those complexities in mind, a common definition of failure is loss of less than half of a person’s excess weight (%EWL is excess weight carried above a Body Mass Index of 25kg/m2).  Most of my patients express disappointment if they’ve only had 50% excess weight loss, but the reality is that even surgery has limited power to assist a person to manage their weight.Additionally, all surgeries are most effective in the first five years, and less effective after that.  And obtaining reliable data... +More

A gastric specialist is a doctor who focuses on diagnosing and treating conditions affecting the stomach and digestive system. This includes conditions like ulcers, gastritis, acid reflux, and cancers of the stomach. These specialists may perform endoscopies and recommend lifestyle changes, medications, or surgery.

Roux-en-Y Gastric Bypass (RYGB) is a popular form of bariatric surgery that reduces the size of the stomach and reroutes the digestive system. This results in both restriction of food intake and malabsorption, leading to significant weight loss. The surgery is considered highly effective for morbidly obese individuals and also helps improve obesity-related health issues like diabetes, hypertension, and sleep apnea. However, it requires lifelong dietary changes and nutritional supplements to avoid deficiencies.

Sleeve gastrectomy is a weight-loss surgery that involves removing a large portion of the stomach, leaving a tube-like sleeve. This limits food intake and promotes hormonal changes that support weight loss. It’s a permanent procedure and is one of the most commonly performed bariatric surgeries worldwide.