[WLSNewsBot]

Pre-bariatric surgery weight loss helpful (UPI)

Obese patients who lose up to 10 percent of body weight before bariatric surgery have more rapid postoperative weight loss, a U.S. study found.

published Tue, 16 Oct 2007 21:26:16 GMT

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Have a read of the article and post your comments here.

What have you learned? How has it helped you? We look forward to your discussion.

[FemmeMode]

• "Obese patients who lose up to 10 percent of body weight before bariatric surgery have more rapid postoperative weight loss?? "1

I didn't lose ANY weight before my surgery....and although, I think that it's a good idea - I think this is a rediculous quote...and I am living proof that's it most likely not true. By my one year surgi-versary I had lost over 77% of my excess weight...now, 18mos post op....I've lost 86% of my excess weight!
According to an online article....it's seems to think differently:

• "Those who lost more than 10 percent of their excess weight before surgery were more than twice as likely to have lost 70 percent of excess weight one year afterward, compared with those who lost between none and 5 percent of their excess pounds before surgery."2

BLAH BLAH BLAH!!! I don't know if I really believe these "News-bot articles"....they seem sensational....& I really hate this sesational crap-o-la...YUCK for the News-bots!!

________________________

ANYWAY - in my opinion...it's not about a "formula" - it's about

• working hard...
• learning about nutrition...
• practicing a good exercise behaviors...
• making good choices...
• having self-control...
• and being authentic with your inner self and WHY you got to became morbidly obese in the first place!

[DocSanae]

The origin of this article is a controlled cohort study, that was published in the most recent issue of Archives of Surgery that features bariatric surgery, so this isn't a sensational article.
It just states that those who were given some sort of directive to lose some weight pre op do better post op. The complete article isn't up yet, just the abstract, so the discussion (the section in medical papers that discuss why the study revealed such a result) isn't available, but most likely, part of the reason that that pre op weight loss seems to have better results is that 1) the patient is familiarized and made strongly aware of the diet changes that must be made post op, and 2) prevents the patient from going into the "Last Supper" syndrome.

Of course, if you work hard in the areas that you need to, and are well aware of what needs to be done, whether you are required to do the pre op diet or not, you will do well and get the best results.

[FemmeMode]

Originally Posted by DocSanae

The origin of this article is a controlled cohort study, that was published in the most recent issue of Archives of Surgery that features bariatric surgery, so this isn't a sensational article.

Originally Posted by DocSanae

It just states that those who were given some sort of directive to lose some weight pre op do better post op. The complete article isn't up yet, just the abstract, so the discussion (the section in medical papers that discuss why the study revealed such a result) isn't available, but most likely, part of the reason that that pre op weight loss seems to have better results is that 1) the patient is familiarized and made strongly aware of the diet changes that must be made post op, and 2) prevents the patient from going into the "Last Supper" syndrome.

Of course, if you work hard in the areas that you need to, and are well aware of what needs to be done, whether you are required to do the pre op diet or not, you will do well and get the best results.

Don't they seem a bit sensational to you Doc??
All these News-bot articles seem to be sooo......hmmmm? I don't know ....DRAMATIC?!

I'm glad to hear that you knew that the whole article wasn't published yet....b/c it seemed short and stunted when I read it - and it left me wondering....why is this even published?? What's the point?

With your professional opinion, it has more value - but really only because I know YOU to be an amazing Doctor!!! Sorry I jumped to judging the article too soon....

1) the patient is familiarized and made strongly aware of the diet changes that must be made post op, and
2) prevents the patient from going into the "Last Supper" syndrome.

I can understand #2....I remember my "LAST SUPPER"....it was about 2 weeks before my surgery...I remember thinking I'll never be able to have this type of food again. Funny enough - I don't know what my mind was thinking about the surgery...I acted like I'd never be able to EAT again....sounds silly now....but, I've eaten meatloaf & mash potatoes a bunch post op....just about 1/5th of what I did at my 'last supper'....OMG! Thank the Lord for my surgery....
______________________

NOT TO MENTION - I guess I'm lucky to have lost as successfully as I have (with great %'s) ....
I'm "out of the ordinary"...not the "average post op patient"....Love that about me! LOL.... J/K

[fr1endly2]

I believe this article tons.
I lost pre op weight!
and was considered a very
rapid weight loss looser.
I also feel it does help reduce
the risk of complications!


I DOO BELIEVE!!!!

[DocSanae]

Originally Posted by FemmeMode

Don't they seem a bit sensational to you Doc??

I'm glad to hear that you knew that the whole article wasn't published yet

Sorry, I meant the entire article is not yet up online on the site that we (medical professionals) use when searching for info. It is pubished in full as the October issue of Archives of Surgery is already in print, so the full article is available but only to those who subscribe to the journal. I haven't gone to the online site of the journal, but I will be able to access only the abstract there as well, as most journal online pages will let only the subscribers to the published journal have access to the online journal in full as well. Abstracts are free. The full articles become free usually after 6 months.
Incidentally, the October issue of the Archives of Surgery features several articles on gastric bypass.

As for sensationalism, well, journalism these days are sensational anywho, so you always have to be prepared to listen to the story with half an ear, so to speak. After all, that's what sells.

[FemmeMode]

Incidentally, the October issue of the Archives of Surgery features several articles on gastric bypass.

As for sensationalism, well, journalism these days are sensational anywho, so you always have to be prepared to listen to the story with half an ear, so to speak. After all, that's what sells.

Is there an ONLINE sourse to read the October issue of the Archives...or do they just do it in snippits online???

Yea...you are right about the "sensationalism is what sells"....LOL

Did you see that "news bot" on "FAT BETTY??" -

cracks me up what it will pick up for the board....and then....some of the really crazy stuff....

[DocSanae]

You can access just about all medical journal articles online in full, but you have to be a subscriber to the printed journals. If the journal is the official journal of a medical society, then you have to be a member of the said society, in which case the cost of the journal is included in the membership fee. Or, you pay for subscription to the publisher of the journal, and you receive both printed copies, and online access to the full articles.

The abstracts are free and public, but as I said, the full article is accessible to those who pay for the journals until 6 months past publication. Of course, we can get the entire article if we wish to, by paying an individual fee for each article. This is a copyright issue, and when you consider the hours of research that go into writing one article, well, the authors do have the right to be protected, and get the proper credit when their studies and articles are mentioned by others.

Incidentally, the abstracts to us, aren't snippets, they are very important brief summaries of the entire article, so needs to have the crucial points in a very short article, to attract attention and give us a fair idea of what the study is about, and has revealed. The authors take care when preparing abstracts, as they are often the basis of whether our research will be accepted for presentation at important medical conferences, or for further scruitiny of the article in full to decide wether it is acceptable for publication. It isn't easy to summarise a 30-40 page article into 10-20 lines or so, and to be honest, in the actual professional environment, it's a good measure of whether a person is good at analysing and assessing various situations.

So, as far as information on medical research goes, the impressions given by an article written by a journalist who has reviewed the article or the author or both, can be totall different from the original abstract and article itself, especially when a professionaly trained person reads it.

Incidentally, the News bots automatically pick up the articles through set key words and link, so it's sure is hilarious what news it sometimes will pick up.