Is Weight Loss Surgery right for me?

As year-end insurance deductibles are met and plans are made for a healthy start to the new year, many people choose to have elective health procedures such as bariatric surgery around this time. If considering this type of weight loss surgery, what should you keep in mind? A Hackensack Meridian Health expert shares some tips.

Bariatric Surgery Is More Cost Effective Than Newer Weight Loss Drugs Alone

Newer weight loss drugs are cost effective in the long term only when combined with bariatric weight loss surgery, according to a study presented at the American College of Surgeons (ACS) Clinical Congress 2024 in San Francisco, California. Further, a second study presented at the meeting found that this increasingly popular class of weight loss drugs, called glucagon-like peptide-1 receptor agonists, or GLP-1 RA, appears safe and may be a novel approach to treating obesity when used before bariatric surgery.

Cleveland Clinic Study Shows Weight Loss Surgery Cuts Risk of Heart Complications and Death in Patients with Obstructive Sleep Apnea and Obesity

A Cleveland Clinic study shows that bariatric surgery performed in patients with obesity and moderate to severe obstructive sleep apnea is associated with a significantly lower risk of death and major adverse cardiovascular events, compared with patients who did not have the surgery. This study was published in the Journal of the American College of Cardiology.

Ali Aminian, M.D., director of Cleveland Clinic’s Bariatric & Metabolic Institute and primary investigator of the MOSAIC study, said, “The research shows that weight loss achieved with bariatric surgery is significantly associated with a 42% lower risk of major adverse cardiovascular events and 37% lower risk of death in patients with obesity and moderate to severe obstructive sleep apnea.”

Type of weight loss surgery women undergo before pregnancy may influence children’s weight gain

The type of weight loss surgery women undergo before becoming pregnant may affect how much weight their children gain in the first three years of life, suggests a study being presented Monday at ENDO 2024, the Endocrine Society’s annual meeting in Boston, Mass.

Patients With Obesity and Kidney Failure May Be Newly Eligible for Kidney Transplants

A collaborative study between a bariatric and transplant surgery team has introduced new hope for patients suffering from end-stage renal disease (ESRD) who are also struggling with obesity. The study authors explored the outcomes of metabolic and bariatric surgery in ESRD patients and whether the surgery can improve their eligibility for kidney transplants. The findings are published in the Journal of the American College of Surgeons (JACS).

After body contouring, bariatric surgery patients regain more weight than non-bariatric patients

Patients with previous bariatric surgery who undergo body contouring (BC) regain more weight at long-term follow-up, compared to BC patients who did not have bariatric surgery, reports a study in the November issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

Cleveland Clinic Bariatric Surgeon Receives a 2023 Top Ten Clinical Research Achievement Award from the Clinical Research Forum

A Cleveland Clinic landmark study on obesity and cancer, led by Ali Aminian, M.D., director of Cleveland Clinic’s Bariatric & Metabolic Institute, was recognized with a 2023 Top Ten Clinical Research Achievement Award by the Clinical Research Forum (CR Forum). The award-winning paper, the SPLENDID study that was published in JAMA, also received an additional recognition as a Distinguished Clinical Research Awardee.

Bariatric surgery may reverse diabetes complications for people with obesity

For more than 100 million Americans who are obese, bariatric surgery may reverse complications related to diabetes, including regenerating damaged nerves, a Michigan Medicine study shows. Researchers say the findings suggest that bariatric surgery likely enables the regeneration of the peripheral nerves and, therefore, may be an effective treatment for millions of individuals with obesity who are at risk of developing diabetes and peripheral neuropathy.

Problems with Alcohol Increase After Weight-Loss Surgery in Adolescence

Youth who underwent metabolic and bariatric surgery as teenagers are at heightened risk for alcohol use, according to the first study to document long-term alcohol use and associated issues in this population. Researchers found that after eight years, nearly half of study participants had alcohol use disorders, symptoms of alcohol-related harm, or alcohol-related problems. Results were published in the journal Annals of Surgery.

Study compares adverse events after two types of bariatric surgery in adolescents

Adolescents who underwent sleeve gastrectomy, a type of weight-loss surgery that involves removing part of the stomach, were less likely to go the emergency room in the five years after their operations than those who had their stomachs divided into pouches through gastric bypass surgery, according to new research.

Weight Loss with Bariatric Surgery Cuts the Risk of Developing Cancer and Death from Cancer

A Cleveland Clinic study shows that among adults with obesity, weight loss achieved with bariatric surgery was associated with a 32% lower risk of developing cancer and a 48% lower risk of cancer-related death compared with adults who did not have the surgery. The research is published by JAMA.

Expert Alert: Mayo Clinic expert shares tips for good outcomes after hip, knee replacement surgery

Patients can make lifestyle changes before surgery to improve their chances of successful outcomes, according to Matthew Abdel, M.D., a Mayo Clinic orthopedic surgeon who specializes in hip and knee replacement. However, patients also should be aware that other practices before surgery won’t help outcomes or are still inconclusive.

In Patients with Fatty Liver, Bariatric Surgery Decreases Risk of Progression of Liver Disease, Serious Heart Complications

A Cleveland Clinic study shows that patients with obesity and advanced fatty liver disease who had bariatric weight loss surgery significantly lowered their future risk of liver disease complications and serious cardiovascular disease compared with patients who did not have surgery.

Common weight loss operation is safe and effective in children and adolescents 10 years on

Results from a 10-year study of children and adolescents who underwent a common weight loss operation to treat severe obesity show they safely have long-lasting major weight loss and improvement of their obesity-related medical problems without stunting their growth in height. The study, involving the longest known follow-up of pediatric patients after laparoscopic sleeve gastrectomy, is published online by the Journal of the American College of Surgeons ahead of print.

Patients Report Long-Term Favorable Effects of Weight Loss Surgery in Their Daily Lives

A new analysis from the STAMPEDE trial shows that over the course of five years, patients who had bariatric and metabolic surgery to treat uncontrolled type 2 diabetes reported greater physical health, more energy, less body pain, and less negative effects of diabetes in their daily lives, compared with patients who had medical therapy alone for their diabetes.

Long-term changes in psychosocial and emotional quality of life measures were not significantly different between the surgical and medical groups. The research was published in the Annals of Surgery.

New Jersey Woman Experiences Great Success after Bariatric Surgery Despite COVID-19 Obstacles

Some people who have had bariatric surgery are uncomfortable discussing it, but Melissa Flores, 27, feels differently. After losing over 100 pounds since she underwent gastric sleeve surgery in June 2020, Melissa has become an advocate for this option, sharing her experience with anyone who is interested in her weight loss journey.

Women: Lower-fat Diet Key to Liver Health Following Weight-loss Surgery

Research suggests that women who have weight loss surgery need to reduce the amount of fat they eat after surgery to reap the full benefit of the procedure and protect their liver function. The study is published ahead of print in the American Journal of Physiology-Endocrinology and Metabolism.

Cleveland Clinic Research Shows Bariatric Surgery May Reduce Severity of COVID-19 in Patients with Obesity

CLEVELAND: A Cleveland Clinic study shows that among patients who have obesity and who tested positive for COVID-19, a past history of bariatric surgery was significantly associated with a lower risk of hospital and intensive care unit admission. The results were published in the journal of Surgery for Obesity and Related Diseases.

Pitt Scientists Identify Predictors of Satisfaction after Bariatric Surgery and Demonstrate Positive Effects of Physical Activity in Patients

While most patients are at least somewhat satisfied with their surgery long-term, satisfaction decreased from 85% to 77% three to seven years post-surgery. Most patients also continue to lead sedentary lives, which contributes to weight regain and negatively affects their mental well-being.

Cleveland Clinic Study Identifies Weight-Loss Threshold for Cardiovascular and Survival Benefits in Patients with Obesity and Diabetes

A Cleveland Clinic study shows that 5 to 10 percent of surgically induced weight loss is associated with improved life expectancy and cardiovascular health. In comparison, about 20 percent weight loss is necessary to observe similar benefits with a non-surgical treatment. The findings also show that metabolic surgery may contribute health benefits that are independent of weight loss. The study is published in the October issue of Annals of Surgery.

Prevent Severe COVID Symptoms With Lifestyle Changes

Obesity is contributing to worse outcomes in people with COVID-19. Dr. Naomi Parrella, medical director of the Rush Center for Weight Loss and Bariatric Surgery, explains how managing your weight can lower your risk for severe COVID symptoms and help you prevent other chronic diseases.

Major weight loss — whether from surgery or diet — has same metabolic benefits

A longstanding theory has suggested that gastric bypass surgery may have unique, weight loss-independent effects in treating type 2 diabetes. But new research from Washington University School of Medicine in St. Louis indicates that weight loss after surgery, rather than the surgery itself, drives metabolic improvements, such as the remission of diabetes.

Weight Loss Surgery May Improve Glucose Control Independent of Weight Loss

Article title: Sleeve gastrectomy enhances glucose utilization and remodels adipose tissue independent of weight loss Authors: David A. Harris, Amir Mina, Dimitrije Cabarkapa, Keyvan Heshmati, Renuka Subramaniam, Alexander S. Banks, Ali Tavakkoli, Eric G. Sheu From the authors: “[Sleeve gastrectomy] induces a…

Unconscious food cravings may make bariatric surgery less effective for people with extreme obesity

Patients with extreme obesity are prone to unconscious food impulses and cravings that may make it challenging for them to maintain weight loss after bariatric surgery, according to research that was accepted for presentation at ENDO 2020, the Endocrine Society’s annual meeting, and will be published in a special supplemental section of the Journal of the Endocrine Society.

Most internists-in-training feel ill-equipped to treat obesity

Most resident physicians training in internal medicine do not feel adequately prepared to manage obesity in their patients, a new survey from a California residency program finds. The results were accepted for presentation at ENDO 2020, the Endocrine Society’s annual meeting, and will be published in a special supplemental section of the Journal of the Endocrine Society.

Bariatric surgery before diabetes develops leads to greater weight loss

Obese patients may lose more weight if they undergo bariatric surgery before they develop diabetes, suggests a study accepted for presentation at ENDO 2020, the Endocrine Society’s annual meeting. The research will be published in a special supplemental issue of the Journal of the Endocrine Society.

New Closed-Loop System Offers Promise as Novel Treatment for Post-Bariatric Hypoglycemia

Post-bariatric hypoglycemia is a profoundly life-altering condition for patients. Having unpredictable hypoglycemia that people can’t detect is really an unsafe situation. Researchers at Joslin Diabetes Center and Harvard John A. Paulson School of Engineering and Applied Sciences have developed a closed-loop system that automatically provides patients with an appropriate, as-needed dose of liquid glucagon to treat this condition.

Cleveland Clinic Develops Calculator To Estimate 10-Year Risk Of Diabetes Complications

Patients struggling with type 2 diabetes and obesity are faced with the decision of whether to receive usual medical care or undergo weight-loss surgery. Now, a new risk calculator developed by Cleveland Clinic researchers can show these patients their risks of developing major health complications over the next 10 years depending on which course of treatment they choose.

The research was presented today as one of the Top 10 studies at the ObesityWeek 2019 international conference in Las Vegas.