Bariatric is the branch of medicine that deals with the causes, prevention, and treatment of obesity. The term bariatric was created around 1965, from the Greek root baro (“weight,” as in barometer), suffix -iatr (“treatment,” as in pediatrics), and suffix -ic (“pertaining to”). Besides the pharmacotherapy of obesity, it is concerned with obesity surgery.

Overweight and obesity are rising medical problems of pandemic proportions. There are many detrimental health effects of obesity: heart disease, diabetes, many types of cancer, asthma, obstructive sleep apnea, chronic musculoskeletal problems, etc. There is also a clear effect of obesity on mortality, though this is not so clear for those who are overweight

Although not a direct measure of body fat, the Body Mass Index is widely adopted and promoted as a marker for excess body weight. However, it is not flawless: a very muscular person may be assessed as obese, and an elderly person with low body weight but high body fat (this can happen due to low muscle mass and bone density) may be assessed as healthy. Other markers for the evaluation of obesity include waist circumference (associated with central obesity), and a patient’s risk factors for diseases and conditions associated with obesity. Besides these indirect methods, body fat can also be measured directly.

There are a number of surgical options available to treat obesity, each with their advantages and pitfalls. In general, weight reduction can be accomplished, but one must consider operative risk (including mortality) and side effects. Usually, these procedures can be carried out safely. Procedures can be grouped in three main categories:

predominantly malabsorptive procedures: although also reducing stomach size, these operations are based mainly on malabsorption.

Biliopancreatic Diversion (Scopinaro procedure – rare)

Jejuno-ileal bypass (no longer performed)

predominantly restrictive procedures: this kind of surgery primarily reduces stomach size

Vertical Banded Gastroplasty (Mason procedure, stomach stapling)

Laparoscopic Adjustable Gastric Band (LAGB)(REALIZE Band – Lap Band)

Sleeve gastrectomy

Mixed procedures: applying both techniques simultaneously

gastric bypass surgery, like Roux-en-Y gastric bypass

Sleeve gastrectomy with Duodenal Switch

Implantable Gastric Stimulation

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Reference

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Lap-Band candidates who live near Arlington, Texas, don’t have to travel to Dallas to find a skilled bariatric surgeon in their area. Based at the Medical Center of Arlington, Dr. Jason Harrison specializes in weight loss surgery, including the Lap-Band and gastric sleeve procedures.

Dr. Harrison is best known as the Arlington Lap-Band specialist. The Lap-band procedure, also known as gastric banding, is a safe and effective weight loss surgery treatment option that generally poses fewer risks of complications compared to gastric bypass surgery and the vertical banded gastroplasty (VBG) procedure. Dr. Harrison is a board-certified surgeon with several years of experience in bariatric surgery and performs Lap-Band surgery for Arlington area patients.

Weight loss surgery procedures, such as Lap-Band surgery, are suitable for patients who suffer from severe or morbid obesity. Obesity occurs when body fat accumulates quicker than a person’s metabolism can process. This results in too much being stored fat inside of the body. Because of excess fat, the person may not live a healthy or full life. Obesity can lead to other serious health conditions, such as cardiovascular disease, Type II Diabetes, arthritis, and sleep apnea.

Individuals who are obese and considering weight loss surgery should first try to reduce their weight through exercise and a controlled diet. Many insurance carriers will require weight loss surgery candidates to follow a doctor-prescribed diet and exercise plan prior to being approved for Lap-Band surgery. However, when these programs fail to reduce a person’s weight, weight loss surgery may be the best solution for overcoming obesity.

The Lap-Band procedure is done laparoscopically and involves fastening a special silicone band around the upper part of a patient’s stomach. The band is filled with saline solution to create a tight fit and must be refilled every few months. Dr. Harrison performs Lap-Band surgery in Arlington for patients from the surrounding area and throughout north Texas.  

Dr. Harrison has regular informational sessions at his Arlington, Texas, office for people considering weight loss surgery. The seminar provides prospective patients with an opportunity to learn the benefits and possible risks associated with the Lap-Band and gastric sleeve procedures, so they can decide whether to undergo weight loss surgery. Individuals who live outside the Arlington area or who are unable to attend an informational meeting can learn more about the services offered by Dr. Harrison and the process of qualifying for weight loss surgery by visiting HarrisonBariatrics.com.  

Patients who choose to pursue weight loss surgery after attending a seminar or visiting the website for Harrison Bariatrics can schedule an appointment for a consultation and examination by Dr. Jason Harrison. The examination will determine a patient’s level of obesity, their general health, and the possibility of any complications from weight loss surgery. A member of Dr. Harrison’s staff will also provide information about the cost of surgery and assist in getting insurance approval.  

Dr. Jason Harrison performs all weight loss surgery procedures for his practice. Lap-Band patients will be required to visit his Arlington, Texas, office every two to three months for a Lap-Band adjustment. Harrison Bariatrics also offers regular support group meetings for post-operative patients, to ehlp ensure their long-term success.

What is Sleeve Gastrectomy?

Sleeve gastrectomy is a new procedure that induces weight loss by restricting food intake. With this procedure, the surgeon removes approximately 60 percent of the stomach laparoscopically so that the stomach takes the shape of a tube or “sleeve.” This procedure is usually performed on superobese or high-risk patients with the intention of performing another surgery at a later time. The second procedure can either be a gastric bypass or duodenal switch.

Who is a candidate for Sleeve Gastrectomy Surgery?

Patients who are morbidly or severely obese are at increased risk for health problems and tend to have a shortened life span. There is also added potential risk from continued weight increase. The risk of severe obesity is greater than that of its surgical treatments. Persons eligible for sleeve gastrectomy surgery include the following:

·Persons at least 100 pounds above ideal body weight.

·Persons who are at least 80 pounds over weight and have life-threatening obesity related problems such as diabetes, hypertension, sleep apnea, etc.

·Above persons who have failed non-surgical attempts at weight loss, specifically a combined regimen of diet and exercise.

Procedure for Sleeve Gastrectomy Surgery:

This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a banana and measures from 2-5 ounces (60-150cc). The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary.

Advantages of the Sleeve Gastrectomy Surgery:

·The stomach is reduced in volume but tends to function normally so most food items can be consumed, albeit in small amounts.

·Eliminates the portion of the stomach that produces the hormones that stimulates hunger.

·No dumping syndrome because the pylorus is preserved.

·Minimizes the chance of an ulcer occurring.

·By avoiding the intestinal bypass, the chance of intestinal obstruction (blockage), anemia, osteoporosis, protein deficiency and vitamin deficiency are almost eliminated.

·Very effective as a first stage procedure for high BMI patients (BMI>55 kg/m2).

·Limited results appear promising as a single stage procedure for low BMI patients (BMI 35-45 kg/m2).

·Appealing option for people with existing anemia, Crohn’s disease and numerous other conditions that make them too high risk for intestinal bypass procedures.

·Can be done laparoscopically in patients weighing over 500 pounds.

Risks of the Sleeve Gastrectomy Surgery:

·Potential for inadequate weight loss or weight regain. While this is true for all procedures, it is theoretically more possible with procedures that do not have an intestinal bypass.

·Higher BMI patients will most likely need to have a second stage procedure later to help lose the rest of the weight. Two stages may ultimately be safer and more effective than one operation for high BMI patients. This is an active point of discussion for bariatric surgeons.

·Soft calories such as ice cream, milk shakes, etc can be absorbed and may slow weight loss.

·Because the stomach is removed, it is not reversible. It can be converted to almost any other weight loss procedure.

Cost of Sleeve Gastrectomy Surgery:

Recently in India the rise in has seen sleeve gastrectomy surgery because the costs have dropped drastically, making world class treatments affordable for everyone. If a person has always wanted a sleeve gastrectomy surgery or any other procedure you can now easily afford it, as obesity surgery costs have tumbled. In India low cost of obesity surgery is combined with surgery success rates on par with anywhere in the world and this is one of the fastest areas of growth in medical tourism in India.

Long-Term Weight-Loss Results of Sleeve Gastrectomy Surgery:

On average, patients who undergo sleeve gastrectomy surgery experience a 60-80% loss of excess weight.

Sleeve Gastrectomy Surgery in India:

Obesity surgeries in India have seen a phenomenal growth during recent past. Most patients from countries like USA and UK travel to developing countries such as India for treatment, few main reasons while choosing India at first choice are as follows:-India offers wide range of cheapest pricing options of treatment. While planning a treatment in India, one does not require waiting in patient queues or registering for a waiting list. Moreover the doctors and the medical facilities are comparable to anyone in the world. Another main reason for choosing India is comfort of language; one does not pose a problem as most people speak English. Above all; India always offers a good holiday, which can help in fast recoveries. These are the few reasons why most of the people prefer to get their surgery in India.

To know more about affordable and low cost sleeve gastrectomy surgery in India-please visit the Website => http://www.forerunnershealthcare.com

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