Dallas, TX – The American Academy of Pediatrics (AAP) has released its first comprehensive guideline for evaluating and treating children and adolescents with obesity. The new guidelines include bariatric surgery as a viable treatment option for the first time.
The AAP’s Clinical Practice Guideline, “Evaluation, Prevention, and Treatment of Childhood and Adolescent Overweight and Obesity” is the first comprehensive evidence-based guideline to address childhood obesity. It was developed by a committee of experts in pediatrics, nutrition, psychology, endocrinology, public health, and other related fields.
Dr. Nick Nicholson with Nicholson Clinic for Weight Loss Surgery in Dallas says that the new guidelines are an important step forward in addressing this growing public health problem. “Childhood obesity is an epidemic that affects millions of children in the United States alone. Early intervention is essential to prevent long-term health complications associated with excess weight gain in children and adolescents such as diabetes, heart disease, sleep apnea, joint problems, social stigma and even psychological issues like depression or low self-esteem.”
For adolescents who have been unable to achieve significant weight loss through lifestyle changes alone or who have severe medical complications due to their weight gain, the AAP now recommends bariatric surgery as an option for treatment. Bariatric surgery can provide long-term weight loss results by reducing the size of the stomach or rerouting how food moves through the digestive system so that less food is absorbed into the body. These surgeries include gastric bypass, sleeve gastrectomy, and adjustable gastric banding.
The AAP recommends that adolescents be evaluated by a multidisciplinary team of healthcare providers prior to undergoing bariatric surgery. This team should include medical providers such as pediatricians and psychiatrists; nutritionists; psychologists; endocrinologists; exercise specialists; social workers; and surgeons who specialize in bariatric procedures. This team should assess the adolescent’s physical health, mental health status, readiness to change behaviors related to eating habits and physical activity levels, family dynamics related to food choices, and any risk factors for surgical complications or postoperative problems.
The AAP also recommends close follow-up after bariatric surgery to ensure that the adolescent is meeting his or her weight loss goals and managing any potential side effects from the procedure. The follow-up should include regular visits with a primary care provider or pediatrician for monitoring of weight status, nutritional status (including vitamin/mineral deficiencies), mental health status (including depression), physical activity levels, adherence to postoperative instructions provided by the surgeon or dietitian/nutritionist involved in care management after discharge from hospitalization following procedure completion), and any other issues related to successful management of weight loss goals over time.
Dr. Nicholson notes that while bariatric surgery can be effective in helping patients achieve long-term weight loss it should not be considered lightly: “Bariatric surgery carries risks like any other surgical procedure so it should only be considered after careful evaluation by a qualified physician who specializes in this type of procedure.” He adds: “It is important for parents to understand that bariatric surgery is meant to be used as part of a comprehensive program including lifestyle changes such as healthy eating habits and regular physical activity.”
Dr. Nicholson concludes: “This is an important milestone in recognizing childhood obesity as a serious medical condition requiring intervention beyond just dieting or exercise alone.” He adds: “I am hopeful that these guidelines will help more families get access to safe treatments like bariatric surgery which can ultimately lead to improved quality of life for our youth.”
About Nicholson Clinic
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with Sleeve Gastrectomy, Gastric Bypass, Duodenal Switch, LAP-BAND, Gastric Balloon and Revisions.
One of these effective approaches is the da Vinci surgical system. This robotic surgical system can be used in gastric bypass and gastric sleeve operations.
The da Vinci system provides high-definition, magnified views for surgeons to direct small incisions to the surgical area using 3D cameras and small instruments. The da Vinci system offers surgeons precision, control, dexterity, and enhanced vision to deliver excellent patient outcomes.
As with traditional laparoscopic bariatric surgery, the system allows surgeons to perform minimally invasive gastric bypass and gastric sleeve surgeries without opening up a patient’s abdomen. This reduces risks and improves outcomes.
The da Vinci Robotic system is safe and effective, offering benefits such as:
- Shorter hospital stay: Patients may experience a shorter hospital stay than patients who had laparoscopic surgery.
- Minimally invasive: During robotic assisted surgery, the surgeon will make a few small incisions which improves patient experience with minimum pain, fast healing, and less scarring.
- More precision and excellent outcomes: Guided by the surgeon, the da Vinci system ensures precise movements with minimal disruptions. Less surrounding tissue is disrupted, and little to no bleeding or postoperative pain is experienced.
The da Vinci Xi is the latest development in robotic surgery and is the fourth generation and most advanced robotic system currently available for bariatric surgery. The 3D high-definition camera allows for a crystal-clear, magnified view of the surgical area. The surgeon operates using a camera and tiny instruments with full range 360-degree motion to surgically maneuver, offering better results. Doctors can clamp, cut, and staple targeted areas, thanks to advanced robotics.
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One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with Sleeve Gastrectomy, Gastric Bypass, Loop Duodenal Switch, LAP-BAND, Gastric Balloon and Revisions.
Dallas, TX – September 14, 2022 – The Nicholson Clinic has been at the forefront of implementing advanced bariatric procedures for its patients. As a globally recognized surgeon, Dr. Nicholson recently lectured at the 72nd International Bariatric Club University of Oxford Webinar.
The webinar was held on Tuesday, August 23rd, with the theme: Ambulatory Bariatric Surgery. It focused on the topic, ‘Does Buttressing of the Sleeve Staple Line ensure Safe Same Day Sleeve Gastrectomy Surgery?’
Dr. Nicholson helped pioneer safe same-day sleeve surgery with successful outpatient results. Meaning patients go home the same day they have sleeve surgery, instead of staying in the hospital one-two days. A lot of patients have benefitted from this outpatient approach, which offers minimal risks and short hospital stays.
One of the areas Dr. Nicholson has displayed outstanding expertise is with staple line buttressing, which is a common technique used during the laparoscopic sleeve gastrectomy. It is known to minimize the rates of preoperative bleeding and reoperation.
A sleeve gastrectomy leak can cause postoperative complications. Due to the popularity of sleeve gastrectomy, experts are now focusing on the short and long-term implications of sleeve gastrectomy. This includes the best strategies for reducing any complications.
“Our Clinic focuses on finding weight solutions and strategies that minimize risks for our patients,” explained Dr. Nicholson. “We use diversified approaches to give every patient a chance to lose weight and maintain it long-term. Our goal is to ensure we are offering the safest, most effective, weight loss procedures that provide lasting results.”
Dr. Nicholson also trains many doctors and consults on new products and techniques in bariatric surgery to enhance outcomes.
Bariatric surgery options like sleeve gastrectomy help to alleviate obesity-related health conditions. Nicholson Clinic invests in technology and research to ensure people undergo procedures that help them achieve their weight loss goals and transform their lives.
About Nicholson Clinic
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with Sleeve Gastrectomy, Gastric Bypass, Loop Duodenal Switch, LAP-BAND, Gastric Balloon and Revisions.
Nicholson Clinic offers a wide range of weight loss surgery options. The clinic has worked with more than 25,000 patients for over 20 years. Patients have come to the Nicholson Clinic from all over the country and all around the world to seek the highest level of patient care.
What makes Nicholson Clinic stand out is its experience and team approach to weight loss. In a multidisciplinary setting, you’ll be attended to by surgeons, highly experienced clinicians, physician assistants, and courteous support staff who stand with you throughout your fight against obesity.
The clinic keeps up with the latest breakthroughs in weight loss, and is employing emerging technology in all its procedures, which includes gastric bypass, sleeve gastrectomy, SADI, gastric balloon, LAP-BAND, and revisions.
Sleeve gastrectomy (gastric sleeve), for instance, is one of the safest bariatric surgery options. This is where resection is performed on the part of your stomach involved in producing grehlin. Grehlin is a hormone that causes you to feel hungry.
When gastric sleeve surgery is performed, you’ll experience reduced appetite and have a smaller stomach capacity than you did before surgery. This means you’ll eat less food and, in turn, lose weight.
The benefits of sleeve gastrectomy are enormous. Your stomach is reduced to a small size, you’ll feel less hungry, and your pylorus valve is preserved (an outlet valve regulating food release from your stomach to the small intestine) so essentially your stomach function will remain normal.
Sleeve gastrectomy is a safe, less invasive, low-risk procedure that offers long-term results. Whatever obesity-related condition you have may be eliminated over time.
Nicholson Clinic provides various weight loss surgery options that have proven very effective, with outstanding patient outcomes. The clinic is committed to helping patients find the right weight loss solution for their unique conditions. Make an appointment to talk with one of their doctors. Understanding all the bariatric surgery options available allows you to make the best decision for your individual needs.
Dr. Nicholson explains the new weight loss procedure that combines gastrectomy and intestinal bypass to restrict food intake and nutrient absorption.
Dallas, TX, August 10, 2022 – Nicholson Clinic is the go-to clinic for bariatric surgery. The clinic is now offering the Duodenal Switch, a new weight loss procedure also known as the single anastomosis duodeno-Ileal bypass (SADI) or loop duodenal switch.
The procedure is a combination of sleeve gastrectomy and intestinal bypass. The gastrectomy restricts the amount of food that can be eaten and reduces appetite. The intestinal bypass creates a shorter path for food to travel through the intestines, reducing the absorption of calories into the intestines and affecting gastrointestinal hormones to promote weight loss.
“There are two types of duodenal switch, the traditional biliopancreatic diversion with duodenal switch and the single anastomosis duodenal switch (loop duodenal switch),” said Dr. Nicholson. “In a biliopancreatic diversion with duodenal switch surgery (BPD/DS), there are two new intestinal connections created which increases the risk of both technical and long-term complications. The newer SADI or loop duodenal switch creates only one new intestinal connection making the SADI a safer and highly effective modification of the historical duodenal switch (BPD/DS) procedure.”
Single anastomosis duodenal switch (SADI) starts with sleeve gastrectomy to restrict the amount of food one can eat. The sleeve, which is the size of a banana, will be connected to a loop of small intestine allowing food to bypass a significant portion of the small intestine. The procedure changes the hormonal signals between the liver, stomach, and brain, which helps to promote significant weight loss.
The SADI is a new minimally invasive procedure that offers exceptional weight-loss results. SADI is ideal for patients with severe obesity and is highly effective for patients with type 2 diabetes and metabolic syndrome. It is also an excellent revision option for sleeve gastrectomy patients who have gained weight.
Statistically, the duodenal switch (SADI) has better overall weight loss results than the gastric bypass or gastric sleeve. On average, patients who have the SADI procedure can expect to:
- lose 85% of their excess weight
- see a 95% chance of remission of Diabetes
- see minimal to no weight regain
- commit to lifelong follow-up
The Nicholson Clinic has been committed to ensuring its patients lose weight through the safest, most advanced procedures. Contact them today to discuss which weight loss surgery option is best for you.
About Nicholson Clinic
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Gastric Bypass, Sleeve Gastrectomy, SADI, Gastric Balloon and Revisions.
The clinic’s depth of support goes beyond the surgical staff and includes clinical psychologists, dieticians, and fitness experts trained in bariatric care to best help patients in their weight loss journey.
Psychologists: Psychologists offer pre-surgical evaluations, counseling, and behavior modification to help patients achieve their goals and overcome any barriers they might encounter. In addition to one on one appointments, Nicholson Clinic partner psychologists offer complimentary quarterly virtual support groups with insights for healthy living, mental and physical wellbeing.
Dieticians: The dieticians provide advice on the best nutrition to get before and after the surgery to ensure successful weight loss. With bariatric surgery, a very specific pre-op and post-op diet is required, and a dietitian can help you adhere to the recommended guidelines and find a food plan that works for you.
Fitness Experts: Nicholson Clinic partners with bariatric fitness experts who provide exercise recommendations and instructions tailored to patients’ level of progress, both insurance based and affordable self-pay options. In addition to bariatric exercise programs, Nicholson Clinic offers patient-led fitness groups where patients connect with each other to exercise together and motivate one another, including a Facebook fitness group where patients workout from anywhere at any time.
Educational Resources: Nicholson Clinic also offers educational resources on weight loss on its website. The site contains helpful blogs and tips to read and follow. It also has created a Facebook Support Group where patients share their struggles, successes, and other useful ideas to motivate each other.
Patient Educators: The clinic has patient educators/medical assistants who address patient concerns and answer any questions they may have. The medical assistants provide pre-op and post-op medical support, nutrition advice, and guidance to help patients during their weight loss journey.
Weight loss requires a healthy body and mind. The behavioral continuum of care offered by The Nicholson Clinic caters to all the physical, mental, and emotional aspects of weight loss, including intervention on the patient’s health and lifestyle.
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One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Gastric Bypass, Sleeve Gastrectomy, SADI, Gastric Balloon and Revisions.
Dr. Long explains how their patient-centric approaches to weight loss have yielded remarkable outcomes for decades.
Dallas, TX – July 10, 2022 – Nicholson Clinic for weight loss surgery has been transforming lives through weight loss surgery. For over two decades, the Clinic has made pioneering advances that have had patients undergoing various procedures to reduce their weight.
Nicholson Clinic isn’t just about losing weight; it saves people’s lives each day by eliminating illnesses and long-term health conditions due to obesity. Success stories from its patients are very inspirational. Many who felt helpless due to obesity and an inactive life testify how the clinic has helped them restore their lives.
“At Nicholson Clinic, we work with our patients to ensure their overall wellbeing, said Dr. Brian M. Long. “By taking them through their weight loss journey, we’ve managed to help many patients to eradicate obesity and related diseases. Our teams are dedicated to helping our patients achieve their goals. Besides surgery, we also offer weight loss support and education to ensure people maintain a healthy weight even after surgery.”
The weight loss procedures offered by Nicholson Clinic include Sleeve Gastrectomy, Gastric Bypass, SADI, LAP-BAND Surgery, Gastric Balloon, Abdominal Cosmetic Surgery, and Revisional Surgery. Many patients can attest to the proficiency of the clinic in helping them lose a significant amount of weight and recover from the medical conditions associated with obesity.
Nicholson Clinic’s procedures are tailored to the patient. The professional staff will evaluate the patient’s condition before deciding on the best surgical procedure for their unique condition. The clinic works with other professionals like psychologists, dietitians and fitness experts to ensure the patient gets appropriate advice and education before and after surgery. They create a warm environment that makes patients feel they are a part of the Nicholson Clinic family.
About Nicholson Clinic
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Gastric Bypass, Sleeve Gastrectomy, SADI, Gastric Balloon and Revisions.
This is according to research on 30,000 obese patients. Out of those who went through bariatric surgery, only 2.9% were found to have cancer after a 10-year follow-up and 4.9% of people who underwent non-surgical weight loss registered the disease.
This translates to a 32% less risk of getting cancer due to obesity, thanks to bariatric surgery.
In the study, obesity-related cancer became a composite of 13 types. The findings from those who had weight loss surgery and the long-term positive effects showed that patients can lose about 20-40% of body weight and still sustain their weight loss over decades.
This indicates that the more weight a patient loses, the lower their risk for cancers like gallbladder, ovarian, pancreatic, rectal, colon, thyroid, corpus uteri, renal cell carcinoma, esophageal, and more.
Bariatric Surgery involves different surgical procedures that help restrict food consumption and malabsorption of nutrients. The procedures are often performed on patients with obesity and a BMI of 30 or higher.
Besides weight loss, the effects of bariatric surgery show a reduced cancer risk, elimination or reduction of obesity-related illnesses like high blood pressure, Type 2 diabetes, heart disease, and more.
The risk for cancer was especially lower for all the patients who underwent sleeve gastrectomy and Roux-en-Y gastric bypass procedures. In addition to low cancer risks, cancer-related mortality also dropped significantly.
The American Cancer Society places obesity second to tobacco when it comes to cancer-causing variants that are preventable in the U.S.
This research clearly shows that intentional weight loss through bariatric surgery can help minimize the risk and mortality for many cancers.
This study isn’t the first to highlight the enormous benefits of bariatric surgery. Other studies have confirmed these findings before. Bariatric surgery helps patients live longer, cancer-free, healthier lives.
The clinic utilizes a team approach to help patients reverse obesity. Nicholson Clinic has the top bariatric surgeons in the country, highly experienced clinicians, physician assistants, and support staff dedicated to their fields of specialization. Since Dr. Nick Nicholson started the clinic more than twenty years ago, over 25,000 patients have successfully been treated, lost weight and live healthier lives.
“Together with my team, we offer the most advanced, minimally invasive procedures with effective outcomes”, explained Dr. Nicholson. “Our clinic utilizes the latest weight loss technology such as robotic bariatric surgery to achieve long-term, positive outcomes for patients. The bariatric procedures we offer include Gastric Bypass, Sleeve Gastrectomy, Gastric Balloon, LAP-BAND, and revisions.”
After surgery, patients receive personalized follow up care to help them adjust to their new lifestyle and maintain their weight. The Nicholson Clinic has organized programs and support groups for post-surgery patients. Programs include patient-to-patient support groups, nutrition classes, sessions with psychologists and other experts as well as partnering with other fitness experts and service providers who deliver sessions virtually or in-person.
Another of the clinic’s latest achievements is the addition of more Spanish-speaking staff to the clinic. This big move will benefit many, eliminating the need for translators for native Spanish patients. They also started posting Spanish blogs and offering patient-to-patient support groups in Spanish, which is a win-win for the clinic and its patients.
The Nicholson Clinic patients have seen tremendous transformations, including reversing Type 2 Diabetes, obesity, heart disease, arthritis, high blood pressure, and many other weight-related conditions.
About Nicholson Clinic
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Gastric Bypass, Sleeve Gastrectomy, Gastric Balloon and Revisions.
Dallas, TX, May 23, 2022 – The Nicholson Clinic offers its patients the latest treatment options for weight loss using rising technology, which includes robotic bariatric surgery. Nicholson Clinic offers a variety of procedures which ultimately include the following:
LAP-BAND® (Laparoscopic banding) is less common than it was in years past but is still an available option to reduce the capacity of the stomach itself. LAP-BAND® significantly restricts the amount of food that can be consumed. The whole procedure consists of fastening a band around the stomach resulting in a smaller stomach. It is adjustable and reversible.
Gastric Bypass surgery makes the stomach much smaller and allows food to avoid part of the small intestine, resulting in fewer calories being absorbed. This procedure also helps with appetite suppression. Most patients are able to go home the day after surgery with up to 70-80% surplus weight loss within 12 months.
Sleeve Gastrectomy (also known as Gastric Sleeve surgery) can be a wonderful solution for those who want the benefits of Gastric Bypass but are concerned about potential long-term side effects. Like Gastric Bypass, the Gastric Sleeve involves resection of the portion of the stomach that produces ghrelin – the hormone that is the major contributor to the feeling of hunger. As a result, patients who undergo Sleeve Gastrectomy have a smaller stomach which aids in portion control, and report a reduced appetite, allowing them to lose weight.
The Nicholson Clinic surgeons operate out of several hospitals and outpatient surgery centers throughout the DFW Metroplex offering convenience with the highest standard of patient care. With credentials at these top facilities, they can offer patients the assurance of safety and high-quality care.
About Nicholson Clinic
One of the most experienced weight loss surgeons in the country – Dr. Nick Nicholson – along with a full staff of surgeons, physician assistants, and other experienced clinicians, help patients reverse obesity with LAP-BAND, Gastric Bypass, Sleeve Gastrectomy, Gastric Balloon and Revisions. Nicholson Clinic offers bariatric surgery as a treatment option for severe obesity and obesity-related health conditions.
