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Article Excerpt
Byline: Ann Geracimos, THE WASHINGTON TIMES
One woman remembers the first time she could cross her legs. Another recalls the relief she felt at being able to see her toes again. A man is surprised he now can run.
All three are patients talking in a local doctor's office about some positive results of gastric bypass surgery, an increasingly popular last-ditch effort by the morbidly obese to lose weight - especially if the excess weight is related to significant complicating medical problems.
The operation, one version of which often is called stomach stapling, is done either laparoscopically or by open incision. Stapling reduces the stomach size to a small pouch and shortens the digestive process by bypassing a section of the intestine.
It's major surgery that later requires significant behavioral and dietary changes - smaller bites, more meals and longer chewing time - for the rest of a person's life. Foods high in sugar or fat, including ice cream, are definite no-nos.
After surgery, a stomach that once held about 40 ounces, or five cups of food, now holds about 2 ounces, or one-quarter cup. In time, it may stretch to hold 5 or 6 ounces or three-quarters cup, notes dietitian Tanya Brackman in a 25-page list of nutritional guidelines given to patients...
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