Bariatric Surgery In a Focused Details

Patient after having a bariatric surgery

Bariatric surgery or weight loss surgery is carried out on people who are overweight, particularly those who are obese.

Such a procedure aims at reducing the size of the stomach which is achieved by using a gastric band, removing a part of the stomach or redirecting the small intestines to a small pouch inside the stomach.

According to the US National Institutes of Health, one must undergo bariatric surgery only if their body mass index (BMI) is 40 and above though it is also recommended to people who have a BMI of 35 but also suffer from other medical conditions like diabetes. There are a number of procedures for bariatric surgery and they are grouped in three categories.

Different Procedures that Constitute Bariatric Surgery

Predominantly malabsorptive procedures

These procedures reduce the size of the stomach but its effectiveness is also dependent on creating a physiological condition of malabsorbtion.

Biliopancreatic diversion (BPD)

Also known as Scopinaro procedure, BPD is not one of the common bariatric procedures. A portion of the stomach is resected and a smaller stomach is created after which the small intestine’s distal part is made to bypass the jejunum and duodenum to connect with the pouch. However a significant number of patients experience nutritional deficiency and malabsorption which is why they have to consume more dietary minerals and vitamins than the average population.

Without adequate supplementation, they are likely to suffer from a range of deficiency diseases like osteoporosis and anemia. The gall bladder is sometimes removed by the concerned surgeon so that the patient does not have to suffer from gall stones, which is a side effect of rapid weight loss.

Predominantly restrictive procedures

These procedures are solely restrictive as they decrease oral intake and limit gastric volume thus producing early gratification and leaving the alimentary canal in continuity.

Vertical banded gastroplasty

Also known as stomach stapling or Mason procedure, this procedure permanently staples a part of the stomach so that a smaller pre-stomach pouch can be created. This pouch then serves as the new stomach.

Adjustable gastric band

The size of the stomach can also be reduced by using a silicone band. Also known as a lap band, this procedure can be performed laparoscopically and is considered to be very safe.

The small gastric pouch and narrow outlet achieved by this bariatric surgery leads to the restriction of nutrient intake which leads to weight loss.

Sleeve gastrectomy

Also known as gastric sleeve, this procedure reduces the stomach to fifteen percent of its original size by surgically removing a large part of the stomach. Surgical sutures or staples are then used to attach the open edges. This irreversible procedure is also performed laparoscopically.

Intragastric balloon

In this bariatric surgery, a deflated balloon is placed inside the stomach and then filled up to reduce space inside. It is known to cause significant weight loss in only six months in most patients though the procedure is not approved by the FDA. However, obese people in Canada, Australia, India, Mexico and most European and South American countries can consider this as a viable option for weight loss.

Gastric plication

This procedure is a variation of the more popular sleeve gastrectomy and it reduces the volume of the stomach so that small quantities of food can offer the same kind of gratification. However it does not make use of staples and sutures like sleeve gastrectomy and is thus considered less complicated.

Mixed procedures

Mixed bariatric procedures make use of both predominantly malabsorptive procedures and predominantly restrictive procedures simultaneously.

Gastric bypass surgery

Here, a stapler device is used to create a small stomach pouch that is connected to the distal small intestine after which the upper part of the intestine is attached in a y-shape. It is the most commonly performed surgery for weight loss in the United States. However the roux en-y procedure does lead to malabsorption and dumping syndrome which most patients cannot deal with unless they adhere to a very strict diet.

Sleeve gastrectomy with duodenal switch

In this procedure, the stomach is tubulized with a volume of only 150 milliliter which ensures the patient cannot take in too much food. It is an irreversible surgery and disconnects the stomach from the duodenum to connect it to the distal part of the small intestine. The upper part is then attached to the duodenum ten centimeters from the colon.

Implantable gastric stimulation

In this bariatric surgery, a device like the heart pacemaker is placed inside the stomach. The electrical leads stimulate the outer surface of the stomach that helps to modify the functioning of the enteric nervous system making the stomach feel fuller than usual.

Diet after Bariatric Surgery

Right after bariatric surgery, the patient is restricted to only a clear liquid diet – diluted fruit juices, clear broth and sugar-free gelatin sweet dishes, till the gastrointestinal tract has healed significantly. The next stage requires the patient to eat only a pureed or blended sugar-free diet for a fortnight. During this time the person can consume cream of wheat, skimmed milk, protein drinks, margarine, pureed fruit, cream soup and mashed potatoes.

Patients cannot eat excessively after bariatric surgery as the reduced capacity of the stomach causes a sense of nausea and vomiting. Sometimes, the doctor may prescribe multivitamin pills to compensate for the sudden drop in nutrient intake. While a high protein diet is recommended, patients must refrain from consuming fats and alcohol after a bariatric surgery.

Adverse Effects of Bariatric Surgery

Weight loss surgeries often lead to certain deficiencies. Gastric dumping syndrome, incisional hernia, infections and pneumonia are among the common adverse effects. Due to lessened calcium absorption, metabolic bone disease may manifest itself as secondary hyperparathyroidism and ostopenia that could cause the patient to easily suffer fractures.

Gall stones have also been linked with rapid weight loss and the patient's kidneys may suffer from adverse effects of the surgery as well. A deficiency of micronutrients such as vitamin B12, iron, thiamine, fat soluble vitamins and folate may lead to seizures and other health problems.

Financing a Bariatric Surgery

While some insurance companies do cover the cost of bariatric surgery, patients have to often witness them cringing as the procedure is rather expensive. To get insurance, a person must provide the company with his weight-loss history and a letter of appeal so that they consider financing it.

In case, an insurance company refuses to pay, the patient should appeal again as most insurance companies give their clients an opportunity to appeal a denial. In case the letter of appeal does not work either, the patient can try approaching an attorney to prove the necessity of the surgery.

If a patient has no insurance, he could approach one of the many financial institutions that offer to pay for healthcare expenses like deductibles, co-payments and procedures left out by insurance. Some bariatric surgery centers also tie up with finance companies that offer assistance to patients who have no insurance but need financial help for their surgical procedure. If all else fails, a patient can consider taking out a home equity loan to finance their operation.

References:

1. BSIG, "Bariatric Surgery: A Detailed Overview". Retreived 13 Feb 2013. Web. BariatricGuide.
2. Medline Plus: Weight Loss Surgery - http://www.nlm.nih.gov/medlineplus/weightlosssurgery.html
3. Wikipedia: Bariatric Surgery - http://en.wikipedia.org/wiki/Bariatric_surgery
4. News Medical: What is Bariartic Surgery - http://www.news-medical.net/health/Bariatric-Surgery-What-is-Bariatric-Surgery.aspx
5. Ezine Articles: Financing a Bariatric Surgery - http://ezinearticles.com/?Financing-a-Bariatric-Surgery&id=68703
6. Albgomi, Bandar. "Gastric Sleeve Surgery - Sleeve Gastrectomy". Retreived 14 Mar 2012. Web. BSIG. http://www.bariatricguide.org/what-is-gastric-sleeve-surgery-or-sleeve-gastrectomy/.

Simple Guidelines for Having a Healthy and Speedy Weight Loss

A lot of people right now are looking for ways on how to lose weight fast. Keep in mind that obesity is one of the major health problems in America today, and many mortality-causing diseases are being associated with having too much weight.

 

Fast weight loss workout with personal trainer.

It is important to note that being obese does not only pose serious health risks, given that it also cause one to have a low self-esteem and lose confidence.

Given this situation, there has been an emphasis on programs that help people lose weight and lead a healthier lifestyle. While most weight loss programs usually runs for a longer period of time, due to advances in research, there are now ways where one can effectively lose weight in a faster rate.

One of the most great and quick ways on losing bodyweight is getting the services of a personalized weight loss coach. A personal weight loss coach is someone who gives a personalized advice on how to lose weight effectively.

More often than not, personal weight loss coaches usually design a weight loss program that specifically fits the body profile of his or her client. This makes their program far more effective than a general weight loss programs designed for multiple clients.

There have been a lot of instant weight loss diet plans that the public has been following on recent years. The good thing about these diet plans is that they have been seriously researched upon by professionals, and some diet plans have been proven to be effective on reducing the weight of a specific body profile.

In this case, when anyone is looking for effective ways on losing fat quickly, it is important for him to look for the perfect instant diet plans that fit his body profile. Take note that instant diet plans are specifically designed for particular body types, which is why one should do his research and get the perfect diet plan that fits his body profile.

One of the more basic reasons why people tend to become obese is because their respective calorie intakes usually exceed what their body needs.

Keep in mind that the calorie requirement of each person is directly proportional to the number of physical activities that one regularly does; in this case, people do have an active, physical lifestyle require more calorie intake rather than people who do not regularly perform physical activities.

In this case, the best way to quickly lose your weight is to lessen one's calorie intake.

It is a good thing that many food packages today display information on the amount of calories present in the food. In this case, it is always important to keep watch on one's calorie intake, and ensure that it does not exceed one's needs.

In Conclusion

All of the above stated tips on how to lose weight fast would not be effective when one does not have enough determination and motivation to do it.

In this case, whenever planning to lose weight, it is important to find the right motivation for doing it. In addition, one must always have the mindset and the determination to lose weight.

References

1. “Fast Weight Loss – Simple Tips to Follow.” Bariatric Surgery Information Guide. Ed. Bandar F. Bsig, 3 Nov. 2012. Web. 6 July 2013. http://www.bariatricguide.org/fast-weight-loss/.
2. “How to Lose Weight Fast and Safe?.” Bariatric Surgery Information Guide. Ed. Bandar F. Bsig, 16 Nov. 2012. Web. 6 July 2013. http://www.bariatricguide.org/how-to-lose-weight-fast/.

After Gastric Bypass Surgery a Struggling Lady from Detroit Lakes

At about 88 lbs, 40-year-old Shanna Bowman may not look at herself within the reflection anymore.

She wished to reduce fat, but nothing like this.

"It is merely skin dangling on bones that stand out, which is awful. And so I don't view it," she stated.

The Detroit Lakes girl had gastric bypass surgery ten years past. But after more operations and innumerable problems, Bowman is nonetheless awaiting replies from what can make her wholesome again.

In the beginning, every thing was excellent. As meant with the operation, she held it off and dropped her fat.

But shortly, Bowman became not able and quite ill to eat.

She might chew on meals while standing, but could not consume something sitting down without tossing it right back up.

Local physicians couldn't determine what was incorrect, so Bowman was delivered to the University of Minnesota Medical Center, Fairview, in Minneapolis, where it was found that her belly was the difficulty. It was recovery in the contour of an hourglass, shutting in the center.

Physicians placed a stint in June to reopen Bowman's belly.

That labored for around three times before Bowman began nausea again.

In July, doctors went into have the stint away, but couldn't believe it is.

It had wound up above her colon and journeyed through her bowel.

Problems with eliminating the stint brought to Bowman spending about per month within a medical facility, continuing to reduce fat.

In July, doctors placed a giving pipe, which Bowman began making use of in Sept.

Bowman stated she approached the Mayo Center about therapy on her affliction, but was informed there's not something the U of M Infirmary has not previously attempted.

"That was quite dismal and discouraging," she stated.

Doctor. Timothy Monson, a gastric bypass doctor at Sanford Health in Fargo, said problems like Bowman's are "quite unusual" in somebody who has gastric bypass surgery.

Monson, who didn't handle Bowman, stated the operation has an 80% achievement fee, meaning 80 percent of sufferers effectively slim down and display enhanced wellness.

Bowman has been dwelling in Detroit Lakes for about per month, conveyed to the U of M and where her medical problem is supervised everyday.

"I rest a great deal. I get chilly a lot, and I get really, really, really exhausted," she stated.

"Emotionally, I have my times where I am planning to set up one heck of a battle, and other days where I merely need to snuggle up in a ball and never leave my space," Bowman stated.

Something which has kept Bowman going is her spontaneity. Her partner and she laugh constantly concerning the problem.

She's also glad for your help of her family and buddies.

"(My sweetheart is) one which doesn't display his feelings a great deal, but he's been exceptionally encouraging," Bowman said.

Her mother holes up frequently. "She is attempting to become exceptionally powerful," Bowman stated, "but it frightens her, a great deal."

Bowman stated her child declined to think the problem in the beginning.

"Fifteen-year-old girls require their mothers around, and she is frightened to manage it," she stated. "But her matter is, 'Well, you are able to not expire, i'll not allow you.'

" Xmas was challenging because Bowman's family people experienced poor eating before her.

"I stated, 'Do not feel poor, I'm utilized to it,' " she stated.

Bowman desires to ultimately eat on her very own. She continues to reduce fat because being on the feeding pipe, and still tosses up frequently.

Her midsection was calculated at when she visited the physician Thurs 21 ins.

"That is really fairly chilling, after you consider it," she stated.

Bowman understands all she can do now's wait.

"You nearly give up hope. Nearly, although nearly," she stated.

A gain for Bowman is established January. 12, her 41st birthday. She stated she is thrilled to go to the take advantage of 2 p.m. to night at the Shorewood Bar, and is glad for that assistance.

If the time arrives she takes comfort in understanding her scenario might be a studying device for others, and strategies on giving her organs.

"As much as I want to see my child graduate from high school, go to school, get married and have kids, I have needed to confront the reality that it is an extremely genuine chance that that will not occur," Bowman said. "I may fight all the method to the finish, but I have recognized that I may not have that much battle left, and that is OKAY."

Diabetes Chances Are Reduced With Obesity Surgery

Has proven to be the newest and perhaps most effective treatment for some people with diabetes, gastric bypass surgery - - , involving shrinking the belly as a way to reduce fat - - although it began as remedy for something different entirely.

Just days following the surgery, also before they start to lose weight, individuals with diabetes find surprising improvement in their glucose levels. Many are able to instantly come off their diabetes medicines.

"This is not a silver bullet," said Doctor. Vadim Sherman, medical director of bariatric and metabolic operation at the Methodist Hospital in Houston. "The silver bullet is lifestyle modifications, but gastric bypass is a tool which will help you make it."

The surgery has hazards, it is not an appropriate remedy for everyone with type 2 diabetes and reaching the desired outcome still requires lifestyle changes.

"The surgery is a highly effective option for fat individuals with type 2 diabetes, but it is a very large stage," said Dr. Michael Williams, an endocrinologist associated with the Swedish Medical Center in Seattle. "It enables them to lose a tremendous amount of pounds and imitates what happens when people make lifestyle changes. But, the enhancement in glucose control is far more than we'd expect simply from the fat loss."

Almost 26 million Americans have diabetes, according for the American Diabetes Association. Being overweight is a significant risk factor for type 2 diabetes, although not everybody that has the disease is overweight. Type 2 happens when the human body stops using the hormone insulin efficiently. Insulin helps sugar enter the body's tissues to supply power.

Lifestyle modifications, including losing 5 to 10 percent of bodyweight and exercising frequently, are often the first treatments indicated. Many individuals think it is difficult to make permanent lifestyle adjustments independently, however. Oral drugs may also be available, but these frequently fail to restrain diabetes adequately. Injected insulin can also be offered as remedy.

Surgeons first mentioned that gastric bypass surgeries had a result on blood glucose management over 50 years ago, according to a review article in a recent issue of The Lancet. At that time, although, weight-loss surgeries were notably riskier for the patient. But as techniques in bariatric surgery enhanced and the medical complication rates came down, experts started to re - examine the impact the operation was having on diabetes.

In 2003, a research in the History of Surgery noted that 83 percent of people with type 2 diabetes who experienced the weight - loss surgery called Roux - en - Y gastric bypass saw a solution of the diabetes after surgery. Meaning they no longer needed to take oral drugs or insulin typically.

In Roux-en-Y operation, the human body of the digestive tract is rearranged, Sherman explained. A small part of the abdomen is attached straight to the tiny intestine, bypassing the remainder of the stomach, duodenum and upper bowel. This not just restricts how much foods the individual may eat -- as do other weight-loss surgeries, including gastric banding -- however it shifts the hormones in the digestive tract.

"When meals or nutrients enter the mid or hind bowel, your body releases a hormone called GLP1 and other hormones that inform the brain to stop eating," Sherman said. After gastric bypass surgery, nonetheless, "you're getting this effect earlier in dinner, and it leads to less cravings, overly," he said. "It is unclear exactly where the device for this change is today, though some suppose the duodenum."

Wherever the change does occur, it occurs right after the surgery. "There is a change in bloodstream sugar almost instantly, often before individuals also leave the hospital," he said.

Sherman noted that weight-loss surgery that involves banding does not have the same impact on diabetes. Once weight is lost by people, their blood sugar levels control may improve, he said, but it's not as dramatic as what happens after bypass surgery.

Potential dangers of gastric bypass include those that you can get for most operations, including the likelihood of extreme bleeding, blood clots and illness, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases. But, these dangers are frequently heightened in individuals who are heavy.

Afterwards, people who have had the surgery might not absorb nutrients also as they used to, and doctors recommend taking certain supplements. Additionally, foods may have a tendency to move from the stomach towards the little intestine too fast, before it is completely digested. Called dumping symptoms, this side-effect frequently develops after consuming foods high in carbs, according to Sherman. Symptoms may include diarrhoea and abdominal pain.

And, despite its promise, not everyone with diabetes is a perfect candidate for gastric bypass.

It's currently advised only for those with a body mass index (BMI) above 40 and those who have a BMI over 35 and a condition such as diabetes, high blood pressure or heart problems.

Type 1 diabetes, although, is not on the list. Williams mentioned that bariatric surgery won't help with blood sugar control in individuals with type 1 diabetes because type 1 is an autoimmune problem in which insulin-producing cells in the pancreas are destroyed by the immune system. In type 2, Sherman said, the issue isn't within the pancreas to begin with.

Gastric bypass surgery can be best for those who have not had diabetes for a number of years, and for those who do not have to use insulin to regulate their blood glucose.

"Bariatric surgery is not an easy repair," Williams said. "There is lots of prep that goes into bariatric surgery, and it's a lifelong lifestyle adjustment. Nutritional consumption is restricted forever, and people need to prevent high-sugar foods. But, it is a really great alternative for the proper man."

When is Bariatric Surgery the right Option?

If you have a lot more than just a few lbs to lose, you may have thought about weight reduction surgery. Mon, on Dawn 7, Dr. Steve Weiland, a Bariatric Doctor from Asprius Hospital stopped by to describe who might be an excellent candidate for the procedure.

Specifically what does Bariatric means?

Baricatic operation involves several operations; the Lap - band, Sleeve Gastrectomy, Roux - en - Y gastric bypass. All procedures to help you lose weight throughout one to three years.

Not just anyone is prospect. How much weight does a person have to have to lose?

Typically, we have patients that weight 100 lbs. Over their best weight.

These processes are for individuals who have tried to shed weight by themselves, but simply cannot do it?

Absolutely. This is not a surgical procedure where it should be your first option to lose weight. This should ordinarily be for people who have attempted over years to reduce fat with diet and exercise.

We are definitely aware of the professionals for these surgeries, are there any cons?

With out question. Every procedure has problems associated with it, plus some are ruinous. Therefore generally, we encourage weight to be lost by patients by themselves, if they're not able to, we think the benefits of surgery outweigh the risks.

What are these benefits, as it is as much as the patient to keep the weight off once it is lost? lost?

I have had several patients who have struggled years out of surgery. They're going right back to bad eating habits and lack of exercise. Therefore with out question, life-style modifications are critical to long-term success.

Any tips for those who may not be right for surgery, but still fight with weight loss?

The key is consuming exercising, and healthy - your overall global health will be helped by which.

How intense are these bariatric surgeries?

These procedures are 1 to 2 hours. Usually patients say in the clinic one or two nights. And you're back to work in just 2-3 weeks.

How rapidly does the weight come off?

Fairly rapidly inside the initial three to six weeks. But generally it's a 12 to 18 month process before you lose all of your weight.