Walk from Obesity – Raising Awareness

Posted by Brigham and Women's Hospital May 26, 2016

This year's Boston Walk from Obesity winds through the Arnold Arboretum.

This year’s Boston Walk from Obesity winds through the Arnold Arboretum.

For years, Sheila Fitzgerald of Dedham, MA, has participated in the Walk from Obesity. Two years ago, she was among the top fundraisers in the country. Her focus last year, however, was more on raising awareness than raising money.

“I think it’s important to talk about obesity and educate people,” says Sheila.

She wants others to be more informed than she was. A lack of understanding is why it took her so long to consider weight loss surgery, she explains. The need for a knee replacement, however, pushed her to learn more about surgical options for weight loss.

Staying Active

Sheila has always been active, even when she was overweight. However, severe pain in her left knee caused her to cut back on her exercise. She sought counsel from Dr. Anthony Webber, an orthopedic surgeon at BWFH, who advised her that she should get a knee replacement. Otherwise, she would become sedentary – a prospect that she feared.

“That freaked me out,” says Sheila. “I was active, and I wanted to stay active.”

Despite being apprehensive about undergoing weight loss surgery, she signed up for an information session. She asked a lot of questions at the session and soon learned that weight loss surgery would be a sensible treatment for her obesity.

After being evaluated by Dr. Scott Shikora, Director of the CMBS, and other BWH specialists, it was determined that she would be a suitable candidate for a sleeve gastrectomy. This procedure involves removing the outer crescent of the stomach, an area where a major hormone that regulates appetite is produced. The procedure also reduces the capacity of the stomach to hold food by about 75 percent. Along with promoting weight loss, the sleeve gastrectomy is believed to be particularly effective at treating certain metabolic conditions, such as type 2 diabetes, high blood pressure, high cholesterol, fatty liver disease, and obstructive sleep apnea.

Dr. Shikora performed Sheila’s weight loss surgery in January 2014. Since that time, she has lost 80 pounds and no longer has sleep apnea. Those benefits also have come with no complications.

In November 2014, Dr. Webber performed Sheila’s knee replacement. Her knee feels great today, and she is back to being her active self.

Sheila also is now an informed advocate of weight loss surgery.

“It has changed my life,” says Sheila. “I would recommend it. I have recommended it.”

– Chris P.

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Robotic Sleeve Gastrectomy – Latest Option for Bariatric Surgery

Posted by Brigham and Women's Hospital April 17, 2014

Dr. Scott A. Shikora, Director of The Center for Metabolic Health and Bariatric Surgery

Patients considering bariatric surgery have several options. The newest of the weight loss operations is sleeve gastrectomy, an alternative to  laparoscopic adjustable gastric banding or Roux-En-Y gastric bypass. With this procedure, the outer crescent of the stomach is removed, resulting in a stomach that resembles a tube. Patients lose weight because the capacity of the stomach to hold food is reduced by about 75 percent.

Additionally, the portion of the stomach that is removed is the area where a major hormone that regulates appetite is produced. Patients generally experience a dramatic reduction of hunger after the procedure. The sleeve gastrectomy is a bariatric surgery option for weight loss and metabolic treatment in patients with a body mass index (BMI) of greater than 40 or a BMI greater than 35 with co-morbid conditions.

At Brigham and Women’s Hospital (BWH), surgeons are using the robot to further improve the sleeve gastrectomy procedure. In this video, Dr. Scott Shikora, Director of the Center for Metabolic Health and Bariatric Surgery at BWH discusses and demonstrates the robotic sleeve gastrectomy.

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