Who Are Advanced Laparoscopic Specialists

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

In spite of what many think, this is not a frivolous field of medicine. Those who are one hundred pounds or more above their ideal weight are prey to severe health complications. Among these are hypertension and other heart conditions, type 2 diabetes, and sleep apnea. Any of these conditions can be life-threatening. All of them, as well as the excess weight, lower the quality of life for millions of people.

The fact is that obesity makes it impossible to get the recommended amount of exercise, which does not help any weight-control plan. Without exercise, circulation of blood and lymph is compromised and digestion is impaired. This weakens the immune system, so the person is susceptible to many ills. A lack of muscle tone also makes burning calories less efficient, as less are burned for energy and more are stored as fat.

Excess poundage stresses joints such as knees and ankles, making even moderate walking for a mile or more virtually impossible. As lack of exercise contributes to weight gain, the problem only worsens. If the person also has hormonal issues and poor eating habits, the stage is set for obesity. In the United States, this condition is the second largest 'bad habit' cause of death. The first is smoking. In fact, too much sitting is now called 'the new smoking'.

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.

The clinics that offer this service also provide comprehensive support. Dietitians and nutritionists hold classes on proper eating habits and good lifestyle choices. Support groups help both before and after surgery and recovery, giving people the encouragement they need for success. Behavioral counselors help people understand the emotional aspects of obesity and the ways that people can cause themselves to fail.

This pre-op and post-op program involves both surgeons and trained professionals, as well as patients themselves. The personalized approach has proved very important in the success of this weight-loss measure. Without lifestyle and dietary changes, people who have the surgery often gain the weight back. With them, a whole new life is possible with everything needed for happiness and health.




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