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Bariatric surgery is a procedure that involves modifications to the digestive system so that the food intake can be restricted or the nutrients absorbed by the body is reduced. This surgery is recommended when exercise and diet may not cause the desired results with weight loss.
Bariatric surgeries are a group of surgeries that are procedures to reduce weight in the body.
- Gastric bypass: The most common bariatric surgery, gastric bypass is a procedure used to reduce the size of the stomach pouch in the body. Once the size is reduced, it leads to reduced consumption of calories. This procedure also causes alterations in the behavior of the gut hormones resulting in appetite reduction.
- Adjustable Gastric band: This procedure involves placing an inflatable band around the upper stomach to make a small stomach area above the band. This causes one to feel full just after eating a small amount of food.
- Sleeve gastrectomy: In this procedure, almost 80% of the stomach area is removed surgically, resulting in a small stomach pouch being left. It reduces the stomach size which cause an overall reduction in the amount of calories. Modifications also occur in the behavior of the gut bacteria linked with reduced appetite.
- Biliopancreatic Diversion with Duodenal Switch: This procedure involves surgical removal of a large area of the stomach along with bypassing a major portion of the smaller intestine. This procedure may reduce fat absorption of up to 70%. The behavior of the gut hormones change resulting in a decrease in appetite and improved satiety.
Various complications may result from this surgery such as -
1. May cause infections in the body
2. Clots may form in the blood
3. It can result in bowel problems
4. Ulcers can form in the stomach
Getting surgery for weight loss may seem to be an easy way out, but this is no miracle cure. Bariatric surgery is of many types and to benefit from this, it is important for you to make the right choice. Some types of bariatric surgery merely restrict the amount of food that can be consumed in one sitting while others reduce the amount of fats that can be absorbed from the food as well. Duodenal switch surgery is one of the latter techniques.
For this surgery, a part of the stomach is removed. This restricts the amount of food that can be consumed. The remaining part of the stomach is fashioned into a tube. This preserves the natural inlet and outlet for food and allows the patient to have a more normal diet as compared to other bariatric surgeries such as a gastric sleeve surgery. Thus, if you do not want to be restricted to a special diet, this may be the better choice of bariatric procedures for you. Removing part of the stomach also reduces the amount of hormones such as ghrelin being produced. This hormone is responsible for stimulating the appetite.
The small intestines are then addressed and separated into two channels which merge later as one. Food flows through the shorter channel. Bile and pancreatic juices flow through the longer channel. The two channels merge shortly before food passes into the large intestines. The aim of doing this is to reduce the amount of time your food spends in the small intestines. As a result of this, lesser fat is absorbed by the body. In most cases, the amount of fat absorbed by the small intestines after this procedure is reduced to 20%. This part of the procedure is reversible. What this implies is that once the patient has lost sufficient weight, the small intestines may be brought back to their original state thus allowing nutrients to be properly absorbed once again.
If you do decide to undergo this procedure, you must first fulfill certain conditions. Bariatric surgery is usually considered a last resort when other forms of weight loss have not had significant results. However, you should have lost a certain amount of weight by dieting and exercising prior to the surgery. This is necessary as this surgery will not be effective unless the person has self-control and a will to lose weight. Thus, this is seen as a commitment towards a healthier lifestyle.
When dieting and exercising fail to help an obese person manage their weight, bariatric surgery may be suggested. One of the most popular types of bariatric surgery is a gastric sleeve surgery or sleeve gastrectomy. The main aim of this surgery is to reduce the amount of food that can be consumed in one sitting. It does not affect the amount of nutrients and fats absorbed from the food that has been eaten. A majority of the weight loss resulting from this surgery happens within 18 months.
A gastric sleeve surgery is a relatively safe, straightforward and short surgery. Prior to the day of the surgery, you would have been given a special diet to be followed for two weeks. It is essential to follow this diet strictly. This surgery may be performed laparoscopically or via a large incision made in the abdomen. More than half the outer side of the stomach is removed. The remaining part of the stomach takes the form of a tube. This surgery is not reversible.
Recovery from a gastric sleeve surgery varies from person to person. A certain amount of pain and discomfort is normal for the first week following the surgery. Soft foods may be introduced in week 4 and you can get back to small amounts of your normal food in week 5. You will notice that you feel fuller much faster and are able to consume a very limited portion of your normal food intake. In some cases, your food may also be emptied into the small intestines at a very fast rate. This is known as dumping syndrome. This may cause diarrhea and nausea and leave you feeling weak. It is essential to drink plenty of water to allow for smooth bowel movements and to prevent constipation.
On an average, this surgery can help people lose up to 60% of their excess body weight. However, this depends largely on your control over your diet and the amount of exercise you do. At some point in time, your weight loss may plateau. This is normal to overcome this, you must make a change to your diet or exercise schedule. A dietician can also help you address the right number of meals needed by your body. A gastric sleeve surgery does not require any maintenance post the surgery but it is important not to fall back to your earlier unhealthy lifestyle and to maintain a positive attitude.
Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.
What is a Bariatric surgery?
Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.
How does Bariatric surgery help reduce Diabetes?
Diabetes can be of three basic kinds;
Type 1 diabetes in which the body produces no amount of insulin.
Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.
Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:
1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.
2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.
3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.
4. It successfully takes care of ailments resulting from diabetes.
5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Please suggest. Is there any cuts on abdomen in laser liposuction if waist is 36 and how much it can be reduced in 1 sitting?
Losing weight is a daunting task. This becomes all the more difficult for obese people. In many cases, the patient may be advised to undergo bariatric surgery. There are many types of bariatric surgery. Some surgeries address both the stomach and the small intestines while others address only the stomach. A gastric band surgery is one such procedure. For this procedure, an adjustable band is placed around the upper half of the stomach. This creates a small pouch that can hold a limited amount of food. The band is connected through a plastic tube to a small device placed under the abdominal skin. Sterile fluid may be injected or removed from the band through this device. By injecting saline, the band is made tighter and by removing the liquid the band is loosened. This allows the band to be customized to improve weight loss.
The result of a gastric band surgery may vary from person to person. Physical recovery typically takes 4 to 6 weeks. Because the size of the stomach is reduced, the person will feel full faster and hence eat less. In most cases, a person can expect to lose 35-45% of their excess weight. This should not be confused with a person’s total weight. In some cases, additional procedures may be required to adjust the band or deal with any complications that may arise. The procedure may also be reversed at a later date if need be.
Some people may develop side effects and complications with this procedure. The most common side effects include nausea, vomiting and surgical complications such as infections, bleeding at the site of the surgery and issues with the adjustment device. Surgical complications connected with this procedure are rare and occur in less than 10% of the cases. Vitamin deficiencies are rare as this surgery does not interfere with the absorption of nutrients by the small intestines.
However, in some cases, complications may arise in the long term use of this band. This is typically seen when the patient does not undergo regular maintenance or reverts to his earlier, unhealthy diet and lifestyle. Ideally, a patient should get follow up checks every month after such a surgery. This allows the doctor to make any necessary adjustments to the device. Thus, placing the band is only the first step of the process to lose weight. Unless the patient makes a decision to follow the program strictly, success cannot be guaranteed.
In case you have a concern or query you can always consult an expert & get answers to your questions!