Maybe too much fear of cancer in Barrett Esophagus

So, let's pause, take a step back, and look at Barrett Esophagus with a lot less concern than we used to. The take-home message is that we need to re-evaluate the evaluation of risk in BE, and guideline committees need to incorporate these data, recognizing that these data are all European, and the biopsy protocols …

Depression and Bariatric Surgery

Prevalence of depressive disorders decreased significantly after bariatric surgeryAmplify’d from reference.medscape.comAnxiety and depression in bariatric surgery patients: a prospective, follow-up study using structured clinical interviews.J Affect Disord.  2011; 133(1-2):61-8 (ISSN: 1573-2517)de Zwaan M; Enderle J; Wagner S; Mühlhans B; Ditzen B; Gefeller O; Mitchell JE; Müller ADepartment of Psychosomatic Medicine and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany. martina.dezwaan@uk-erlangen.deBACKGROUND: Candidates for bariatric surgery frequently have …

Low-Sugar Diet Can Reduce Irritable Bowel Symptoms

A diet that is low in certain natural sugars can reduce symptoms in patients with certain gut disorders, including irritable bowel syndrome (IBS). FODMAP stands for fermentable, oligosaccharides (including the fructo-oligosaccharides found in wheat, rye, onion, garlic, leeks, and artichokes, and the galacto-oligosaccharides found in beans, chick peas, and lentils), disaccharides (milk products except hard …

There is Good Poop and Bad Poop

Watch the bacteria in your gut. Eat a healthy diet full of lactobacteria (yogurt) You do not want a Stool transplant!Amplify’d from http://www.medscape.com American College of Gastroenterology (ACG) 2011 Annual Scientific Meeting and Postgraduate Course Stool Transplants Stop 90% of C difficile RecurrencesSandra YinNovember 1, 2011 (National Harbor, Maryland/Washington, DC) — Multiple courses of standard …

Perforated Ulcer After Gastric Bypass; Dangerous & Deadly

Perforated Ulcer After Gastric Bypass; Dangerous & Deadly Beware of signs sand symptoms of ulcer Avoid ulcer causing foods and medicines Eat plain yogurt and treat indigestion, gastritis and ulcers with caution and respect!Amplify’d from http://www.ncbi.nlm.nih.govSurg Obes Relat Dis. 2011 Jun 24. [Epub ahead of print]Incidence of perforated gastrojejunal anastomotic ulcers after laparoscopic gastric bypass …

Beware Bowel Obstruction After RNY

Beware Bowel Obstruction After RNYAmplify’d from http://www.ncbi.nlm.nih.govSmall Bowel Obstruction After Antecolic Antegastric Laparoscopic Roux-en-Y Gastric Bypass Without Division of Small Bowel Mesentery: A Single-Centre, 7-Year Review.Reported incidence of small bowel obstruction (SBO) after laparoscopic Roux-en-Y gastric bypass varies between 1.5% and 3.5%. It has been suggested that the antecolic antegastric laparoscopic Roux-en-Y gastric bypass (AA-LRYGB) …

Ulcers in about one-third low-dose aspirin patients

Gastroduodenal ulcers/erosions were observed in about one-third of asymptomatic patients taking low-dose aspirinAmplify’d from http://www.ncbi.nlm.nih.govQJM. 2011 Feb;104(2):133-9. Epub 2010 Sep 24.Prevalence and independent factors for gastroduodenal ulcers/erosions in asymptomatic patients taking low-dose aspirin and gastroprotective agents: the OITA-GF study.Tamura A, Murakami K, Kadota J; OITA-GF Study Investigators.Collaborators (24)Goto Y, Kawano Y, Naono S, Sato T, …

Poor Surgery (RNY or Band) Not Helped Much by Exercise

Poor Surgery (RNY) Not Helped Much by Exercise The current study demonstrates that a 12-week exercise program after RNY or a Band type bariatric surgery failed to improve most research outcomes, but physical fitness was superior in the exercise group vs the control group. You want good weight loss = You need a good weight …

MGB Almost Twice as Powerful as Lapband

MGB Twice as Powerful as Lapband: Five hundred and twenty severely obese patients with body mass index (BMI) ≥35 were recruited. Among them, 149 and 371 subjects received laparoscopic adjustable gastric banding (LAGB) and laparoscopic * mini-gastric bypass* (LMGB), respectively. Obese patients had LESS decrease in BMI after LAGB (-7.5 vs. -6) compared to patients …

Short Stay Deadly in the Wrong Hands

Outpatient and 1 day stay has been safe and successful in over 6,000 MGB patients with Dr. Rutledge. This study shows a 1 day stay in RNY patients in the BOLD database canbe deadly! "Stanford University researchers found patients discharged on the same day of surgery were 13 times more likely to die Stanford University …