Weight-Loss Surgery Options Concord NC

A technique called duodenal switch surgery may be more effective than gastric bypass surgery for patients in Concord 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.

William Paxson Chalfant, MD
(704) 786-1104
56 Lake Concord Rd NE
Concord, NC
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Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1966

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George Welch Liles, MD
(704) 786-1108
735 Cambridge Ct
Concord, NC
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Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1944

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Andrew Patrick Heise, MD
56 Lake Concord Rd NE
Concord, NC
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Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1994

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Kimberly Lavita Clayton, MD
(704) 782-6978
200 Medical Park Dr
Concord, NC
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Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1993

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Joseph Paul Simpson, MD
(704) 786-1104
56 Lake Concord Rd NE
Concord, NC
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Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1991

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Medhat Takla
(919) 620-4467
200 Medical Park Dr Ste 230
Concord, NC
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Thoracic Surgery, Vascular Surgery, Cardiac Surgery

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Benjamin H Flowe, MD FACS
676 Williamsburg Dr NE
Concord, NC
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Medical School: Duke
Graduation Year: 1949

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Jeffrey Scott Schmidt, MD
(704) 786-1108
200 Medical Park Dr
Concord, NC
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Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1989

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Roc Winston Bauman, MD
(704) 786-1104
1090 Vinehaven Dr
Concord, NC
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Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1988
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Hospital: Northeast Med Ctr, Concord, Nc
Group Practice: Piedmont Surgical Clinic Pa

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Brian Thomas Moore, MD
(704) 786-1108
200 Medical Park Dr
Concord, NC
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Medical School: La State Univ Sch Of Med In Shreveport, Shreveport La 71130
Graduation Year: 1984
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Hospital: Northeast Med Ctr, Concord, Nc
Group Practice: Cabarrus Surgical Clinic

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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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