Bariatric operations are types of surgeries that help in weight loss. The idea is to reduce the food that can be held by the stomach at a given point in time (which reduces food intake) or to reduce the absorption of both. Some modalities achieve their results through both mechanisms. Gastric bypass surgery is one of the commonly performed weight loss operations in New York.
In general, weight-loss surgeries should be performed as a last resort for people who have tried all the non-surgical options of weight loss but have been unsuccessful. They are likely to be more beneficial in persons who are suffering from or are at risk of developing weight-related complications such as heart disease, hypertension, diabetes type 2, gastro-esophageal reflux disease and stroke among others. The general recommendation is that the candidate should have a BMI(body mass index) of not less than 40 (or 35 if they already have the complications).
If you meet the required criteria, the operation will be scheduled to take place when you have been adequately prepared. You may need to have a number of tests to ascertain that you are ready for the operation. You may be asked to scale down or withhold on some drugs and foods until the operation is over. Smoking affects wound healing and should be stopped at least two weeks in advance.
There are different forms of gastric bypass surgeries that exist. The most commonly performed is the Roux-en-Y. The reason as to why this type is very popular is the fact that it can be easily done through small incisions. This helps to reduce the rate of complications and to shorten the recovery time. It is performed in two major steps. The first step is the creation of a pouch from the stomach by use of staples or a silicon band.
The second step is the attachment of a Y-shaped intestinal portion to the pouch. When food moves from the pouch into this part of the intestines, a significant section of the digestion tract is bypassed (hence the name). This means that there will be less absorption of nutrients and less calories will be produced. Weight loss starts to set in in subsequent weeks and months.
Extensive gastric bypass (also referred to as biliopancreatic diversion) is more radical. While it may be an option for weight loss, its main indication is biliary obstruction due to liver disease. The operation itself involves the removal of the lower stomach and the joining of the upper stomach portion to the last portion of the intestines. The other two portions are skipped. Due to severe nutrient deficiency, the procedure is not done routinely.
One needs to be familiar with the possible risks of these operations. One of the risks is the fact that the pouch can dilate over time and increase in size. The dilatation may even cause it to revert to its original size. The band may be eroded causing it to disintegrate together with the staples. This effectively reverses the procedure. In rare circumstances, stomach acids can leak and cause injury to internal organs.
Dumping syndrome refers to a number of symptoms that are experienced in some patients that have undergone these procedures. It is characterized by nausea, sweating, fainting, weakness and diarrhea. These symptoms occur after ten to thirty minutes following the consumption of food. They are most likely to be experienced when one eats sugary foods or sweets. The underlying cause is the rapid movement of food through the stomach.
In general, weight-loss surgeries should be performed as a last resort for people who have tried all the non-surgical options of weight loss but have been unsuccessful. They are likely to be more beneficial in persons who are suffering from or are at risk of developing weight-related complications such as heart disease, hypertension, diabetes type 2, gastro-esophageal reflux disease and stroke among others. The general recommendation is that the candidate should have a BMI(body mass index) of not less than 40 (or 35 if they already have the complications).
If you meet the required criteria, the operation will be scheduled to take place when you have been adequately prepared. You may need to have a number of tests to ascertain that you are ready for the operation. You may be asked to scale down or withhold on some drugs and foods until the operation is over. Smoking affects wound healing and should be stopped at least two weeks in advance.
There are different forms of gastric bypass surgeries that exist. The most commonly performed is the Roux-en-Y. The reason as to why this type is very popular is the fact that it can be easily done through small incisions. This helps to reduce the rate of complications and to shorten the recovery time. It is performed in two major steps. The first step is the creation of a pouch from the stomach by use of staples or a silicon band.
The second step is the attachment of a Y-shaped intestinal portion to the pouch. When food moves from the pouch into this part of the intestines, a significant section of the digestion tract is bypassed (hence the name). This means that there will be less absorption of nutrients and less calories will be produced. Weight loss starts to set in in subsequent weeks and months.
Extensive gastric bypass (also referred to as biliopancreatic diversion) is more radical. While it may be an option for weight loss, its main indication is biliary obstruction due to liver disease. The operation itself involves the removal of the lower stomach and the joining of the upper stomach portion to the last portion of the intestines. The other two portions are skipped. Due to severe nutrient deficiency, the procedure is not done routinely.
One needs to be familiar with the possible risks of these operations. One of the risks is the fact that the pouch can dilate over time and increase in size. The dilatation may even cause it to revert to its original size. The band may be eroded causing it to disintegrate together with the staples. This effectively reverses the procedure. In rare circumstances, stomach acids can leak and cause injury to internal organs.
Dumping syndrome refers to a number of symptoms that are experienced in some patients that have undergone these procedures. It is characterized by nausea, sweating, fainting, weakness and diarrhea. These symptoms occur after ten to thirty minutes following the consumption of food. They are most likely to be experienced when one eats sugary foods or sweets. The underlying cause is the rapid movement of food through the stomach.
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