With weight-loss surgery, the seriousness of comorbidities can be properly treated and the potential of premature death a thing of the past. After understanding the health risks of obesity, patients have the options of gastric banding, sleeve gastrectomy, laparoscopic roux-en-y gastric bypass, and the biliopancreatic diversion (duodenal switch).
Health Risks of Obesity: The most serious danger of obesity is the risk of early death. Premature death can result from the higher rates of cardiovascular disease, diabetes, cancer, arthritis, sleep apnea, depression and other conditions obese patients may encounter. These conditions are quite serious and indicate that there is an extreme risk of early death. With weight-loss surgery most of these conditions can either be reversed or cured.
Gastric Banding: Using the Lap-Band® System, a surgeon wraps the device around the patient's upper stomach. By inflating the Lap-Band®, the passage of food through the stomach is restricted. There is a small tube that runs to the outside of the abdomen where the surgeon can add more saline solution to tighten the device or remove saline to loosen the device. The gastric banding surgery averages half of the excess weight within two to three years.
Sleeve Gastrectomy: This Sleeve Gastrectomy procedure involves reshaping of the abdomen. The normal pouch shape of the stomach is made over into a long tube or sleeve shape. The volume of the stomach is changed from expansion capability of about six to one-half cups.
Laparoscopic Roux-en-Y Gastric Bypass: Known as gastric bypass surgery, the surgeon first divides the stomach with surgical staples, creating the gastric pouch in the upper portion of the abdomen. The small intestine is then divided into two, one being called the Roux limb. The surgeon then connects the Roux limb to the new pouch, so the stomach contents can empty directly into the intestines.
Biliopancreatic Diversion / Duodenal Switch: This bariatric surgery is the most effective for long-term weight loss with the lowest retrogression rate. A disadvantage of this bariatric surgery includes a high risk of vitamin deficiencies. This version adds more restriction, plus it reduces the number of daily bowel movements. This bariatric surgery preserves the pyloric valve, so that the stomach contents are regulated when they pass into the intestines. In turn, the patient feels full longer.
Patients should decide on a bariatric program that is a hospital-based program that provides surgical care and recovery, with hospitals accredited with the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program with the American College of Surgeons (ACS).
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Article Added on Sunday, July 13, 2014
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