samedi 14 mai 2016

Basics Relating To Bariatric Weight Loss Surgery

By Sarah Johnson


There are numerous methods that can be used in losing weight by New York residents. The most widely used are dietary changes and engagement in physical exercise. While these are effective and safe in most people, they tend to take quite long. They may not be appropriate for a person that intends to shed off extra pounds for a special occasion within a short period of time. Bariatric weight loss surgery is an option in this case.

Bariatric operations are also called restrictive surgeries. This term is sometimes used because of the reduction in stomach capacity that is created by the surgeries. The amount of food that can be held by the stomach in any one sitting is considerably reduced and this translates to reduced absorption of nutrients. The few calories obtained from the food are mainly used for the provision of energy with very little going to storage as fat.

The main types of bariatric surgeries that are performed are sleeve gastrectomy and gastric banding. Although the two are fundamentally different, the end results is largely the same. They both cause a significant reduction in the functional size of the stomach which in turn reduces the amount of food eaten. One of the major differences is that banding can be reversed while sleeve gastrectomy is permanent and cannot be reversed.

To perform gastric banding, a silicon band is put on the upper portion of the stomach (fundus). By compressing this part, the stomach is reduced to a small pouch that holds just about an ounce of food. An instrument known as a laparoscope makes it possible to conduct the operation with minimal access. The use of small incisions means that the resultant scars will not be prominent.

A long plastic tube connects the band to an accessible area under the skin. The role of the tube is to help regulate the compression exerted on the stomach by the tube which effectively increases or reduces its size. This is achieved by injecting or withdrawing a small amount of water (or saline) from the tube. When the saline is injected the size reduces, and when it is withdrawn the compression reduces and the stomach size increases.

One may suffer from a number of side effects after undergoing this surgery. They include nausea, vomiting, aversion to food, minor bleeding and infections. One of the interventions that can be used to reduce the incidence of nausea and vomiting is through reducing the compression by the band so that the stomach size is slightly increased. Readjustments can then be done slowly until the desired size is attained.

Sleeve gastrectomy is an operation in which surgical resection of the stomach is done to reduce its size by as much as 80%. The resultant stomach is a tubular structure that reduces the transit time of food hence reduced absorption of nutrients. The other benefit is that one experiences early satiety and consumes a lot less as a result. The side effects associated with the procedure are similar to those of banding.

Recovery from the operations typically takes a few weeks. A liquid diet is recommended for about two weeks after which you can resume your normal diet. Results vary from one patient to another depending on a number of factors that include the initial weight, surgical skills of your doctor, technique employed and so on. Combining the surgery with lifestyle options achieves even better results.




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