Posts Tagged ‘ Gastric ’

Types of Gastric Bypass Surgery

January 21, 2011
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Morbidly obese people usually suffer form serious health problems like, heart diseases and diabetes. Reduction in weight is the only option that can help reduce the consequences of these diseases. Gastric bypass surgery changes the anatomy of the digestive system and leads to weight reduction.

Gastric Bypass Surgery

Gastric bypass surgery aims at changing the anatomy of the digestive system, so that less calories are absorbed. The stomach and the small intestine are the two organs that play a vital role in the gastric system. Normally, the food that enters the stomach, is mixed with the gastric juices. It then, enters the small intestine where the nutrients/ calories are absorbed. Duodenum (first part) and jejunum (second part) are the two parts of the small intestine. In gastric bypass surgery, the size of stomach is made small and is directly connected to the jejunum. As a result of the reduced size of the stomach, the food that the stomach holds is quite less, and due to the bypassed duodenum less calories will be absorbed in the small intestine. There are two types of gastric bypass surgery, Roux-en-Y gastric bypass surgery and Biliopancreatic diversion bypass surgery. Let us have a look at these types of gastric bypass surgery.

Roux-en-Y Gastric Bypass Surgery

There are two types of Roux-en-Y gastric bypass surgery, open gastric bypass surgery and laparoscopic gastric bypass surgery. It is called Roux-en-Y because the Y-shaped small intestine is connected to the newly formed small stomach. In this surgery, the upper part of stomach is isolated from the lower part, and a small pouch like structure is formed. Then the small intestine is cut near the jejunum and jejunum is directly connected to the pouch. The lower part of the stomach is completely bypassed and the food that enters the pouch enters directly into the jejunum. As discussed earlier, there are two techniques of Roux-en-Y gastric bypass surgery, open and laparoscopic.

In open gastric bypass surgery the patient is given general anesthesia and a large incision is made in the abdominal part through the belly. The surgeon performs the bypass by directly operating on the stomach, small intestine and other organs. However, laparoscopic surgery follows a different method of bypass. Five to six small incisions are made in the belly area. A laparoscope is inserted through one of these incisions. A laparoscope is a flexible tube that has a camera at its inserted end. This laparoscope is connected to a video screen and it enables the surgeon to get the view inside the stomach. The stomach is inflated by air to get a better view. Thin surgical instruments are then inserted through the remaining incisions and the bypass is performed. Laparoscopic gastric bypass surgery is always preferred to open gastric bypass surgery as it helps the patient to recover soon and because it involves less complications.

Biliopancreatic Diversion Bypass Surgery

This is also called as extensive gastric bypass surgery. It is the most complicated type of gastric bypass surgery and is rarely performed. In biliopancreatic diversion bypass surgery the lower part of the stomach is completely removed from the body. The pouch that is formed is joined to the rarest end of the small intestine, thus bypassing both duodenum and jejunum. Although this surgery guarantees weight loss, many nutritional deficiencies may occur after the surgery.

All the types of gastric bypass surgeries have long term effects. The symptoms of many health problems, caused due to obesity are reduced after gastric bypass surgery. Gastric bypass surgery changes the lifestyle of the patient and a new diet that facilitates the smooth functioning of the altered gastric system needs to be followed.

Nicole Richie Denies Gastric Bypass

January 2, 2011
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By: Shannon Gossage

Nicole Richie, 25, is currently denying the reports after a blind item was published on PageSix earlier this week that read: “Which young Hollywood starlet had secret gastric bypass surgery, but then lost too much weight? During a recent four-day stint at a health clinic, she was actually having an operation to remove the bypass.” The item was reportedly directed at Richie.

The next day Richie posted a message on her MySpace account that denied the rumors. The posting was listed under the heading: “It just doesn’t stop.” The message said: “So I gain a little bit of weight, and I’m accused of having a gastric bypass surgery reversed? Its pathetic of Page Six to insinuate I have done this. Anyone that knows anything about this surgery would know that legally, you must be AT LEAST 100 pounds overweight to even have the surgery done, and is a serious, life changing procedure; not one to throw around as a joke or a rumor. Ive statement I am in the process of putting on weight, and that should be enough. It’s a shame to hear that instead of hearing supportive words, someone needs to spin it into some negative, absurd way.”

Richie has been progressively shrinking over the past few years even though she has repeatedly denied that she has an eating disorder. She has even been called the next Karen Carpenter because she is so dangerously thin. Just last month she checked into a treatment program to determine why she is unable to gain weight. It was rumored that she may suffer from a rare blood disease, but there has been no official word on what is really going on with her. Only a few days after checking into the treatment facility Richie was spotted out and about partying it up. It was even rumored that she fainted while out one night, a rumor that her rep has denied. Whatever the case, she needs to get some help and fast or else she may just end up being beyond help.

Gastric Bypass Surgery – Knowing the Risks

December 31, 2010
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Gastric Bypass Surgery - Knowing the RisksEnlarge Image

Gastric Bypass Surgery – Knowing the Risks

Like any other type of elective surgery, gastric bypass surgery comes complete with its own set of risks. In fact, 10 to 20 percent of gastric bypass patients require follow-up surgery to correct a complication of the original weight loss surgery, according to the National Institutes of Health . The following list covers the most serious risks, and necessary treatments.

Pulmonary Embolism – Patients face a one percent chance of blood clots developing in the legs after surgery. Several techniques can prevent the formation of clots, such as using surgical compression stockings that put pressure on the legs and maintain blood flow in the days following surgery. If clots do form, they may break off and be carried into the lungs, where they can get caught. Emergency surgery is required.

Peritonitis – If a staple or suture used during surgery ruptures and allows stomach fluid to leak into the abdominal cavity, it can cause a serious infection, called peritonitis. Emergency surgery is required to seal the leak, followed by treatment with antibiotics to kill the infection.

Gallstones – More than one-third of gastric bypass surgery patients develop gallstones, which seem to be caused by rapid weight loss. If a patient has gallstones before the operation, the surgeon will remove the gall bladder during the gastric bypass operation to prevent further difficulties. If there are no signs of gall bladder problems, the doctor may prescribe medication to minimize the risk after surgery.

Chronic Vomiting – The connection between the stomach and the intestines can narrow as a result of scar tissue forming. When this occurs, food cannot pass easily through the channel, which may cause nausea and vomiting after eating. To correct the problem during follow-up surgery, the doctor will insert a balloon into the opening and stretch it. This outpatient procedure has a 90 percent success rate.

Dumping Syndrome – This problem occurs when food moves too quickly through the small intestine and causes nausea, weakness, sweating, faintness, and possibly diarrhea soon after eating. Normally, it is caused eating highly refined foods, like sugars. Proper dietary precautions can prevent or control this problem.

Nutritional Deficiencies – Approximately 30 percent of gastric bypass patients develop severe nutritional deficiencies, such as anemia, osteoporosis, and metabolic bone disorders. Taking the correct combination of dietary supplements can prevent these problems.

Stomach Ulcers – Ulcers can develop at the top part of the intestine when it is connected to the new stomach pouch. Traditional ulcer treatments are used.

Hernia – Hernias can develop in any part of the abdominal muscles where there is a weak point that allows a part of the stomach or intestines to push through. Surgery can correct this problem.

Pregnancy – Women should not get pregnant for at least two years after surgery to prevent serious post-surgical complications. Women who later become pregnant must also be careful to take the correct nutritional supplements to protect both her and the baby from developing nutritional deficiencies.

Bowel Obstruction – This problem can result when scar tissue develops where the stomach was sewn or stapled to create a smaller pouch. This requires immediate emergency medical treatment that may include surgery.

With all of the hazards involved, you need to carefully weigh the risks against the benefits of gastric bypass surgery. On the positive side, in addition to weight loss, gastric bypass surgery can dramatically reduce the chance of obesity-related heart disease, diabetes, and sleep apnea, as well as improve lower back and knee problems. Before arranging gastric bypass surgery, discuss all treatment options with your doctor to determine the course of action that is right for you.

More information:
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This article provides an overview of health issues related to gastric bypass surgery and is not intended to replace the advice of a medical practitioner. Please consult your doctor prior to making any major medical decisions.

The Laparoscopic Adjustable Gastric Band Is Growing In Popularity

October 29, 2010
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When it comes to New Year’s resolutions it will probably come as no surprise that losing weight is top of the list, followed closely by improving general fitness and overall health. Indeed, in January of each year more than a quarter of us resolved to lose weight.

For a growing number of people who are classed as being clinically obese the answer to their weight loss problem lies in gastric bypass surgery. One quite recent FDA approved weight-loss option, the laparoscopic adjustable gastric band procedure (LAP-BAND®), is proving particularly popular and recent statistics show that out of nearly 170,000 weight-loss procedures performed in 2005 getting on for one-third were lap band procedures.

The lap band procedure uses a laparoscope to place a silicone ring around the top of the stomach, effectively partitioning the stomach into a small stomach pouch and the larger remaining stomach section. The principle behind the lap band is simply to restrict the amount of food that patients can eat and therefore force their bodies to start using up fat reserves and thus reduce weight.

The beauty of the laparoscopic adjustable gastric band procedure is not only that it is less invasive than other forms of gastric bypass surgery, but that it is completely adjustable and can be customized to suit the needs of each individual patient. In addition, although the quantity of food that the patient can eat is reduced, no special diet is required and patients can enjoy the same foods as individuals who do not have weight-loss surgery.

In a recent study led by Paul E. O’Brien M.D., the National Medical Director for the American Institute of Gastric Banding, the lap band procedure was shown to be significantly more effective in terms of both weight reduction and an improvement in health and quality of life than non-surgical weight-loss programs. This study confirmed the findings of previous studies and showed clearly that the laparoscopic adjustable gastric band offers a successful and permanent solution for both weight-loss and health improvement for those individuals who are some 40 pounds or more overweight.

If you would like more information about gastric bypass surgery and the laparoscopic adjustable gastric band procedure in particular, then please visit GastricBypassFacts.info

Gastric bypass surgery – benefits and cost

October 8, 2010
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Gastric bypass surgery – benefits and costEnlarge Image

More and more importance is placed on gastric bypass surgery as one of the best methods of eliminating excessive fat. However, the risks involved and the cost of gastric bypass surgery are often some issues patients need to consider. Bariatric surgery (another name used for gastric bypass) is a solution to eliminating fat – here are some more facts about it.

Getting ready for Bariatric surgery

Before the surgical procedure is performed, you will undergo some laboratory tests with your surgeon’s supervision. Different pre-operative gastric bypass surgery analysis have to be performed so as to ensure maximum chances of success for the procedure. Some other special measures might have to be taken prior to gastric bypass surgery, such as stopping to smoke and consume alcohol, sometimes even a few weeks before the surgical procedure. As with any surgery, blood clotting medication is to be avoided. You might also be asked to donate your own blood, weeks before the gastric bypass surgery, as it might be needed after the surgery for blood transfusion. You also have to get ready for it from a financial point of view: determine the cost of gastric bypass surgery with your surgeon and make sure to set your finances in order before the surgery takes place.

No more fat!

Although results vary, most patients loose about 50% to 90% of the excess weight in a year, a year and a half after surgery. These amazing figures are even more impressive when we consider the fact that most of these patients were morbidly obese and life was a series of constant obstacles related to their excessive weight. However, results do not come on their own. A life style change is required after gastric bypass surgery and a strict diet will also become essential. Co-morbid problems are usually diminished or even gone forever and many patients didn’t have to take sleep apnea or hypertension medication after the surgery. Even though many patients do not reach an ideal weight after gastric bypass surgery, they will tell you that this procedure did change their lives 180 degrees, as they are now free to enjoy most of the things their excessive weight made them skip prior to the procedure.

Find out more about weight loss and gastric bypass procedures by following the resources listed below:

http://www.gastric-bypass-expert.com

Gastric Bypass Expert
Gastric Bypass Expert Info

Post Gastric Bypass Surgery Diet

September 30, 2010
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The ultimate goal of a gastric bypass surgery is weight loss. This surgery makes the stomach smaller and bypasses a major portion of the stomach and the small intestine. The patient is left with a tiny stomach, which can hold a very small amount of food. After undergoing a gastric bypass surgery, the new stomach gets filled quickly, retaining a sensation of fullness for a longer time. As a result the person may not be able to consume more food and may not tolerate some types of foods. This necessitates a change in the diet.

Post surgery, one is not permitted to consume food for two to three days. After that the food intake depends on the specific diet progression plan, which aims at faster healing through minimum stress on the sites of surgery. The diet progression also helps the body to get adjusted to the new pattern of food consumption.

Diet Plan for First Three Months

The first three months are very important for people who have undergone gastric bypass surgery. It involves the healing process of the body’s response to the new digestive pattern. Hence it is very important to follow the diet plan strictly. A liquid diet is prescribed for the first two to three days. It includes water, juice, broth, milk, strained soup, etc. This diet aids the healing process. Semisolid or pureed foods are administered for the next three to four weeks. This is in the form of a paste or thick liquid, without any distinct chunks. This period is succeeded by an eight-week diet plan, which includes soft foods, like, fruits, cooked vegetables, soft meat, etc. Basically the food must be easier to chew and digest.

Once you start with soft food, care must be taken to eat small meals and to include adequate liquids. You can start with six small meals and gradually reduce it to three. Avoid taking any liquid or water along with food. Try to include more protein-rich food items in your diet, like, low-fat dairy products, eggs and lean meat, as protein is necessary for your body after surgery.

Long-Term Diet Plan

The sooner you progress from one stage to the next, it is considered that your body is getting adjusted to the new pattern. Normally, solid foods are allowed only after three months of surgery, but in people, who show signs of faster recovery, this can happen earlier. Transition from semisolid foods to solid foods requires extra care. You must try solid food, one at a time, by testing your tolerance level. Initially, some food items may cause reactions, like, nausea, vomiting, etc. for the first time but this condition generally improves with time. The following are some tips for avoiding problems with the new diet plan.

Try to have small meals. You can increase the number of meals, but not the quantity of food intake. In case of consumption of a large amount of food in a single meal, the person may develop chest pain, nausea and vomiting. Stick to the diet plan strictly.
Avoid sticky food items like buns, rolls, white bread, pasta, cheese, etc., which can cause nausea and vomiting.
One of the main rules of this diet plan is to chew the food properly before swallowing. This enhances the digestion process.
Gastric bypass surgery may cause dumping syndrome, characterized by nausea, weakness, sweating, faintness, and possibly diarrhea soon after eating. This is due to the fast movement of food through the stomach and intestines. Consuming food or drinks in a fast manner may cause this. It can also be due to intake of high-calorie foods. Avoid foods with high levels of sugar and fat.
Never drink liquids during your meal or just before it, as this can result in pain and dumping syndrome. Try to include eight cups of liquids a day and consume them in between the meals.
Supplement your food with the recommended vitamins and minerals. Regular intake of calcium, iron, vitamin D, vitamin B-12, etc. is very much necessary.
The diet plan recommends avoidance of alcohol and foods with high levels of sugar, fat and spices. It is also better to avoid hot food and drinks. You can approach a registered dietitian for a gastric bypass diet plan. If you already have one, stick to it. Follow it diligently to achieve healthy weight loss and adequate nutrition.

Information On Gastric Bypass

July 24, 2010
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In the world today many individuals find their bodies seriously overweight, and many of these overweight individuals find themselves in the morbidly obese category. Being morbidly obese puts you at risk for many diseases such as, high blood pressure, diabetes and even cancer. The chances of dying while morbidly obese are much greater than that of someone with a normal body weight. Losing weight is the best option for people who are overweight, but that road can be very difficult. There can be medical reasons as to why the weight cannot be lost or the person may be simply too big to get up and exercise. If this is the case, gastric bypass surgery may become a serious option to provide a method for people lose their excess body weight. If you are in the morbidly obese category, it would probably be a wise decision to start gathering and studying information on gastric bypass surgery.

The gastric bypass surgery process begins with consulting your doctor. Your doctor can determine whether or not you are morbidly obese and if you are healthy enough to withstand surgery. You will be given both physical and mental tests.

After you have been cleared for surgery, the next step is for you and your doctor to decide what type of gastric bypass surgery is right for you. There are three different variations of gastric bypass surgery, these are, Roux en-Y(proximal), Roux en-Y(distal), and loop gastric bypass (mini-gastric bypass). Your doctor can help you choose which is the right path for you and which procedure would be best in your particular health situation. All of the surgeries follow the basic principle of making the stomach smaller. Most surgeries reduce the stomach by ninety percent. This makes the patient feel full after a small amount of food, therefore helping them lose weight very quickly.

Like most surgeries, gastric bypass is not without its risks. Gastric bypass can lead to many issues and many side effects. However, most individuals find this is a risk worth taking when it comes to their health and weight issues. Learning about these risks are important and is one reason for studying all the information of gastric bypass you can.

Some complications that may arise after gastric bypass surgery are infection, hemorrhage, hernia, embolisms, and bowel obstructions. There are also risks in the recovery process after having the surgery. These risk can happen long after the surgery is completed and includes vitamin deficiency, ulcers, and leakage. Your doctor and other health professionals can explain the risk involved both during and after a surgery. Once again, remember that any major surgery has its risks and it’s always best to thoroughly understand these risks before making your decision.

Gastric bypass is not for everyone, but for those who do choose the procedure and stick to their recovery plan reap its benefits for years. They will not only increase their lifespan, but most see a decrease in other illnesses they may have had when they were morbidly obese. Many people that have this surgery see a reduction of hypertension, sleep apnea, reflux, and diabetes type 2. The mental health benefits are also great. Patients not only find their bodies more pleasing to look at, but just knowing what a large accomplishment they have made gives them more self esteem.

Gastric bypass has its benefits and its risks and is not for everyone, but when the benefits outweigh the risks, many people have found the surgery to be mandatory in order to have any kind of healthy lifestyle. Be sure to talk it over with your physician and family before deciding to take on this surgery. Researching information on gastric bypass for yourself is also an important ingredient for making a knowledgeable decision.

By: Robert N. Perry

Robert N. Perry – niche writer and builder of websites. Our website has a huge array of articles on both heart and gastric bypass surgeries. It supplies information on what to expect before, during and after your bypass surgery.
www.bypasssurgerycomplications.com

Growing Obesity In Teens Means More Gastric Bypass Surgery

July 12, 2010
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Although the number of gastric bypass operations being carried out each year is growing as obesity rates continue to rise in many Western countries, weight loss surgery is still not considered by many to be a suitable solution for obesity in teenagers. This may however be changing and, while numbers still remain small, the number of teenage weight loss surgeries tripled between 2000 and 2003.

At present there are two issues as far as many surgeons are concerned when it comes to teenage obesity surgery. The first is whether or not the procedure is safe in adolescents and the second is how adolescent patients will fare in the longer term.

As far as the longer term effects of surgery are concerned this is a question that will only be answered in time and once a large enough group of adolescents have been through surgery and meaningful statistics are to hand. In 2003, for example, more than 105,000 bariatric operations were performed but, of these, less than 800 were performed on adolescents. Even though some consider that this is a meaningful sample size on which to draw conclusions about the longer term effects of surgery, we will nonetheless still have to wait several years before any conclusions can be drawn.

In terms of surgical success adolescents have proved to be excellent candidates for surgery, requiring less time in hospital, recovering faster than adults and experiencing fewer surgical and post-operative complications. This is perhaps not too surprising when you consider that most adolescents enter surgery without the other major medical problems which are often seen in adults. Most importantly the death rate from gastric bypass surgery in teenagers is very much lower than that seen in adults.

In addition to the two concerns related directly to surgery itself there is also the wider question of whether or not we should be following this route at all with teenagers. Weight loss surgery requires patients to make considerable changes to their lifestyle and there are psychological issues to be faced both before and particularly after surgery. It is one thing for adults to tackle these issues, but many people question whether this a burden we should be placing on adolescents.

At this point there seems to be little doubt that gastric bypass surgery is an effective solution to the problem of obesity in teenagers but time will be needed to assess the longer term effects of surgery and to allow for further studies to be carried out into the psychological aspects of surgery.

GastricBypassFacts.info is a growing resource center providing a wealth of information on obesity and morbid obesity as well as on various forms of gastric bypass surgery.

5 Reasons For Not Putting Off Gastric Bypass Surgery

July 4, 2010
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For many patients gastric bypass surgery is very much a last resort and something to be put off as long a possible while they explore all of their other options. Indeed, in most cases patients are assisted in this by their doctor who, following tradition, will insist on an extended program of diet and exercise before even considering referring a patient for surgery. But is this approach sensible?

Apart from the fact that most people agree that diet and exercise don’t work and are a complete waste of time for the vast majority of patients, there is strong evidence to suggest that delaying surgery is actually putting patients at risk.

In a recent study the records of more than 2,000 patients who underwent gastric bypass surgery between 1995 and 2004 in one particular medical center were examined. The team carrying out the study wanted to see whether there were any factors which would have predicted the risks for these patients before they underwent surgery and they identified 5 things which they believe increased a patient’s risk of surgery.

The first of the five factors was gender, with men being at higher risk than women. The second was a body mass index (BMI) of more than 50. The third was age, with patients over the age of 45 being at higher risk. The fourth was the presence of hypertension (high blood pressure), often related to cardiovascular disease. The final factor was previous evidence of pulmonary embolus (a blood clot in the lungs) or a propensity for this condition.

The team then awarded one point for the presence of each factor and divided the overall study group into those at low, medium and high risk according to their scores. Next, they examined the death rate for each of these three groups and found that in the low risk group the death rate was 0.31%, in the medium risk group it was 1.9% and in the high risk group it was 7.56%.

Now there’s not much you can do about your gender but, as far as the other four factors are concerned, the effects of delaying surgery are obvious. Getting older, continuing to put on weight and developing health problems all increase the risks for surgery. So, if you are morbidly obese, then perhaps you should consider early surgery and balance the risks involved in waiting against the chances of finding a successful alternative.

GastricBypassFacts.info is a substantial resource center providing information on all aspects of surgery and includes a number of articles covering such things as the vertical gastrectomy.

Why I Want Gastric Bypass Surgery: Random Thoughts From A Tired Mind

June 8, 2010
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What am I thinking? Why do I feel the need to correct misconceptions inflicted upon people who choose to have Gastric Bypass Surgery (a.k.a. stomach stapling). Yet, here I go. Like a fat lamb to the slaughter I will try to make the world listen. Admittedly, I am weary of being judged. Thus, I will vainly ask you to forget what you may have assumed. For just a few moments, dare to see the world from my view.

Have you ever thought about why the mere mention of Gastric Bypass Surgery causes superiority to ooze out from every pore of ‘fit’ society? We have all seen it. A Diet Guru, a News Anchor or a Talk Show Host will say, “Next we are going to meet Barbie Beautiful who lost half her body size.” Then they add, “without pills or surgery.” There is always a slightly judgmental tone in their voice. Those of us who are jaded, scar-heavy veterans of bulge battles inevitably hear this as, “Next we are going to meet someone we know is better than you.” Then they add, “If you can’t do it their way – wow do you ever bite!”

I can’t help buy wonder, why don’t we ever hear things such as a Talk Show Host announce, “Next we are going to meet Paul Bunyan who recently recovered from falling completely through a running wood chipper.” No doubt they would then add, “He healed fairly well without seeking any antibiotics or medical attention. Ask yourself this. What would you think? “Good job Paul!” Or, like me, would you scream, “For the love of God man! Why wouldn’t you have sought medical help? You fell completely through a running wood chipper!” You see, sometimes not asking for help tiptoes along the border of stupidity.

What is it about obesity that reverses logic? What gives normally respectable people some special license to judge, slander, insult and humiliate us? If I had a failing kidney would the guy in line behind me at the C-Store say, “Hey kidney failing bitch hurry up and quit blocking the register?” Not without a liberal beat-down from the other customers. But call me a fat bitch and giggles are the societal norm.

Like any other person whose body may be failing them in some way or another, I am fighting back hard. Unfortunately, like many, I am loosening the fight. There is NO easy out. It may be my mind, my chemistry, my genetics or a perfect storm of all these complex issues which has committed me to a lifetime of being at war with my own body. Just like a person whose organs, brain, bone-marrow and/or antibodies are failing them, it is not for someone else to condemn any casualty of Natures idiosyncrasies. So, before reading my hodgepodge of thoughts further, please remind yourself to check your preconceived notions at the door.

Now I am not saying that there aren’t people who are overweight because they are indeed lazy, eat junk, and/or generally fail to rise to life’s challenges. Excuses for any failure are abundant in this world. But to judge everyone by one measure when we are each so very different is wrong. Diversity is a gift, not a crime.

Some of us who are fat will rise up and overcome the issue forever? Those like me will rollercoaster through decades – lost decades. Still others will never taste success. Laziness or seeking and easy fix does not apply to every fat person anymore than mental illness is to blame for every homeless person. Issues causing obesity vary. Every one is different. Every ‘body’ is different.

Don’t be so sure that all overweight people brush their teeth with red meat and potato chips each morning before couch surfing their day away. I for one spend a minimum of 5 mornings a week at the gym. And yes, I know how to properly exercise. A literal butt-load of calories go the way of the dodo before work. Beyond oodles of cardio, I absolutely dig weightlifting. Seventy five percent of Americans do not work out, yet I am judged to be lazy. Hmm?

As for eating healthy foods, if stacked properly, the contents of my refrigerator would look like a shrine to Dr. Oz. In my kitchen, raw foods, antioxidants and omega 3’s flow like the butter and gravy inside a country farm house. Processed foods and most meats make my stomach churn with disgust.

Although my diet improves with each passing year, my weight does not. My current 30 lb rollercoaster range rolls along like an “E Ticket Ride” gone mad. While I’ve lost large chunks of weight in the past, like so many others I have gained it back and more, so very much more. No approach beats the test of time. I have tried dozens of different diets and every physiological gimmick de jour. I’ve used, and frequently abused, most magical diet pills – prior to them being banned by the FDA.

The mental stress of a lifetime of failure is the icing on the nonexistent, uncraved cake of my life. These failures have no doubt weakened my resolve. For who would fight a bloody battle for land they always give back- two fold – the following year?

While ‘they’ now say you can be fat and healthy, I suspect a fat person subsidized that study. I often notice how few morbidly obese 70 plus year old skydivers I see running around town. I for one love to live life to the fullest. Despite my satirical musings and disgruntled persona, I am disgustingly happy and enjoy the little things, the big things and all things between. Just calling myself healthy while still dying young – not my gig! Thanks anyway.

For me weight loss is not a pursuit of vanity. That ship has sailed. It is a pursuit of life and all that life has to offer. I need years more years to savor it all. Be it more animal rescue work, further books to bring laughter, frivolously chasing my secret dream of trekking to the Mountain Gorillas or simply relaxing in a lawn chair without fear of furniture malfunction, I want it all. No apologies.

There you have it. Fear of dying too young, the desire to do more good, occasional loneliness and wanting to chase athletic/healthy endeavors should be the ultimate motivation for any person to loose weight. Who could not take on the world with these inspirations? I see your point. It sounds so obvious. Anybody should be able to overcome anything when the threat of death is put on the table. But, that is my point. It is not yours to use.

For whatever reason I have not been able to overcome this problem – even under the threat of my impending death. In the face of these monumental inspirations I still fail. I try. I fight, but I fail. Perhaps life has carved me from a different piece of stone. Not every ‘body’, not every mind is the same. We are each carved out of unique life experiences and a mixed-brew of genetics. Why would someone judge me for needing medical help to save my own life, just because they themselves drew a different card?

It’s funny how we pass judgment on select differences, yet embrace others. Some of us run marathons, others sprint. Some love to ride horses, others play bridge. Some can quit smoking, some fail. Some can diet and win, others . . . not so much.

I am stuck. Like a skipping record my life repeats. I wake up each morning knowing that this is the day I will begin in earnest to change my body and my physical life. My transformation is at hand! I will fight! I will win! At night I lay down as a failure. During the hours before a new dawn, I hear my voice over and over. It says I will die young. I will die soon. The life I love will end early. It is true. People will soon look down upon a rather large box containing my ashes and say, “it is a shame that she never ‘just’ lost the weight.” There will be a slightly judgmental tone in their voices.

Perhaps the slow wheels of misperception would begin to turn if people who are able to afford Gastric Bypass Surgery did not hide in shame. Why would they? Brave souls must open weight loss surgery up for discussion and educate others. For those with first hand experience can always do more to teach than any book-smart person.

Nowadays woman flaunt their breast implant with salacious pride. Superficiality is their tiara. Commercials for KY and Erectile Dysfunction products flood the airways. Yet celebrities and ordinary folk alike hide having had a life saving operation. Why? It is just Weight Loss Dysfunction. And, just like a good boob job the result can also be aesthetically pleasing. Nonetheless, people needing assistance to lose weight are publicly adjudicated, bombarded with scorn and force-fed shame. Society’s real shame is this ‘virtual-flogging’ of any soul who has shown courage by admitting they need help.

If I do live long enough to have Weight Loss Surgery, I plan on hiring a marching band to escort me through town in a little black dress. In one hand I’ll carry a sign saying, “Body Brought to You by Bypasses R Us!” My free hand will be tossing out business cards for the surgeon who has helped save my life. This spectacle will not result from pride in my failures. It will rise out of a desire to show the world that there is no disgrace in using every tool in your arsenal to rise up and live. Fight for your life. There is no shame in doing so!

Yes, I am aware that some bypass patients gain back weight in time. I am batting 280% “gain back” at the moment, so I’ll get over the worry of; maybe, possibly, someday . . . I also know the odds of dying from surgery. It is insignificant to living each day with a 95% certainty that I will be die within the next few years. Both issues combined are 100% better than knowing on my death bed that I have left my son without his mother and did not try every option available to stay around and vex him interminably.

So what is stopping me from achieving weight loss? After all we have established that I exercise regularly, am a health food junkie and have a freakin’ sunny outlook on life. My problem is no mystery. It is portion control. How benign and simplistic that sounds. Diet Gurus and TV Docs drop the term ‘portion control’ as if they received royalties for its overuse. If only it were so easy.

Many believe there are two to ways to feel. You are either hungry or full. Unfortunately there are three was to feel. There is hungry, whatever and full. “Whatever” is that cruel no-man’s-land between fullness and hunger? Full I can beet hands down. When I am full, my focus is on life, work . . . Food becomes a non-issue. Hunger I can not beet. I am dizzy, weak, sick feeling and powerless. Sure I should be able to endure this in exchange for life, but for whatever reason, tremors, lightheadedness and occasionally passing out cold . . . win. I apologize.

However, my real problem is that blasted Whatever Zone. I need to feel full to not eat. The weakness and powerless nature of true hunger is to be avoided. In addition, I focus too much of my thoughts on food when I am just ‘whatever’ and not full. Simply being ‘not hungry’ is not enough. I can not say why. I will not insult other by trying to explain further what I myself can not put into proper words. The fact remains, even with the absence of junk food cravings or even true hunger I have a weak spot. “Whatever” is my Achilles’ Heal.

So, here I am. I need a feeling of actual fullness in order to not eat. Currently this results in eating oversized portions. This is why I sincerely believe Gastric Bypass would be a useful tool in helping me with weight loss. I’d feel full after eating less, which would compliment my healthy food choices and exercise regime. Why would anyone think poorly of others for needing such a simple last little bit of help?

If individuals could feel for one day the anguish I internalize at having such a socially unacceptable health problem, I am convinced there would be donation buckets for me next to every cash register in town. Just as folks do for a neighbor who has cancer or needs a heart bypass (also frequently caused by poor eating habits), the community would rally. But even right now most of you feel that is a ridiculous comparison, because judging fat people is innate in American society and in that one way I fear most everybody is not so different after all.

So, if you still must look down on all of us fabulous, but floundering, mixed-up people needing weight loss surgery, I can say no more to try and change the way in which you choose to view this weighty issue. Find me as you will. Like this essay my struggle and emotions are all over the board. But, never say I am “taking the easy way out”. There is nothing easy about the choice of seeking medical help. Years of struggle and painful failure have drug me kicking and screaming to this place. It is true. For me weight loss surgery may likely be an unachievable fantasy, but those who receive this opportunity deserve your understanding, not your distain. Hire them a marching band.

By: Nola Lee Kelsey

Zoologist Nola Lee Kelsey has penned a myriad of books from the scathingly funny Dogs: Funny Side Up(!) to the charming, children’s read-aloud Let’s Go Visit Best Friends Animal Sanctuary. She’s also a self-confessed serial volunteer for global animal rescue organizations. Her humor articles have appeared in publications from Reptiles Magazine to The Bangkok Post. Visit www.NolaKelsey.com to learn more.

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