Bariatric weight loss surgery is a procedure that has continue to grow steadily in recent times in New York. There are three main types of bariatric surgeries that are performed. These include gastric banding, sleeve gastrectomy and gastric bypass surgery. While some differences exist among these procedures, the manner in which they work is similar. Lap-band and laparoscopic sleeve gastrectomy have the best outcomes hence are the most commonly performed.
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.
When the open technique is to be used to perform banding, a large incision has to be made in the anterior abdominal region. Such will allow the surgeon to visualize the abdominal structures directly and can place the band around the stomach with ease. In the case of laparoscopy, the incisions that are needed are a lot smaller and the doctor has to rely on images projected on to a monitor to perform the procedure.
Gastrectomy is simply the cutting and removal of a segment of a stomach. In a single operation, between 75 and 80% is usually removed. What is left behind is a small pouch that takes the shape of a sleeve (thus the name of the operation). The laparoscopic method is preferred over the open technique. Once the required part has been cut off, the rest is stitched back using sutures or stitches.
A number of complications may occur following these operations. Excessive bleeding, injury to internal organs and post-operative infections are among the most commonly encountered. In rare circumstances, the staples or stitches used during the operation may come off. Leakage of foods and acids may then ensue and cause chemical injury to other organs. Nausea and vomiting will be experienced if the squeeze of the band is too much.
When the size of the stomach is reduced, the amount of food that can be consumed by an individual is also reduced. Smaller stomachs tend to fill faster hence the individual will experience early satiety. When 80% of the organ is removed, a significant size or the surface area is also removed meaning that the absorptive capacity is reduced. The end result of all these is steady weight loss whose effects will become evident within weeks and months.
There are a number of conditions that may increase the risk of these operations. Patients with hormonal imbalance (such as hyperthyroidism) and metabolic conditions (such as diabetes) need to have these problems solved first before they have the operation. Apart from the systemic conditions, diseases that affect the stomach may delay healing and lead to poor outcomes. Examples include inflammatory bowel disease and peptic ulcer disease. These too have to be managed beforehand.
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.
When the open technique is to be used to perform banding, a large incision has to be made in the anterior abdominal region. Such will allow the surgeon to visualize the abdominal structures directly and can place the band around the stomach with ease. In the case of laparoscopy, the incisions that are needed are a lot smaller and the doctor has to rely on images projected on to a monitor to perform the procedure.
Gastrectomy is simply the cutting and removal of a segment of a stomach. In a single operation, between 75 and 80% is usually removed. What is left behind is a small pouch that takes the shape of a sleeve (thus the name of the operation). The laparoscopic method is preferred over the open technique. Once the required part has been cut off, the rest is stitched back using sutures or stitches.
A number of complications may occur following these operations. Excessive bleeding, injury to internal organs and post-operative infections are among the most commonly encountered. In rare circumstances, the staples or stitches used during the operation may come off. Leakage of foods and acids may then ensue and cause chemical injury to other organs. Nausea and vomiting will be experienced if the squeeze of the band is too much.
When the size of the stomach is reduced, the amount of food that can be consumed by an individual is also reduced. Smaller stomachs tend to fill faster hence the individual will experience early satiety. When 80% of the organ is removed, a significant size or the surface area is also removed meaning that the absorptive capacity is reduced. The end result of all these is steady weight loss whose effects will become evident within weeks and months.
There are a number of conditions that may increase the risk of these operations. Patients with hormonal imbalance (such as hyperthyroidism) and metabolic conditions (such as diabetes) need to have these problems solved first before they have the operation. Apart from the systemic conditions, diseases that affect the stomach may delay healing and lead to poor outcomes. Examples include inflammatory bowel disease and peptic ulcer disease. These too have to be managed beforehand.
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