Wednesday, July 30, 2008

Lower complications for Gastric Bypass at top hospitals.

Gastric Bypass surgery for Obsese patients at highly rated hospitals have, on average, a 65 percent lower chance of experiencing serious complications compared to obesity patients who have surgery at poorly rated hospitals. This according to a study released by HealthGrades, USA leading independent healthcare ratings organization.

It was also found that the complication rate for these surgeries continues to rise, increasing six percent from 2004 to 2006. One possible reason: lower volume facilities have higher complication rates.

Bariatric surgery is a general term describing several types of weight loss procedures. The study analyzed the outcomes of the most common, including traditional open surgical gastric bypass procedures as well as newer, less invasive procedures such as "lap-banding" and laparoscopic gastric bypass.

Complications associated with open gastric bypass surgery accounted for the highest rise in complications, increasing 17 percent. Comparatively, complications from less invasive laparoscopic surgery increased by just more than one percent.

A typical patient having a bariatric surgical procedure at a five-star rated hospital in one of the 17 states studied has on average, a 65 percent lower chance of experiencing one or more inhospital complications than at a one-star rated hospital and a 41 percent lower chance than at a three-star rated hospital during 2004- 2006.

Five-star (top rated) hospitals performed almost twice the volume of procedures compared to 1-star and 3-star facilities–an average of 526 procedures from 2004 through 2006 compared with 266 and 283 respectively.

Higher volume was associated with fewer risk-adjusted complications. Facilities with an annual case volume of 125 procedures had the lowest risk-adjusted complications. Facilities performing less than 25 cases per year had the highest rate of risk-adjusted complications.

If all patients had received their bariatric surgery procedure at 5-star hospitals (from 2004 through 2006), 5,125 inhospital complications could have been potentially avoided in the 17 states studied.

Friday, February 22, 2008

Randy Jackson and Gastric Bypass Surgery

Randy Jackson! American Idol's good guy drops by to talk about his new album, new show, diabetes awareness and of course...the country's next singing sensation. He talked about his experience with his gastric bypass surgery which cured his diabetes type 2 and improved his quality of live.

Wednesday, January 23, 2008

Diabetes cured by Surgery to Treat Obese

Weight-loss surgery works much better than standard medical therapy as a treatment for Type 2 diabetes in obese people, the first study to compare the two approaches has found.

The study, of 60 patients, showed that 73 percent of those who had surgery had complete remissions of diabetes, meaning all signs of the disease went away. By contrast, the remission rate was only 13 percent in those given conventional treatment, which included intensive counseling on diet and exercise for weight loss, and, when needed, diabetes medicines like insulin, metformin and other drugs.

In the study, the surgery worked better because patients who had it lost much more weight than the medically treated group did — 20.7 percent versus 1.7 percent of their body weight, on average. Type 2 diabetes is usually brought on by obesity, and patients can often lessen the severity of the disease, or even get rid of it entirely, by losing about 10 percent of their body weight. Though many people can lose that much weight, few can keep it off without surgery. Type 1 diabetes, a much less common form of the disease, involves the immune system and is not linked to obesity.

Remission of Type 2 diabetes after weight-loss surgery is not a new finding; doctors have known about it for years. But the new research is the first effort to find out scientifically how it measures up against medical treatment in similar groups of patients with the disease.

The 60 people in the study had an average age of 47 and were assigned at random to have either surgery or medical care. All were obese, with a body mass index, or B.M.I., of 30 to 40. A B.M.I. over 25 is considered overweight, and over 30 is obese. (A person who is 5 feet 6 inches tall with a B.M.I. of 25 would weigh 155 pounds; with a B.M.I. of 30, 186 pounds; a B.M.I. of 35, 216 pounds; and a B.M.I. of 40, 247 pounds.)

Based on guidelines created by the National Institutes of Health in 1991, weight-loss surgery is generally only recommended for people whose B.M.I. is 40 or more, unless they also have Type 2 diabetes, in which case a B.M.I. of 35 is the cutoff. In this study, 13 people, or 22 percent, had a B.M.I. under 35.

Criteria for the surgery might be changed so that it could be offered to diabetes patients early enough to reverse the disease.

Thursday, January 10, 2008

New Obesity Surgery Video Search

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