27th Nov, 2020
If you're experiencing weight gain or disappointment results after sleeve gastrectomy or gastric bypass, you are not alone. And it is most definitely not your fault. While generally effective treatments, the magic of metabolic surgery depends on some critical hormonal, biochemical changes that happen when the tissues are altered, and those biochemical changes must intersect with your own genetics. The result is a new trajectory…
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15th Nov, 2020
Before and After Image of Patient from Sasse Surgical One of the more striking findings we see every week in our long-term follow-up clinic for patients with obesity, type 2 diabetes, and past metabolic surgery is the profound drop in triglycerides after metabolic surgery. While elevated LDL cholesterol commonly falls over the years following metabolic surgery, the abrupt drop in triglycerides is swift and more…
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28th Aug, 2020
With different procedures available, and some centers favoring one over the other, how does one learn which kind of weight loss surgery is most effective? We will look at some comparative studies, but it is important to keep in mind that the wisest approach is to balance both “effectiveness," which usually defined as pounds lost and health restored, with safety and side effects. Weight Loss Surgery…
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26th Aug, 2020
Leaks from the tissue staple line have long been the most serious potential complication of gastric surgery, and one that continues to occur in between 1% and 2% of sleeve gastrectomy cases worldwide. When a leak occurs, more surgery is required and further complications can arise. Now, Dr. Sasse, along with Dr. Jonathon Gevorkian, reports 10 specific technical steps of the procedure that have resulted…
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21st Aug, 2020
If you're investigating gastric bypass surgery or another form of bariatric or metabolic surgery to lose weight, it's normal to wonder how much weight you can realistically expect to lose after your procedure. Here's what the data shows. In the graph above, people who had “GBP” or gastric bypass in the green line kept off more than 25% of their total weight even 20 years…
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14th Aug, 2020
While gastric bypass and other forms of bariatric surgery (sleeve and duodenal switch) confer large positive effects overall on health and life expectancy, there can also be drawbacks. If you're researching bariatric surgery as a solution to obesity or type 2 diabetes, it's important to be clear on all of the facts. Here's what you need to know about the negative side effects of gastric…
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10th Jul, 2020
Making an informed decision requires accurate information, and that's particularly true when you're investigating weight-loss surgery. As you consider your options, here are six questions to ask before your weight-loss surgery. 1. Which Procedure is Right for Me? Since metabolic surgery has evolved and improved, it has also become a little more complicated. Although the sleeve procedure has taken center stage in recent years, some…
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5th Jun, 2020
1. It’s not your fault that the gastric bypass failed. I know that everybody tends to blame themselves, but the science and the evidence support a very different conclusion. The truth is that the problem is a result of the intersection between a person’s genetics and the obesogenic environment. That’s it. Huge changes in everything we grow and prepare and consume, combined with many other factors…
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2nd Jun, 2020
In a pair of large and recently completed studies, sleeve gastrectomy earned more praise as the safest thing to do if you are battling obesity. In one study of over 117,000 individuals, sleeve gastrectomy was found to result in tremendous long-term weight loss compared to non-surgical treatment. In the 2020 publication by Arterburn and colleagues, medical weight loss without surgery resulted in a grand total…
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6th Dec, 2019
Obesity adversely affects brain function, but the effect of bariatric surgery on cognitive function had not been rigorously evaluated. A recent JAMA study assessed metabolic parameters and cognitive function in obese patients before and after bariatric surgery. And the results are striking: significant improvement in cognitive function as measured by both the Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) 6 months after…
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Sasse Surgical Associates
75 Pringle Way
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Reno, NV 89502
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