( heir 5 foot-plus frames. Alma was suffe...)Weight-Loss Surgeries Changing Lives,Health

heir 5 foot-plus frames. Alma was suffering from high blood pressure, diabetes and thyroid disease and Lorena had developed degenerative bone disease. Alma was the first to decide to undergo weight-loss surgery and Lorena made her decision soon after. They scheduled their gastric bypass surgeries with Khalili for the same day in February 2006 at Cedars-Sinai.

Over the past 4 1/2 years, Khalili and a team of surgeons specializing in bariatric surgery at Cedars-Sinai have performed more than 1,600 weight-loss surgeries, 80 percent of them Roux-en-Y gastric bypass surgeries in which a small pouch (about thumb-sized) is created from which the rest of the stomach is permanently divided and separated. The small intestine is cut about 18 inches below the stomach and rerouted to the second part of the small bowel. Because the patient cannot eat as much and the food is not absorbed as well as before the surgery, many patients will usually lose about 60 to 70 percent of their excess weight in about one year.

“The hunger sensation is gone for most patients after gastric bypass surgery,” explained Khalili, who is also Cedars-Sinai’s director of research at the Center for Minimally Invasive Surgery. “Even though patients eat only small amounts of food at a time, they feel satisfied. I like my patients to feel like they have a normal life - they’re just eating less. If they feel like they’re dieting, that’s a recipe for failure.”

A second type of bariatric surgery, adjustable gastric lap banding surgery, is also available at Cedars-Sinai. In this procedure, a small pouch is created in the upper part of the stomach by wrapping a band around the stomach to leave only a narrow passage from the newly created pouch and the larger, lower portion of the stomach. Its effect is to reduce how much you can eat at a single meal. It is a simpler surgery than gastric bypass and can easily be adjusted or even reversed.

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