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Bariatrics & Metabolism Initiative

HAIR LOSS AFTER GASTRIC BYPASS SURGERY

posted by ramana On June - 29 - 2010 1 COMMENT

Hair loss is one of the commonest laments in female patients after gastric bypass surgery (whether for weight loss or surgical cure of Type II Diabetes Mellitus), and is at once one of the least heralded topics in the subject. This is but natural: after all, surgeons are more bothered by complications that are life-threatening [...]

ACID REFLUX AND BARIATRIC SURGERY- PART THREE

posted by ramana On May - 14 - 2010 1 COMMENT

In Part One, we outlined the nature of the beast. In Part Two, we dealt with ways of cooking it. Now, in this part, we will clean up the remains. Sorry to our Gujju (and other vegan) friends for this analogy! If you have had bariatric surgery and are now having reflux, what now? (Are [...]

ACID REFLUX AND BARIATRIC SURGERY- PART TWO

posted by ramana On May - 14 - 2010 1 COMMENT

In Part One, we outlined the nature of gastroesophageal reflux and how it occurs, as well as how we detect it clinically. So let us now assume that you are awaiting bariatric surgery and have reflux symptoms. So how does your reflux have an implication on your surgery? Will bariatric surgery (after all, we are [...]

Handling Social Commitments After Bariatric Surgery

posted by ramana On February - 14 - 2010 2 COMMENTS

So you have had a gastric bypass and are now on the way to normal life. You have a party you need to go to. Fine. Till you realise that you can’t eat most things there, and people are staring at you — someone who is saying ‘No’ to every dish being offered. It’s not [...]

“HOW MUCH WEIGHT CAN I LOSE, DOC?”

posted by ramana On September - 1 - 2009 ADD COMMENTS

This is one of the commonest questions we face as providers of obesity care. The question may be posed by a matronly lady in her fifties, an out-of-shape PYT, or by a morbidly obese patient looking at bariatric surgery. (pic source: here.) The answer to that question, therefore, has to be contextual. In the more [...]

BARIATRIC SURGERY PATIENTS AND PREGNANCY- ACOG RECOMMENDATIONS

posted by ramana On August - 15 - 2009 ADD COMMENTS

From Medscape Medical News: Specific conclusions and clinical recommendations based on limited or inconsistent scientific evidence (level B) are as follows: • Because pregnancy rates after bariatric surgery in adolescents are twice that in the general adolescent population, contraceptive counseling is especially important in these patients. • Administration of hormonal contraception by nonoral routes should [...]

RISK FACTORS FOR POOR OUTCOME IN BARIATRIC SURGERY

posted by ramana On August - 11 - 2009 ADD COMMENTS

From Medscape’s reportage of the study published in the New England Journal of Medicine on July 30th, 2009: July 29, 2009 — Several risk factors may help identify factors linked to poor outcomes for bariatric surgery, according to the results of a prospective, multicenter, observational study reported in the July 30 issue of the New England [...]