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This profile was last updated on 3/27/12  and contains information from public web pages.

Dr. Julie A. Ellner

Wrong Dr. Julie A. Ellner?

Medical Director

Surgical Weight Loss
 
Background

Employment History

Education

  • MD
48 Total References
Web References
Specializing in Eating Disorders and Obesity in San Diego |Dr. Shapiro
www.drjennifers.com, 27 Mar 2012 [cached]
Julie Ellner, MD, FACS, Medical Director, Surgical Weight Loss
Dr. Ellner said Melby's ...
www.alvaradohospital.com, 11 Sept 2009 [cached]
Dr. Ellner said Melby's experience underscores the necessity of continual patient education and follow up after weight-loss surgery. However, many patients do not receive this critical support.
"Melby's situation is not unusual," Dr. Ellner said.
...
"Typically, gastric bypass patients fly along the first year on the strength of the surgery alone, but do not know how to use this tool," Dr. Ellner said. "They are fooled by the temporary increase in metabolism that occurs as a result of the surgery, and think weight loss will be easy for the rest of their lives. But if they do not use the first year to incorporate exercise into their lives, and learn how to make proper use of the tool to help them change eating habits, the weight will start to come back."
She added weight gain could be triggered by a life event, such as a job change or divorce, which results in less-healthy eating and exercise habits.
"The focus is no longer on taking care of themselves," Dr. Ellner said. "Their own health needs go on the back burner, and before they know it, they're regaining weight."
Dr. Ellner said another one of her gastric bypass patients recently told her how difficult it was to stick to healthy eating and exercise while her home underwent renovation. The patient, who'd had the surgery just a few months earlier, told Dr. Ellner that she had started eating "convenience foods" and stopped exercising.
"She said to me, 'When I'm working on my house all day and night, when am I supposed to exercise?'" Dr. Ellner recalled. "I answered her by saying, 'Whenever you would go to chemotherapy if you had cancer.'
"That's the way people need to prioritize their gastric bypass program," Dr. Ellner said.
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Melby had StomaphyX surgery with Dr. Ellner at Alvarado Hospital in November of 2008, and was home by that evening.
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But this time, Melby continues to follow-up regularly with Dr. Ellner.
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Melby has learned from Dr. Ellner how to use her tool and recognize the difference between 'head hunger' and genuine body hunger.
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StomaphyX may offer gastric bypass patients a second chance, but Dr. Ellner emphasized that behavioral changes are still necessary to receive the full benefit.
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"If you are a genetically obese person, obesity is always looming, ready to reinvade your life if you are not diligent-even if you've had gastric bypass surgery," said Alvarado Hospital bariatric surgeon Julie Ellner, MD.
Dr. Ellner shares the following tips for lasting weight-loss success:
Dr. Julie ...
www.sandiegometro.com [cached]
Dr. Julie Ellner
...
Obesity is largely a genetic, metabolic disease, with devastating effects on adults and children, according to Dr. Julie Ellner, one of the country's leading weight loss surgeons who operates at Scripps Memorial and Alvarado Hospitals in San Diego and is the medical director of Alvarado's world-renowned Surgical Weight Loss program. Morbidly obese persons are almost 10 times more likely to die within five years if they don't undergo gastric bypass surgery than if they do, Ellner said. Morbid obesity leads to a 20-year reduction in life span, a 400 percent increase in the risk of diabetes, 75 percent increase in stroke and 70 percent increase in coronary artery disease. Obesity also is linked to many types of cancer, impaired immunity, sexual dysfunction and infertility. Major depression among morbidly obese persons has reached 89 percent. Ellner said she's not treating a patient's size or their weight - she's treating the person's diabetes, high blood pressure, cancer, infertility, joint and back pain, and most importantly, increasing life expectancy and quality of life for people with a disease that will otherwise kill them. "Gastric bypass and banding surgery aren't about making people thin," said Ellner, an active surfer who has obesity in her family.
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We will soon see the paths cross and obesity will be the leading cause of preventable death," Ellner said. Surgery for obesity is widely popular and has become quite commonplace, with 220,000 weight loss surgeries performed in 2008, Ellner said. She said it is the most effective tool available to treat diabetes in morbidly obese patients and also relieves high blood pressure, sleep apnea, cardiac dysfunction, infertility and sexual dysfunction. It is the only treatment for obesity that has proven effective in the long term, according to the National Consensus Panel. The risk of surgery has dramatically declined over the years and is now about the same risk as having your gallbladder removed, according to Ellner. "However, surgery is only a tool, and patients need to recognize that it doesn't do the work for them. The most important decision that a patient makes is who performs their surgery. They need to do their research and be informed consumers. They need to ensure that they go to a surgeon who is going to personally teach them how to safely and successfully use their surgery. Without close guidance from their surgeon, they are likely to unintentionally misuse and damage their tool and regain weight." What really alarms Ellner is the rise in childhood obesity and the growing need for younger children to have gastric bypass or gastric banding surgery. "The reality is that for children who are 10-to-11 years old who have the obesity gene right now, we don't have a way of preventing them from becoming obese," she said. "Eventually they will likely need surgery, but at least they might not be a as sick with diabetes and hypertension if they start eating the right, healthy foods and exercising now. But what we are facing now is a group of children who are already diabetic and some of them are so obese that they are not going to live to be 22 years-old. So, doctors have to operate on these children earlier and earlier because of medical concerns, but they would make better use of the surgery if we were able to wait until they're 18 or 20 years old." Although obesity is, in many cases, genetic, there are a growing number of people - kids and adults- who are gaining significant weight due to bad habits, Ellner said. She said that about 80 percent of a person's tendency to be obese is genetic and about 20 percent of it is behavioral or environmental. That 20 percent, she said, will continue to swell. "Our diets and lifestyles have significantly changed in the last 20 years," Ellner said.
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"You have double income households working two jobs, and it's not like the '50s or '60s where mom stayed at home and put healthy meals on the table with fresh organic vegetables from the garden," said Ellner, who grew up in tiny town called Funk, Neb. "Today, mom is working just as late as dad is. Kids also have more homework these days and they are more stressed and have less time to sit down and eat a healthy meal. Meanwhile, mom is grabbing 'Pick up Sticks' or other fast or processed food just to get something on the table. People aren't eating as healthy when they're at home." Ellner suggests a high-protein, low-sugar diet for both children and adults. "Lean protein should occupy at least 50 percent of the volume of food you eat," she said.
Feature: Active Gaming is Here To Stay And is Helping People Get Fit - Nintendo Life
www.nintendolife.com [cached]
Dr Julie A. Ellner, the medical director of the Bariatric Surgery Program at Alvarado Hospital Medical Center, told the publication there is a distinct correlation between playing games and adult weight loss:
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Ellner observed how Wii Fit brings in a personal trainer that keeps you on track, while the system retains a record of things like balance and weight loss or gain. She recommends individuals use games that promote cardio and toning and Wii Fit and the upcoming Wii Fit U come complete with a range of exercise programmes that work on several things.
Bariatric Surgery Patient
www.aboutbariatric.com, 18 Feb 2006 [cached]
18. Julie Ellner, M.D. - Bariatric Surgery
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