Are You a Suitable Candidate for Bariatric Surgery

Bariatric Surgery treatment, produced that Historic phrase “bars” significance body fat, was organized to lower weight problems in a roundabout way just by limiting the quality of foodstuff high fat calories an individual might absorb. A few bariatric treatments (e.g., panel band) accomplish that just by limiting the length of that belly proportions. Many other treatments (e.g., roux-en-Y gastric bypass) set off an individual measure additionally. And limiting belly sound, additionally lower along your little friend intestinal tract. The following creates an even more lasting change in the digestive system together with should make it trickier for any affected individual to help gain an advantage.

Are That you an Acceptable Selection about Bariatric Surgery treatment?

 Assembly these factors fails to promise one’s eligibility about fat loss Surgery treatment. The majority bariatric laser centers use some assessment insurance coverage in support of agreeing on people who? Re (a) wanting to get correct long-term conduct modifications; together with (b) invested in long-term (even lifelong) professional medical follow-up. The reason is fat loss Surgery treatment may well just succeed if you’re able to switch one’s active taking in together with activity routines, for a lasting rationale.

What Are the Principal Categories of Bariatric Surgery?

 There are a few principal categories of weight problems Surgery Treatment: gastric banding together with gastric go around. A lot of these treatments may very well be implemented applying standard “open” medical solutions, and minimally intrusive laparoscopic solutions applying devices linked to movie computer scenes, which often encourage the medical expert to help “see inside” a man and not having to get good sized incisions. People who undertake laparoscopic Surgery treatment undergo a lower number of perioperative together with post-operative wellness side effects, together with maintain medical about 2-3 days to weeks, as compared to 4-5 days for weeks about available Surgery treatment. People bring back to succeed inside 2-3 months, as compared to 4-6 months about standard Surgery treatments.

The reason is the idea operates by limiting calorie consumption just. Within a gastric banding process, that medical expert decreases that belly with melons to help ovum proportions applying specialized staples, or maybe a silicon group of musicians. A lot of these measures are usually more quite simply reversible since they cannot the bottom-line is switched that composition in the digestion. That issue is usually, people realize it’s better to “cheat.” Consequently, belly banding is not since successful about the fat loss since belly goes around. Samples of gastric banding measures comprise changeable gastric banding which includes panel group of musicians, together with up and down banded gastroplasty.

 Gastric go around, from time to time termed “malabsorptive” Surgery treatment due to the fact eliminates that assimilation with high-fat calories together with eating plan, can be a few period approach. Primary, that medical expert lowers the length of that belly. Minute, the main the main small to medium sized intestinal tract (duodenum together with jejunum) is usually bypassed. The following factors foodstuff to help distribute even more immediately in the digestive system together with noticeably lowers the quality of nutritional vitamins together with high-fat calories that could be assimilated. Which means that even though people binge on, they are going to process a smaller amount. Consequently, fat loss when gastric go around is normally higher than when gastric banding. Samples of belly go around measures comprise roux-en-Y, biliopancreatic diversion, together with the duodenal move.

What Do you Take When Bariatric Surgery ?

 For a bariatric affected individual, you have got to hope some serious switch with a healthy eating plan next one’s process. Typically, as a result of small to medium sized proportions to your innovative belly body, you certainly will come to feel comprehensive when only one little bit of foodstuff. Over-eating and taking in way too easily can result in really distressing nausea or vomiting, called “dumping syndrome.” The normal post-operative eating plan strategy consists several concentrations. Once Surgerytreatment, it’s possible you’ll find beverage crystal clear fluids just. When 2-3 days to weeks the following broadens to provide any fluids. When approximately two weeks semi-solids may very well be taken, producing some low-fat sound eating plan when 5-6 months. Advancement hinges upon those instances of each one affected the individual.

 What Regarding the Issue with Drop Skin color?

 In the 12-24 a long time after having a flourishing bariatric go around and banding process, it’s possible you’ll drop even though 50-80 percentage to your pre-operative pounds. Consequently, it’s possible you’ll produce a serious number of drop skin color. Additionally, since your unwanted weight deprivation would possibly not show up uniformly across your system, it’s possible you’ll suffer the pain of bothersome pouches with body fat. In many instances, the only real answer to a lot of these troubles is usually a medical procedure. Well-known measures comprise stomach tuck, thigh lift, panniculectomy, breast-lift, men breast area drop, arm-lift together with the neck of the guitar move. Liposuction is not typically regarded as being some weight-related process precisely as it just purges body fat. This doesn’t excuse drop skin color and fastens drop muscle groups. An individual take note, is usually that will, not like Bariatric Surgery , such a medical procedure is not included in insurance precisely as it is usually thought to be a “cosmetic” process.

What is usually The money necessary Bariatric Surgery?

 The charges with Bariatric Surgery change by the medical expert, the species of a process implemented, along with the selection of help solutions available. Fundamental selling prices range between $25, 000 to help $35, 000.

 Is Bariatric Surgerytreatment Included in Insurance coverage?

 Insurance coverage fluctuates just by condition together with an insurance agency. A few advisers are getting flushed regulation in need of insurance firms to consider fat loss Surgery treatment about people, giving you the idea matches wellness factors produced off by way of the Domestic Institutes with Wellness. Nevertheless, possessing insurance coverage acceptance without any help is a time-consuming approach. Help one’s surgeon/doctor and find him/her to describe for an insurance coverage company that recommended Surgery treatment is not some dental process nevertheless surgery which supports people lower serious health conditions in the future with lifetime. When one’s insurance corporation realizes that that medical process can be a money-saving process, A few bariatric laser centers maintain a great sixty percentage success rate concerning gaining insurer-approval this way.

 

A Look at Celebrities Who Have Underwent Bariatric Surgery – The worst celebrity veneers

Bariatric surgery is an invasive, intervention surgery that is used to help people who are battling obesity. Often involving a medical device, such as a specialized strap that reduces the volume of the stomach, this type of surgery helps dramatically reduce weight, reduce and recover from diabetes and problems associated with diabetes, and improve heart rate and other cardiovascular issues. As obesity has affected millions of Americans, several A-list celebrities have undergone this procedure to get healthy once again.

Roseanne Barr underwent bariatric surgery to help battle her obesity that was a massive tabloid issue at the height and peak of her career. Undergoing gastric bypass surgery in 1988, Roseanne Barr was able to lose around 80 pounds. As a result, Roseanne Barr became visibly thinner and healthier, allowing her to continue her career today. After the surgery, Barr reported an overwhelming increase in energy, and decrease in back pain that plagued her for years.

Another recipient of bariatric surgery was Diego Maradona, arguably the best soccer player of all history. After years of heavy alcohol and drug use, soccer fans around the world watched as Maradona gained weight over the years. He underwent gastric bypass in 2005 and lost an incredible amount of weight. After the surgery, Maradona continues to tour around South America and the world, healthier than ever.

Sharon Osbourne, the famous wife of Ozzy Osbourne, lost over 100 pounds in 1999. After the surgery she appeared much slimmer, and reported several health benefits. Nevertheless, she did tell some media outlets that she planned on trying to keep her weight down with psychotherapy, as she did not want to undergo further procedures again. Since then, she has gone on to manage the Ozzy estate, as well as being a TV personality and commentator on several reality shows.

Harmonica prodigy John Popper also underwent the procedure, and lost over 200 pounds– nearly half of his body weight. Fronting for the band Blues Traveler, John Popper had extreme difficulties touring and performing night after night with his obesity. After going through the surgery, Popper became thinner than any of his fans could have expected. Since his dramatic weight loss, the band has gone on to enjoy constant work touring the American festival circuit, and even around the world.

TV news anchor Al Roker lost over 100 pounds and slimmed down to a size 40 from 54 when he had the surgery done in 2002. After the procedure, Roker slimmed down and has continued to exercise and keep the weight off. Visibly thinner on air, Roker reported a dramatic increase in energy and health benefits after going under the knife.

The benefits of this surgery can often outweigh its risks, though those seeking this form of weight loss should consult with a medical professional before deciding on the best method to shed the pounds. Consultation with medical professionals is strongly recommended before those who wish to lose weight and alter their body in any way choose to undergo methods that could potentially be risky or harmful to their health.

Dr Ananya Mandal on Review : What is Bariatric Surgery?

By Dr Ananya Mandal, MD

Exercise and diet alone often fails to effectively treat people with extreme and excessive obesity. Bariatric surgery is an operation that is performed in order to help such individuals lose weight. Evidence suggests that bariatric surgery may lower death rates for patients with severe obesity, especially when coupled with healthy eating and lifestyle changes after surgery.

Principles of bariatric surgery

The basic principle of bariatric surgery is to restrict food intake and decrease the absorption of food in the stomach and intestines.

The digestion process begins in the mouth where food is chewed and mixed with saliva and other enzyme-containing secretions. The food then reaches the stomach where it is mixed with digestive juices and broken down so that nutrients and calories can be absorbed. Digestion then becomes faster as food moves into the duodenum (first part of the small intestine) where it is mixed with bile and pancreatic juice.

Bariatric surgery is designed to alter or interrupt this digestion process so that food is not broken down and absorbed in the usual way. A reduction in the amount of nutrients and calories absorbed enables patients to lose weight and decrease their risk for obesity-related health risks or disorders.

Body mass index (BMI)

Body mass index (BMI), a measure of height in relation to weight, is used to define levels of obesity and help determine whether bariatric intervention is required. Clinically severe obesity describes a BMI of over 40 kg/m2 or a BMI of over 35 kg/m2 in combination with severe health problems.

Health problems associated with obesity include type 2 diabetes, arthritis, heart disease, and severe obstructive sleep apnea. The Food and Drug Administration (FDA) approves the use of adjustable gastric banding for patients with a BMI of 30 kg/m2 or more who also have at least one of these conditions.

Types of Bariatric Surgery

There are various types of bariatric surgeries that can be performed. Surgery may be performed using an “open” approach, which involves cutting open the abdomen or by means of laparoscopy, during which surgical instruments are guided into the abdomen through small half-inch incisions. Today, most bariatric surgery is laparoscopic because compared with open surgery, it requires less extensive cuts, causes relatively minimal tissue damage, leads to fewer post-operative complications and allows for earlier hospital discharge.

There are four types of operations that are offered:

  • Adjustable gastric banding (AGB)
  • Roux-en-Y gastric bypass (RYGB)
  • Biliopancreatic diversion with a duodenal switch (BPD-DS)
  • Vertical sleeve gastrectomy (VSG)
Diagram of Surgical Options. Image credit: Walter Pories, M.D. FACS.

Each of the surgery types has advantages and disadvantages and various patient factors affect which procedure is chosen including BMI, eating habits, health problems related to obesity, and number of previous stomach surgeries. The patient and provider should discuss the most suitable option by considering the benefits and risks of each type of surgery.

Surgical and post-operative risks

People who have had bariatric surgery need to adhere to a rigorous and lifelong diet and exercise plan to prevent complications and to avoid putting on weight after surgery. In addition, patients may develop excess loose and folded skin that requires further surgery to remove and tighten.

As with all types of surgery, bariatric surgery is associated with risks including internal bleeding, deep vein thrombosis, infections, and pulmonary embolism (blood clot in the lungs). It is estimated that the risk of dying shortly after bariatric surgery is around 1 in 200.

Reviewed by Sally Robertson, BSc

Source of Conte

References

  1. http://www.nhs.uk/conditions/weight-loss-surgery/Pages/Introduction.aspx
  2. http://win.niddk.nih.gov/publications/PDFs/Bariatric_Surgery_508.pdf
  3. http://www.medicine.virginia.edu/clinical/departments/medicine/divisions/digestive-health/patients/clinics/bariatric/bariatric/BARIATRIC-SURGERY.pdf
  4. http://www.siumed.edu/surgery/bariatric/files/Gastric%20bypass%20surgery%20guide.pdf
  5. http://www.lapsf.com/bariatricsurgery.pdf
  6. https://louisville.edu/medschool/gimedicine/division-lecture-files/marsano-lectures/bariatric%20surgery.pdf

Content Source : http://www.news-medical.net/health/What-is-Bariatric-Surgery.aspx

Bariatic surgery procedure and information

Overview of the procedure and information on bariatic surgery

Bariatic surgery is a medical procedure which is commonly known as weight loss surgery. This is is performed on people whose condition of being obese poses a danger on their life or well-being. One way to achieve weigh loss through surgery is the so called gastric banding which is usually done by the introduction of a medical device into the stomach of the subject person. Another is by sleeve gastrectomy or biliopancreatic diversion with duodenal switch or the removal of a portion of the stomach. Gastric bypass surgery is another method which is done by cutting through and redirecting the small intestines to a relatively smaller stomach pouch.

Researches conducted reflects that the procedures have effected a weight loss which is in a long term basis, recovery from illness such as diabetes, diminished cardiovascular risks, and reduced mortality rate of 23% up to 40%.

According to the U.S. National Institute of Health, people with body mass index (BMI) of a minimum value of 40 are recommended for bariatic surgery. The same holds true to those with BMI of 35 and have serious medical conditions such as diabetes along with obesity.

Bariatic surgery diet

What should be the diet of a patient who undergone bariatic surgery.?

Patient who undergone bariatic surgery need to follow and implement revised eating habits. Such dietary guidelines vary in a case by case basis, dependent on what the bariatic surgeon prescribes and the type of operation performed on his patient. This is why the postsurgery diet of a patient could be different from that of another. It is imperative that the patient follows the guidelines prescribed by his surgeon.

Here are some generally accepted dietary guidelines of a patient after undergoing bariatic surgery:

1. Chew food thoroughly and wait for two to three minutes before taking the next bite. Food that are hard to digest like meat should be ground and chewed thoroughly.

2. Fluids should be consumed after meal and not during meal otherwise the patient would feel full before enough food is consumed. Fluid intake during the meal can cause vomiting and dumping syndrome and creates a feeling of hunger eventhough the patient had just eaten his meal.

3. Desserts and other food items with sugar content exceeding 3 to 5 grams per serving should be avoided.

4. Foods that are known to have no nutritional value should be avoided, as well as alcoholic drinks, milk shakes, carbonated drinks, high-calorie nutritional supplements, and foods that have a high fat content.

5. Snacks or food intake in between meals should be limited or minimal.

 

Bariatic surgery support

Support groups have proven to be an excellent opportunity for patients to discuss matters apertaining to various personal as well as professional issues confronting weight loss surgery patients. Patients have to accept that weight loss surgery does not provide an immediate resolution to emotional issues related to obesity have inflicted on them.

Bariatic surgery cost

The cost of bariatic surgery is both complex and costly. The average cost for this medical procedure ranges from $18,000 to $35,000 for gastric bypass, while $17,000 to $30,000 for gastric banding with Lap-Band. Keep in mind that one to two years after the surgery, there may be other necessary expenses for follow-up medical procedures like plastic surgery, liposuction, labiaplasty, tummy tuck or breast augmentation. These follow-up procedures entails costs which is proportional to the skin and fat removed because the more skin and fat removed, the longer the procedure or surgical time required. Such matters should be discussed well between the patient and his doctor.

Bariatic surgery risks

With bariatic surgery, most patients frequently suffer some complications from the procedure. Based from statistics, 2,522 of insurance claims of patients who undergone the surgery showed 21.9% complications during the initial confinement to the hospital and the risk of complications in the subsequent months increased by a total of 40%. Such complications are common in patients who are aged 40 up. Some common problems are: 20% had gastric dumping syndrome (diarrhea and bloatedness after meals); 12% had leaks at the surgical area; 7% had incisional hernia; 6% had infections; and 4% had pneumonia. Mortality rate is low at 0.2%. The rate of complications apparently are reduced when the procedure is done by experienced surgeon and perfomed in experienced units. There are, however, still questions that need to be addressed as regards both the short- and long-term effects of bariatic surgery on nutrition and body systems. Issues involving the nutritional deficiencies may be dependent on the diet of the patient after surgery. Periodic checks for anemia (or low red blood cell count), Vitamin B12, folate, and iron levels are necessary after surgery and follow-up tests for at least every year and more often dependent on the patient’s progress.