Bariatric surgeries are a group of surgical procedures whose objective is to assist in weight loss. This is achieved through a reduction of food consumed (reduced stomach volume), a reduction of nutrient absorption or both. Gastric bypass surgery is one of these operations. There are a number of things New York residents need to know if they are considering having this operation.
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).
Once you have qualified as a candidate for the operation, your doctor will instruct you on how you should prepare. A number of tests may have to be done as part of preoperative preparation. Restrictions may be placed on foods and drugs before and after the operation. If you are a smoker, you should stop the habit for two weeks before the operation and for the same duration afterwards.
There are several types of gastric bypass operations that exist. The most common is known as the Roux-en-Y. It can be performed through a small incision which helps to reduce the time needed for recovery. The first step in this operation is to staple the stomach together or to place a band in the vertical plane which converts the organ into a small pouch. This reduces the amount of food that can be held at any given point in time.
The next step is to attach a Y-shaped section created from the small intestine onto the pouch. This is what is referred to as the bypass (food skips part of the digestive tract). Subsequently, one can only absorb a limited amount of nutrients. There are very few calories that are left as excess to be converted into fat deposits. Over time, weight gain is tamed.
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.
You need to be aware of the attendant risks of these surgeries. A major risk is the fact that the pouch mat dilate over some months or years effectively increasing the stomach size. It is possible for it to even revert to its original size. The band and the staples may disintegrate and fall off which reverses the procedure. There are cases where stomach acids leak through the incisions and enter the abdominal cavity causing damage to internal organs.
Dumping syndrome is a condition that results from the rapid movement of food through the stomach. Whenever this happens, affected persons may experience a number of symptoms that include weakness, nausea, fainting, sweating and diarrhea. The symptoms are most likely to occur when one eats sugary foods (usually after 10 and 30 minutes after eating). Some people have also have late symptoms that occur about three hours after eating.
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).
Once you have qualified as a candidate for the operation, your doctor will instruct you on how you should prepare. A number of tests may have to be done as part of preoperative preparation. Restrictions may be placed on foods and drugs before and after the operation. If you are a smoker, you should stop the habit for two weeks before the operation and for the same duration afterwards.
There are several types of gastric bypass operations that exist. The most common is known as the Roux-en-Y. It can be performed through a small incision which helps to reduce the time needed for recovery. The first step in this operation is to staple the stomach together or to place a band in the vertical plane which converts the organ into a small pouch. This reduces the amount of food that can be held at any given point in time.
The next step is to attach a Y-shaped section created from the small intestine onto the pouch. This is what is referred to as the bypass (food skips part of the digestive tract). Subsequently, one can only absorb a limited amount of nutrients. There are very few calories that are left as excess to be converted into fat deposits. Over time, weight gain is tamed.
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.
You need to be aware of the attendant risks of these surgeries. A major risk is the fact that the pouch mat dilate over some months or years effectively increasing the stomach size. It is possible for it to even revert to its original size. The band and the staples may disintegrate and fall off which reverses the procedure. There are cases where stomach acids leak through the incisions and enter the abdominal cavity causing damage to internal organs.
Dumping syndrome is a condition that results from the rapid movement of food through the stomach. Whenever this happens, affected persons may experience a number of symptoms that include weakness, nausea, fainting, sweating and diarrhea. The symptoms are most likely to occur when one eats sugary foods (usually after 10 and 30 minutes after eating). Some people have also have late symptoms that occur about three hours after eating.
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