Bariatric surgery is a measure of last resort

Bariatric surgery

Obesity is considered one of the major health issues due to associated co-morbidities such as diabetes, hypertension, sleep apnea, joint pain, back pain, infertility and many psychological and emotional disturbances.


The first step in overcoming obesity, should be diet under professional guidance accompanied by exercise. But when these measures fail, bariatric or obesity surgery is the answer.

“Obesity epidemic is becoming more and more evident and the health costs associated with it are growing enormously sending alarming flags to health authorities world wide. According to the UAE ministry of health, 44 per cent of UAE nationals will be obese eby 2015.”

Obesity surgery evolved dramatically during the last decade and is safe in experienced hands. In Saudi Arabia, 7,000 bariatric surgery procedures were done in 2012 while 4,000 were done in 2012 in Kuwait.

There are many surgical options — adjustable gastric banding, sleeve gastrectomy, gastric bypass and gastric placation. All of these surgeries are laparoscopic or keyhole surgeries.

Adjustable gastric banding is a simple procedure but has a high failure rate after 5 years. The inflatable band is placed around the upper part of the stomach to create a smaller stomach pouch. This slows and limits the amount of food that can be consumed at one time,

In sleeve gastrectomy, the surgeon reduces 75 per cent of the stomach and removes it leaving a small stomach that gives the patient early satiety feeling.

Gastric placation is technically difficult but has the best long term results. The surgeon cuts through upper part of stomach to create a small pouch which takes only minimum amount of food and connects it the small bowel.

Obesity surgery requires a dedicated team of an experienced surgeon, endocrinologist, dietitian and psychologist to evaluate the patient and to decide if he is going to benefit from surgery.

Most co-morbidities like diabetes, hypertension, joint pain and sleep apnea can be cured by obesity surgery. Patients can return to social life and be more active in professional and personal environments.

Bariatric surgery is not a magic solution to a very complicated problem like obesity but it is one of the best solutions available when conservative measures fail.

source kt by Dr Hussam Al Trabulsi- Specialist Surgeon

Micheal Douglas says oral sex causes cancer

Weird science? Douglas gets candid on what he thinks is the cause of his stage four throat cancer oral sex with your someone who is bipolar. Not that his drinking and smoking didn’t have something to do with the actor’s disease, but he swears oral sex and throat cancer are linked together.


A sexually transmitted disease that causes cancer

Apparently it’s true if you already have the human papillomavirus you are at risk. He dying to please his wife?

Studies show without a doubt that the HPV type 16 is the causative agent in oropharyngeal cancer. Mheash Kumar, a consultant head and neck surgeon in London, in a recent paper from a John Hopkins study shows that 57% of patients with oral cancers were also HPV-16 positive, especially in men.

In patients who had mouth tumors and HPV-16 strain are three times as likely to have had oral sex as those who didn’t.

Should you avoid having oral sex

The human papilloma virus is associated with genital warts as well as cervix cancer or anus cancer and now mouth cancer.

Oral cancer has thought to be caused by smoking, chewing tobacco and excessive alcohol.

Douglas says the best cure for it is oral sex

Science isn’t backing that claim up. Kumar said, “That just doesn’t make sense.” One thing for sure Micheal Douglas likes his oral sex.

source http://www.examiner.com/article/micheal-douglas-says-oral-sex-causes-cancer