Revision Weight Loss Surgery

Revision Weight Loss Surgery is a surgical procedure for patients who have already undergone a form of bariatric surgery, and have had complications from such surgery or have not successfully achieved significant weight loss results from the initial surgery. Procedures are usually performed laparoscopically, though open surgery may be required if prior bariatric surgery has resulted in extensive scarring. With the increase in the number of weight loss surgeries performed every year there are growing numbers of individuals who have experienced an unsatisfactory result from their bariatric procedures. There are several surgery options, some of which may limit later options for revision weight loss surgery. An adjustable gastric band is an inflatable silicone prosthetic device that is placed around the top portion of the stomach. This procedure is a revision procedure for many patients who have had a previous stomach stapling, gastroplasty procedure, or roux-en-Y gastric bypass surgery but have regained weight. The procedure is normally laparoscopically, though in a small minority of instances prior surgery may have resulted in extensive scarring, requiring open surgery. Roux-en-Y gastric bypass is a commonly chosen revision technique particularly in patients who have not been successful in meeting their weight loss goals after stomach stapling, gastroplasty, vertical gastric banding, or laparoscopic-adjustable gastric banding. Often the prior procedure still lends itself to a revision to become a roux-en-Y gastric bypass. It may be laparoscopically, and the average recovery time is approximately two weeks. The weight loss success rate after roux-en-Y gastric bypass revision surgery is generally excellent. There are some associated risks of vitamin deficiency and stomach ulcer formation requiring prevention with multivitamins. Sleeve gastrectomy removes a large portion of the stomach, with the remaining portion reshaped to become tube-like or sleeve-shaped. This creates an increased sense of satiety and decreased hunger in patients, often leading to weight loss and improved health. The procedure is generally less invasive than many other weight loss surgeries and has a lower potential for complications than may be associated with gastric bypass surgery. StomaphyX revision is a completely endoscopic revision technique used to tighten a stretched gastric pouch using internal sutures or fasteners. It may be in patients who have had prior roux-en-Y gastric bypass surgery and have a stretched stomach pouch.

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Personalized Medicine

Personalized medicine is a medical model emphasizing the systematic use of information about an individual patient to select or optimize that patient's preventative and therapeutic care. Personalized medicine is the products and services that leverage the science of genomics and proteomics and capitalize on the trends toward wellness and consumerism to enable tailored approaches to prevention and care. Over the past century, medical care has centered on standards of care based on epidemiological studies of large cohorts. Personalized medicine seeks to provide an objective basis for consideration of such individual differences. Traditionally, personalized medicine has been limited to the consideration of a patient's family history, social circumstances, environment, and behaviors in tailoring individual care. Personalized medicine uses new methods of molecular analysis to manage a patient’s disease or predisposition toward a disease. It aims to achieve optimal medical outcomes by helping physicians and patients choose the disease management approaches likely to work best in the context of a patient’s genetic and environmental profile. Such approaches may include genetic screening programs that more precisely diagnose diseases and their sub-types, or help physicians select the type and dose of medication best suited to a certain group of patients. Personalized medicine is an extension of traditional approaches to understanding and treating illness. Since the beginning of the study of medicine, physicians have employed evidence found through observation to make a diagnosis or to prescribe treatment. In the modern concept of personalized medicine, the tools provided to the physician are more precise, probing not just the obvious, such as a tumor on a mammogram or cells under a microscope, but the very molecular makeup of each patient. Looking at the patient on this level helps the physician get a profile of the patient’s genetic distinction, or mapping. By investigating this genetic mapping, medical professionals are then able to profile patients, and use the found information to plan a course of treatment that is much more in step with the way their body works. Genomic medicine and personalized medicine use genetic information to prevent or treat disease in adults or their children. Having a genetic map or a profile of a patient’s genetic variation can then guide the selection of drugs or treatment processes. This can minimize side effects or to create a strategy for a more successful outcome from the medical treatment. Helping the physician cover all the bases is imperative. Genetic mapping can also indicate the propensity to contract certain diseases before the patient actually shows recognizable symptoms, allowing the physician and patient to put together a plan for observation and prevention. Personalized medicine, when coupled with personal pharmacogenetics, is a unique approach that may be well suited for the health challenges we face in the new millennium. Although the medical and scientific communities, through research and discovery, got the upper hand over many of the diseases we have encountered since the advent of advanced medicine, many diseases that are more complicated. Diseases like diabetes, heart disease, cancer, and Alzheimer’s are caused by a combination of genetic and other factors. Coupled with the fact that they tend to be chronic, they place a significant burden on not only the patient, but on the healthcare system as a whole. Personalized medicine aims to provide the tools and knowledge to fight chronic diseases and treat them more effectively than ever before. Genetic profiles can help physicians to better discern subgroups of patients with various forms of cancer, in addition to other complex diseases, helping to guide doctors with accurate forms of predictive medicine and preventative medicine. With personalized medicine, the physician is intending to select the best treatment protocol or even, in many cases, avoid passing the expense and risks of unnecessary medical treatments on to the patient altogether. In addition, personalized medicine, when used correctly, aims to guide tests that detect variation in the way individual patients metabolize various pharmaceuticals. Personalized medicine is working to help determine the right dose for a patient, helping to avoid hazards based on familial history, environmental influences, and genetic variation. We help find the right concierge doctor. Visit the Society for Innovative Practice Design's physician database. Concierge Physician Find How often have you waited for an hour to see your doctor, only to find that your appointment lasts all of 10 minutes? Concierge Physician Guide Concierge health care may be the answer. A membership at a concierge medical office allows you to opt out of the traditional health care system and wave good-bye to long waits, limited face time with your doctor and the sense that you’re no more than a medical chart and insurance claim numb Concierge Physician Health Physicians are pleased to offer concierge medical care to patients desiring retainer fee based medical doctor care in New York City. ... New York Concierge Medicine Enjoy a higher level of service. Your privacy, safety, comfort, and success are our primary concern Weight Loss Concierge