Bariatric surgeries are increasingly becoming an acceptable method of weight control in New York. In general these methods achieve their effect by reducing the stomach capacity which in turn reduces the amount of food that an individual can eat at a given time. Related to the same is early satiety and reduced absorption of nutrients. There are three main types of bariatric operations that are performed. These include gastric bypass, gastric banding and sleeve gastrectomy.
Banding and gastrectomy are distinct options but the principles are the same. As the name suggests, banding involves the use of an artificial band made from silicone. This band is usually fixed to a portion of the stomach resulting in compression. The compression causes a reduction in the volume of the stomach which means that less food will be held from the time of the duration onward.
The operations that can be used for the placement of the band are of two main types: the open procedure and the laparoscopy technique. The open procedure involves the use of a large incision running from the pubic region to the epigastric region. The stomach is visualized directly before band placement is done. The laparoscopic technique, on the other hand, uses very small openings known as ports. An instrument known as a laparoscope is used under the guidance of a camera.
The compression force used varies from patient to patient and is mainly determined by the condition of the patient. Excessive weight tends to require a higher degree of compression depending to weight that is just slightly more than average. A plastic tube continuous with the band has one of its ends placed just below the skin in an accessible area. The force of compression can be adjusted by filling the tube with saline or withdrawing it.
There are a number of complications that may be encountered with this procedure. These include among others, injury to vital structures in the abdominal cavity, infections, bleeding, nausea and vomiting. Nausea and vomiting are often the result of too much compression. Withdrawing some water from the control tubing helps relieve the pressure which in turn reduces the likelihood of nausea and vomiting. Antibiotics have to be administered to reduce the risk of infections.
Gastrectomy can be conducted either laparoscopically or the open procedure. The laparoscopic option is by far, the more preferred due to the fewer complications. In performing gastrectomy, close to 80% of the stomach is removed and discarded. This makes the procedure irreversible unlike banding. The resultant organ looks like a sleeve and hence its name.
The tubular structure of the stomach after the operation reduces the transit time of food considerably. This means that less nutrients are absorbed and this is what all bariatric operations aim to achieve. Side effects that may arise from gastrectomy are similar to those that are seen with the banding procedure. Those that may relate to gastrectomy only include food leakage and the loss of stitches or staples.
Ideal candidates to undergo bariatric surgeries are persons that have tried losing weight through lifestyle modification and have been unsuccessful. Regular exercise and proper diet are among the most effective modalities of weight loss and their benefits must be optimized first before other solutions are considered. A patient with a very high body mass index stands to benefit more than one with a lower value.
Banding and gastrectomy are distinct options but the principles are the same. As the name suggests, banding involves the use of an artificial band made from silicone. This band is usually fixed to a portion of the stomach resulting in compression. The compression causes a reduction in the volume of the stomach which means that less food will be held from the time of the duration onward.
The operations that can be used for the placement of the band are of two main types: the open procedure and the laparoscopy technique. The open procedure involves the use of a large incision running from the pubic region to the epigastric region. The stomach is visualized directly before band placement is done. The laparoscopic technique, on the other hand, uses very small openings known as ports. An instrument known as a laparoscope is used under the guidance of a camera.
The compression force used varies from patient to patient and is mainly determined by the condition of the patient. Excessive weight tends to require a higher degree of compression depending to weight that is just slightly more than average. A plastic tube continuous with the band has one of its ends placed just below the skin in an accessible area. The force of compression can be adjusted by filling the tube with saline or withdrawing it.
There are a number of complications that may be encountered with this procedure. These include among others, injury to vital structures in the abdominal cavity, infections, bleeding, nausea and vomiting. Nausea and vomiting are often the result of too much compression. Withdrawing some water from the control tubing helps relieve the pressure which in turn reduces the likelihood of nausea and vomiting. Antibiotics have to be administered to reduce the risk of infections.
Gastrectomy can be conducted either laparoscopically or the open procedure. The laparoscopic option is by far, the more preferred due to the fewer complications. In performing gastrectomy, close to 80% of the stomach is removed and discarded. This makes the procedure irreversible unlike banding. The resultant organ looks like a sleeve and hence its name.
The tubular structure of the stomach after the operation reduces the transit time of food considerably. This means that less nutrients are absorbed and this is what all bariatric operations aim to achieve. Side effects that may arise from gastrectomy are similar to those that are seen with the banding procedure. Those that may relate to gastrectomy only include food leakage and the loss of stitches or staples.
Ideal candidates to undergo bariatric surgeries are persons that have tried losing weight through lifestyle modification and have been unsuccessful. Regular exercise and proper diet are among the most effective modalities of weight loss and their benefits must be optimized first before other solutions are considered. A patient with a very high body mass index stands to benefit more than one with a lower value.
About the Author:
Learn everything you need to know about gastric banding and sleeve gastrectomy surgery and get more info about an experienced surgeon at http://lapspecialists.com right now.
0 comments:
Post a Comment