The N.E.W. Program Orange County,
CA in collaboration with the Obesity Research
Foundation has performed or has begun
numerous projects dedicated to improving the
field of weight loss surgery. We have invested
significant resources in maintaining one of the
most complete databases of patients having had
bariatric surgery. Below are some of the
research projects that are currently on going.
One Thousand
Laparoscopic Bariatric Operations Without A
Single Mortality - Technique And Protocol.
There are very few (if any centers)
that have performed one thousand weight loss
surgery procedures without a single mortality.
Further more, our overall complication rate is
very low. We have successfully performed
laparoscopic surgery in 99.5% of patients
regardless of size and previous operations. We
have never had a DVT or pulmonary embolism, we
have not had a single patient with sepsis in the
ICU, we have never had a stoke or irreversible
illness. We report on our technique and
protocols in order to help other centers
experience our extraordinary results.
Rapid Decrease In
Liver Volume With A Very Low Calorie Diet
A short 2-week very low calorie diet
acutely decreases the size of the liver. This
reduction in size can be used to greatly
increase visibility and access to the gastric
pouch during weight loss surgery. The mechanism
of action is through the mobilization of fat in
the liver. Surprisingly, fatty liver disease and
hepatomegaly (enlarged liver size) has never
been documented to reverse so quickly.
Zero Deep Vein
Thrombosis (DVT) Rate In Laparoscopic Bariatric
Surgery With The Use Of Continuous Intravenous
Unfractionated Heparin Infusion.
Despite perfect technique, DVTs can
cause fatal or disabling complications after any
surgical procedure. Patients who are
significantly overweight may not normally absorb
commonly used DVT prevention medications. Also,
these medications (such as Lovenox or Fragmin)
can stay in the body for up to 24 hours and are
not easily reversible in case of a bleeding
complications The use of intravenous
continuous, low-dose unfractionated heparin may
be able to eliminate DVT rate and allow for
rapid control of anticoagulation in the case of
bleeding complications.
Remission In Type II
Diabetes After Gastric Bypass Surgery.
Diabetes, a common complication of
obesity that can cause devastating problems is
readily reversible with weight loss surgery.
Patient taking very large doses of insulin have
been completely weaned off all medications just
days after surgery.
Weight Loss Causes
Normalization Of DHEA-S In Patient With
Polycystic Ovarian Syndrome.
Infertility, irregular periods, acne
and abnormal hair growth are associated with
obesity. Reversal of obesity can reverse these
conditions through improvements in hormone
balance.
Prevention Of
Internal Hernia After Laparoscopic Gastric
Bypass Through The Use Of An Antecolic,
Right-Flipped Roux.
A relatively common complication of
laparoscopic weight loss surgery is an internal
hernia. These hernias can be prevented through a
simple modification in surgical techniques.
Zero Leak And Zero
Stapler Malfunction Rate With Both The Ethicon
And US Surgical Brand Staplers.
The most significant factor in good
results after weight loss surgery is the
experience of the surgeon – not the brand of
stapler.
Quality Of Life
After Weight Loss Surgery Equals The Non-Obese
Population After Three Months.
Improvement in Male Libido after
Weight Loss
For unknown reasons, improvements in male sexual
function are marked after significant weight
loss. More research is necessary to determine
the exact mechanism.