Lapband Surgery – Weight Loss

By Ruth Rosa Lenox | February 1, 2010

Lapband Surgery – Weight Loss

Lapband Surgery Explained

Lapband surgery is a procedure designed to help people lose weight rapidly. Also called laparoscopic adjustable gastric band surgery, it involves attaching a band with an inflatable silicone device around the upper portion of the stomach. The intended effect is similar to a gastric bypass: reduce food intake, deal with hunger sensations, and ultimately reduce the weight of the patient.

The procedure involves placing a band to create a stoma, or small pouch, out of the upper portion of the stomach. When food arrives at the upper stoma, it fools the brain into thinking the stomach is full. The patient eats less as a result, opening the door for rapid weight loss.

Lapband surgery procedures, however, are not without their risks. Poorly advised, taking on such surgery can lead to considerable consequences. It is important to work only with highly trained professionals who have considerable experience in the field of weight loss surgery.

To learn more about the procedure or to schedule a free consultation, call 1-800-270-7120.

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More Revision Surgery After Lap Band or Gastric Bypass

By Shibal Burns | January 25, 2010

More Revision Surgery After Lap Band or Gastric Bypass

Bariatric surgery, even in the best of hands, is not a panacea, and while most patients report a favorable outcome following the surgical procedure, a significant subset of patients may experience complications or not fail to achieve their ideal body weight as expected.

In these circumstances, a follow-up surgical procedure, known as a bariatric surgery revision, may be necessary to either achieve the ideal body weight, help resolve co morbidities, or manage the complications of the first surgery.

A comparison of the between the Roux-en-Y gastric bypass and lap band surgery becomes exceedingly relevant when considering a bariatric surgery. Whether there are more revision surgeries required after lap band or gastric bypass is therefore an important consideration.

Both of these surgeries are radically different in terms of their mechanism of action. Gastric bypass has a dual mechanism of action, being restrictive as well as a malabsorptive procedure, while the lap band surgery is only restrictive. The former, therefore, has been found to be more effective over time. The weight loss however is slower, and steadier with lap band surgery. The final weight loss is achieved by the end of three to four years after lap band surgery, and by the end of eighteen to twenty four months following the gastric bypass procedure.

Approximately 5 to 10% of patients who have had a gastric bypass reportedly require a revision surgery over 5 years. The reasons for the same vary from complications, unsatisfactory weight loss, or weight regain.

The revision rate following lap-band surgery is reported to be approximately 10% during the first two years. The reasons for the same include device-related problems, slippage or unsatisfactory weight loss.

Collated data from multicentric trials indicates that the excess body weight loss following gastric bypass surgery ranges from 69 to 84% at one year, while the same following a lap band procedure is 45 to 55%. Given that a weight loss less than 50% of the excess body weight constitutes surgical failure, it is evident that the rates of revision surgery following lap band surgery are higher than that following a gastric bypass.

Even though the incidence of early complications following gastric bypass has been reported to be higher than those following lap band surgery(4.2% and 1.7% respectively at the end of first week) the complication rates of the two procedures become comparative by the end of one and a half years (8 and 9.1% respectively).

Experts believe that long-term failure and complications after this time are rare with gastric bypass, while a significant number of lap band patients experience problems which may require a re-exploration or conversion to a different surgical procedure.

However, given that the safety profile of the lap band surgery is significantly better than that of the gastric bypass, and the former is a reversible technique, several patients as well as bariatric surgeons are opting for it. However, when making a choice, the decision must be made keeping in mind the relative rates of revision surgery following each of the surgical procedures.

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Obesity Reality: Discrimination Starts With Jobs

By Ruth Rosa Lenox | January 7, 2010

Obesity Reality: Discrimination Starts With Jobs

Do you realize that if you are heavier than average you may encounter discriminatory attitudes and may be denied equal opportunity even in the work place? You may have taken the barbed, and often not veiled, references to your size in your stride, but do you realize that you may have been allocated a job beneath your ability, and run the risk of being denied promotion and increments, as well as being demoted or fired because of weight prejudice?

Another dimension of the bitter obesity reality: discrimination starts with jobs!!!

A recent study from Yale University brings to light certain disturbing facts in this regard: weight discrimination is rampant in daily interpersonal relationships as well as in the work place. It is almost as common as racial discrimination and, in certain circumstances more frequent than age and gender discrimination. Statistics from the Equal Employment Opportunity Commission (EEOC) also second this finding. Discrimination on the basis of body size is just about as frequent as racial discrimination.

The Yale study also emphasizes that overweight women are twice as likely to be victims of discrimination in comparison to overweight men.  Also, women are discriminated against at lower ends of the weight gain spectrum.  In fact, men run a serious risk of being discriminated against when their BMI reaches 35; for women this becomes real at a BMI of 27.

Given that as many as 34% of adults in the U.S.A are clinically obese, that is, having a body mass index (BMI) of 30 or higher the repercussions of this prejudice are phenomenal. The economic and social ramifications of the same are also not trivial, even if we were to disregard the enormous psychological ramifications of the same.

Various authors and social scientists have brought forth startling figures in this regard. Overweight workers draw a salary which is $1.25 less an hour, in comparison to their slimmer counterparts. That effectively translates into a salary up to $100,000 less, before taxes, over a 40 year career span. Women who are slightly overweight make about 6% less in wages, while very heavy women make as much as 24% less than standard weight women.  Men, however, experience significant wage losses only when grossly overweight.

Heavier workers do not get pay hikes similar to their thinner co-workers, with wage growth rates being almost 6% lower over three years.  Obese young women (speciallt between the ages of 18 and 25) are especially at risk of prejudice, earning 12% less than their thinner counterparts. In fact in several agencies like airlines, the weight cut offs for men correspond to large body frames for men; women are limited to maximum weights corresponding to medium body frames. 

In another population based survey, 26% of subjects who were more than 50% overweight reported they were denied benefits such as health insurance because of their weight. Another 17% claimed that has faced social discrimination in the workplace and had been pressured into resigning, or had been fired.

Managers have been guilty of hiring prejudice when it comes to obese subjects. Equal qualifications, equal references, and similar personalities do not translate into equal job opportunities at the work place, with most choosing the thinner applicants. Very often the hiring staff has been found to make baseless assumptions about overweight applicants, often labeling them as aggressive, lacking in self discipline, or less productive.

Several employers and insurance agencies also view obesity as a liability. This is totally uncalled for as an objective, medically supportable evaluation is imperative before a worker is condemned. Corporate decision makers and personnel managers must be trained to overcome prejudices and reject false stereotypes in order to match the best person to the job at hand, based on qualifications and performance, and not body size.

The flip side of this scenario is that there are legitimate concerns about the rising costs associated with obesity in the workplace for the employers because of the morbidities associated with a higher BMI. As per the Conference Board, obese employees have cost U.S. employers as much as $45 million per annum in medical expenses and lost productivity alone. 

The employers are thus advised to implement a weight reduction wellness program instead of discriminatory tactics. Maintaining a healthier workplace culture for employees with healthier options in terms of products on vending machines, health club memberships, and outdoor activities can cut costs and help foster a team spirit with greater productivity in the long run.

Until such time that adequate legislation is put into place and practice, and corporate consciousness regarding the issue becomes a reality, those overweight will continue to bear the brunt of prejudices in the working environment. In the current context, the grim obesity reality that we have to contend with is that discrimination starts with jobs and spills over to almost each area of social interaction.

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Weight Discrimination

By Ruth Rosa Lenox | December 15, 2009

Weight Discrimination

Prejudice against heavier people is very well prevalent in our society and people who are larger in size than the average experience it very often. With increasing obesity in our country, there is also a rise in weight discrimination. A recent study from Yale University found that weight discrimination occurs in employment settings and daily interpersonal relationships as often as race discrimination. Women suffer the weight discrimination more than the men. The Yale study found that overweight women are twice more likely to face discrimination than overweight men. Plus, the discrimination starts earlier in women’s weight gain. According to the study, discrimination becomes a more serious risk for men when their BMI reaches 35; for women, at BMI 27.

In a study, heavier and average weight job applicants were matched for equal qualifications, equal references, and similar personalities. Hiring staff usually chose the thinner applicants with equal qualifications. People make unfounded assumptions about the larger applicants being too aggressive, difficult to work with, lacking in self-discipline, less productive, or less determined. Employers are neglecting qualified applicants and choosing to hire who are less qualified simply because of their appearance, and specifically because of their weight, thus resulting in a tremendous waste of worker talent.

People who are heavier than average are denied equal opportunity in many areas of their lives. They are not employed where physical work is involved or where they have to interact with customers in person. Large people are generally denied health insurance and life insurance, or they have to pay higher premiums than those of average weight. Applicants are often turned down by educational institutions because of their size. Workers, whose weight is more than the average are generally paid less than their average weight counterpart. In a famous discrimination case which went to the Supreme Court, a college made a nursing student sign a contract promising to lose weight or be expelled (the Court invalidated the contract).

There are no federal employment laws and only one state law (Michigan) specifically prohibits weight discrimination, obese people are being harassed and mistreated very often.

Employers should avoid discriminating against obese employees and job applicants, both legally and ethically. If they are legitimately concerned about the rising costs associated with obesity in the workplace, The Conference Board report gives the employer ideas to try non-discriminatory solutions like:

  • Weight reduction program Implementation. According to The Conference Board report, more than 40% of U.S. companies have already implemented such a wellness program, and an additional 24% plan to do so this year. Tips: Keep program participation voluntary and private, and involve employees in the planning.

  • Maintain a healthy workplace culture. Ideas: Get vending machines stocked with bottled water and healthy snacks, instead of sodas and candy; offer annual health fairs with cardiovascular screenings; reach out to local health clubs to obtain employee discounts; sponsor a company softball team, as well as other activities that may attract employees of all fitness levels.

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Pineapple Cake

By Ruth Rosa Lenox | December 9, 2009

Pineapple Cake

Ingredients

  • 2 cups unbleached all-purpose flour
  • 1 cup granulated sugar
  • 2 teaspoons baking soda
  • 1/4 teaspoon salt (optional)
  • 1 can (20 ounces) unsweetened crushed pineapple, in juice (not drained)
  • 1/2 cup egg substitute (equal to 2 eggs)

 

Procedure :

  • Preheat oven to 350 degrees.
  • Combine the first four ingredients in a medium bowl.
  • Mix pineapple with egg substitute.
  • Add to dry ingredients and mix until blended.
  • Pour into a 9-inch by 13-inch baking pan that has been sprayed with nonstick cooking spray.
  • Bake for 30–35 minutes.

 

Makes 16 servings
Each Serving
Carb Servings: 2
Exchanges : 2 carbohydrate

Nutrient Analysis :

Calories : 121
Total fat : 0g
Saturated fat : 0g
Cholesterol : 0mg
Sodium : 172mg
Total carbohydrate : 28g
Dietary fiber : 1g
Sugars : 15g
Protein 3g

This moist cake does not use any fat. It can be served plain, or with fat-free whipped topping. Cream Cheese Topping is very good on this cake.

 

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Sausage and Bean Soup

By Judy Cohen | November 26, 2009

Sausage and Bean Soup

Here are some more recipes from Brenda of Quick and Health fame.
Keep up your weight loss but don’t forget to eat well.
This is delicious I tried it out.

Ingredients

  • 1 package (16 ounces) low-fat turkey smoked sausage
  • 1 medium onion chopped
  • 4 cans (about 15 ounces each) of beans of your choice, drained and rinsed, (beans that work well are: black, kidney, pinto, garbanzo, lima)
  • 1 can (14.5 ounces) diced tomatoes*, not drained
  • 2 cups fat-free chicken broth*
  • 2 cups water
  • 1 can (4 ounces)
  • diced green chiles
  • 1/2 cup salsa, thick and chunky
  • 1 cup chopped fresh cilantro

 

Procedure

  • Cut sausage into bite-size pieces.
  • In a large kettle, combine all ingredients except the cilantro.
  • Bring to a boil.
  • Reduce heat to low.
  • Cover and simmer for 10 minutes.
  • Serve topped with cilantro.

 

Note: One serving is an excellent source of fiber. This recipe is higher in sodium and should be limited by those on a low-sodium diet.

*Sodium is figured for no added salt/reduced sodium.
** Half of the grams of fiber have been subtracted from the grams of total carbohydrate when figuring Carb Servings and Exchanges.

 

Makes 12 cups
(8 servings)

Each Serving: 1 1/2 cups

Carb Servings**: 2

Exchanges** :
2 starch
1 vegetable
2 lean meat

Nutrient Analysis :

Calories : 261
Total fat : 6g
Saturated fat : 2g
Cholesterol : 35mg
Sodium : 877mg
Total carbohydrate : 38g
Dietary fiber : 12g
Sugars : 8g
Protein : 19g

This meal in a bowl can be prepared in minutes. Also makes enough for leftovers.

Quick & Healthy Recipes and Ideas, 3rd Edition, © 2008 Brenda J. Ponichtera, R.D.; www.QuickandHealthy.net; Published by Small Steps Press.

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Spanish Chicken

By Ruth Rosa Lenox | November 17, 2009

Spanish Chicken


 

Ingredients

  • 1 pound skinless, boneless chicken breasts
  • 3 green onions chopped
  • 1 cup chopped tomato
  • 1 can (4 ounces) diced green chilies
  • 1/4 teaspoon salt (optional)
  • 1/8 teaspoon ground cumin
  • 1/8 teaspoon ground black pepper

 

Conventional oven: Preheat oven to 350 degrees. Spray an 8” × 8” pan with nonstick cooking spray. Arrange chicken in the pan. Top with remaining ingredients. Bake uncovered for 25–35 minutes or until chicken is done.

Barbecue or broiler: Barbecue or broil chicken about 3–4 minutes on each side or until done. Mix remaining ingredients in a microwave-safe bowl. Cover, venting the lid, and cook on high in microwave until heated throughout, about 2 minutes. Pour over cooked chicken.

Microwave oven: Arrange chicken in a microwave-safe dish that has been sprayed with nonstick cooking spray. Top with remaining ingredients. Cover, venting the lid, and cook on high for 6–8 minutes, rotating 1/4 turn halfway through cooking time. Time will vary with thickness of chicken.

 

Makes 4 servings

Each Serving
1/4 recipe

Carb Servings: 0

Exchanges : 3 lean meat

Nutrient Analysis :

Calories : 147
Total fat : 3g
Saturated fat : 1g
Cholesterol : 69mg
Sodium : 77mg
Total carbohydrate : 4g
Dietary fiber : 1g
Sugars : 2g
Protein 26g

This colorful dish is especially good when served with the Spanish Rice and Beans.

Chicken and Mushroom Soup

By Ruth Rosa Lenox | November 12, 2009

Chicken and Mushroom Soup

To me, this is the ultimate “Mommy-Loves-Me” food. Rich and creamy with the earthy, autumn taste of fresh and dried mushrooms, this is pure comfort in a bowl.

  1. Coat the bottom of a large soup pot with cooking spray and sauté onion, garlic, and fresh mushrooms over medium heat. Cover and cook for 10 minutes, stirring occasionally.
  2. Add tarragon, bay leaf, thyme, and wine, stirring and scraping bottom of pot to loosen brown bits.
  3. Lower heat and add chicken, chicken broth, and dried mushrooms. Cover and simmer for 30 minutes.
  4. Discard bay leaf and stir in sour cream.
  5. Puree soup in batches in food processor until smooth. Add salt and pepper to taste, and top with chives.

Make 4 servings.

Sleep Apnea and Weight Loss Surgery

By Ruth Rosa Lenox | November 4, 2009

Sleep Apnea and Weight Loss Surgery

Sleep apnea is the state where you discontinue breathing in the night for small intervals. There are three kinds of sleep apnea, including central, mixed and obstructive. Out of these, obstructive sleep apnea (OSA) is caused because of blockage of airway, generally when the throat’s soft issues collapses and closes while sleeping. The central sleep apnea happens when the airway does not gets blocked, however the brain stops signaling the muscles to respire. On the other hand, mixed apnea is a fusion of central and obstructive sleep apnea. With every apnea event, brain briefly arouses individual with sleep apnea to resume breathing, consequently sleep is extensively fragmented and not of good quality.  

Sleep apnea’s symptoms

Few of the most usual symptoms that you might notice include:

  • Excessive daytime sleepiness that is sleeping when you usually should not like while you are having food, driving or talking.  
  • Walking with a lethargic feeling following sleep having issues with concentrating and memory, feeling tried as well as experiencing changes in personality
  • Night or morning headaches
  • Sour taste and heartburn in mouth, especially during night
  • Nocturia, urinating at night
  • Chest pain and seating when you sleep

There are other sleep apnea’s symptoms that someone else might note when you sleep, including:  

  • Apnea that may occur as less as five times in an hour (mild apnea) to above than fifty times in an hour (severe apnea), which determines the severity of sleep apnea   
  • High snoring, although majority of the individuals suffering from sleep apnea snore, but not every individual who snore suffers from sleep apnea
  • Turning while sleeping and restless tossing
  • Gasping spells or night time choking

Sleep apnea and obesity

When it comes to finding out reasons of sleep apnea, one of the main causes noticed highly is obesity. Obesity is a leading cause of sleep apnea and one can eliminate the symptoms and breathe simply through getting weight loss surgery. Through weight loss surgery when you lose as less as ten percent of your weight, you can considerably reduce your risk of getting sleep apnea.

Getting weight loss surgery, can successful assist an individual suffering from sleep apnea to get rid off the disease and get a proper sleep. The best part of weight loss surgery is that it allows you to shed off excess weight in a very little span, which otherwise putting off through traditional mediums would take loads of time.  

The studies have proved that people who do not get adequate amount of sleep contains higher level of cortisol within their system as compared to those who take enough sleep. High level of cortisol, can lead to put on weight, which consequently causes sleep apnea. Through weight loss surgery the level of cortisol can be decreased, and the problem of sleep apnea can be cured.

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Bariatric Surgery and Its Long-Lasting Benefits

By Ruth Rosa Lenox | October 19, 2009

Bariatric Surgery and Its Long-Lasting Benefits

Morbid obesity can lead to a shorter life and many life-threatening health problems, known as co-morbidities, such as diabetes, heart disease, and sleep apnea. Recent studies show that the risk of an early death for those struggling with obesity is twice that of a non-obese person. But don’t panic, with treatment there is a better chance for enjoying good health and a longer life.

Bariatric surgery helps obese people to lose a lot of weight. It limits your food intake and making you feel full after a small meal. 

Bariatric surgery is known to be the effective and long lasting treatment for severe obesity and also for many health-related diseases resulting from obesity, little knowing about its research part. Now it has been proved by a group of researchers that it may be among the most effective treatments for obesity-related diseases including type2 diabetes, hypertension, high triglycerides, or high levels of uric acid. If you find yourself struggling with one or more obesity-related health condition, bariatric surgery could be right for you.

The number of bariatric surgery procedures in the U.S. has risen dramatically, growing fivefold in the last 7 years. The most common procedures include gastric bypass, lapband surgery or sleeve gastrectomy or biliopancreatic diversion with duodenal switch. Most of these procedures are performed laparoscopically using minimally invasive techniques.

A recent survey conducted by the American Diabetes Association, Inc. shows bariatric surgery patients lost an average of 23% of body weight at 2 years and 16% at 10 years.  At the end of 10 years, those who had bariatric surgery were less likely to have type 2 diabetes, hypertension, high triglycerides, or high levels of uric acid. The survey concludes that Bariatric surgery is a viable treatment that results in long-term weight loss.

Studies show that bariatric surgery effectively can improve and resolve many weight-related health conditions in a long run.

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