESTIONS AND
ANSWERS FROM YOU.
WE REALLY APPRECIATE YOUR TIME,