Weight-Loss Surgery Options Winston Salem NC

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

Harvey Hamilton Allen
(336) 722-3193
491 N Cleveland Ave
Winston Salem, NC
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General Surgery

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Aimee Kathryn Rox, MD
1723 Hawkcrest Ln
Winston Salem, NC
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Male
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Medical School: Texas Tech
Graduation Year: 2004

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Corrie Kay Ladwig, MD
2061 Salisbury Sq
Winston Salem, NC
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Medical School: Iowa
Graduation Year: 2005

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Jonathan Charles Hundley, MD
(336) 716-2011
Winston Salem, NC
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Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
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Kenneth Phillip Kleinpeter, MD
4385 Fernbrook Dr
Winston Salem, NC
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Graduation Year: 2007

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Eduardo Raoul Goco Gonzales, MD FACS
(336) 784-8299
1000 Southpark Blvd
Winston Salem, NC
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Medical School: Bowman Gray
Graduation Year: 1986

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Jeffrey James Brewer, MD
2230 Riley Forest Dr
Winston Salem, NC
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Medical School: State Univ(buffalo)
Graduation Year: 2005

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Robert Foster Bradley V, MD
(336) 716-2650
Winston Salem, NC
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Medical School: Univ Of Sc Sch Of Med, Columbia Sc 29208
Graduation Year: 2001

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Walter Monroe Newton, MD
(336) 716-4881
3140 Hickory Ridge Dr
Winston Salem, NC
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Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1961

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Oliver Adrian Varban, MD
131 Cahill Ct
Winston Salem, 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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