Dallas Weight Loss Surgeon Social Media

By admin on December 1, 2009 at 11:11 am

Dallas weight loss surgeon, Dr. David Kim, is utilizing social media as a platform to assist his patients on their weight loss journeys. Through the dynamic medium of Facebook, Dr. Kim’s patients are able to share recipes, before and after photo’s and successful workout routines. Click here to read more.

Posted in In the media, Recipes, Support Groups |

Dallas Bariatric Surgeon Dr. David Kim Press Release

By admin on November 13, 2009 at 12:13 pm

There are over 400,000 people suffering from obesity. Bariatric surgery has the power to change, and even save, the lives of individuals who are overweight and obese. Dallas Fort Worth bariatric surgeon Dr. David D. Kim was featured on PR Web for trying to make weight loss surgery affordable in a tough economy.

Click Here to Read the Full Article

Posted in In the media, Uncategorized |

Good Morning Texas Summer Health Series 2

By admin on July 27, 2009 at 3:26 pm

Please watch Dr. Kim’s second interview with Good Morning Texas. Dr. Kim discusses the benefits of LapBand Surgery. This video will help you understand more about the LapBand procedure and how to use it as a tool to acheive successful weight loss. Please contact us today for more information at (817) 717-7447.

Posted in In the media, Lap Band |

INCISION-LESS SURGERY: FOR WEIGHT REGAIN AFTER GASTRIC BYPASS

By admin on July 20, 2009 at 10:37 am

I’ve completed my training in a cutting edge technology-and it’s incision-less. Please pardon the pun. A novel company called USGI has been developing a system to reduce the pouch size from within the pouch itself. It became available in January 2009, and I was selected among a small number of surgeons in the United States to offer this to my patients. I believe it will have a permanent place in the world of weight loss surgery.

I have been performing endoscopy (a lighted scope with camera is inserted into the mouth and guided into the stomach) for over two decades. Through the scope, we have detected peptic ulcers and have treated bleeding, removed polyps as well as large pieces of food that may get stuck, dilated up obstructions with balloons, as well as sealed leaks and perforations with stents. Never before, until now, have we had the opportunity to truly sew within the stomach itself or the gastric bypass pouch.

After several years of performing gastric bypass, we have come to recognize that 5% of our patients may regain some weight. It may not be immediate. Often times it is not apparent until 18 months or several years after surgery. Some patients may only gain a few pounds but some may regain 20 or more pounds. Having the benefit of fluoroscopy (x-ray machine) in the office with the ability to do immediate barium swallows, I have the opportunity to examine these pouches.

Sometimes I find these pouches to be dilated to much larger than when I created it at the time of the original surgery. Because I have often enjoyed an honest relationship with my patients we have shared and discovered the root causes of these dilated pouches. After over 3000 patients, I believe a pouch will dilate in size as a result of three main causes:

OVEREATING. I ultimately aim to get all patients “full” with 4 oz of food or less. We as human beings sometimes test our limits so we may stretch the pouch out with time. I once had a patient who said she “stops eating when it hurts so much, I can’t stand it”. Eating slowly allows us to listen to our “signals” that we’re full. Thus, chewing our food 25 times and giving ourselves at least 20 minutes to eat. Eating too quickly does not allow us time to listen to these “signals” so we tend to over eat. At the time of surgery, I create a pouch that is 20 cc’s or smaller-that’s about the size of an egg.
DRINKING AND EATING AT THE SAME TIME. For the same reasons described above.
DRINKING CARBONATION. Our bodies are 98.6 F or the equivalent of a hot summer day in Dallas. The fizz that we enjoy is carbon dioxide gas or CO2. 98.6 plus CO2 equals a bottle rocket of pressure internally in these pouches causing radial expansion over time.
POUCH WAS MADE TOO BIG TO BEGIN WITH. This was obviously not the patients fault. I perform a lot of revision surgery and some patients will come to me from other practices with a pouch that was made too big at the original time of surgery.

There are other causes for weight regain such as poor nutrition choices and lack of exercise. That’s why support is important. However, after significant pouch dilation occurs, it will be very difficult to achieve weight loss or maintain your current weight because it may take double the amount of food to feel full. 8 oz meals 3 times a day could lead to tremendous caloric intake that is hard to overcome with proper nutrition and exercise.

For this reason, ROSE was invented. It’s an acronym for Restorative Obesity Surgery. It allows a second chance for patients to shrink down the size of their dilated gastric bypass pouch back to its original size. It will also decrease the size of the opening at the bottom of the pouch, or stoma, as it attaches to the intestine. A dilated stoma can lead to weight regain as well as dumping syndrome. When this becomes dilated, for the 4 above stated reasons, ROSE can shrink or “restore” the size of the pouch and stoma to approach that of its original size. This can allow a patient to start losing weight again.

As you can see, an endoscope is passed from the mouth into the pouch. All of the operating tools are passed through this scope so the procedure is taking place in the pouch itself with no incisions being made on the surface of the abdomen. Tissue “anchors” made of nitinol create a pleat of stomach tissue the way you create pleats or hemlines in pants. Nitinol is a permanent flexible inert metal. This is the first time a permanent solution has been offered to restore pouch size through a scope. Other operating systems like Stomaphyx came first but did not allow us the ability to take a full thickness “bite” of stomach tissue; thus, our concern that stomaphyx may not lead to permanent pouch reduction.

Postoperatively, the patient is discharged the same day. Sore throat is the most common complaint. Everyone was capable of returning to work the next day, and there were no life threatening complications like perforating the esophagus or stomach in over 120 cases since January 2009.

A patient should know that other options exist for pouch reduction. These include placing a lap band around the dilated gastric bypass pouch as well as surgically cutting the pouch back to a small size and re-creating a small stoma.

If you or someone you know is regaining weight after gastric bypass, make an appointment to see us and examine the options available. We’ll see if you are a candidate for ROSE as well as reviewing your health and considering medical options to weight loss.

Posted in From the desk of Dr. Kim |

Recipes from Our Lap-Band Support Group

By admin on June 26, 2009 at 4:46 pm

We had a very eventful Lap-Band Support Group on June 25th. A few people brought their own recipe’s to share with others on our blog and facebook group!! I hope that everyone enjoys the new food for thought and continues to share their successes and challenges. We are all in this journey together!

Pamela Thompson brought in two of her favorite recipes!

Lazy Day Potatoe Soup

3 cups diced uncooked potatoes
1/2 cup diced celery
1/2 cup diced onions
2 cups milk

Directions

Sauce pan: potatoes , celery, and onions Cove w/ water, cook until tender. Drain,
add milk and heat until hot add salt and pepper. Serves 4 people

Chicken Fajita Tortilla Soup

2 T extra-virgin olive oil
2 packages chicken tenders, 1 1/2 to 2 pounds
1 T coriander, a palm full
2 T chopped fresh thyme leaves
5-6 sprigs Salt and freshly ground peper
1 large onion, quartered and thinly sliced
1 large bell pepper, quartered and thinly sliced
1 jalapeno, seeded and thinly slice
1 (28-ounce) can fire roasted diced tomotoes
1 quart chicken stock
1 cup shredded pepper jack or sharp white Cheddar
1 ripe avocado, diced
1 lime, diced
4 scallions, chopped
handful of fresh cilantro leaves or fresh flat leaf parsley, choppped.

Directions

Heat a large skillet with extra-virgin olive oil, 2 turns of the pan, over medium high heat. Add chicken, begin to brown 4 min, add coriander, thyme , salt and pepper to taste, onions, bellpepper and jalapeno, season with salt and pepper to taste.
Cook 8-10 minutes stirring frequently. Add tomatoes and stock, heat through. Garnish as desired with avocado, scallions and cilantro or parsley.

Hot Chicken Salad recipe brought to us by Susan Phillips

2 cups cooked chicken- chopped
1/2 cup sliced almonds-toasted
2 cups sliced celery
1/2 t salt
2 T lemon juice
1 cup low fat mayonnaise ( not miracle whip)
1/2 cup grated cheese
1 cup crushed potato chips
2 T grated onion

Directions

Mix all ingredients except for the chips and cheese. Put in lightly sprayed baking dish. Top with cheese then chips. Bake at 425 degrees about 15 minutes( until cheese melts)

Zucchini Casserole by Janice Garite

1 lb ground beef
garlic powder to taste
Drain, 2-3 zucchini dices med size
1 can diced petite tomatoes

Cook down

Brown rice ( according to package directions)
2 teaspoons of KNORR tomatoe with chicken.

Orange-Pineapple Delight

click image for a larger view

Posted in Pam's pen |

Dr. Kim Interviewed on Good Morning Texas

By admin on June 15, 2009 at 12:35 pm

Dr. Kim was interview by Good Morning Texas – Summer Health Series – on June 14th! In his interview, Dr. Kim discusses obesity in our society and how it is affecting us. He also explains what weight loss surgery can do to help cure the health problems that come with being obese. This is 3 part series; Dr. Kim will also be on GMT July 16th & August 6th.

Posted in Uncategorized | 1 Comment

Dr. Kim on Twitter

By admin on June 12, 2009 at 10:18 am

Follow Dr. Kim on Twitter

Posted in Uncategorized |

Exercise Tips from Dr. Kim for Your Weight Loss Journey

By admin on June 8, 2009 at 3:37 pm

Stuck in an exercise rut?

The biggest mistake new exercisers make is to do the same workout over and over for weeks or months at a time. It is important to change and vary your exercise routine. Progression of an exercise program is key, if you want to get stronger, fitter and healthier. Progression is the act of gradually adding to the amount or type of stimulus applied to the muscle during each exercise. This can be hard or confusing for most. How do you change your workouts so that they are effective? One simple way is to try new exercises or vary your current exercise program.

Progression can come in a variety of ways: change your intensity, speed, duration, repetitions, weight, or exercise. The key is once you have mastered an activity, you need to do something to make it harder. More is not better, so do not overdo it especially when starting an exercise program. This could lead to injuries. The concept “no pain, no gain” is not true. If you feel you are straining and not using proper form, then you are doing too much.

Exercisers should start their program slowly and gradually progress to more intensive training levels. If a problem develops, it is good to stop exercising or to reduce the intensity of training for a few days. Do not be afraid to experiment with different training practices or techniques to find out what is more comfortable. If you are doing exercises with weights, first increase the number of repetitions. Once you can do 3 sets of 10 comfortably, then increase the amount of weight and decrease the number of repetitions.

A general rule may be try and progress an exercise program every two-three weeks. Interval training, alternating fast bursts of intense exercise with slow easy activity, allows you to increase intensity without overtraining. For example, if you are walking on a treadmill increase and decrease the speed every 3-5 minutes.