Heart Attacks and Bariatric Surgery


A study came out in last weeks Journal of the American Medical Association (JAMA) which has been getting attention in the press…..
JAMA Study

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First off a little background on the study.  It was published by a group from Sweden which has been doing bariatric surgery since the 1980's and has been following the patients who have had surgery since 1987, so, this is very long term follow up.

In other words if someone says to you the surgery only works for the first couple of years this study would suggest that is false!  This surgery works for the long term!  Many of the patients in this study had surgery over 20 years ago and are still benefiting!

Anyway, enough background…what were the results.  Over 4000 patients were in the study and the researchers wanted to see if patients who had surgery had less heart attacks and strokes than patients who did not have surgery and more importantly if less patients died of heart attacks and stroke.  The answer was yes.  If a patient had bariatric surgery they were less likely to have a heart attack or stroke and less likely to die of one as well.

Often, when I meet a new patient in the office they want to know about the risks of the surgery and that is appropriate.  If you are considering any surgical procedure you should know about the risks of that procedure.  However I would also say you should also consider the risk of not doing the procedure as well.

In other words what is more dangerous, bariatric surgery or continuing to live with diabetes, high blood pressure, sleep apnea, joint problems etc.  This study adds to the mounting evidence that says the surgery is probably safer for your long term health than living with the chronic diseases associated with morbid obesity.  
Patient Information Seminar

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OK, so it is a new year…bet you know lots of people who have resolved to lose weight this year!  If so, do them a favor and let them know the most effective means of losing weight is bariatric surgery and let them know about the study mentioned above…it isn't just about losing weight but also living longer and healthier!

We have two seminars scheduled in the next week so anyone who is interested can find out all they need to know about bariatric surgery.

The first is for our South Jersey patients and it will be this
Thursday, January 12th, 5:30 pm at:

The Center for Healthy Living
198 Prospect St.
Lakewood, NJ

It is located right next to Kimball hospital.
This is free and open to anyone interested in finding out if bariatric surgery is for them.

The second  will be next Wednesday, January 18th at our Millburn office, the address is:
225 Millburn Ave, Suite 204, Millburn, NJ and it starts at 6:30 pm…it is free and open to anyone.

If you have any questions or you are planning on attending or bringing anyone please call us at  973 218 1990 to let us know

Obesity Help

If you are a regular reader of my newsletters you may be interested to know that several of my more recent newsletters will be featured in the Winter edition of "OH" magazine, which should be published this month.
If you aren't familiar with Obesity Help it is a website dedicated to bariatric surgery.  It is a good resource for someone looking to get information about bariatric surgery.
They also publish a magazine 4 times per year with lots of articles related to bariatric surgery.  I will have some articles in the upcoming edition for anyone who is a subscriber.  For anyone who would like to subscribe the link is here:

Marisol's Corner

As many of you know, Marisol is our nutritionist in the Millburn office and she likes to share recipes that are healthy and delicious, so take it away Marisol….


One of my favorite vegetables is asparagus.  I find that it cooks easily and its very versatile.  The following recipe is from my favorite cook book, Williams-Somoma Essentials of Healthful Cooking.  I slightly altered the recipe so it would be less time consuming.


Roasted Asparagus with Toasted Bread Crumbs


1 bunch asparagus, about 1pound, tough ends removed

2 teaspoons extra-virgin olive oil

2 teaspoons minced fresh thyme

1/4 cup Italian bread crumbs

1 teaspoon grated lemon zest

Freshly ground pepper.


Preheat the oven to 450 degrees


Spread the asparagus in a baking dish large enough to hold them in a single layer.  Drizzle with 1 teaspoon of the olive oil and sprinkle with 1 teaspoon of the thyme.  Toss to coat the asparagus evenly.


Roast the asparagus, stirring once halfway through the roasting time, until tender-crisp, 7-10 minutes; the timing will depend on the thickness of the spears.


Meanwhile, place the bread crumbs in a small bowl and drizzle with remaining 1 teaspoon of olive oil; toss to coat.  Place a frying pan over medium heat.  When it is hot, add the bread crumbs, reduce the heat to medium-low, and toast, stirring, until slightly golden, about 2-3 minutes.  Stir in the remaining 1 teaspoon thyme, the lemon zest and ground pepper.  Remove from heat.


Arrange the asparagus on a warmed platter and sprinkle the hot bread crumbs over the top.  Serve at once.


Makes 4 servings.

Support Group

Another New Year's resolution is to start going regularly to support group..well, if so, you're in luck!  Our first support group of the year is tomorrow, Wednesday January 11th.
It is at the usual location:
Ambulatory Care Center (ACC)
200 South Orange Ave
Livingston, NJ  
from 6 pm to 7:30 pm
The topic this month will be excercise.   

In Good Health,

Michael Bilof, MD
Garden State Bariatrics & Wellness Center

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