Dr. Madan And His Colleagues Point Out Possible Long-Term Issues with Gastric Bypass Surgery

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Gastric bypass is a popular weight loss surgery, but may lead to unforeseen long-term issues. Dr. Atul Madan suggests that the LAP-BAND® procedure may be a better option for patients wanting to lose weight without long-term complications.

Dr. Atul Madan MD is a world-renowned expert in laparoscopic and bariatric program. (213) 973-2263

Out of the $190 billion that Americans spend annually on obesity, according to MSN Money, much of that relates to weight loss surgery. Gastric bypass is still the most popular, and 200,000 procedures are done annually, according to Discover Magazine. After 30 years, it is now accepted by most of the medical community that type 2 diabetes can be reversed after bariatric surgery takes care of weight. However, are there long-term complications with gastric bypass? Bariatric surgeon Dr. Madan suggests that LAP-BAND surgery should be considered a safe option for long-term weight loss, perhaps safer in some ways than gastric bypass.

The report in Discover also pointed to the fact that surgery can affect a patient's body in more ways that just weight loss. A former teacher at the Albert Einstein College of Medicine, Julio Teixeira says that even a minimally invasive Roux-en-Y gastric bypass leads to "manipulating the metabolism" of patients. This can lead to wonderful changes in diabetic patients, who have struggled against insulin resistance and high glucose levels that add to weight gain. However, there may be hidden problems associated with rapid bodily changes.

Such was the case with Hilary Lane, who didn't know that she had a rare genetic disease until her gastric bypass. USA Today ran an article this March about the wasting disease that was triggered by the bypass in 2006, though it did point out that death from the surgery itself is at 1% or less - about the same as for hip replacement. Most patients only need to take vitamins and watch their diet after a surgery, after whittling down on extra medications.

It is also true, says Dr. Madan-Maanasi (Internal Medicine), that lap band surgery is not without its risks. There's the possibility of band slippage, in which patients may experience discomfort or heartburn, which certainly doesn't happen after a successful surgery. He notes that after 2,000 bariatric procedures including lap band, patients could certainly benefit from following up with their physician after the surgery, to pinpoint slippage issues before they become a chronic problem requiring surgical adjustment. Eating too fast, and forcing down foods that have become stuck, are two big culprits.

However, lap band surgery requires only an adjustable band to be fitted around the stomach - no permanent changes to inner organs. The digestive tract alone has 200 hormones, including those that process alcohol. Dr. Madan Uprety agrees with Discover that "If you chop out or bypass certain sections, then, particular hormones can be reduced or eliminated", but says this may not be the best long-term option for those wanting to lose weight. Four years after Hilary Lane was pronounced a success for gastric bypass, she exhibited signs of urea cycle failure, in which protein turned to ammonia that couldn't exit out of her system. Though not a usual disease, it is linked to 300 other mutations, one or more of which may be linked to bone density issues. This is another reason for physical follow-ups, though untreated obesity is much more likely to result in health issues than surgery.

Dr. Madan has written 175 articles, and was the first in Memphis to perform a laparoscopic gastric bypass. To date, he has performed over, and was first to offer an incision-less treatment for post-operative weight gain. As the former Chief of Laparoendoscopic and Bariatric Surgery Division at the University of Miami, Dr. Atul Madan may well be considered an expert in his field. Dr. Madan won the 2007 SAGES Young Investigator Award, was honored by the American Medical Association Physican's Recognition Award, among others. Dr. Madan's patient reviews are consistently high, and he received the 2011 and 2012 Patients' Choice Award.

For more information on Dr. Atul Madan or the LAP-BAND procedure, call 1-800-472-4900, or review more on Dr. Madan on http://www.obesityhelp.com/profiles/bariatric-surgeon/dr-atul-madan/.

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