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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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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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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19th Jun, 2020
If you're investigating metabolic surgery, it's likely that outcomes and efficacy are important to you. In the case of the gastric sleeve, a common question is whether it always works. The short answer is no, because nothing always works. But there is very encouraging data showing that it almost always works. And it works way better, and is much safer, than doing nothing or continuing…
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17th Apr, 2020
In December 2008, Dr. Sasse was featured in an article for Becker’s ASC Review with his perspective on six trends in bariatric surgery. But a lot can change in twelve years, and the world of bariatric surgery is no exception. Dr. Sasse reviewed the trends he shared in 2008 and offers an update for bariatric surgery trends in 2020. One notable change — weight-loss surgery…
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29th Aug, 2018
    Every individual is different, and each person’s biology and metabolism are different. Furthermore, each person‘s commitment to eating a lower carbohydrate diet, and a daily regimen of increased exercise is… you guessed it, different. So, it stands to reason that not every person is going to lose as much weight as the maximum possible and keep it off forever. Also, we must keep…
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21st Aug, 2018
Among the patients who had type two diabetes before surgery, the vast majority experienced complete remission at year 1, and then as the years passed, diabetes gradually returned in a minority of the patients. But even 10 years after surgery, there was still a persistent 55% reduction in the number of people who were considered to have diabetes, compared to before surgery. Laparoscopic sleeve gastrectomy…
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18th Oct, 2017
sleeve gastrectomy because of its excellent success rate and low complication rate. In fact, many studies show an equivalent weight loss success and equivalent diabetes remission success rate as gastric bypass surgery but with fewer complications of blockages, reoperations, and vitamin deficiencies.  In my own hands, after a decade of experience with other bariatric surgeries, and other complex gastrointestinal surgical procedures, I have completed approximately…
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4th Aug, 2014
gastric sleeve procedure is today performed with pretty tiny incisions already, and the scars and healing time are minimal compared to the old days of conventional open surgery. The weight loss and the health improvements achieved are astonishing. Nonetheless, nearly all of us would prefer to have no incisions at all if the option were available. Today, the option of no incisions at all, truly…
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Reno, NV 89502
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