A study of two popular bariatric surgery procedures—Roux-en-Y gastric bypass and gastric banding—found that both had very good weight loss outcomes at 6 years after surgery. Weight loss was faster, greater and remained “significantly better” six years after gastric bypass compared with patients who received a gastric band, according to the researchers. However, patients with the band lost 65 percent of their excess weight at six years, which is quite a successful outcome. Gastric bypass patients lost on average, 79 percent of their excess weight after six years. The study, published in Archives of Surgery is one of the longest studies in the United States of these two common weight loss procedures, to-date. (more…)
Posts Tagged ‘weight loss program’
Gastric Bypass Surgery Study: Positive Outcomes
Monday, January 30th, 2012Health Care Bill to Require Calories on Restaurant Menus
Wednesday, April 21st, 2010
Have you ever wondered just how many calories that chicken quesadilla or reuben sandwich will add to your caloric intake for lunch? What about the “healthy” veggie spud and cream of broccoli soup?
Eating out can be a real problem for those who are watching their weight and trying to eat healthy. Until now. Buried in the pages of the health reform bill passed by the U.S. Congress, is a provision requiring chain restaurants with 20 or more stores to disclose the number of calories on their menus.
Offering a menu without calories is like offering a menu without prices. Individuals should know what their financial cost and their health cost is for what they are ordering. When you purchase food in a grocery store, the “Nutrition Facts” label gives key nutritional information including calories, fat grams, sodium content, etc. for each serving in the package. The customer in a restaurant has to make a blind guess and “judge” how fattening and unhealthy each menu option may be.
Menu-labeling will not reverse the obesity epidemic by itself. But it is a step in the right direction and one that will cost very little to implement. Menu-labeling will give each individual the knowledge to make healthy choices, thus putting the responsibility on each of us and ultimately lowering healthcare costs, overall.
Regardless of the view on the overall health reform bill, nearly everyone agrees, including the National Restaurant Association and public health advocates, that this is one part of the bill that will improve health and cut costs in the long run. When the law takes effect in 2011, the number of calories will be noted right next to the price on the menu.
Source: Menu-labeling to Win the Struggle Against Obesity – Kansas City infoZine News. Jason Eberhart-Phillips, MD. www.infozine.com/news/stories/op/storiesView/sid/40532.
Until these changes take place, the Surgical Specialists of Louisiana can help you make healthy and informed decisions. The MyWeight™ nutrition and wellness counseling program in Louisiana offers individualized weight loss programs, lifestyle coaching and one-on-one medical consultation. Contact our office to learn more about the MyWeight™ medically supervised weight loss program.
Obesity Action Coalition Issues Airline Policy Statement
Tuesday, March 30th, 2010The Surgical Specialists of Louisiana would like to take the opportunity to share the recent issue of the Obesity Action Coalition (OAC) Airline Policy Statement. Current airline policies often discriminate again obese patients. Instead of perpetuating the stigma of obesity we should be supporting prevention and resolution policies. Below is the official Statement from the OAC.
Obesity Action Coalition (OAC) Airline Policy Statement
The Obesity Action Coalition (OAC) recognizes the current standards and practices used by the United States airline industry in regards to the travel process (booking travel, purchasing of additional seat, determination of ability to fly based on size, etc.) must change. Those affected by excess weight experience an overall diminished quality of travel due to the lack of understanding, education and sensitivity to their condition. These standards and practices must change to accommodate the millions of Americans affected by excess weight who utilize the airline industry for their traveling needs on a daily basis. In order to assist the airline industry in modifying and bettering their practices, the OAC has highlighted specific problem areas needing immediate attention. We have also highlighted long term areas of interest requiring action on the part of the airline industry.
Immediate Action Needed
Purchasing of Extra Seat
Those affected by excess weight often want to save themselves the embarrassment of being “required” to purchase an extra seat and therefore, seek to purchase the extra seat online when booking their travel. Unfortunately, it is not simple to purchase another seat online for the same person. The check‐in process can often lead to even further embarrassment as security and gate agents often question the use of the same ID for two tickets.
Solution
A new user‐interface must be developed allowing those who wish to purchase a second seat to easily do so online. Ticket counter employees, gate agents, flight attendants and others must also be educated on the option for a passenger to purchase an extra seat and treat that individual with respect and sensitivity. For those who are “required” to purchase an extra seat based on airline policy, the cost of the extra seat will be reimbursed if there is at least one open seat on the plane. The open seat must be a seat not used by a paying customer. If the airline should choose to use that seat for a non‐paying customer, such as a flight crewperson, the passenger still needs to be reimbursed their fare for the extra seat as the available seat is now occupied by a nonpaying customer.
Assessment of Ability to Fly due to Size
The current standard and practice by which a passenger is deemed able to fly or required to purchase an additional seat, due to their physical size, must change. Current practices often have the assessment of the passenger’s ability to fly taking place inside the aircraft. This approach greatly increases the negative stigma associated with excess weight and embarrasses the passenger in front of his/her peers.
Solution
The process of assessing whether an individual requires an additional seat must be held in a private room out of view of passengers, other airline agents (other than the trained official evaluating the process) or the general public. Passengers in question would be required to sit in a sample airline seat (specific to each airline) and perform the required safety measures, such as lowering the arm rest and buckling the seatbelt (with the assistance of a seatbelt extender if needed). Once completed, the passenger would then be cleared to fly or provided with a detailed explanation regarding their denial of travel or second seat purchase requirement. Once aboard the aircraft, under no circumstances should the passenger be required to once again demonstrate their ability to fit into a seat or perform any other qualification requirements other than those specified by the FAA, such as viewing the safety demonstration or verbally agreeing to assist other passengers if seated in an “exit row.”
Sensitivity Training for All Airline Employees
Travelers affected by excess weight often express horrific stories of being made to prove their ability to fit into a seat, while flight crews watched, explain tirelessly why they have two seats registered to one person and much more. Travelers affected by weight are not second‐class citizens and the treatment of them as such must immediately stop.
Solution
Sensitivity training is a must for the airline industry. Along with the above mentioned issues, sensitivity training is crucial in building a more accepting environment for passengers of size. Unfortunately, weight stigma is one of the last acceptable forms of discrimination in the United States. As the diversity of customers for the airline industry is immeasurable, the airline industry must ensure that it is serving each customer, regardless of size, with respect, dignity and sensitivity. The OAC stands by ready and waiting to assist any airliner with the implementation of sensitivity training for their employees.
Long term Issues
Widening of All Airline Seats
A long term initiative that is achievable by the airline industry is the widening of all airline seats. The average airliner today uses seats that are 17” – 17.2” wide. Unfortunately, this is not aligned with the current size of the average American as millions are affected by excess weight. The much‐needed widening of airline seats is long overdue. Such widening should allow for the vast majority of Americans to travel on a single fare without the requirement of purchasing a second seat.
Solution
The widening of the all airline seats will better accommodate the general public and reduce the number of individuals, affected by excess weight, being denied travel. The airline industry has failed to appropriately assess the size of an average passenger throughout the past 25 years; leading to many passengers, even those who would be deemed “normal weight” according to a body mass index scale, feeling uncomfortable during their travels. The airline industry must adapt to a more forward‐thinking and proactive methodology in constructing their aircrafts with the needs of Americans as a first priority. Major industries, such as sporting venues, automobiles and others have made changes in their seating standards to accommodate people of all shapes and sizes – the airline industry must follow suit. In the interim, immediate inclusion of a limited number of wider seats is a shorter term solution; however, the complete overhaul of airline seating must be addressed in a timely manner as millions of Americans utilize the airline industry on a daily basis.
Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org
The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.
Why Sugar Alcohols Matter
Friday, February 19th, 2010Knowing what’s in the food you eat is just as important, if not more important, that eating well. Weight loss success is extremely dependent on monitoring food content and ingredients, such as various types of sugar alcohols. Make sure you know what you are putting into your body by reading food labels. The following article, written by Kate H. Roundtree, LDN, RD will help you better understand one mystifying nutritional element: sugar alcohols. Kate works with the Surgical Specialists of Louisiana at their Lafayette office.
Sugar Alchohols: How do they fit in?
Kate H. Rountree, LDN, RD
When learning how to read food labels, one topic of interest that patients continuously question is sugar alcohols. The population wants to know what these products are, why are they used, and how much is too much. Sugar alcohols can be consumed, but in moderation because they can cause unpleasant gastrointestinal side effects. Therefore, it is important to understand how to use these products and also where to find information on content when looking at food packaging.
Sugar alcohols are chemically formed sweeteners that can be found in many sugar free and no sugar added food products (candies, gum, baking mixes, ice cream, cookies, etc). These products are formed from naturally occurring sugar found in fruits, plants, and trees and contain approximately ½ the sweetness and calories of sugar that “regular” product have. The common names, which can be found in the ingredient list of food packaging, are mannitol, sorbitol, isomalt, lactitol, maltitol, erythritol, and xylitol.
Sugar alcohols are used to add sweetness with fewer calories. They are typically used in combination with high intensity artificial sweeteners (NutraSweet®, Splenda®, aspartame, etc) to offset the unpleasant after taste. They can also be used as a bulking agent in certain foods.
Sugar alcohols can be problematic when consumed in abundance because they are only partially absorbed by the small intestine. The amount absorbed is dependent on the particular sugar alcohol ingested. Sugar alcohols not absorbed by the small intestine reach the colon and are fermented by bacteria and produce gases; sugar alcohols are incompletely metabolized by humans. Incomplete absorption can lead to abdominal bloating, cramping diarrhea, and flatulence. It is important to remember that the more sugar alcohol is consumed the more intense the symptoms can be.
The pros to using sugar alcohols include:
• Contains less calories than sugar
• Causes only a slight rise in blood sugar verses a large rise when using real sugar
• Does not cause tooth decay
• Improves texture of foods
• Retains moisture in foods
• Prevents foods from browning when heated
The cons to using sugar alcohols include:
• Poorly absorbed by the body, causing GI distress, when consumed in large concentrations
• Weight gain, if overeaten
• Hypoglycemia may result in diabetics if insulin dosage is dependent on specific amount of carbohydrate consumed since sugar alcohols are used when calculating total carbohydrate content
The United States Federal Drug Administration outlines specific instructions when labeling food packaging. In the instance of sugar alcohols products labeled as “no sugar added” or “sugar free” may still contain sugar alcohols, so it is vital to always read the nutrition label on all processed foods, especially those labeled “no sugar added” or “sugar free.” Consider the serving size and the amount of sugar alcohol per serving and keep in mind that as little as 10 gm of sugar alcohols can cause GI symptoms.
Understanding the pros and cons of sugar alcohols is a key ingredient in the recipe to weight loss success. Weight loss is a lot of hard work, but knowing all of the important ingredients and factors will make your weight loss success that much easier. Next time you are at the grocery store, pay attention to the labels and use the new tools you are now equipped with to make smart, weight loss motivated, decisions. If you seek professional help, contact the Surgical Specialists of Louisiana. Their medically supervised MyWeight™ weight loss program can help you become a healthier, happier you!

There’s good news for chocolate lovers everywhere: A study, from the University of Cambridge in the UK, found that eating chocolate on a regular basis can reduce the risk of developing heart disease. The study consisted of 114,000 people and determined that those who regularly ate the most chocolate had a decreased risk of
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The Surgical Specialists of Louisiana would like to provide you with tips for dining at your favorite resturant. But, first, it’s Summertime and it’s hot! Are you looking for a way to cool off without stopping at the closest snowball stand? Try one of these great recipes.

