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Advanced Laparoscopic Specialists Offer Hope

By Marci Nielsen


These are the medical doctors of New York city who are trained in endoscopy (a minimally invasive diagnostic and surgical technique) with a focus on helping the morbidly obese lose weight. Advanced Laparoscopic Specialists are skilled in gastric by-pass surgery, which reduces the size of the stomach. The operation itself is only a first step in the weight-control program

Gastric by-pass surgery is considered cosmetic or frivolous by many. However, this method of reducing the functional size of the stomach and thereby reducing its capacity is a lifesaver for those who need extreme measures to restore health. People who carry one hundred pounds or more of surplus weight are susceptible to other health problems. These include hypertension and cardiac disease, type 2 diabetes, and sleep apnea. All of these disorders can be life-threatening, and all negatively impact a person's quality of life.

Individuals who are severely overweight may be unable to get sufficient exercise, which is a key component of most successful weight-loss programs. Muscles need exercise to maintain tone, and it is muscle fibers that burn calories more efficiently than other tissue. Without exercise, more calories are stored as fat instead of being burned for energy. Without exercise, digestion is compromised. So is circulation of both blood and lymph, leadong to a weakened immune system that leaves a person vulnerable to other illnesses.

Excess weight puts great stress on the feet and joints, which can make even walking difficult. If those who cannot exercise also have hormonal issues, losing weight is even harder. Poor eating habits add the final touch to obesity. This condition is second only to smoking as a dangerous habit that can cause death. In fact, sitting is now called 'the new smoking', as doctors realize its negative effects.

Gastric by-pass is done with endoscopes (metal rods that allow lights, cameras, and implements to be inserted through tiny incisions). It is one of many operations under the laparoscopic surgery umbrella. Endoscopy is safer than open surgery, since there is less chance of infection because of smaller incisions. There is also less pain, less scarring, and a much shorter recovery time.

Special cameras and lights allow the surgeon to 'see' what he's doing. Advances like these make surgery feasible for many whose health might not allow conventional surgical procedures. Gastric by-pass used to be major surgery with inherent risks. These have been greatly reduced with the less invasive procedures.

ADLAP clinics offer a comprehensive support program that includes seminars on the procedure before surgery is scheduled, so patients understand the process and what they need to do both before and after. Support groups help people emotionally and give advice on how to make weight loss permanent. Counselors help patients understand the reasons they are over-weight, which are usually more than physical, and how to make lifestyle changes necessary for success. Nutritionists and dietitians are also part of the group that helps people get the full benefit of the surgery.

This personalized approach is key to the success of the program. Being informed on what to expect and having support after the operation helps people get the maximum benefit of the surgery and enjoy a new life free from obesity.




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