Bariatric weight loss surgery is a procedure that has continue to grow steadily in recent times in New York. There are three main types of bariatric surgeries that are performed. These include gastric banding, sleeve gastrectomy and gastric bypass surgery. While some differences exist among these procedures, the manner in which they work is similar. Lap-band and laparoscopic sleeve gastrectomy have the best outcomes hence are the most commonly performed.
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.
During the open procedure, a large incision running from the epigastric area to the pubic region is made. The surgeon can visualize the stomach through this incision and place the band directly. When the laparoscopic option is used, on the other hand, very small incisions are created in the anterior abdominal region. These incisions (also known as ports) are used for the entry of instruments.
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.
A number of complications may occur following these operations. Excessive bleeding, injury to internal organs and post-operative infections are among the most commonly encountered. In rare circumstances, the staples or stitches used during the operation may come off. Leakage of foods and acids may then ensue and cause chemical injury to other organs. Nausea and vomiting will be experienced if the squeeze of the band is too much.
A reduction in the stomach capacity results in a reduction in the amount of food intake. Related to this is the fact that there is early satiety and suppression of appetite. Removing part of the stomach significantly reduces the surface area that is available for absorption of nutrients. All these changes cause weight loss that begins to be seen within weeks or months.
Bariatric operations can be performed in a wide range of patients. However, there are conditions that may make the procedures risky in some of them. Systemic conditions such as hyperthyroidism and uncontrolled diabetes may require that some form of intervention takes place first before the procedure takes place. The same case applies to conditions that are restricted to the gastrointestinal system such as inflammatory bowel disease (IBD) and peptic ulcer disease.
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.
During the open procedure, a large incision running from the epigastric area to the pubic region is made. The surgeon can visualize the stomach through this incision and place the band directly. When the laparoscopic option is used, on the other hand, very small incisions are created in the anterior abdominal region. These incisions (also known as ports) are used for the entry of instruments.
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.
A number of complications may occur following these operations. Excessive bleeding, injury to internal organs and post-operative infections are among the most commonly encountered. In rare circumstances, the staples or stitches used during the operation may come off. Leakage of foods and acids may then ensue and cause chemical injury to other organs. Nausea and vomiting will be experienced if the squeeze of the band is too much.
A reduction in the stomach capacity results in a reduction in the amount of food intake. Related to this is the fact that there is early satiety and suppression of appetite. Removing part of the stomach significantly reduces the surface area that is available for absorption of nutrients. All these changes cause weight loss that begins to be seen within weeks or months.
Bariatric operations can be performed in a wide range of patients. However, there are conditions that may make the procedures risky in some of them. Systemic conditions such as hyperthyroidism and uncontrolled diabetes may require that some form of intervention takes place first before the procedure takes place. The same case applies to conditions that are restricted to the gastrointestinal system such as inflammatory bowel disease (IBD) and peptic ulcer disease.
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