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All About

Bariatric Surgery

Wildlife

Symptoms

  • breathlessness.
  • increased sweating.
  • snoring.
  • inability to cope with sudden physical activity.
  • feeling very tired every day.
  • back and joint pains.
  • low confidence and self esteem.
  • feeling isolated.

Causes

  • Engineered Junk Foods.
  • Food Addiction.
  • Aggressive Marketing.
  • Insulin.
  • Certain Medications.
  • Leptin Resistance.
  • Food Availability.

More about Treatment

Bariatric surgical procedures cause weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. Bariatric procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic surgery).

 

 

The most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch. Each surgery has its own advantages and disadvantages.

 

FAQ on this Treatment

Why is this treatment successful?

Dieting usually tends to decrease basal metabolic rate and most people after losing weight tend to return to previous homeostatic or equilibrium point by reduction in appetite and early satiety.Bariatric surgery usually alters this mechanism and helps to lose 15-25% weight over the next 20 years.

Why is this treatment preferable?

Bariatric surgery has many advantages over other methods which include:
-Control of medical disorders associated with obesity
-Decreased microvascular and macrovascular complications
-Improved Quality of life

What is the candidate profile for this surgery?

According to NICE 2014 Guidance, following patient should undergo this surgery:
-Anyone with BMI more than 40
-Assessment of person with BMI more than 35 with type 2 diabetes in past 10 years and assessment can be considered in person with BMI 30-34.9 with onset of diabetes within 10 years
- It is an optional choice in person with BMI more than 50 when other treatments have not been effective.

What is done before the surgery?

Generally patient is put on liver shrinkage diet 2 weeks before surgery to make liver adapt to new changes in central obesity and large liver.Also one may require counselling on adaptability and psychological monitoring.

How many days of hospitalisation is generally required after surgery?

Gastric bypass and sleeve gastrectomy patient can be discharged in 2-3 days whereas gastric banding patient can be discharged in 24 hours.

What are different surgeries under bariatric surgery?

The different surgeries under bariatric surgery are as follows:
1)Gastric band
2)Gastric bypass
3)Sleeve Gastrectomy
4)Biliopancreatic diversion with duodenal switch

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