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  • By Marci Nielsen


    These are the medical doctors of New York city who are trained in endoscopy (a minimally invasive diagnostic and surgical technique) with a focus on helping the morbidly obese lose weight. Advanced Laparoscopic Specialists are skilled in gastric by-pass surgery, which reduces the size of the stomach. The operation itself is only a first step in the weight-control program

    Gastric by-pass surgery is considered cosmetic or frivolous by many. However, this method of reducing the functional size of the stomach and thereby reducing its capacity is a lifesaver for those who need extreme measures to restore health. People who carry one hundred pounds or more of surplus weight are susceptible to other health problems. These include hypertension and cardiac disease, type 2 diabetes, and sleep apnea. All of these disorders can be life-threatening, and all negatively impact a person's quality of life.

    Exercise, a key part of any weight-control or health-building program, is hard for the obese. Since muscles burn calories most efficiency, lack of muscle tone exacerbates weight gain. A sedentary life leads to digestive problems, more rapid weight gain, and an increase of body fat. Circulation of lymph and blood is compromised, which lowers immunity. It is not uncommon for obesity to lead to chronic illness.

    Excess weight puts great stress on the feet and joints, which can make even walking difficult. If those who cannot exercise also have hormonal issues, losing weight is even harder. Poor eating habits add the final touch to obesity. This condition is second only to smoking as a dangerous habit that can cause death. In fact, sitting is now called 'the new smoking', as doctors realize its negative effects.

    Gastric by-pass is done with endoscopes (metal rods that allow lights, cameras, and implements to be inserted through tiny incisions). It is one of many operations under the laparoscopic surgery umbrella. Endoscopy is safer than open surgery, since there is less chance of infection because of smaller incisions. There is also less pain, less scarring, and a much shorter recovery time.

    This form of surgery is less invasive and stressful. People whose bad health makes them poor candidates for conventional surgical procedures can benefit from laparoscopic techniques. These techniques have lowered the risks associated with gastric by-pass, making it even more acceptable as a weight-control option.

    The surgery is combined with extensive pre- and post-op counseling and support. Potential patients attend seminars that educate them on the procedure as well as ways to successfully keep weight off for the long run. Nutritionists and dietitians are on staff to help people commit to lifestyle changes and to learn how to form better eating habits. Support groups made up of counselors and former patients help people set goals and implement measures that keep the pounds from coming back.

    This pre-op and post-op program involves both surgeons and trained professionals, as well as patients themselves. The personalized approach has proved very important in the success of this weight-loss measure. Without lifestyle and dietary changes, people who have the surgery often gain the weight back. With them, a whole new life is possible with everything needed for happiness and health.




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