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Bariatric surgery: An interview with Dr. Rami Lutfi

Bariatrics Part 1&2

Bariatrics part one: Interview with Dr. Lutfi-episode 28.

Bariatrics part two: Interview with Dr. Lutfi-episode 29.

Surgery and morbid obesity.

Dr. Cynthia Jaffe interviews Dr. Rami Lutfi, a Bariatric surgeon from Chicago, Illinois.  A thank you to Dr. Rachel Danford and the Nurse Practitioner Show for allowing Dr. Jaffe the opportunity to guest host this episode. 

The goal of my conversation with bariatric surgeon Dr. Rami Lutfi, is to take the wheels of the bus and talk about the true nature of why people with high body fat can’t seem to lose any weight.  There is a lot to unravel here. And I want to get to one option that has gained in traction to treat the morbidly obese, that’s a surgical procedure, that will be fodder for our conversation in just a moment. 

I’m motivated to have this conversation because there are over 18 million people in the U.S. who qualify as “morbidly obese”, meaning they are more than 100 pounds over their recommended weight. And there are a stunning 1 out of 3 Americans who are obese, or least 30 pounds over their recommended weight.

Let me explain what that means.  if you want to put that in terms of what obesity looks like in waist size, that would be a size 35- inch waist or higher in women and a size 40- inch or higher waist size in a man.

 What that speaks to is that we know that we have an obesity epidemic in the U.S. But is it because we are living this overindulgent and-more-is-better kind of lifestyle, or is it actually because people no matter what they do, they just can’t seem to lose any weight?

 To help me shed some light on the topic, I have as my guest Dr. Rami. Lutfi,  a renowned physician who teaches other surgeons from around the world to perform bariatric surgery. Dr. Lutfi currently is practicing at the Chicago Institute of Advanced Bariatrics and serves as a Clinical AssociateProfessor at the University of Illinois at Chicago.

To find out more, please click on the links to the show

Bariatrics part one: Interview with Dr. Lutfi-episode 28

Bariatrics part two: Interview with Dr. Lutfi-episode 29

Talking points include:

Why people can’t seem to lose weight

Non-surgical approaches to obesity and why they fail.

Why surgery is adjunctive and not a substitute for diet and exercise

Doctors don’t manage obesity, patients do

Behavior change regimens may not be the entire solution

Introduction to the Orbera Intragastric Balloon

Why it’s taken the FDA so long to approve the Orbera Intragastric BInalloon

Net-net of the gastric balloon. Who is the best candidate? Any risks?

Can the gastric balloon be re-inserted at a later date?

Who is not a candidate for the gastric balloon?

Success of the Orbera Intragastric Balloon.

Lap band procedure

The hunger hormone that controls a set-point in our weight.

How does the lap band effect the hunger hormone?

Gastric sleeve

Social media’s role in the prevention of obesity

Failure of pediatricians to diagnose children as obese

What do we need to move the needle in our solution to childhood/adult obesity?

Where to from here in terms of bariatric surgery?

 

You can find more show notes and additional listening links for Apple, Android, and Stitcher radio at Accessible Health Institute

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