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.

Ozempic Burp: What is it?

This article discusses the side effects of popular weight loss medications such as Ozempic, Wegovy, and Mounjaro. Read more

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Prior to the surgery, Jim Bleemer was overweight and facing various health problems such as pre-diabetes, hypertension, and mobility issues. Concerned about his future and wanting to be there for his family, he decided to explore weight-loss surgery options. Read more

Bariatric Revision Surgery: When and Why it may be Necessary

Bariatric surgery has proven to be a life-changing procedure for many individuals struggling with severe obesity. However, in some cases, patients may require additional surgical interventions, known as bariatric revision surgery, to address certain complications or optimize the outcomes of their initial weight loss surgery. In this article, we will delve into the reasons why bariatric revision surgery may be necessary, explore the different types of revision surgeries available, and discuss the insurance requirements for undergoing such procedures.

Understanding the Need for Bariatric Revision Surgery:

While bariatric surgery can yield remarkable results, it is important to acknowledge that not every procedure will achieve the desired long-term weight loss goals for all patients. Several factors may contribute to the need for bariatric revision surgery:

  • Inadequate Weight Loss: Sometimes, patients do not achieve sufficient weight loss following their initial bariatric surgery due to metabolic changes, lifestyle factors, or anatomical issues that require further intervention.
  • Weight Regain: In certain cases, individuals may experience weight regain after an initial successful weight loss following bariatric surgery. This can occur due to various factors, including dietary habits, hormonal changes, or insufficient long-term lifestyle modifications.
  • Surgical Complications: Although bariatric surgery is generally safe, complications can occur. These may include postoperative complications like leaks, strictures, or ulcers, or long-term complications such as hernias, band slippage, or erosion.
  • Nutritional Deficiencies: Some patients may develop nutritional deficiencies, such as vitamin or mineral deficiencies, following their primary bariatric procedure. Revision surgery may be necessary to address these deficiencies and optimize long-term health.

Types of Bariatric Revision Surgeries:

When considering revision surgery, there are several options available depending on the patient’s initial procedure and specific needs. Here are a few common types of bariatric revision surgeries:

  • Vertical Sleeve Gastrectomy Revision: A sleeve revision may involve reducing the size of the stomach to restore restriction and limit food intake. If the stomach pouch has become dilated or stretched, a sleeve revision surgery may involve reshaping the stomach to restore its size and capacity.
  • Roux-en-Y Gastric Bypass Revision: Gastric bypass revision may be necessary if the stomach pouch or the stoma (the connection between the stomach pouch and the small intestine) has stretched or widened. A gastric bypass revision surgery may involve resizing or narrowing these areas to restore restriction and limit food intake.  A gastric bypass revision surgery may also involve lengthening or adjusting the Roux limb to modify the digestive process and enhance weight loss. The Roux limb is the section of the small intestine that is connected to the stomach pouch.
  • Conversion to Roux-en-Y Gastric Bypass: Conversion to gastric bypass involves altering the anatomy of the stomach and intestines to create a smaller stomach pouch and reroute the digestive tract. It may be recommended for patients who have experienced inadequate weight loss or weight regain after gastric banding or vertical sleeve gastrectomy.
  • Gastric Band Removal and Conversion: For patients who have undergone adjustable gastric banding, but have experienced complications or unsatisfactory weight loss, removal of the band and conversion to another procedure, such as gastric bypass or sleeve gastrectomy, may be recommended.

Insurance Requirements for Bariatric Revision Surgery:

Insurance coverage for bariatric revision surgery can vary depending on the insurance provider and policy. It is essential to consult with your insurance company to understand their specific requirements. Generally, the following factors may influence insurance coverage:

  • Medical Necessity: Insurance providers typically require documented medical evidence showing that the revision surgery is necessary to address complications or significant weight regain.
  • Physician Recommendation: A bariatric surgeon’s recommendation and supporting documentation are crucial to demonstrate the medical necessity of revision surgery.
  • Preauthorization: It is important to obtain preauthorization from your insurance provider before undergoing any bariatric revision surgery. This involves submitting the necessary medical documentation and meeting specific criteria established by the insurance company.

Conclusion:

Bariatric revision surgery can be an effective solution for individuals who face challenges or complications following their initial bariatric procedure. Whether it’s inadequate weight loss, weight regain, surgical complications, or nutritional deficiencies, revision surgeries offer hope for patients to improve their long-term outcomes. However, it is important to note that each case is unique, and the decision for revision surgery should be made in consultation with an experienced bariatric surgeon. Understanding the insurance requirements and working closely with your healthcare team will help navigate the financial aspects of bariatric revision surgery.

Understanding the Risks of Living with Morbid Obesity

Morbid obesity is a serious health condition that affects millions of individuals worldwide. It significantly increases the risk of various life-threatening diseases and reduces overall quality of life. Bariatric surgery offers a potential solution to combat this condition and improve health outcomes. However, it’s crucial for prospective patients to understand the risks associated with living with morbid obesity if they choose not to undergo bariatric surgery. This article aims to shed light on these risks and help individuals make informed decisions about their health. Read more

The Cost-Effectiveness of Bariatric Surgery: Transforming Lives and Finances

For individuals struggling with severe obesity, the decision to undergo bariatric surgery is a life-changing one. Not only does it offer significant health benefits, but it also has the potential to be a cost-effective solution in the long run. While the upfront costs of bariatric surgery may seem daunting, it is essential to recognize the substantial financial benefits it can bring over time. In this article, we will explore why self-pay bariatric surgery candidates should consider the cost-effectiveness of this transformative procedure. Read more