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Experts Say Weight Loss Surgery May Help Some Diabetics

May 12, 2009

Middletown, NY- The increasing epidemic of diabetes in the United States has been linked to the rapid increases in obesity and poor food choices by society. Dr. Wayne M. Weiss, Medical Director of Bariatric Surgery for Orange Regional Medical Center says weight loss surgery may be the most effective way for morbidly obese diabetic individuals (greater than 80 -100 pounds overweight) to control both their weight and diabetes.

A recent publication from the American Diabetes Association entitled Standards of Medical Care in Diabetes-2009 now includes weight loss surgery as an encouraged option for individuals with diabetes and a body mass index of 35 or greater (morbidly obese). A recent comparison between supervised dieting and exercise versus weight loss surgery showed a five-fold increased resolution of diabetes in the surgery group. The surgery group also lost on average ten times as much weight (Dixon et al. 2008).

“Diet and exercise have long been important treatments for both diabetes and obesity,” says Dr. Weiss. “Although most people understand this, the incidence of obesity has doubled in the last twenty years and diabetes is rapidly increasing, as well. Despite our best advice, most individuals are unable to lose sufficient weight or make the appropriate lifestyle changes to correct either their obesity or resolve their diabetes. Weight loss surgery is not for everyone and there are potential side effects, but it is now accepted, for some, to be the most reliable approach to weight loss and subsequent control of diabetes.”

Orange Regional Medical Center offers two minimally-invasive surgical weight loss options, Gastric Bypass and Lap-Band Surgery at the Arden Hill Campus in Goshen, New York with private, spacious and beautifully decorated rooms. There is also a regular support group, facilitated by Janet Kovler, M.S., R.D., C.D.N., C.D.E., Orange Regional’s Bariatric Surgical Services Coordinator, which provides support for pre and post-surgery bariatric patients, as well as presentations by plastic surgeons, certified fitness instructors, nutritionists, and more.

Wayne M. Weiss, M.D., of Tri-State Bariatrics, has over 20 years of surgical experience and has been performing laparoscopic gastric bypass and lap-band surgery for over seven years with an established record of excellence. Dr. Weiss was educated at NYU Medical Center and is Board Certified in General Surgery and Surgical Critical Care. He is a member of the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery.

Ms. Kovler is a Certified Diabetes Educator, a Registered Certified Dietitian and an American Heart Association Certified Cardiovascular Counselor. She brings over twenty years of clinical, educational and leadership experience to Orange Regional’s Bariatric Surgery Program.

Gastric Bypass surgery is a minimally invasive procedure that restricts food intake by creating a small pouch in the upper part of the stomach by stapling it together. The surgeon then attaches part of the small intestine to the new pouch effectively “by-passing” the part of the stomach that has been sealed off. This causes the patient to feel full quicker and eat less while the body absorbs fewer calories leading to weight loss.

Lap-Band surgery is also a minimally invasive procedure and involves placing an inflatable and adjustable band around the upper part of the stomach, producing a small pouch. The band creates a small opening that allows limited food to pass through each section, resulting in controlled food intake. This causes the patient to feel full while eating less and reducing calorie intake which assists in weight loss.

Orange Regional Medical Center also offers the Stanley S. Dunkelman Diabetes Treatment Center at 110 Crystal Run Road in Middletown. The Center’s team of compassionate staff members works with diabetic patients and their doctors to develop individualized programs to manage the disease. The Center provides comprehensive education and support for children, adolescent and adult patients with diabetes and pre-diabetes.

To learn more about weight loss surgery or diabetic treatment options at Orange Regional Medical Center, please call the Orange Regional Health Connection at 1-888-321-ORMC (6762) or visit www.ormc.org.


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