What Is Bariatric Surgery
Bariatric surgery is a key hole / laparoscopic procedure to increase body’s metabolism by stimulating gut hormones. The stomach size is reduced and the passage of food in intestine is altered to achieve the desired result.
No fat is removed in this procedure. It’s not same as liposuction where in fat below skin is sucked out using special technique.
Bariatric Surgeries are restrictive, malabsorptive or a combination of both.
Restrictive Surgeries make the stomach smaller, helping the person consume less food and feel full sooner.
Malabsorptive Surgeries bypass part of the digestive system so fewer calories are absorbed from food.
What are the most common types of Bariatric Surgeries?
Laparoscopic Gastric Sleeve Resection
What is Laparoscopic Gastric Sleeve resection?
It is a bariatric procedure in which the outer crescent of the stomach is removed, and the stomach’s ability to hold food is severely reduced at the end of the procedure, leaving behind a tube-like stomach. As a result of the stomach’s reduced capacity to hold food, people’s ability to swallow food declines, resulting in weight loss over time.
How is the procedure performed?
A Laparoscope (a tiny instrument with a thin tube and camera at the end) and other equipment are inserted into 5 to 6 small incisions to do the process.
The procedure comprises removing 2/3 of the stomach on the left side using laparoscopic methods and endoscopic staplers. As a result, the stomach takes on a tube-like form (similar to a hockey stick), restricting the stomach’s capacity to store food. The entire process is carried out after the patient has been given anaesthesia, and because he is unconscious during the procedure, he experiences no discomfort.
Who should opt for this procedure and why is it performed?
>> People who eat a lot of food, are 30 kg overweight, or have a BMI of more than 32 and suffer from co-morbidities.
What are the benefits of going through with the procedure?
The following are some
of the procedure’s advantages:
-A 60-70 percent weight loss is assured.
– The ability to manage related co-morbidities improves.
– This is an option for those who aren’t eligible for malabsorptive or other
combination therapies.
How does this procedure aid in weight loss?
This is a restrictive surgery that substantially reduces the size of the stomach, reducing the stomach’s ability to retain food, leading in a decrease in appetite and, as a result, the individual consumes less food. The procedure also reduces the release of ghrelin, the “hunger hormone,” which causes a decrease in appetite and, as a result, weight loss. Many studies have shown that the benefits of this strategy may last up to three years and that it can help you lose a lot of weight
Laparoscopic Gastric Bypass
What is Laparoscopic Gastric Bypass?
How is the procedure performed?
In laparoscopic gastric bypass surgery, which is considered one of the
most effective weight loss procedures, the surgeon staples the upper section of
the stomach, resulting in a smaller stomach pouch. The smaller stomach pouch
reduces food consumption.
This little stomach pouch is connected to a section of the small intestine
called the jejunum, which allows food to skip the lower stomach. As a result of
this procedure, the amount of calories that the body can absorb is lowered,
which is known as malabsorption. This surgery is also known as a Roux-en-Y
bypass.
What are the benefits of the surgery?
The following are some of the advantages of
the surgery: When compared to other restrictive
therapies, the procedure increases the average pace of weight loss if you
completely follow the instructions.
According to research, a year following surgery, a person’s weight loss
percentage is 77 percent.
According to research, patients retain 50 to 60 percent of their excess weight
loss 10 to 15 years after therapy.
According to research, back discomfort, high blood pressure, and depression
were all alleviated in 96 percent of those who had the operation.
How is the procedure carried out?
5 to 6 small incisions are made, and a Laparoscope (a narrow tube with a camera at the end) is inserted through those incisions. Once the surgeon has clear visuals from the Laparoscope, surgical instruments are inserted through other incisions, and the top portion of the stomach pouch is stapled, and the section of smaller stomach pouch is connected to the small intestine, facilitating the malabsorption process. During the procedure, anaesthesia is employed.
Laparoscopic
adjustable gastric banding
What is Laparoscopic adjustable gastric
banding?
The laparoscopic adjustable gastric banding (LAGB) procedure is a type of bariatric surgery. It’s performed in the same way as other Laparoscopic surgeries, using small incisions. The surgeon wraps a small adjustable band around the top of the stomach, causing the stomach pouch to shrink and resulting in less food consumption and weight loss.
Who needs Laparoscopic adjustable gastric banding surgery?
This operation is required for those who have obesity difficulties, abnormal weight gain, or a BMI of more than 40.
How is the procedure carried out and how should one prepare for it?
The procedure takes 30 to 60 minutes to complete and is performed under
anaesthesia. The surgeon makes tiny incisions in the upper abdomen and inserts
a Laparoscope (a little tube with a camera at the end) to examine the stomach.
Through the incisions, more surgical equipment is inserted, and an adjustable
band is wrapped around the upper stomach pouch.
The doctor will advise the patient to cease taking any extra medications, such
as blood thinners or diabetic medications, before surgery. If the patient
smokes or consumes tobacco in any other form, it is suggested that he or she
stops since tobacco consumption slows healing following surgery.
how long does it take and what are the benefits?
·
The recuperation period is reduced due to the
little incisions created during the treatment.
If all of the patient’s vital signs are normal, he may be dismissed the same
day.
According to studies, the participants lose up to 40 percent to 50 percent of
their extra weight after surgery.
Because the operation is reversible, there is no disruption to natural anatomy.
When compared to an open treatment, the discomfort of surgical wounds after
surgery is less, and recuperation is very swift.
The patient can resume normal activities in 2 to 3 weeks.
During the initial few weeks after recuperation, the doctor may urge the
patient to have blood work and different tests done to check their health.
·
In terms of eating, the patient must first
adhere to a particular diet, which includes a transition from liquid to pureed
foods. After that, the patient can begin eating softer foods and gradually
progress to typical foods as their tolerance improves.
Doctors will prescribe multi vitamin and multi mineral tablets to help bridge
the nutritional deficit and boost recuperation during the healing process.
Iron, calcium, and vitamin B12 may be among the vitamins and minerals given.
Patients will make good progress.
tritional deficits. Among the nutrients are iron, calcium, and vitamin B12.