Bariatric operations are the procedures that are performed with the sole purpose of helping an individual lose weight. The need for these procedures has been increasing steadily in New York City in recent times. Gastric banding, sleeve gastrectomy and gastric bypass are the three main types of bariatric operations. Of the three, lap-band and laparoscopic sleeve gastrectomy are the most effective and safest. Gastric bypass is often done as a last resort for some diseases affecting the stomach.
Surgical options for weight should only come in when all the other methods have been exhausted. The general recommendation is that conservative options should be tried out for at least 6 months. Dietary modification is one of the approaches that have been shown to be quite effective in achieving weight loss. One should strive to reduce their consumption of fats and carbohydrates and increase that of vegetables and fruits. Regular physical exercise also has a role to play.
The decision to undergo either lap band surgery or sleeve gastrectomy is made by the doctor in consultation with the patient. The choice is made after carefully considering the benefits of each of them. Both can be performed through the open technique or through laparoscopy. One of the major differences between the two is the fact that banding is reversible while gastrectomy is a permanent procedure.
When the open technique is to be used to perform banding, a large incision has to be made in the anterior abdominal region. Such will allow the surgeon to visualize the abdominal structures directly and can place the band around the stomach with ease. In the case of laparoscopy, the incisions that are needed are a lot smaller and the doctor has to rely on images projected on to a monitor to perform the procedure.
Gastrectomy is the removal of part of the stomach. Up to 80% can be removed in a single operation reducing the organ to just a small pouch. The new shape is similar to a sleeve (hence the name). Most surgeons prefer the laparoscopic technique over the open method due to the lower risk of complications associated with the former technique. The remaining part is usually stitched using surgical sutures or staples.
There are a number of complications that potential candidates need to be aware of. These include, among others, excessive loss of blood, accidental injury to internal organs and postoperative infections. The loss of stitches or staples used in closure may be seen in very rare circumstances. When it occurs, it leads to leakage of digested foods and acids which may in turn lead to chemical injury of various organs.
Reduced stomach capacity translates into reduced intake of food. This is not only due to the smaller quantity of food that can be held at one time but also due to the associated early satiety. A reduction in the surface area of the stomach also reduces the amount of food absorbed. Weight loss begins to become evident within weeks or months depending on the magnitude of the problem.
There are a number of conditions that may increase the risk of these operations. Patients with hormonal imbalance (such as hyperthyroidism) and metabolic conditions (such as diabetes) need to have these problems solved first before they have the operation. Apart from the systemic conditions, diseases that affect the stomach may delay healing and lead to poor outcomes. Examples include inflammatory bowel disease and peptic ulcer disease. These too have to be managed beforehand.
Surgical options for weight should only come in when all the other methods have been exhausted. The general recommendation is that conservative options should be tried out for at least 6 months. Dietary modification is one of the approaches that have been shown to be quite effective in achieving weight loss. One should strive to reduce their consumption of fats and carbohydrates and increase that of vegetables and fruits. Regular physical exercise also has a role to play.
The decision to undergo either lap band surgery or sleeve gastrectomy is made by the doctor in consultation with the patient. The choice is made after carefully considering the benefits of each of them. Both can be performed through the open technique or through laparoscopy. One of the major differences between the two is the fact that banding is reversible while gastrectomy is a permanent procedure.
When the open technique is to be used to perform banding, a large incision has to be made in the anterior abdominal region. Such will allow the surgeon to visualize the abdominal structures directly and can place the band around the stomach with ease. In the case of laparoscopy, the incisions that are needed are a lot smaller and the doctor has to rely on images projected on to a monitor to perform the procedure.
Gastrectomy is the removal of part of the stomach. Up to 80% can be removed in a single operation reducing the organ to just a small pouch. The new shape is similar to a sleeve (hence the name). Most surgeons prefer the laparoscopic technique over the open method due to the lower risk of complications associated with the former technique. The remaining part is usually stitched using surgical sutures or staples.
There are a number of complications that potential candidates need to be aware of. These include, among others, excessive loss of blood, accidental injury to internal organs and postoperative infections. The loss of stitches or staples used in closure may be seen in very rare circumstances. When it occurs, it leads to leakage of digested foods and acids which may in turn lead to chemical injury of various organs.
Reduced stomach capacity translates into reduced intake of food. This is not only due to the smaller quantity of food that can be held at one time but also due to the associated early satiety. A reduction in the surface area of the stomach also reduces the amount of food absorbed. Weight loss begins to become evident within weeks or months depending on the magnitude of the problem.
There are a number of conditions that may increase the risk of these operations. Patients with hormonal imbalance (such as hyperthyroidism) and metabolic conditions (such as diabetes) need to have these problems solved first before they have the operation. Apart from the systemic conditions, diseases that affect the stomach may delay healing and lead to poor outcomes. Examples include inflammatory bowel disease and peptic ulcer disease. These too have to be managed beforehand.
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