Wednesday, March 9, 2011
Gastric Bypass Testimonial Deb Hoffman
Debbie Hoffman explains the results she has experienced 2 1/2 years after her Lap RNT gastric bypass operation. She has lost 131 lbs and kept it off.
For more patient stories from our practice by googling DrSteveMyers and selecting my YouTube channel.
Saturday, March 5, 2011
App for a Smart Phone Can Help Bariatric Patients

Jennifer Kanagy was seen in my office this week and explained that she had found a new App that had been helpful to her. It has a name that could insult anyone!
FatSecret.com alows you to manage your calories, protien, fat, calories and exercise.
Download app
Bring up daily food guide
click scan
scan bar graph
Obtain nutrition info
change size of portion
collect info about food consumed
etc.
Jennifer hopes this is helpful for others on their bariatric surgery journey.
Thursday, March 3, 2011
Tuesday, March 1, 2011
Diabetes Improvement Barely Mentioned

Recently on a Sunday in late winter I stepped off the escalator on the second level of our local Barnes and Nobles book store at Easton in Columbus, Ohio and my eye caught a large group of books on the medical self just in front of me. I counted 23 books about diabetes and as I looked further no other medical subject devoted so many books to one disease. Not heart disease, not high blood pressure, not even cancer. As a busy bariatric surgeon caring for diabetic patients nearly every day, I was intrigued.
After bariatric surgery amazing things happen to improve the lives of diabetic patients. Usually I see patients with type II diabetes discontinue all of their diabetic medicines soon after bariatric surgery. Less frequently patients who have had diabetes for many many years see improvement in their diabetes, discontinue insulin but still need some diabetic medicines that they take by mouth. In fact, it is extremely rare for a patient NOT to either resolve or improve their diabetes after bariatric surgery.
Filling my arms with a copy of each of these books, I headed for the store’s coffee shop and began to read. I tuned the pages of these books for references to the amazing things I was seeing following bariatric surgery. Surprisingly, I found very little. In fact I found only three books that even mentioned bariatric surgery and only one mentioned bariatric surgery could improve diabetes.
Why is there so little information in most books about diabetes about the amazing improvement for diabetics after bariatric surgery?
I will share more thoughts about this dilemma in postings over the next week.
See patients telling their stories on YouTube by googling DrSteveMyers and selecting my channel.
Friday, February 25, 2011
Follow Up on Chaka, the African Child Who Required Amputations

As some of you will recall, while recently in Africa I had to perform a very sad operation on a one year old baby. The baby had severe malaria and because it took so long for him to recieve adequate care his fingers and feet died and I had to amputate many of his fingers and do amputations of his lower legs. (See postings under African Hospital in the index to the left of this posting and find "The Saddest Operation I Have Ever Performed")
Chaka felt much better a few days after his operation and now has gained weight and will soon recieve the artificial lower legs from a doctor in the USA.
If you look closely at the photo you will note the partial absence of several of his fingers but each is well healed.
I am so pleased he is alive and doing so well. I will be excited to see him next year and see how he is walking with his articicial legs.
Thursday, February 24, 2011
Gastric Bypass - Jennifer Pierce Reports 3 Years Later


-----------------JENNIFER NOW-----------------
"Best thing I have ever done for myself!" Jennifer exclaimed. It was my privilege to see Jennifer Pierce in the office three years after her laparoscopic Roux en-Y gastric bypass by me at Riverside Methodist Hospital in Columbus, Ohio.
She was very willing to share some of her journey.
She told me she weighed 267 lbs before surgery and now weighs only 155 lbs. She is near ideal weight and doesn't she look great?
"I now love to work out," Jennifer said when I asked if she is staying active.
She is much happier as you can see from her photos. She has more confidence in herself and is feeling much better than before her operation.
Jennifer's weight loss is a result of her strong effort to get her best result from her operation by staying active and making great choices. She lost nearly all of her excess weight in the first year after her gastric bypass but her weight has remained stable since then.
Great job Jennifer! I am delighted with your result and you should be very proud of yourself for what you have accomplished and how you have kept the weight off.Keep up the good work!
Labels:
patient outcomes,
Patient Success Stories
Thursday, February 10, 2011
Robotic Bariatric Surgery and Improvement in Pain

The results of our first 50 robotic gastric bypass operations have now been completed. The most dramatic difference we have noted is that our patients who have had robotic operations are much more comfortable following surgery and are leaving the hospital the day after surgery in the vast majority of cases.
At the live bariatric surgery seminar I gave last Saturday,as usual one of our patients volunteered to share her journey through our program. She had lost 135 lbs over the last year and is clearly doing very well. However, one thing she said took me by surprise. She explained that she experienced considerable pain at the one incision in the left side of the abdomen for several days after her operation. The reason this was surprising to me is that I remembered how much discomfort this particular incision caused many of our patients and that I have not heard this at all for the last several months since we have been using the da Vinci Robot.
This is a remarkable change. Previously we made an incision a little over an inch in size that allowed the passage of a fairly large circular stapler into the abdomen. This required the spreading of the muscles at this location which caused much more pain than the small incision we use with the robot.
Using the robot allows me to perform the connection between the gastric pouch and the Roux limb with two rows of stitches instead of using a circular stapling device. Of course the stitches, which we call sutures, are easily passed into the abdomen without any additional abdominal openings. In fact we have been able to decrease the number of incisions from five incisions we previously used and now use only four smaller incisions.
The result is much less pain and the ability to leave the hospital the day after surgery.
It is a privilege to be the only bariatric surgeon in central Ohio using the da Vinci Robot to perform the gastric bypass operation and to be one of the very few surgeons in the country to use the da Vinci Robot routinely to perform a Roux en-Y gastric bypass. It is wonderful to work Riverside Methodist and have the privilege to use today's most advanced technology to improve the lives of so many people.
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