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.
Weight loss surgical options are usually considered as a last resort. There is a need to try out the non-invasive methods first for a period of not less than 6 months. Cut down on your consumption of highly refined carbohydrates and fats as much as possible. These two food groups contribute to the greatest proportion of weight gain. Regular physical activity helps burn excess calories and prevent unwanted storage in adipose tissues.
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 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.
These surgeries are associated with various complications. These include blood loss, internal organ injury, nausea, vomiting and infections in the postoperative period. Loss of stitches or staples using in closing the stomach has also been reported in rare cases. Whenever the staples or stitches are displaced, there is a huge risk of acid leakage and subsequent chemical injury to organs (peritonitis).
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.
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.
Weight loss surgical options are usually considered as a last resort. There is a need to try out the non-invasive methods first for a period of not less than 6 months. Cut down on your consumption of highly refined carbohydrates and fats as much as possible. These two food groups contribute to the greatest proportion of weight gain. Regular physical activity helps burn excess calories and prevent unwanted storage in adipose tissues.
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 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.
These surgeries are associated with various complications. These include blood loss, internal organ injury, nausea, vomiting and infections in the postoperative period. Loss of stitches or staples using in closing the stomach has also been reported in rare cases. Whenever the staples or stitches are displaced, there is a huge risk of acid leakage and subsequent chemical injury to organs (peritonitis).
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.
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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