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Although diet, exercise, behavior therapy and anti-obesity drugs are first-line treatment, [14] medical therapy for severe obesity has limited short-term success and very poor long-term success. [15] Weight loss surgery generally results in greater weight loss than conventional treatment, and leads to improvements in quality of life and obesity ...
Jejunoileal bypass (JIB) was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which all but 30 cm (12 in) to 45 cm (18 in) of the small bowel were detached and set to the side.
The Swedish Obese Subjects (SOS) study demonstrated the difference in T2DM remission rates between conventional medical therapy and bariatric surgery: while conventional methods achieved a 21% remission at two years and 12% at 10 years, bariatric surgery exhibited a 72% remission at two years and 37% at 10 years. [33]
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Aspiration therapy is a bariatric approach to siphon ingested food from the stomach via an implanted tube and port to the outside of the body to be discarded. [1] The device for this approach was developed by researchers at Washington University in St. Louis to treat obesity and has been named AspireAssist. [1]
Bariatric surgery ("weight loss surgery") is the use of surgical intervention in the treatment of obesity. As every operation may have complications, surgery is only recommended for severely obese people (BMI > 40) who have failed to lose weight following dietary modification and pharmacological treatment.
Obesity medicine is a field of medicine dedicated to the comprehensive treatment of patients with obesity.Obesity medicine takes into account the multi-factorial etiology of obesity in which behavior, development, environment, epigenetic, genetic, nutrition, physiology, and psychosocial contributors all play a role. [1]
He specializes in vascular surgery and bariatric surgery. He is known for helping morbidly obese people lose weight on My 600-lb Life (2012–present). [2] [3]