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Replay of: Minimally Invasive Surgery for Weight Loss Broadcast from University Hospital

UC Center for Surgical Weight Loss presents laparoscopic gastric bypass

First Seen: June 28, 2004 11:00am ET (15:00 UTC)



   
University Hospital, Cincinnatti

 

Cincinnati — America's most common surgical procedure for weight loss was demonstrated live via the Internet on Monday, June 28 at 11:00 am. from The University Hospital. Keith Gersin, MD, director of surgical endoscopy and laparoscopy at UC Center for Surgical Weight Loss demonstrated a laparoscopic Roux-En-Y gastric bypass to treat morbidly obese patients. Timothy J. Broderick MD, director of the UC Surgeons, division of gastrointestinal and endocrine surgery moderated the live event. Calvin A. Selwyn, Jr. MD, assistant professor, assisted Dr. Gersin with the procedure. The broadcast, which is expected to last one hour, is free for all viewers around the world with Internet access.

 
  Laparoscopic Roux-En-Y Gastric Bypass Procedure

More than 55% of American adults are overweight. 11.5million are morbidly obese. Morbid obesity is defined by a Body Mass Index (BMI) over 40, generally 100lbs overweight. This level of obesity causes co-morbid conditions including diabetes, hypertension, heart disease, sleep apnea, joint pain and arthritis, depression, menstrual irregularity and stress incontinence. Six percent of US healthcare expenditures are spent on treating co-morbid conditions of obesity. It is estimated that 300,000 deaths occur annually in America due to morbid obesity.

   
Laparoscopic Roux-En-Y Gastric Bypass Procedure

 

Through six small incisions about an inch in length, Dr. Gersin will use a miniature video camera and laparoscopic instruments to reduce the size of the stomach. The procedure is called a Roux-en-y Gastric Bypass (RGB) and is the most commonly performed type of weight loss surgery in America today. Several rows of surgical staples are placed across the stomach to divide the stomach and create a 1- to 2-ounce "pouch." Then, a limb of intestine is connected to this pouch to bypass enough of the remaining intestine so that normal absorption will not occur. The procedure limits how much food can be eaten and how much will be absorbed by the body.

 
  Laparoscopic Roux-En-Y Gastric Bypass Procedure

Following gastric bypass surgery most patients lose 30-50 percent of excess body weight within six months and 60-80 percent within the first year. This weight loss is sustained for 10-15 years in follow-up studies. Surgical therapy does carry some risks, including blockage, infection and nutritional deficiencies that can cause anemia, hair loss, osteoporosis or other problems. Most of these risks can be alleviated with proper diet and vitamins. Because surgery drastically decreases the size of the stomach, individuals must eat small amounts, eat slowly and chew well.

Patients generally report less pain after laparoscopic surgery, fewer wound complications (e.g. infection or hernia) and return more quickly to pre-surgical activity levels. UC Center for Surgical Weight Loss is located at the University Pointe Medical Center in West Chester, Ohio. For more information or to register for an interest group session, call 513-475-7770 or visit www.ucsurgeons.com/bariatric.

UC Surgeons care for patients needing specialized surgical care in cardiothoracic, transplantation, cancer, gastrointestinal, plastics, pediatrics, burns, urology, and vascular. The University of Cincinnati, Department of Surgery brings $4.1 million in National Institutes for Health (NIH) research funding to the region, and UC Surgeons' ranking jumped to 15 in 2003, up from 28 the previous year. More information is available at http://surgery.uc.edu.

The University Hospital is part of the Health Alliance, an integrated health care delivery system that also includes The Christ Hospital, The St. Luke Hospitals, The Jewish Hospital, The Fort Hamilton Hospital and the physicians of Alliance Primary Care. To view other Health Alliance news releases, go to www.health-alliance.com/pressroom.

The UC Center for Surgical Weight Loss is hosting the Cincinnati area Walk From Obesity as part of the American Society of Bariatric Surgeons Foundation national Walk From Obesity. To view the Walk From Obesity Website go to http://walkfromobesity.com/cincinnati/.


Related Special Health Reports available by agreement with Harvard Medical School:

Weigh Less, Live Longer: Strategies for Successful Weight Loss
Not long ago, obesity was seen mainly as a cosmetic problem. In just the last few years, however, the medical view of excess weight has changed. Obesity is known to be a public health problem of the same magnitude as smoking. The rates of overweight and obesity are soaring. More than half of all adults in the United States are overweight, and 26% are obese — an increase of more than 50% in the last three decades. The good news is that many people can lose weight and keep it off, as this report explains. This report will help you determine the cause of your excess weight and tailor a plan to your particular needs. Setting a realistic goal is important. Even a modest reduction of 7%–10% of your starting weight can lead to significant improvements in health. The report includes a chapter on surgery for weight loss.

Special Health Reports offer up-to-date, in-depth medical knowledge from the experts at Harvard Medical School. 30-50 page reports deliver practical information on diagnosis, treatment, and prevention of major health concerns in clear, easy-to-understand language complete with illustrations, charts, and graphs.



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