New Procedures in Weight Management Surgery
Dr. Marc Bessler is assistant professor of surgery at Columbia University College of Physicians and Surgeons, and director of the Columbia University Center for Metabolic and Weight Loss Surgery. He is also the director of the Minimal Access Surgery Center at New York-Presbyterian Hospital/Columbia University Medical Center. A fellow of the American College of Surgeons, Dr. Bessler's clinical specialties include surgical management of morbid obesity, gastroesophageal reflux disease, laparoscopic surgery of the stomach, esophagus and hernia surgery, and natural orifice surgery. His research interests focus on hormonal, oncologic, and immune responses in laparoscopy.
He earned his medical degree from New York University School of Medicine, and completed his residency in general surgery and his fellowship in surgical endoscopy at the Columbia University College of Physicians and Surgeons and the Presbyterian Hospital in New York City.
Marc Bessler: I think that there’s certainly some possibilities coming up, some of the things that are out there are sort of implanted devices, they’re not available in the United States yet, trials may be coming soon. One is a balloon, you know, the old stomach balloon didn’t work real well but there’s better designs now. They can be put in for about six months and they cause people to lose about a third of their excess weight, a quarter to a third of their excess weight, which is about as good as the best diets out there. But this is really a simpler way for patients to do it in a sense. On the other hand they have to be removed and like I said, once you remove it, unless you change your life habits the weight can come back. There’s other implanted devices that are coming along the way also and I think these are gonna be temporary aids. But there are some devices now that allow stapling from within the stomach so it’s not truly even surgery anymore, we’re talking about going in down the mouth, through the esophagus, into the stomach and grabbing the walls of the stomach and stitching them or stapling them together to cause restriction to food intake to make you feel full faster. So it’s not an operation where anything’s being cut from the outside for sure and those things are potentially exciting in that they may have some permanence and even if they don’t have permanence and need to be touched up, they can be redone like an endoscopy going down into the stomach without surgery. Right now they still require general anesthesia, some of these but some of them don’t and others of them with time and refinement may not require, so it may be like coming in for an endoscopy to just have a look in your stomach, here we just put down a device and can put some more stitches in or some more staples in and those things are coming. We’re actually planning some trials at Columbia with those things in the very near future, actually some are just starting up now and so I think we’re gonna learn a lot about this over the next three to five years.
Recorded on: 6/16/08
Expected procedures, such as a stomach balloon, will transform the field in the next few years, says Dr. Marc Bessler.
These five main food groups are important for your brain's health and likely to boost the production of feel-good chemicals.
We all know eating “healthy” food is good for our physical health and can decrease our risk of developing diabetes, cancer, obesity and heart disease. What is not as well known is that eating healthy food is also good for our mental health and can decrease our risk of depression and anxiety.
Infographics show the classes and anxieties in the supposedly classless U.S. economy.
For those of us who follow politics, we’re used to commentators referring to the President’s low approval rating as a surprise given the U.S.'s “booming” economy. This seeming disconnect, however, should really prompt us to reconsider the measurements by which we assess the health of an economy. With a robust U.S. stock market and GDP and low unemployment figures, it’s easy to see why some think all is well. But looking at real U.S. wages, which have remained stagnant—and have, thus, in effect gone down given rising costs from inflation—a very different picture emerges. For the 1%, the economy is booming. For the rest of us, it’s hard to even know where we stand. A recent study by Porch (a home-improvement company) of blue-collar vs. white-collar workers shows how traditional categories are becoming less distinct—the study references "new-collar" workers, who require technical certifications but not college degrees. And a set of recent infographics from CreditLoan capturing the thoughts of America’s middle class as defined by the Pew Research Center shows how confused we are.
SMARTER FASTER trademarks owned by The Big Think, Inc. All rights reserved.