Bariatric Surgery: A Safer and More Effective Path to Sustained Weight Loss

In recent years, the rising popularity of semaglutide has become a cause for concern, with poison control centers reporting a staggering increase in calls related to this drug. The surge, amounting to over 1,500% since 2019, has predominantly been attributed to dosage errors, leading to a nightmare scenario for both patients and healthcare providers. Read more

Study Finds Lower Risk for Hematologic Cancer in Woman After Bariatric Surgery

A recent study published in Lancet Healthy Longevity suggests that bariatric surgery, a weight loss procedure, is linked to a lower risk of blood cancer, particularly in women. The research, involving over 2,000 individuals who underwent surgery and a similar group who did not, revealed a significant reduction in the incidence and mortality of blood cancers among those who had bariatric surgery. Notably, the benefit was more pronounced in women, especially those with high blood sugar levels at the beginning of the study. Read more

Non-Surgical Weight Loss

How Much Weight Will You Regain After You Stop Injecting Weight-Loss Drugs?

A recent study on the effects of stopping tirzepatide (Monjauro / Zepbound), reveals that individuals who stopped tirzepatide experienced substantial weight regain (approximately 14%), highlighting the challenges associated with relying on such medications for long-term results.

Dr. Alexander Abkin, a leading bariatric surgeon in New Jersey, emphasizes the limitations of injectable weight-loss drugs as a sustainable solution for severe obesity.

“In my professional opinion, the study reinforces the importance of lifestyle modifications and more permanent weight loss solutions”, says Dr. Abkin. He advocates for treatments that extend beyond short-term interventions like weight loss injections, emphasizing the need for comprehensive lifestyle changes, including healthier eating habits and regular physical activity, with bariatric surgery , such as sleeve gastrectomy and gastric bypass, as a more effective and enduring option for sustained weight loss.

While injectable drugs like tirzepatide may offer initial weight loss, these medications are not a magic solution for the management of severe obesity. Achieving and maintaining a healthy weight requires a fundamental shift in lifestyle.

Dr. Abkin echoes the sentiments of other physicians in the field, emphasizing that there is no “miracle drug” and that long-term success lies in lifestyle modification. He reinforces the idea that injectables can be considered as supportive elements but should not replace the fundamental changes needed for lasting weight management. This perspective aligns with the belief that bariatric surgery addresses the root causes of obesity, providing patients with a transformative and enduring solution compared to the uncertainties associated with injectable weight-loss drugs.

Advanced Laparoscopic Surgeons of Morris offers a comprehensive weight loss program for patients with severe obesity, including patient education, dietary counseling, surgical weight loss and long-term follow up care designed to keep patients on track with their weight loss goals.  Contact us today to learn more.

Question 4 – How quickly can I expect to start losing weight?

In this 10 part series, New Jersey bariatric surgeon Dr. Alexander Abkin discusses 10 questions commonly asked by patients who are considering weight loss surgery.

Question 4 – How quickly can I expect to start losing weight? Read more

Question 3 – What risks are involved with bariatric surgery?

In this 10 part series, New Jersey bariatric surgeon Dr. Alexander Abkin discusses 10 questions commonly asked by patients who are considering weight loss surgery.

Question 3 – What risks are involved with bariatric surgery? Read more

Question 2 – What Type of Medical Tests Do I Need Before Bariatric Surgery?

In this 10 part series, New Jersey bariatric surgeon Dr. Alexander Abkin discusses 10 questions commonly asked by patients who are considering weight loss surgery.

Question 2 – What Type of Medical Tests Do I Need Before Bariatric Surgery?

 

Question 1 – Do I Qualify for Weight Loss Surgery?

In this 10 part series, New Jersey bariatric surgeon Dr. Alexander Abkin discusses 10 questions commonly asked by patients who are considering weight loss surgery.

Question 1 – Do I Qualify for Weight Loss Surgery?

 

Bariatric Procedure Outperforms Semaglutide in Patients With Obesity, Fatty Liver

A recent study was published comparing two treatments for people with obesity and a liver condition called metabolic dysfunction-associated steatotic liver disease (MASLD). The two treatments tested were bariatric surgery and a medication called semaglutide.

The findings showed that bariatric surgery led to more weight loss and better improvements in liver health compared to semaglutide. Many obese individuals also have MASLD, and losing weight is the main recommendation for treating it. Both bariatric surgery and semaglutide help people lose weight, but the study aimed to determine which one is more effective for improving liver health.

Dr. Reem Z. Sharaiha, the lead researcher, believes that using a combination of treatments may be the best approach for these patients. Semaglutide and similar medications are a good starting point, but some patients may plateau in their weight loss or want to stop taking the medication. That’s where bariatric surgery and similar procedures come in. On the other hand, patients treated with bariatric surgery may need help maintaining their weight loss, so medication could be beneficial for them.

In conclusion, the study suggests that a combination of treatments may be the future for managing obesity and MASLD, and the most important thing is to start treatment, regardless of the specific method used.

Please note, while our practice does not offer endoscopic sleeve gastroplasty (ESG), we do offer Vertical Sleeve Gastrectomy (VSG) and Roux-en-y Gastric Bypass (RNYGBP) procedures for qualified candidates who meet the criteria. 

Click here to read the full study. Call 973-410-9700 or contact us online to learn more.

JFK Spotlight: Bariatrics with Dr. Abkin

Joel Katz talks to Dr. Alexander Abkin about Bariatrics at Hackensack University JFK Medical Center. Click the link below to listen. Read more

Understanding Semaglutide and its Link to Gastroparesis

Obesity has become a global health crisis, with millions of people struggling to achieve sustainable weight loss and improve their overall health. Semaglutide, a medication commonly used for type 2 diabetes management, has been praised for its potential in aiding weight loss. However, recent research has shed light on its association with gastroparesis, a condition that affects the stomach’s ability to empty properly. As we delve into the link between semaglutide and gastroparesis, it becomes evident that bariatric surgery may be a more effective and safer option for those seeking sustained weight loss with minimal complications.

Understanding Semaglutide and its Link to Gastroparesis

Semaglutide is a glucagon-like peptide-1 receptor agonist (GLP-1 RA) that mimics the functions of incretin hormones, leading to reduced appetite, delayed stomach emptying, and increased insulin secretion. In clinical trials, semaglutide has shown promising results in weight reduction, making it a potential game-changer in the field of obesity management.

However, the delayed gastric emptying caused by semaglutide can also lead to gastroparesis, a condition characterized by symptoms such as nausea, vomiting, bloating, and early satiety. The mechanism behind this adverse effect is not yet fully understood, and further research is needed to determine the risk factors and long-term consequences of gastroparesis related to semaglutide use.

Bariatric Surgery: A Better Option for Sustained Weight Loss

  • Mechanism of Action:
    Bariatric surgery encompasses various procedures that alter the gastrointestinal tract’s anatomy and physiology, leading to weight loss and improvement in metabolic conditions. Unlike semaglutide, which focuses on appetite suppression and delayed gastric emptying, bariatric surgery addresses the root cause of obesity by reducing stomach capacity and altering gut hormones.
  • Substantial Weight Loss:
    Numerous studies have shown that bariatric surgery results in significant and sustained weight loss. Procedures such as gastric bypass, sleeve gastrectomy, and gastric banding have been proven to be more effective than non-surgical approaches for long-term weight management.
  • Resolution of Co-morbidities:
    Obesity is often associated with various comorbidities like type 2 diabetes, hypertension, and sleep apnea. Bariatric surgery not only aids in weight loss but can also lead to the resolution or improvement of these metabolic conditions, enhancing overall health and quality of life.
  • Improvement in Metabolic Hormones:
    Bariatric surgery induces changes in gut hormones, including GLP-1, which play a vital role in appetite regulation and glucose metabolism. This hormonal shift contributes to the reduction of hunger, increased satiety, and better blood sugar control.
  • Long-term Efficacy:
    While semaglutide has demonstrated efficacy in clinical trials, the long-term safety and weight maintenance of this drug are yet to be fully understood. Bariatric surgery, on the other hand, has a well-documented long-term success rate in weight management, making it a reliable option for those seeking sustained weight loss.
  • Overall Health Benefits:
    Bariatric surgery not only results in weight loss but also improves cardiovascular health, reduces the risk of certain cancers, and enhances fertility in women with polycystic ovary syndrome (PCOS). These added health benefits make it a comprehensive solution for patients with severe obesity.

Conclusion

Semaglutide has shown promise in aiding weight loss, but its link to gastroparesis raises concerns about its long-term safety and efficacy. As we navigate the complexities of obesity management, it becomes evident that bariatric surgery offers a more comprehensive and effective solution for sustained weight loss with minimal complications. Nonetheless, each individual’s case is unique, and medical professionals must carefully evaluate the risks and benefits of both approaches before recommending the most suitable course of action. Research in this field is ongoing, and future advancements may lead to safer and more effective treatments for obesity and its related complications.

Call 973-410-9700 or contact us online to  learn more.