Weight-Loss Surgery Options Charlotte NC

A technique called duodenal switch surgery may be more effective than gastric bypass surgery for patients in Charlotte with obesity-related medical problems such as high cholesterol, diabetes and high blood pressure, according to a U.S. study that included 350 super-obese patients who were more than 200 pounds heavier than their ideal body weight.

Mark Robert Swanson, MD
(704) 333-0741
1416 E Morehead St
Charlotte, NC
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Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1973

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Anthony Lawrence Asher, MD
(704) 376-1605
225 Baldwin Ave
Charlotte, NC
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Neurological Surgery, General Surgery
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Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1987
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Hospital: Carolinas Med Ctr, Charlotte, Nc; Carolinas Med Ctr For Mental H, Charlotte, Nc
Group Practice: Carolina Neurosurgery & Spine

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David Scott Andrews
(704) 316-5100
1718 E 4th St
Charlotte, NC
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Thoracic Surgery, Vascular Surgery, Cardiac Surgery

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Charles Scott Joels, MD
PO Box 32861
Charlotte, NC
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Male
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Graduation Year: 2007

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Jonathan C Salo
(704) 355-2884
1025 Morehead Medical Dr
Charlotte, NC
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Surgical Oncology

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Charles Dulaney Harr
(704) 316-5100
1718 E 4th St
Charlotte, NC
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

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Lance E Diehl
(704) 316-5100
1718 E 4th St
Charlotte, NC
Specialty
Vascular Surgery

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Frederick Leslie Greene, MD
(704) 355-3176
1000 Blythe BlvdMEB 601
Charlotte, NC
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Male
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Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1970

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Harold R Howe
(704) 316-5100
1718 E 4th St
Charlotte, NC
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Thoracic Surgery, Vascular Surgery, Cardiac Surgery

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Roger Roswell Denny, MD
(704) 355-7614
PO Box 32861
Charlotte, NC
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Male
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Medical School: Mt Sinai Sch Of Med Of The City Univ Of Ny, New York Ny 10029
Graduation Year: 1993
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Hospital: Carolinas Med Ctr, Charlotte, Nc

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Weight-Loss Surgery Options

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TUESDAY, June 2 (HealthDay News) -- A technique called duodenal switch surgery may be more effective than gastric bypass surgery for patients with obesity-related medical problems such as high cholesterol, diabetes and high blood pressure, according to a U.S. study that included 350 super-obese patients who were more than 200 pounds heavier than their ideal body weight.

The findings were presented Monday at Digestive Disease Week 2009 in Chicago.In gastric bypass surgery, surgeons create a small gastric pouch that's separate from the rest of the stomach, but with duodenal switch surgery, the stomach is reshaped into a long narrow tube and the small intestine is reconfigured to reduce calorie absorption, according to a Digestive Disease Week news release.

In their new study, Dr. Vivek N. Prachand, an assistant professor of surgery at the University of Chicago, and colleagues looked at the rates of resolution of obesity-related diseases (whether patients were able to stop taking medications to treat their conditions) three years after either duodenal switch or gastric bypass surgery.

The rates of resolution for duodenal switch and gastric bypass were: diabetes, 100 percent vs. 60 percent; high blood pressure, 68 percent vs. 38.6 percent; high cholesterol, 72 percent vs. 26 percent; acid reflux; 48.5 percent vs. 76.9 percent, the study authors found.

In previous research, Prachand's team showed that super-obese patients who underwent duodenal switch surgery had better weight loss than those who had gastric bypass surgery. They believed that the greater weight loss among duodenal switch patients may explain why they had higher rates of resolution of obesity-related diseases. But this new study didn't find a link between amount of weight loss and resolution of obesity-related conditions, which suggests that other mechanisms besides weight loss may be at work.

The researchers also noted that reduced absorption of calories in duodenal switch surgery patients can lead to vitamin/nutrition deficiencies and, possibly, malnutrition.

"The effort to better manage the potential vitamin and nutritional deficiencies associated with duodenal switch surgery is worthwhile because it appears that the duodenal switch surgery is more successful in terms of weight loss and resolution of significant obesity-related disease for super-obese patients," Prachand said in the news release.

More information

The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has more about weight loss surgery.

SOURCE: Digestive Disease Week, news release, June 2, 2009

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