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Wednesday, May 29, 2019

My 600 Pound Lives Deaths



Gastric bypass kills 1 in 50 people. That is the death rate for gastric bypass. The mortality rate for all weight loss surgery is unacceptable. The greedy medical industry will tell you that weight loss surgery is safe. They are lying.


Gastric Bypass Surgery Gone Bad - CBS News


In Brazil the death rate from gastric bypass is lower than in the US. Brazilian surgeons are much better than American surgeons.

Mortality rate after open Roux-in-Y gastric bypass: a 10 ...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4123842
In Brazil the 30-day and 10-year mortality rates were 0.55 and 3.34%, respectively, and 53.7% of deaths were related to early or late complications following bariatric surgery. Among these, 42.7% of the deaths were due to sepsis and 24.3% to cardiovascular complications.

Overall, just over half of the deaths were related to the surgery. Anastomotic leak associated with sepsis was the first and thromboembolism was the second cause of early deaths. In the present study, the frequency of sepsis was higher and the frequency of thromboembolism was lower compared to the results of other authors (,,). In most studies, the percentages of death due to infection and thromboembolism vary from 7 to 18% and from 4 to 38%, respectively (,,,). The lower frequency of deaths from thromboembolism may be explained by the younger age and lower BMI of the patients in our cohort.
The surgeon's low experience, defined as less than 20 surgeries per year, was associated with an increase in mortality from causes related to surgery. The role of the surgeon's experience in the outcome of bariatric surgery has been previously addressed. (,,-). However, different cut-off points were used to define surgeon low experience, ranging from 15 to 50 procedures/year (,). Nevertheless, results were all consistent regarding the lower mortality rates of patients operated on by more experienced surgeons.
Male gender has been associated with lower survival rates after bariatric procedure in several studies (,,), when analyzing all causes of death. This may be explained by factors not related to the bariatric surgery itself. Men generally have a higher overall risk of death than women, mostly due to violence and other gender-related factors, such as drinking, smoking, and other behaviors (-). Thus, the finding of no association between male gender and mortality related to surgery seems reasonable and in accordance with the findings from most long-term follow-up studies (,,,,,).
In the present cohort, 157 women became pregnant after bariatric surgery. Two of them died, one due to intestinal obstruction and the other to severe malnutrition. This result represents more than 50 times the maternal mortality rate compared to the general population (). Because of the low numbers, it is not possible to test whether the risk of these complications is elevated following bariatric surgery. Mothers with prior bariatric surgery, regardless of obesity status, are more likely to have anemia, chronic hypertension, endocrine disorders, and small for gestational age infants (). While there are many potential benefits of bariatric surgery for women considering future pregnancy, there might also be some risks, and support from a multidisciplinary team during pregnancy is evident (). Based on 13 case reports, Maggard et al. () found 14 complications requiring surgical intervention such as small bowel obstructions due to internal hernia, mid-gut volvulus (1 from adhesions), perforated gastric ulcer, band complications (including erosion and bleeding), and staple line stricture. Eight of these bariatric procedures were performed laparoscopically and six were performed in an open fashion. There were three maternal deaths (21.4%) ().

Higher-Than-Expected Suicide Rate Following Bariatric Surgery

Suicides comprised 10% of all deaths in our cohort, which suggests that the preoperation protocol may require improvement to capture tendencies for alcoholism and self-harm behavior. The association between obesity and fatal and nonfatal suicide is controversial (), but it appears that bariatric surgery patients are at increased risk of suicide (). Heneghan et al. () found an increased risk of suicide among obese individuals, which persisted after bariatric surgery intervention. Although our study does not show an association between bariatric surgery and suicidal behavior, given the lack of a control group, our results suggest that further research is warranted to find the optimal approach to evaluate candidates for surgery, including extensive psychological preprocedure evaluation and long-term follow-up.

A Tragic Risk of Weight-Loss Surgery - The New York Times

This nonconcurrent cohort has strengths and weaknesses. It is based on registry data that were not generated specifically for a research purpose. Nevertheless, the study took advantage of a well-structured database that included administrative data. Additionally, there were audits performed by the same surgeon for every candidate for bariatric surgery. Although the audit was not intended to be part of the research, data collected by the same surgeon provides data consistency. We assumed that all individuals were alive at the end of the study if they were not found in the Mortality System database.

Death Rates and Causes of Death After Bariatric Surgery ...

Compared to other studies, the patients in our cohort were younger and had a lower BMI. This may be due to the easy access to surgical procedures experienced by these patients once they are covered by a private healthcare organization where there are no coverage-limiting restrictions. The external validity of the present findings may be limited to individuals covered by health plans and with access to the same hospitals included in this study, but the associations found are likely to represent true risk factors for mortality from causes related to bariatric surgery. This study represents the first long-term assessment of the outcomes of bariatric surgery in a large Brazilian cohort. Thousands of morbidly obese patients undergo bariatric surgery as the final attempt to lose weight. In these patients, death, up to 10 years after the procedure, is a rare event, but can be reduced further by improving surgeon experience and reducing the BMI of superobese patients before surgery. We did not confirm that male gender is a risk factor for long-term deaths related to bariatric surgery. The high suicide rate after the procedure suggests the need for improving the patient's pre- and postoperative psychological evaluation and follow-up control.

Why do Bariatric surgery patients kill themselves at 58% ...


Why do Bariatric surgery patients kill themselves at 58% higher rate than regular obese folks?

"A Tragic Risk of Weight-Loss Surgery" The New York Times

In August, The New England Journal of Medicine reported a review of nearly 10,000 bariatric surgery patients by Utah researchers, who compared them to a control group of obese people who had applied for a state driver’s license. Although the surgery patients had a 50 percent lower risk of dying from disease compared to obese people who hadn’t undergone surgery, their risk of dying in an accident or suicide was 11.1 per 10,000 people — that’s 58 percent higher than the 6.4 per 10,000 rate in the obese group. The study suggested the suicide risk was twice as high for surgery patients than for those who had not had surgery....
ANSWER: Because they feel unable to follow the guidelines and feel as depressed as before, not much has changed except that their guts have gerrymandered Frankenstein style which brings up lots of restrictions and complications.