Tag Archives: Sleeve gastrectomy
The art and science of weight loss, part 5
posted at 2:30 pmSo far in this series I have covered the fundamental science of weight loss. Put simply, if a person is able to consume fewer calories than they burn then they will lose weight, and calories are burned through a combination of exercise and basal metabolic rate. Unfortunately in the real world consuming fewer calories than are burned can be a difficult proposition, this is why only 5% of people achieve… Continue reading | 1 Comment
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CIGNA now covering Sleeve Gastrectomy
posted at 6:59 amCIGNA is the latest insurer in Oregon to confirm that they will now cover sleeve gastrectomy. They add to Aetena, United Healthcare, and ChampVA who already cover sleeve gastrectomy.
Sleeve gastrectomy is a relatively new weight loss operation, that has been performed in the US as a stand alone procedure since approximately the year 2000. It involves removing four fifths of the stomach to turn it from a… Continue reading | 5 Comments
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Bariatric Surgery and Fertility
posted at 12:46 pmFertility is an important issue for women undergoing weight loss surgery. There are strong associations between body weight and infertility, insulin resistance and diabetes. Although fertility is not often the primary motivating factor for bariatric surgery, there is strong evidence that it improves post-operatively. Irregular menstrual cycles and polycyctic ovarian syndrome are also very likely to improve after weight loss surgery.
A related issue is contraception. Oral contraceptive pills… Continue reading | 2 Comments
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Bariatric Surgery after 60
posted at 12:55 pmA common question in bariatric surgery is what is the maximum age that people should consider weight loss surgery. Most of the studies showing bariatric surgery prolonging life have been conducted in young patients, and surgical risk increases as we age. Never the less, bariatric surgery is now conducted very safely, and patients derive many benefits from it, not just improved life expectancy.
We recently reviewed the available literature… Continue reading | 1 Comment
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Sleep apnea
posted at 1:24 pmThis is a bit of a pet topic here at OWLS, and one that we feel is often not adequately addressed. Sleep apnea is common, underdiagnosed, and a preventable cause of sudden death. It is also very difficult to loose weight when people are not able to sleep properly.
Anyway, we have recently had a thourogh review of the medical literature on sleep apnea at our monthly journal club. We… Continue reading
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