Obese patients with inflammatory bowel disease (IBD) had weight loss and resolution of other obesity-related complications, similar to that of patients without IBD, after bariatric surgery, a small retrospective study showed.
Weight loss varied substantially by the type of bariatric procedure used, ranging from 26% of excess weight with adjustable banding to 95% with sleeve gastrectomy. The 17 patients in the study had a variety of obesity-related health problems, and all 17 had resolution or improvement in the conditions, including diabetes, hypertension, sleep apnea, hyperlipidemia, and gastroesophageal reflux disease (GERD).
"These patients have done really well," Daniel Gagné, MD, of West Penn Allegheny Health System in Pittsburgh, told MedPage Today. "With the exception of three Crohn's patients who had postoperative complications, the patients have had no problems."
Bariatric Surgery
Follow-up is pretty much the same as with other patients without IBD. They are on the same nutrition regimen. We follow them regularly and check their lab results, which are usually normal," he explained.
Weight Loss Surgery
Crohn's disease and ulcerative colitis has been considered a relative contraindication to bariatric surgery. Published case reports have offered conflicting information about the effect of bariatric surgery on these IBDs. Some have suggested the surgery exacerbates IBD symptoms, and others have provided evidence that surgery-induced weight loss reduces systemic inflammation, leading to better symptom control and reduced medication use.
Fat Chance: Diet Coke Fights Obesity?
For related articles and more information, please visit OCA's Food Safety page and our Millions Against Monsanto page.
Overweight 6-Year-Old Vows To Change Lifestyle After Second Heart Attack
HOUSTON—Describing his second heart failure in the span of two years as “a real wake up call,” obese 6-year-old Nicholas Bleyer announced Tuesday that he was finally trying to turn his life around.
Obesity rates rise in county schools
By the time students in Forsyth County reach high school, more than 40 percent of them are overweight or obese, according to a BMI study released by Winston-Salem/Forsyth County Schools.
