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.
When one is trying to lose weight, they need to first consider the conservative methods. Such will include for instance modifying the diet and making it healthier. The intake of carbohydrates and fats should be reduced and that of fruits and vegetables increased. You need to exercise regularly to help burn excess fats and prevent unnecessary weight gain. These options need to be tried out for at least 6 months before being considered ineffective.
To choose between banding and gastrectomy, one has to fully understand the benefits and risks associated with each of them. One of the major similarities is that both of them can be effectively performed using the open technique or laparoscopy. The major difference is that in gastrectomy the stomach has to be cut surgically while no cutting is involved in banding. For this reason banding is reversible while gastrectomy is not.
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 simply the cutting and removal of a segment of a stomach. In a single operation, between 75 and 80% is usually removed. What is left behind is a small pouch that takes the shape of a sleeve (thus the name of the operation). The laparoscopic method is preferred over the open technique. Once the required part has been cut off, the rest is stitched back using sutures or stitches.
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.
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.
Although the surgery can be performed in any patient, there are a number of situations in which risks outweigh the benefits. For instance, if the patient has hormonal imbalance involving metabolic hormones they are likely to have poor outcomes. Examples include uncontrolled diabetes and hyperthyroidism. These conditions have to be managed first before the operation is carried out. Gastrointestinal diseases such as peptic ulcers and inflammatory bowel disease may also affect the results.
When one is trying to lose weight, they need to first consider the conservative methods. Such will include for instance modifying the diet and making it healthier. The intake of carbohydrates and fats should be reduced and that of fruits and vegetables increased. You need to exercise regularly to help burn excess fats and prevent unnecessary weight gain. These options need to be tried out for at least 6 months before being considered ineffective.
To choose between banding and gastrectomy, one has to fully understand the benefits and risks associated with each of them. One of the major similarities is that both of them can be effectively performed using the open technique or laparoscopy. The major difference is that in gastrectomy the stomach has to be cut surgically while no cutting is involved in banding. For this reason banding is reversible while gastrectomy is not.
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 simply the cutting and removal of a segment of a stomach. In a single operation, between 75 and 80% is usually removed. What is left behind is a small pouch that takes the shape of a sleeve (thus the name of the operation). The laparoscopic method is preferred over the open technique. Once the required part has been cut off, the rest is stitched back using sutures or stitches.
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.
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.
Although the surgery can be performed in any patient, there are a number of situations in which risks outweigh the benefits. For instance, if the patient has hormonal imbalance involving metabolic hormones they are likely to have poor outcomes. Examples include uncontrolled diabetes and hyperthyroidism. These conditions have to be managed first before the operation is carried out. Gastrointestinal diseases such as peptic ulcers and inflammatory bowel disease may also affect the results.
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