The Complexity of Weight Loss
Our bariatric surgeon, Dr. Michael Williams, wrote the following article which appeared in the July 2019 issue of Best Self Atlanta magazine.
The condition of being overweight has reached epidemic proportions in the United States. Data from the Centers for Disease Control and Prevention shows that two out of three Americans are overweight to varying degrees. Consequently, weight loss is an issue that many people struggle with. Becoming overweight may be multifactorial. This includes a complex interaction between genetics, environmental factors, a high-calorie diet, reduced physical activities, stress, poor coping mechanisms, and poor sleeping habits. Excess weight can negatively impact every organ system in your body and may eventually lead to an early death. These ill effects can be manifested in common diseases and issues such as hypertension, diabetes, high cholesterol, stroke and heart attack, fatty liver disease, gallstones, and increased risk of many cancers.
One can therefore appreciate that weight loss and the maintenance of an overall healthy lifestyle is critical and requires a multidisciplinary approach.
In our practice, a major focus is assisting patients in their weight loss journey and helping them maintain a healthy lifestyle. We incorporate a multidisciplinary approach in the weight loss options available to our patients.
Treatment options include the use of pharmacological agents such as phentermine, QsymiaÒ, BELVIQÒ, CONTRAVEÒ, and SaxendaÒ, along with close clinical follow up. Pharmaceuticals may be combined with noninvasive procedures such as the intragastric balloon. This is an office-based procedure with anesthesia for the patient’s safety and comfort. The balloon remains in place for six months. During this time, patients undergo an intense period of medical supervision and lifestyle coaching. Our physicians work in concert with psychologists, dietitians and fitness trainers to accomplish the health goals of patients. These minimally invasive approaches lead to a quicker recovery, less pain, and improved cosmetic results.
We are in the process of introducing a new endoscopic technique in which patients can undergo a procedure like the sleeve gastrectomy without the invasive component.
For patients who may not have achieved their desired goals with lesser invasive means, or who may desire a more durable, ambitious approach, we offer the traditional laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass and duodenal switch using laparoscopic and robotic techniques.
In our practice, we realize that weight loss is truly a lifelong journey. Your success and achievements are very important to us. Therefore, we stress the importance of long-term follow-up and monitoring. Through this process, we have enjoyed many lifelong relationships with our patients.
At Laparoscopic and Endoscopic Surgery Institute, we are committed to the treatment of excess weight and continue to keep up with the current research, including manipulation of hormones, bacterial gut flora, new endoscopic devices, and medicines that enhance energy expenditure. We do this to continue offering patients excellent care using both surgical and nonsurgical cutting-edge technology options.