Surgery for Weight Loss

January 5, 2009 · Filed Under Weight Loss Surgery · Comment 

As more and more people attempt to lose weight and are failing with traditional diets, many people are opting to have surgery for weight loss. There are quite a few surgical procedures which can be used to promote weight loss you just need to determine which is the correct surgery for weight loss depending on your unique situation.

One of the more popular surgeries for weight loss is the installation of the lapband. The lapband is not as intrusive as some of the other weight loss surgeries as it involves placing a band around around the beginning of the stomach. This prevents you from eating as much and a result causes you to lose weight.

Another procedure which is very popular and one of the few procedures that a lot of insurance companies will pay for is the Roux en Y or RNY. This procedure is really the gastric bypass procedure as it involves re-routing the intestine so that food is not fully digested. It also limits the amount of food you can consume and causes weight loss. One thing about the RNY is that you really have to watch your food consumption to ensure you are getting enough protein and other nutrients in your system.

Another surgery for weight loss is the Vertical Sleeve surgery also known as the sleeve surgery for weight loss and the VSG surgery. This surgery involves removing part of the stomach and stapling the stomach back together. This produces a banana shaped stomach and as a result reduces the amount of food you can intake. This is one of the safer surgeries outside of the lapband as it does not really disrupt the digestive tract like the RNY surgical procedure does and as a result people who opt for the VSG surgery for weight loss do not suffer as many problems with nutrient levels.

Stomach Stapling Is it for you

January 2, 2009 · Filed Under vertical sleeve surgery, Weight Loss · Comment 

Stomach stapling surgery is gaining a lot of traction over the past few years. One reason for its improved interests is because it is safer than other gastric weight loss surgeries. Stomach Stapling surgery is officially know as Vertical Sleeve Surgery, but over the years various others names have been developed for this weight loss procedure.

The Stomach stapling terms comes mainly from the fact that this is what really happens during this surgery. Parts of the stomach is removed so the stomach resembles a banana shape and then the stomach is stapled back together. Since this procedure does not alter the digestive tract it is considered safer than some of the other alternative weight reduction surgeries available.

While the stomach stapling procedure is not as dangerous it is also not as effective in terms of the amount of weight loss expected from the weight loss surgery procedure. Although you don’t lose as much weight normally around 20% less than RNY, for most people this is a viable option for weight reduction surgery and with a little exercise then you can jumpstart your weight loss jounry to achieve the same results without the issues with vitamin deficiencies experienced with the other weight loss surgical procedures.

Gastric Surgery- To Bypass or Not

November 23, 2008 · Filed Under Weight Loss Surgery · Comment 

Gastric bypass surgery has been helping a lot of people throughout the world gain control of their life. Obesity has affected the lives of so many and its really difficult for people to get back in control of their weight once they gain it. Gastric Bypass is a method in which these people can start to gain control again. Not only does Gastric bypass help with Obesity it can help eliminate or reduce many health risks associated with Obesity.

Gastric bypass procedures (GBP) are any of a group of similar operations used to treat morbid obesity—the severe accumulation of excess weight as fatty tissue—and the health problems (comorbidities) it causes. Bariatric surgery is the term encompassing all of the surgical treatments for morbid obesity, not just gastric bypasses, which make up only one class of such operations.

A gastric bypass first divides the stomach into a small upper pouch and a much larger, lower “remnant” pouch and then re-arranges the small intestine to allow both pouches to stay connected to it. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food. The resulting weight loss, typically dramatic, markedly reduces comorbidities. The long-term mortality rate of gastric bypass patients has been shown to be reduced by up to 40%; however, complications are common and surgery-related death occurs within one month in 2% of patients.

Comorbid conditions
Life-threatening health problems arise from obesity as a consequence of its mechanical or metabolic effects. These comorbidities may in turn lead to severe deterioration of health, shortened life expectancy, and lower quality of life.

Major comorbidities include:

Atherosclerotic cardiovascular disease. Obesity is not only associated with the occurrence of hypercholesterolemia and hypertriglyceridemia, but it is also a factor in the occurrence of atherosclerosis, the deposition of fats within the walls of the blood vessels. This leads to conditions such as coronary artery disease, congestive heart failure, and “hardening of the arteries.” This group of conditions is a leading cause of death in the United States.
Diabetes mellitus type 2 occurs mostly in middle and old age, but it is up to 40 times more likely in those who are severely overweight. It is associated with ASCVD, kidney failure, blindness, nerve damage, and amputations of the extremities, and is also a leading overall cause of death in the United States. Dysmetabolic Syndrome X, a pre-diabetic condition often associated with obesity, is accompanied by elevated levels of insulin in the blood and a high incidence of early development of coronary heart disease.
Essential hypertension or “high blood pressure”, is much more common in obese individuals. It can lead to early development of ASCVD, as well as to kidney disease. Weight loss is considered to be an important feature of treatment.
Obstructive sleep apnea (OSA) Persons with this condition tend to suffer from airway obstruction when asleep, as the muscles relax and the weight and bulk of tissues collapses the throat passages. An observer notices loud snoring, frequent periods when breathing ceases (apneas), and episodes of restlessness and partial awakening. The afflicted patient is often unaware of the nature of the problem, but may notice frequent awakening at night, dry mouth, a sense of having slept poorly, daytime drowsiness and fatigue, or inappropriate sleeping (such as at work, in meetings, or while driving). This condition has a significant associated mortality.
Gastroesophageal reflux disease (GERD) is characterized by regurgitation (reflux) of acid and gastric contents into the esophagus, and sometimes into the back of the throat. Gastric acid and bile are very corrosive to the lining membrane of the esophagus, and cause it to become inflamed (esophagitis) and sometimes scarred (esophageal stricture). Reflux which occurs while sleeping can lead to sudden coughing and choking at night, a burning sensation in the throat (pyrosis), and inhalation of acid and stomach contents into the lungs, with the risk of hoarseness, bronchitis, pneumonia, lung abscess and lung scarring. GERD is often associated with development of asthma, and causation of asthmatic attacks, and may also be aggravated by OSA.
Gallbladder disease is much more likely in obese individuals, being associated with formation of gallstones, usually composed of crystallized cholesterol, within the gallbladder. Although readily treatable by removal of the gallbladder (cholecystectomy), it may lead to life-threatening problems such as obstruction of the ducts from the liver, jaundice, and inflammation of the pancreas (gallstone pancreatitis).
Liver disease is present in some degree in 90% of persons who undergo bariatric surgery, usually a manifestation of the metabolic effects of obesity on the liver. This may take the form of large fat globules within the liver cells (steatosis), chronic inflammation of the liver (steatohepatitis), and in a few instances, cirrhosis of the liver. The latter condition may lead to liver failure and the need for a liver transplant.
Venous thromboembolic disease affects the legs, and causes swelling, thickening and discoloration of the skin, and ulceration of the skin. This condition begins with damage to the veins of the legs, associated with formation of blood clots (thrombophlebitis), often associated with an injury, a pregnancy (even use of birth-control pills or hormones), or a surgical operation. When a newly formed blood clot breaks loose, and floats through the veins to the heart and lungs, it is called a Pulmonary embolus, which may sometimes be fatal within minutes. More commonly, the blood clot remains in place locally, and heals by becoming a scar, which permanently damages the vein. Once damaged, the veins cannot fully function to return blood to the heart, and increased venous pressure in the legs causes swelling, impaired circulation in the skin, and sometimes skin breakdown. Obesity is a major risk factor in development of VTE, and may also aggravate the increased venous pressure in the legs.
Degenerative disc disease is a progressive “wearing-out” of the cartilaginous disks between the vertebral bones of the spine. It occurs more often and earlier in life in obese persons, due to the markedly increased mechanical stress on the disks from the extra weight. Its most common sign is chronic low back pain, which may be disabling. This condition is also associated with sciatica, lumbar spondylosis, and spinal stenosis.
Degenerative disease of the weight bearing joints, or osteoarthritis, affecting the hips, knees, ankles and feet, occurs earlier in life, and in greater degree, in obese individuals, due to the mechanical stresses of excess weight. Joint pain, loss of mobility, and joint replacement surgery are much more likely in obese persons