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Dr. Philip Schauer is Professor of Surgery at the Cleveland Clinic Lerner College of Medicine, Chief of Minimally Invasive General Surgery and Director of the Cleveland Clinic Bariatric and Metabolic Institute (BMI).

He is past president of the American Society for Metabolic & Bariatric Surgery (ASMBS). He has been Chair of Obesity Week, the world’s largest annual meeting devoted to the science and treatment of Obesity since November 2013.

After receiving his medical degree from the Baylor College of Medicine, Dr. Schauer completed his residency in surgery at The University of Texas, where he served as chief resident of general surgery.

He then completed his fellowship in laparoscopic surgery at Duke University Medical Center. Prior to joining The Cleveland Clinic in 2004, Dr. Schauer served as director of endoscopic surgery, director of bariatric surgery and Director of the Mark Ravitch/Leon Hirsch Center for Minimally Invasive Surgery at the University of Pittsburgh Medical Center.

Dr. Schauer’s clinical interests include surgery for severe obesity, minimally invasive surgery (laparoscopic), and gastrointestinal surgery. He has performed more than 6000 operations for severe obesity. His research interests include the pathophysiology of obesity, diabetes and related diseases, physiologic effects of laparoscopic surgery on postoperative injury and recovery, and outcomes of laparoscopic management of obesity, gastrointestinal diseases, and hernias.

He has also participated in the development of new minimally invasive, endoscopic, and laparoscopic operations. New concepts in surgical training and education have been a major focus of his educational interests.

From The Cleveland Clinic:

A study by Cleveland Clinic researchers shows bariatric surgery is a highly effective and durable treatment for type 2 diabetes in obese patients, enabling nearly all surgical patients to be free of insulin and many to be free of all diabetic medications three years after surgery.

The STAMPEDE (Surgical Therapy And Medications Potentially Eradicate Diabetes Efficiently) trial was simultaneously published in The New England Journal of Medicine and presented today at the Annual Scientific Session of the American College of Cardiology in Washington, D.C.

The study also shows that bariatric surgery patients experienced an improvement in quality of life and a reduction in the need for cardiovascular medications to control blood pressure and cholesterol compared to those receiving medical therapy. As a result, patients in the surgery groups used less cardiovascular and glucose-lowering medications – 5 to 10 percent were on insulin compared to 55 percent of the patients in the medical therapy group.

Obesity is the main trigger for type 2 diabetes. Given that an estimated one in every three adults in the United States is obese, health experts developed the term “diabesity” to talk about this epidemic. According to the American Diabetes Association, as many as one in three American adults will have diabetes in 2050 if present trends continue.

“We see patients whose lives are ravaged by diabetes. At the three-year mark, this study shows that bariatric surgery is more effective with persistent benefits noted up to 3 years for treating type 2 diabetes in moderate and severely obese patients when compared to medical therapy,” said Sangeeta Kashyap, M.D., one of the lead investigators and an endocrinologist at Cleveland Clinic’s Endocrinology & Metabolism Institute. “More than 90 percent of the patients who underwent bariatric surgery were able to lose 25 percent of their body weight and control their diabetes without the use of insulin and multiple diabetes drugs.”

Q: I have a doctors quoted me a price of $12000 is that too much or is that average?

A: The average price of a bariatric surgery procedure is around $25,000.

 

Q: How does insurance pay for the procedure?

A: Insurance coverage varies for weight loss surgery procedures. It is crucial that you call your insurance provider to determine if your policy covers surgical weight loss.

 

Q: What is the average cost for the surgery?

A: The average cost is around $25,000.

 

Q: What’s the difference between gastric bypass vs. the sleeve?

A: Gastric bypass surgery is an operation that creates a small pouch to restrict food intake and bypasses a segment of the small intestine. Roux-en-Y Gastric Bypass Surgery (RYGB) is the most common type of bariatric surgery.

 

During the Sleeve Gastrectomy procedure, about 75% of the stomach is removed leaving a narrow gastric “tube” or “sleeve”. No intestines are removed or bypassed during the sleeve gastrectomy. The procedure limits the amount of food that can be eaten at one time.

 

At Cleveland Clinic, we perform the Sleeve Gastrectomy as a laparoscopic procedure. This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions. The Laparoscopic Sleeve Gastrectomy takes one to two hours to complete.

 

For more information: http://weightloss.clevelandclinic.org/images/file/Overview%20of%20Bariatric%20Surgery(1).pdf

 

 

Q: If your diagnosed with diabetes is it permanent or can it be cured?

A: There is currently no cure for type 2 diabetes. However, research shows that about 30-50 percent of the patients who undergo bariatric surgery can achieve long-term remission of their diabetes.

 

For more information on the Cleveland Clinic STAMPEDE trial: http://weightloss.clevelandclinic.org/ClinicalTrials.aspx?MenuType=2

 

Q: Would this surgery to be a good alternative for someone who is overweight and has hypertension?

A: Research supports the benefits of weight loss surgery for those with a BMI between 35 and 39.9 with obesity-related health conditions such as type 2 diabetes, obstructive sleep apnea, high blood pressure, osteoarthritis and other obesity related conditions.

 

You could be a candidate for surgical weight loss if you meet any of the following criteria:

  • You are more than 100 lbs. over your ideal body weight.
  • You have a Body Mass Index (BMI) of over 40.
  • You have a BMI of over 35 and are experiencing severe negative health effects, such as high blood pressure or diabetes, related to being severely overweight.
  • You are unable to achieve a healthy body weight for a sustained period of time, even through medically supervised dieting.

 

Q: Are there good benefits to blackstrap molasses??

A: I am not an expert on the topic. I recommend checking with a registered dietitian and/or your primary physician.

 

Q: Can you refer me to a physician in Charlotte NC that does the gastric bypass surgery arthroscopic?

A: The ASMBS website is a great resource:  http://asmbs.org/

 

Q: if u had gastric bypass b4 can a person have it again. What are the risks?

A: Gastric bypass can be revised in certain circumstances. Complications tend to be higher with revisional surgery.

 

Q: I had the gastric sleeve 9/15…it’s still hard for me to tolerate meat, stomach hurts when I try to eat.

A: Often, 3-6 months are required before meat is tolerated. If you are unable to tolerate solids, you should discuss with your surgeon.

 

Q: My dad is a Diabetic 30+ years. He has shots of insulin 3-4 times daily. He is only about 160lbs. Is he not a good candidate for bypass surgery. Does it improve other diabetic related disease like kidney and heart?

A: Gastric bypass has been shown to be effective in treating diabetes in patients with obesity. It is experimental in non-obese patients.

 

Q: I have diver can i eat some nuts or okra or what about corn could a sister like me have a bypass with divertic

A: Do you mean diverticulitis? I suggest checking with a diverticulitis specialist.

 

Q: I had the gastric bypass surgery in 2009. I had alot of complications. I now suffer from chronic pain due to scar tissue attached in removed for fear of mor scar tissue issues. Do you have any suggestions? There is not a day that goes by that I do not suffer from pain.

A: I recommend following up with your surgeon.

 

Q: According to my BMI . I am considered obese., about 35 pounds overweight. I’m currently on blood pressure, cholesterol and low dose diabetic medicine. Most of I the info I’ve read said you’re a candidate if you’re at least 50 pounds overweight. Is this true?

A: Some patients who are just 35 pounds overweight may benefit from surgery. I recommend discussing with a qualified bariatric surgeon.

 

Q: WHERE CAN OUR LISTENERS FIND MORE INFORMATION ON THE CLEVELAND CLINIC STUDY AND GASTRIC BYPASS SURGERY?

A: https://weightloss.clevelandclinic.org/index.aspx

http://weightloss.clevelandclinic.org/ClinicalTrials.aspx?MenuType=2

 

 

 

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