Bariatric surgeries are becoming a preferred mode of weight loss all over the world include New York City. The reasons behind this are the increase safety and effectiveness of these procedures. Three main types of weight loss surgeries are performed: gastric banding, gastric bypass and sleeve gastrectomy. Both similarities and difference exist among these techniques. Lap-band and laparoscopic sleeve gastrectomy are associated with better outcomes than the bypass procedure.
Surgical options for weight should only come in when all the other methods have been exhausted. The general recommendation is that conservative options should be tried out for at least 6 months. Dietary modification is one of the approaches that have been shown to be quite effective in achieving weight loss. One should strive to reduce their consumption of fats and carbohydrates and increase that of vegetables and fruits. Regular physical exercise also has a role to play.
You need to have a discussion with your doctor before choosing between the banding procedure and gastrectomy. Benefits and risks need to be considered for one to make an informed decision. In general, the main similarity between these two techniques is the fact that both can be done by accessing the abdomen through the laparoscopic technique or through the open technique. The main difference is that banding is reversible while gastrectomy is not.
During the open procedure, a large incision running from the epigastric area to the pubic region is made. The surgeon can visualize the stomach through this incision and place the band directly. When the laparoscopic option is used, on the other hand, very small incisions are created in the anterior abdominal region. These incisions (also known as ports) are used for the entry of instruments.
Gastrectomy is simply the cutting and removal of a segment of a stomach. In a single operation, between 75 and 80% is usually removed. What is left behind is a small pouch that takes the shape of a sleeve (thus the name of the operation). The laparoscopic method is preferred over the open technique. Once the required part has been cut off, the rest is stitched back using sutures or stitches.
A number of complications may occur following these operations. Excessive bleeding, injury to internal organs and post-operative infections are among the most commonly encountered. In rare circumstances, the staples or stitches used during the operation may come off. Leakage of foods and acids may then ensue and cause chemical injury to other organs. Nausea and vomiting will be experienced if the squeeze of the band is too much.
When the size of the stomach is reduced, the amount of food that can be consumed by an individual is also reduced. Smaller stomachs tend to fill faster hence the individual will experience early satiety. When 80% of the organ is removed, a significant size or the surface area is also removed meaning that the absorptive capacity is reduced. The end result of all these is steady weight loss whose effects will become evident within weeks and months.
There are a number of conditions that may increase the risk of these operations. Patients with hormonal imbalance (such as hyperthyroidism) and metabolic conditions (such as diabetes) need to have these problems solved first before they have the operation. Apart from the systemic conditions, diseases that affect the stomach may delay healing and lead to poor outcomes. Examples include inflammatory bowel disease and peptic ulcer disease. These too have to be managed beforehand.
Surgical options for weight should only come in when all the other methods have been exhausted. The general recommendation is that conservative options should be tried out for at least 6 months. Dietary modification is one of the approaches that have been shown to be quite effective in achieving weight loss. One should strive to reduce their consumption of fats and carbohydrates and increase that of vegetables and fruits. Regular physical exercise also has a role to play.
You need to have a discussion with your doctor before choosing between the banding procedure and gastrectomy. Benefits and risks need to be considered for one to make an informed decision. In general, the main similarity between these two techniques is the fact that both can be done by accessing the abdomen through the laparoscopic technique or through the open technique. The main difference is that banding is reversible while gastrectomy is not.
During the open procedure, a large incision running from the epigastric area to the pubic region is made. The surgeon can visualize the stomach through this incision and place the band directly. When the laparoscopic option is used, on the other hand, very small incisions are created in the anterior abdominal region. These incisions (also known as ports) are used for the entry of instruments.
Gastrectomy is simply the cutting and removal of a segment of a stomach. In a single operation, between 75 and 80% is usually removed. What is left behind is a small pouch that takes the shape of a sleeve (thus the name of the operation). The laparoscopic method is preferred over the open technique. Once the required part has been cut off, the rest is stitched back using sutures or stitches.
A number of complications may occur following these operations. Excessive bleeding, injury to internal organs and post-operative infections are among the most commonly encountered. In rare circumstances, the staples or stitches used during the operation may come off. Leakage of foods and acids may then ensue and cause chemical injury to other organs. Nausea and vomiting will be experienced if the squeeze of the band is too much.
When the size of the stomach is reduced, the amount of food that can be consumed by an individual is also reduced. Smaller stomachs tend to fill faster hence the individual will experience early satiety. When 80% of the organ is removed, a significant size or the surface area is also removed meaning that the absorptive capacity is reduced. The end result of all these is steady weight loss whose effects will become evident within weeks and months.
There are a number of conditions that may increase the risk of these operations. Patients with hormonal imbalance (such as hyperthyroidism) and metabolic conditions (such as diabetes) need to have these problems solved first before they have the operation. Apart from the systemic conditions, diseases that affect the stomach may delay healing and lead to poor outcomes. Examples include inflammatory bowel disease and peptic ulcer disease. These too have to be managed beforehand.
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