Gastric Sleeve Surgery for Patients with Low Initial BMI (BMI 30-34.9)
Post updated February 2021. Recently, I updated my post Weight Loss Surgery for Low BMI Patients (BMI 30-34.9) based on updated guidelines from several leading organizations. These guidelines answer the question, “Is weight loss surgery an appropriate treatment for people with mild obesity (BMI less than 35)?” When I first wrote that post in 2012, the answer…
Is Weight Loss Surgery Right for Low BMI Patients (BMI 30-35)?
Post updated January 2021. Why are we still telling people that they must be at least 75-100 pounds overweight before they can have bariatric surgery—the most effective way to lose weight? Other methods for losing weight—diet and exercise—are largely not effective long term. Diet and exercise programs fail for 95-98% of people within 3 years.1,2…
Body Weight Set-Point Prevents Weight Loss
Losing weight is possible over the short term, but weight regain is almost a certainty over the long term. The statistics tell us that people can generally lose about 10% of their weight with a concerted effort. The bad news is that almost everybody will quickly regain all their lost weight and often more. Why is this? Eating…
Why Gastric Sleeve is the Favorite Weight Loss Operation
Post updated November 2020. In 2010 <10% of weight loss operations were sleeve gastrectomy operations. In just three short years, the sleeve went from a distant third place in popularity, significantly behind both the gastric bypass and LAP-BAND®, to first place. It has remained in first place ever since.
Weight Loss Surgery Lowers The Body Weight Set Point
Blog post updated November 2020. Weight loss surgery is by far the most effective method for losing weight and keeping it off. In a blog post entitled The Body Weight Set Point Prevents Weight Loss, I discuss why non-surgical methods for weight loss almost never work – they don’t change the set point. In this…
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How I Do The Gastric Sleeve Operation
In my previous post, I discussed how the gastric sleeve operation is not a standardized operation. This means there is not consensus on how the operation should be done to achieve the best possible patient outcomes. Because of this lack of consensus, different surgeons do the gastric sleeve operation in different ways. Some make the…
The Gastric Sleeve Operation Is Not A Standardized Operation
The gastric sleeve operation is not a standardized operation. This means there is not agreement on how to best do the operation. There is not agreement, for example, on how small to make the sleeve, or what dimensions/shape to make the sleeve, or where exactly to place the staple line, or how exactly to diagnose…
Variation in Outcomes at Bariatric Surgery Centers of Excellence
A study entitled “Variation in Outcomes at Bariatric Surgery Centers of Excellence,” published in the Journal of the American Medical Association in 2017, reports a surprisingly wide variation in patient outcomes across accredited bariatric surgery centers of excellence nationally. Claims data were analyzed from 145,527 patients who underwent weight loss surgery at one of 165…
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