• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

Bariatric Cookery

Just another WordPress weblog

TwitterFacebookInstagramUSA
  • Home
  • Shop
    • Cart
    • Checkout
    • My Account
    • Logout
  • Surgery & Faq’s
  • About Us
  • Blog
  • Recipes
  • Press
  • Contact

What Successful Patients Do!

August 10, 2015 Leave a Comment

bee

Dr Terry Simpson is a well-known and respected bariatric surgeon who I call upon occasionally for some advice. I very much like the fact that he advocates ‘culinary medicine’ as part of WLS success. He’s a great cook and certainly practices what he preaches. Here is a posting from him that explains why eating and cooking well after surgery is paramount in determining outcomes – based on research. Read, digest and put into practice whether you’re pre or post-surgery and certainly if you are worried about or have experienced weight regain!

 

Weight Regain After Gastric Sleeve: What successful patients do

August 6, 2015 By Dr. Terry Simpson

terry simpson cooking

 

 

The five year study looking at the gastric sleeve showed that about half of the patients regained their weight after five years. Specifically a total of 443 LSGs were performed. Complete data were available for 54% of patients at the 1-year follow-up, for 49% of patients at the 3-year follow-up, and for 70% of patients at the 5-year follow-up. The percentage of excess weight loss was 77%, 70%, and 56% at years 1, 3, and 5, respectively; complete remission of diabetes was maintained in 51%, 38%, and 20%, respectively, and remission of hypertension was maintained in 46%, 48%, and 46%, respectively.

 

 

What the report doesn’t answer is what happened to those who had regained weight – and what was the difference between those who were successful?

In my practice we monitor a group of successful patients, and those who don’t succeed – and there are a few striking differences:

  1. Of the successful patients over 85% of them cook. The patient cooks, not the spouse, not the parent, the patient. Less than 10% of them cooked before they had weight loss surgery.
  2. Of the successful patients about 75% of them exercise at least three times a week.
  3. When you look at the successful patients the food they eat today does not look anything like the food they ate before surgery.

 

Contrast that with patients who, after five years, are not successful with weight loss surgery:

  1. Less than 10% of the unsuccessful patients cook, and most of them go out for their meals.
  2. Less than 20% of them engage in some form of exercise.
  3. When examining food journals from before surgery and after surgery about 80% of the meals are similar – no change in what they ate.

terry simpson surgeon

 

It isn’t the operation that means a patient is successful or not – it is what they do with it.

Weight loss surgery is a tool, and often the tool is given without an instruction manual. Our plan for our patients is simple, and based on biochemistry. If you wish to have weight loss surgery the answer is to learn to cook, base meals upon a ketogenic diet (or Paleolithic) and begin to move. That works.

 

Original article appeared in JAMA Surgery

Dr. Terry SimpsonAbout Dr. Terry Simpson
Dr. Terry Simpson received his undergraduate and graduate degrees from the University of Chicago where he spent several years in the Kovler Viral Oncology laboratories doing genetic engineering. He found he liked people more than petri dishes, and received his MD. Dr. Simpson, a renowned weight loss surgeon, is a leading advocate of culinary medicine. A frequent contributor to media outlets discussing health related topics and advances in medicine, he is also a proud dad, husband, author, cook, and surgeon “in that order.” 

Related Articles:

  • Bariatric Cookery – It’s Not Just About Eating Less!Bariatric Cookery – It’s Not Just About Eating Less!
  • Do You Know The 20:20:20 Rule?Do You Know The 20:20:20 Rule?
  • Do You Suffer From Portion Distortion?Do You Suffer From Portion Distortion?
  • Get a Move On!Get a Move On!
  • You Must Be Mistaken!You Must Be Mistaken!
  • This Little Lady Eats Her Protein….This Little Lady Eats Her Protein….
  • Can You Stretch Your Pouch?Can You Stretch Your Pouch?
  • NEW SUMMER 2015 NEWSLETTERNEW SUMMER 2015 NEWSLETTER
  • WLS – No Drinking With Meals!WLS – No Drinking With Meals!
  • Changes in Appetite After Bypass Aids Weight LossChanges in Appetite After Bypass Aids Weight Loss
  • Deeply Dishy!Deeply Dishy!
  • Are You D-ficient?Are You D-ficient?

Categories: Bariatric Basics, Research, Weight Regain

Reader Interactions

Leave a Comment Cancel

sidebar

Blog Sidebar

Categories

  • Bariatric Basics
  • Bariatric Beginnings
  • Bariatric Bento Box Gallery
  • Bariatric Budget Buster Recipe
  • Bariatric Buzz
  • Bariatric Cookery Pantry Plus+ Recipe
  • Bariatric Portion Plate Gallery
  • Carol’s personal goals
  • Coping mechanisms
  • Copyright
  • Disclaimer
  • Events
  • Exercise
  • Fashion & Beauty
  • Food and Nutrition Basics
  • Food Roundup
  • Foodies News
  • FREE bariatriccookery.com newsletter
  • Health and Fitness
  • In the news!
  • Kitchen equipment news and tips
  • Letters and messages
  • Menus
  • Metric and US Conversion Chart
  • Plastic surgery
  • Pre-Op Advice
  • Recipes
    • Amber bariatric recipes
    • Green bariatric recipes
    • Red bariatric recipes
  • Research
  • Seasonal Food
  • Super Simple Recipe
  • Support Groups
  • Surgical Options
  • The Bariatric Bee Tips
  • The Bariatric Cookery Solo Dining Club
  • The Bariatric Lunchbox Club Meal Idea
  • Uncategorized
  • Vitamins, minerals and other supplements
  • Weight Regain
Ramsay Health Banner Ad For Website

Ramsay Health Care UK sponsoring Weight Loss Surgery with Bariatric Cookery

How can Baricol support you? Find out more and request a free sample.

Footer

  • Home
  • Shop
  • Surgery & Faq’s
  • About Us
  • Blog
  • Recipes
  • Press
  • Contact
© Web Design by Brooks Creative

Web Design by Brooks Creative

Bariatric Cookery. All Rights Reserved

7ads6x98y