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.
Surgical options for weight should only come in when all the other methods have been exhausted. The general recommendation is that conservative options should be tried out for at least 6 months. Dietary modification is one of the approaches that have been shown to be quite effective in achieving weight loss. One should strive to reduce their consumption of fats and carbohydrates and increase that of vegetables and fruits. Regular physical exercise also has a role to play.
You need to have a discussion with your doctor before choosing between the banding procedure and gastrectomy. Benefits and risks need to be considered for one to make an informed decision. In general, the main similarity between these two techniques is the fact that both can be done by accessing the abdomen through the laparoscopic technique or through the open technique. The main difference is that banding is reversible while gastrectomy is not.
To perform the banding procedure, the abdominal cavity is first opened either through a large incision or by making smaller incisions to be used for the placement of the laparoscope. The next step is to place a silicone band around the upper part of the stomach. This band has a compression effect that squeezes the stomach and reduces its size considerably. The force of compression can be increased or reduced as needed.
Gastrectomy involves reduction of stomach size by removing between 75 and 80% of the organ. The operation leaves behind a small tubular structure whose shape is like a sleeve thus the name of the procedure. Laparoscopic access to the abdominal cavity is the most preferred technique. Once the unwanted portion has been removed, the remaining part is stitched using staples or surgical sutures. With a significant reduction in capacity, the stomach can only hold a limited amount of food.
There are a number of complications that potential candidates need to be aware of. These include, among others, excessive loss of blood, accidental injury to internal organs and postoperative infections. The loss of stitches or staples used in closure may be seen in very rare circumstances. When it occurs, it leads to leakage of digested foods and acids which may in turn lead to chemical injury of various organs.
A reduction in the stomach capacity results in a reduction in the amount of food intake. Related to this is the fact that there is early satiety and suppression of appetite. Removing part of the stomach significantly reduces the surface area that is available for absorption of nutrients. All these changes cause weight loss that begins to be seen within weeks or 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.
Surgical options for weight should only come in when all the other methods have been exhausted. The general recommendation is that conservative options should be tried out for at least 6 months. Dietary modification is one of the approaches that have been shown to be quite effective in achieving weight loss. One should strive to reduce their consumption of fats and carbohydrates and increase that of vegetables and fruits. Regular physical exercise also has a role to play.
You need to have a discussion with your doctor before choosing between the banding procedure and gastrectomy. Benefits and risks need to be considered for one to make an informed decision. In general, the main similarity between these two techniques is the fact that both can be done by accessing the abdomen through the laparoscopic technique or through the open technique. The main difference is that banding is reversible while gastrectomy is not.
To perform the banding procedure, the abdominal cavity is first opened either through a large incision or by making smaller incisions to be used for the placement of the laparoscope. The next step is to place a silicone band around the upper part of the stomach. This band has a compression effect that squeezes the stomach and reduces its size considerably. The force of compression can be increased or reduced as needed.
Gastrectomy involves reduction of stomach size by removing between 75 and 80% of the organ. The operation leaves behind a small tubular structure whose shape is like a sleeve thus the name of the procedure. Laparoscopic access to the abdominal cavity is the most preferred technique. Once the unwanted portion has been removed, the remaining part is stitched using staples or surgical sutures. With a significant reduction in capacity, the stomach can only hold a limited amount of food.
There are a number of complications that potential candidates need to be aware of. These include, among others, excessive loss of blood, accidental injury to internal organs and postoperative infections. The loss of stitches or staples used in closure may be seen in very rare circumstances. When it occurs, it leads to leakage of digested foods and acids which may in turn lead to chemical injury of various organs.
A reduction in the stomach capacity results in a reduction in the amount of food intake. Related to this is the fact that there is early satiety and suppression of appetite. Removing part of the stomach significantly reduces the surface area that is available for absorption of nutrients. All these changes cause weight loss that begins to be seen within weeks or 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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