Wednesday, March 30, 2011

Bariatric bypass surgery was the most frequently performed weight loss surgery in the U.S.


Bariatric bypass surgery



Bariatric bypass surgery is the term derives from the Greek words weight and treatment. In a nutshell, bariatrics bypass surgery concerns with the causes, prevention and treatment of morbid overweight is called obesity. Bariatric bypass surgeries are major gastrointestinal procedures, affecting their ability and / or the anatomy of the digestive system. Few bariatric bypass procedures performed under general anesthesia through a median abdominal incision. Few bariatric bypass surgeons also use advance laparoscopic techniques, with the smaller instruments joined to the video camera through which to see the operation site. Bariatric bypass surgeries like combined restrictive and malabsorption - such as  Roux-en-Y bariatric bypass surgery.



It can decrease the capacity of the stomach and bypassing the small intestine, causing a reduction in the number of calories and nutrients the body absorbs. Bariatric bypass surgery differs both how the stomach is divided (stapling, banding or gastrectomy), and how the duodenum and jejunum are bypassed. Recently, most clinical centers promote  Bariatric bypass surgery  or proximal Roux-en-Y gastric bypass. Obesity experts estimated that patients for bariatric bypass and  for gastric bands are exceeding .



Restrictive bypass surgery for weight loss such as adjustable gastric banding (AGB) and vertical banded gastroplasty (VBG). Restrictive bypass surgery serve only to restrict food intake and do not interfere with the normal digestive process. For the surgery, surgeons create a small pouch at the upper part of the stomach where food enters the esophagus. In start, the pouch holds about 1 ounce of food and later expands to 2-3 ounces. The bottom of the bag outlet usually has a diameter of only about ¾ of an inch. This little outlet can delay the emptying of food from the pouch and  can cause a feeling of fullness.



Malabsorptive procedures are the most common gastrointestinal surgeries for weight loss. It can estrict both food intake and the amount of calories and nutrients absorbtion.

Malabsorption bypass surgery produces mor weight loss as compare to restrictive operations, and are more difficult to reverse the health problems associated with obesity. Individuals who have malabsorptive bypass surgery generally lose 2/3rds of excess weight in two years.



Common form of bariatric bypass surgery is Roux-en-Y gastric bypass. Here  is a small stomach pouch is created by stapling device and attached to the distal small intestine. The upper small intestine is then  again attached in the Y-shaped configuration.  Bariatric bypass surgery was the most frequently performed weight loss surgery in the United States, and about 140,000 gastric bypass procedures were performed in 2005, decreasing the number of Lap-band, duodenal switch and vertical band gastroplasty procedures .The bariatric bypass surgery is seen as the gold standard in the U.S.The success factor of bariatric surgery is a strict adherence to post-operative with a model of healthy eating.



When it comes for laparoscopic bariatric bypass surgery, it is more important to remember that all individuals are not eligible for this bariatric bypass surgery procedure. Qualification for this type of surgery depends on the previous patient's medical history and current health status. If the laparoscopic approach is not an option, surgeons refer to the open procedure, which include a big incision in the chest and / or stomach while bariatric surgeon working with old method and traditional equipment. The open surgical technique is still commonly used by bariatric surgeons, but surgeons tend to favor the laparoscopic approach largely attributable to the period of recovery and patient satisfaction in general.



After bariatric surgery


Immediately after bariatric bypass surgery, the patient is confined to a clear liquid diet that includes foods like soups, fruit juices or  without sugar gelatin desserts. This type of diet is continued until gastrointenstinal digestive system has recovered from some  bypass surgery.

The next phase offers a diet with sugar mixed or blended for at least two weeks. It can consist of skimmed milk, cream of wheat, a piece of margarine, protein drinks, soups, fruit puree and mashed potatoes and gravy.After surgery, excess food is withheld due to excess capacity in the stomach may cause nausea and vomiting. Dietary restrictions after recovery from surgery will depend in part on the type of surgery. Many patients must take a multivitamin pill daily life to compensate for the decrease absorption of necessary nutrients. Because patients can not eat big amount of food, doctors usually recommend a diet that is relatively rich in protein and low in fat and alcohol.



It is very common in the first month after surgery for a patient to undergo hypovolemia and dehydration. Patients have trouble drinking about adequate fluids, as they adapt to their new gastric volume. Limitations on fluid intake by mouth, decrease caloric intake and increased incidence of vomiting and diarrhea, are all factors that have a great contribution to hypovolemia. To prevent fluid volume depletion and dehydration, a minimum of 48 to 64 oz should be consumed in small sips throughout the day repeated.