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I want to learn about bariatric Surgery
Discussion in 'All Categories' started by Shyama Sachdev - Nov 25th, 2011 1:15 am.
Shyama Sachdev
Shyama Sachdev
Dear Sir
My weight is 5 feet 4 inch and I am 140 KG in weight. I want to learn about bariatric surgery.
re: I want to learn about bariatric Surgery by Dr JS Chauhan - Nov 25th, 2011 1:28 am
#1
Dr JS Chauhan
Dr JS Chauhan
Dear Mrs Shyama Sachdev

Obesity means having an excessive amount of excess fat (adipose tissue). Obesity generally is dependent upon calculating bmi (BMI), which measures weight for height and it is produced in numbers. BMI is calculated through the weight in kilograms divided by height in meters squared.

Bariatrics is the field of drugs that specializes in treating obesity. Wls may be the term for operations to assist promote weight reduction. Bariatric surgical treatments are just considered for people with severe obesity and never for people with a mild weight problem and who are overweight.

There are many detrimental health results of obesity by having an increased risk of developing cardiovascular disease, diabetes, gall bladder disease, asthma, obstructive sleep apnoea, chronic musculoskeletal problems, pcos, impaired fertility, psychosocial problem as well as some types of cancer.

In our opinion you should go for laparoscopic bariatric surgery and World Laparoscopy Hospital, Gurgaon is among the best centre for Laparoscopic and Robotic Wls. Obesity, as you know within the next Two-and-a-half decades would be the biggest financial drain on one’s family and country as well as other associated lifestyle disorders like Diabetes and Hypertension for starters. Minimally-invasive weight-loss procedures appear to be safer than open bariatric surgery, based on researchers who analyzed past studies comparing the two methods.

The new report suggests that laparoscopic surgery carries an 80 to 90 percent lower chance of infections and hernias, but that simply as numerous people getting both procedures require the operation repeated. The risk of death from either seems to be low, researchers added.

Inside the surgical field it`s been almost accepted to some degree that laparoscopic may be the approach to take, who led the brand new research. "Our study ended up being to type of provide a little more weight to that decision."

Researchers asserted the less-invasive procedure, in which surgeons restrict how big the stomach or bypass part of it using a few small cuts within the abdomen, is also a better choice for patients who want a quick recovery and who'd prefer not to have a large scar from open surgery.

I don`t see why someone would recommend the open surgery, because of the data we have now, Having a wound infection and being stuck inside a hospital it`s not a difference of life or death, but for the patient it`s quite an awful experience.

She and her colleagues compared the outcomes from six studies, including a total of 510 dangerously obese patients, who were randomly allotted to get laparoscopic or open wls and followed for the following one or two years. Most patients were female and were within their late 30s or early 40s, normally.

Rates of wound infection varied by procedure and study, happening in as much as 14 percent of patients. Overall, the chance of getting an infection was 80 % lower with laparoscopic surgeries.

Incisional hernias, which occur once the intestines push on the incision, didn`t happen after any laparoscopic procedures but did after four to twenty percent of open procedures.

Depending on the study, between zero and 42 percent of patients needed to get their surgery repeated, and rates were similar for that two procedures. In most studies combined, there were five deaths -- two among patients getting laparoscopy, and three after open surgeries, according to findings published within the Archives of Surgery.

What this paper really highlights may be the overall safety of wls, even when outdoors procedure is used,

Still, the findings reflect surgeons` experience that the minimally invasive procedure is usually the better option, she told Reuters Health.

There`s obviously been a dramatic increase in the amount of laparoscopic procedures completed in the last five to eight years. The laparoscopic approach certainly allows patients to be more active more quickly, It enables them to go back to work sooner.

bariatric surgery happens to be recommended for people with an appearance mass index of 35 and other medical problems such as diabetes, or for individuals with a BMI of 40 without other concerns. For any five-foot, six-inch woman, that equates to 217 pounds or 248 pounds.

HEALTH HAZARDS OF MORBID OBESITY

Severe obesity damages your body by its mechanical, metabolic and physiological negative effects on normal bodily function. These co-morbidities affect nearly every body organ in some way, and produce serious secondary illnesses, which might also be life-threatening. The cumulative effect of those co-morbidities can hinder an ordinary and productive life and may seriously shorten life, as well. The chance of developing these medical problems is proportional to the degree of obesity.

People who're obese do not live as long as those people who are not obese and also the earlier an individual become obese; the more many years of life are lost.

Heart Disease Severely obese persons are approximately 6 times as likely to develop heart disease as those who are normal-weighted. Heart disease is the leading cause of death today and obese persons tend to develop it earlier in life also it shortens their lives.
High Blood Pressure Hypertension is a lot more common in obese persons and results in growth and development of heart disease, and damage to the blood vessels through the body, causing susceptibility to strokes, kidney damage, and hardening from the arteries.
High Blood Cholesterol.
Diabetes Mellitus Overweight persons are40 times as likely to develop Type-2, Adult-Onset, diabetes. Once Diabetes occurs, it becomes even harder to lose weight naturally, due to hormone changes which make the body to keep fat much more than before.
Sleep Apnea Syndrome Anti snoring - the stoppage of breathing while asleep -- is often caused in the obese, by compression of the neck, closing the air passage towards the lungs.
Respiratory Insufficiency
Heartburn - Reflux Disease and Reflux Nocturnal Aspiration
Asthma and Bronchitis
Gallbladder Disease Gallbladder disease occurs several times as frequently in the obese, in part due to repeated efforts at dieting, which predispose for this problem.

Stress Bladder control problems.
Degenerative Disease of Lumbo-Sacral Spine (Backbone).
Degenerative Arthritis of Weight-Bearing Joints like knee, hip.
Venous Stasis Disease within the lower extremities.
Emotional / Psychological Illness Seriously overweight persons face constant challenges to their emotions: repeated failure with dieting, disapproval from family and friends and remarks from strangers. They frequently experience discrimination at work Stereotypes of obese people - for example that they are lazy - may result in lower self confidence and poor body image. There is no wonder that anxiety and depression might accompany many years of struggling with the effects of the genetic condition -- one which skinny people all believe should be controlled easily by perseverence.
Social Effects Severely obese persons suffer wherewithal to qualify for many types of employment and tend to have higher rates of unemployment, There's a general societal belief that obesity is really a consequence of deficiencies in self-discipline, or moral weakness.

People who are obese do not live so long as those people who are not obese and also the earlier an individual become obese; the greater many years of life are lost.

Heart Disease Severely obese persons are approximately 6 times as prone to develop cardiovascular disease as those people who are normal-weighted. Cardiovascular disease is the leading cause of death today and obese persons often develop it earlier in life also it shortens their lives.
High Blood pressure level Hypertension is a lot more common in obese persons and leads to growth and development of heart disease, and harm to the arteries through the body, causing inclination towards strokes, kidney damage, and hardening from the arteries.

High Blood Cholesterol.
Diabetes Mellitus Overweight persons are40 times as likely to develop Type-2, Adult-Onset, diabetes. Once Diabetes occurs, it becomes even harder to lose weight, due to hormone changes which make the body to keep fat much more than before.

Sleep Apnea Syndrome Anti snoring - the stoppage of breathing while asleep -- is often caused in the obese, by compression from the neck, closing the air passage to the lungs.

Respiratory Insufficiency
Heartburn - Reflux Disease and Reflux Nocturnal Aspiration
Asthma and Bronchitis
Gallbladder Disease Gallbladder disease occurs several times as often in the obese, partly because of repeated efforts at dieting, which predispose for this problem.

Stress Urinary Incontinence.
Degenerative Disease of Lumbo-Sacral Spine (Backbone).
Degenerative Arthritis of Weight-Bearing Joints like knee, hip.
Venous Stasis Disease in the lower extremities.
Emotional / Psychological Illness Seriously overweight persons face constant challenges for their emotions: repeated failure with dieting, disapproval from friends and family and remarks from strangers. They frequently experience discrimination at the office Stereotypes of obese people - for example that they are lazy - may result in lower self esteem and poor body image. There isn't any wonder that anxiety and depression might accompany years of suffering from the effects of a genetic condition -- one which skinny people all believe should be controlled easily by perseverence.
Social Effects Severely obese persons suffer inability to be eligible for a many types of employment and tend to have higher rates of unemployment, There is a general societal belief that obesity is really a consequence of deficiencies in self-discipline, or moral weakness.

TREATMENT OF MORBID OBESITY

The National Institutes of Health has held three conferences on surgery for severe obesity previously 15 years. At most recent conference, the panel of experts concluded that reduced life span and significant psychosocial and economic problems are experienced by severely obese people." They continued to express: "Limited success has been achieved having a number of non-surgical approaches including medically supervised dieting. Diet alone can't be considered an acceptable selection for permanent bariatric surgery. Drug therapy for clinically severe obesity has been disappointing.
You have to you should consider the surgical selection for dropping pounds to avoid its harmful effects.

If your BMI is over 40.
If your BMI is 35 or more and you've got a serious medical problem (hypertension, diabetes, heart disease, joint problems, reflus) that's made worse by obesity
If you've been not able to shed extra pounds or maintain weight under medically supervised program
You have been obese not less than 5 years
Have no history of alcohol abuse
Not have depression or other major emotional disorder

The panel endorsed two surgery for obesity: gastric bypass and adjustable gastric banding, noting that significant weight loss usually occurs along with a quantity of associated disorders (such as diabetes and hypertension, etc) often improve.
Weight reduction surgical treatment is not for those over weight people. It provides an alternative to those who are unable to maintain weight reduction through dieting. But it is extremely important to know that to keep weight loss after surgery, you've still got to eat less food, alter the type of what you eat and increase exercise. Weight reduction surgery can help you in altering your food behavior by giving early satiety after a small meal and providing prolonged sense of fullness to be able to adher to the dietary control.


Health advantages OF WEIGH LOSS SURGERY
Medical conditions which may be greatly improved after surgery include:

High Blood pressure level
About 60 percent of patients with high blood pressure level are able to stop all medications and also have a normal blood pressure level, usually within 2 to 3 months after surgery.

High cholesterol levels
More than 70 % of patients will develop normal levels of cholesterol within two to three months.

Diabetes
More than 80 percent of Type-2 diabetics obtain excellent results, usually within a couple weeks after surgery.. There is no medical treatment for diabetes that can achieve as complete and profound an impact as surgery.

Asthma
According to IFSO, successful bariatric surgery cuts down on the number and severity of asthma attacks.

Respiratory Insufficiency
Improvement of exercise tolerance and breathing ability usually occurs within the first few months after surgery. Often, patients who've barely been able to walk discover that they are able to participate in family activities, as well as sports.

Sleep Apnea Syndrome
Dramatic relief of anti snoring occurs as patients slim down. Many are convinced that within a year of surgery, their symptoms were completely gone, and they had even stopped snoring completely-and their spouses agree. Anti snoring is cured in about 75 % of patients after surgery

Gastro-Esophageal Reflux Disease
Relief of the signs of reflux usually occurs inside a few weeks of surgery for many patients

Gallbladder Disease
When gallbladder disease exists at the time of the surgery, it's cured by removing the gallbladder throughout the operation.

Stress Bladder control problems
This condition responds dramatically to weight reduction in most cases significant improvement within the control occurs.

Low Back Pain, Degenerative Disk Disease, & Degenerative Osteo-arthritis
Patients usually experience considerable pain relief and disability from degenerative arthritis and disc disease and from pain in the weight-bearing joints.

Don't underestimate the physical and social adjustments you'll have to make after surgery. You'll have a stomach pouch about the size of a little egg. Within the first six months after surgery, eating too much or too quickly may cause either vomiting or an intense pain under your breastbone. Instead of eating regular-sized meals three times each day, you'll be required to eat 4 to 6 very small meals: a couple of ounces (60 ml) each. Many people, however, quickly learn how much they can eat at one meal. And over time, the amount you can eat increases.
Surgery for weight reduction is not a miracle procedure. Though you can generally be prepared to slim down and keep them back, changes necessary for your eating and exercise habits are yours to create. But health benefits of losing weight are yours as well.


Dangerously obese VS. UPWARDLY MOBILE:
Non-invasive SURGERIES OFFER NEW HOPE

Laparoscopic Surgery: First Choice for Treatment

Laparoscopic Surgery:

Many dangerously obese patients are not wanting to undergo gastric bypass surgery-traditionally a wide open, invasive procedure. But thanks to the new, non-invasive surgical techniques, this "last-resort" treatment has become more appealing. By laparoscopy, the surgeon performs the same operation as in open surgery, but through small incisions. Tiny slits within the abdomen allow a surgeon to insert a camera-equipped scope and surgical instruments to perform surgical treatments less invasively. Laparoscopic techniques are equally successful and offer many added patient benefits. These benefits include less post-operative pain, reduced risk of wound infection, a shorter hospital stay, faster recovery along with a more rapid improvement in quality of life.

There's two types of laparoscopic surgeries that are popular to deal with extreme weight gain.

The most commonly known, Roux-en-Y gastric bypass, involves refashioning the stomach into a small pouch and bypassing part of the small intestine. This not only limits the absorption of food but also produces a sense of fullness having a small meal.

Roux-en-Y gastric bypass has been utilized for a long time with clinical results attesting to its effectiveness. The process is irreversible and patients are encouraged to thoroughly evaluate its risks before surgery
A less extreme alternative is the Lap-Band surgery, or adjustable gastric banding. Approved by the FDA, the procedure involves less risk than the Roux-en-Y. Rather than bypassing the stomach, a balloon-like device is banded round the stomach to produce a small upper gastric pouch, which causes an early sense of fullness and satiety after a small meal. The balloon - like device is inserted through a small incision and inflated to cinch the stomach and limit its capacity. The operation takes about An hour in most cases requires a one-day stay in hospital. The band can later be tightened or loosened as needed-without further surgery-by adjusting the quantity of solution through a portal under the patient’s skin. The unit can also be removed entirely if necessary. Reduced risk, simplicity and reversibility make the Lap-Band very attractive.

Results depend on a number of factors and vary with each patient.
Most gastric bypass patients experience fairly rapid weight loss within the first three to six months after surgery. Weight loss slows, but generally continues as much as 12 to 18 months after surgery, averaging 70 to 75 % of excess bodyweight.

With the Lap-Band, weight loss is generally slower and much more gradual compared to the gastric bypass. Typically, patients lose up to 55 percent of the excess body weight within 1 . 5 years following laparoscopic adjustable gastric banding surgery. The normal stay in hospital for Lap-Band patients is one day with a return to most activities in seven days.

Regardless of the procedure, it takes a team approach to solving a patient’s weight problem. This includes an extensive evaluation, in addition to psychological and emotional support before and after surgery for top level possibility of weight loss success. The operation itself is not the entire answer. A multidisciplinary approach-surgeon, internist, dietician and psychiatrist-is useful in helping the individual lose and weight off. The goal is not only weight loss, however the reversal of serious medical conditions.

If you are interested you can come to World Laparoscopy Hospital to get bariatric surgery done

With regards
JS Chauhan
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