Bariatric Surgery Debate

An estimated 97 million adults in the United States are overweight or obese (Klein 2000). “"Affecting one in five Americans – or more than 22 percent of the U.S. population – obesity is one of the most pervasive health problems in our nation right now," said George L. Blackburn, M.D., Ph.D., associate professor of surgery and associate director of the Division of Nutrition at Harvard Medical School/Beth Israel Deaconess Hospital, Boston, Massachusetts. "We need to implement steps to slow the progression of this national epidemic” (NAASO 1999). But the problem of obesity does not only affect the United States. "We now know that the growing prevalence of obesity is creating major health problems worldwide," said Dr. James O. Hill, president of the North American Association for the Study of Obesity (NAASO) and Professor of Pediatrics and Medicine at the University of Colorado Health Sciences Center. Obesity was once regarded as unique to Americans, but it is now seen as a global health risk affecting developing and underdeveloped countries (AOA 2000). Obesity is increasing at an epidemic rate in the United States - 1.3% a year for women over 20. Rates of obesity among minority populations, including African-Americans and Hispanic Americans are especially high (AOA 2000). There is also a marked increase in obesity among children.

Benefit of bariatric surgery is that overweight patients lose excess Body fat. Another benefit is that obesity related health conditions often improve or are eliminated because of this loss weight. The common conditions are diabetes, severe arthritis, high blood pressure and sleep apnea which often improve after a patient undergoes bariatric surgery. For some, weight loss surgery can even be a lifesaving process. Noticeably, weight reduction surgery also conveys dangers. They are quite negligible. Truth be told, weight reduction surgery carries a risk that is proportional to having your hip supplanted. That

This literature review will look into obesity in pregnancy and the influences its has on maternity care. The review will explore specifically health promotion including weight, dietary and exercise advice given to obese women, and will explore the challenges that come with giving weight related advice for the midwife and the women involved.

Obesity in the United States continues growing alarmingly. Approximately 66 % of adults and 33 % of children and teenagers in the US are overweight. Obesity is the result of fat accumulated over time due to the lack of a balanced diet and exercise. An adult with a BMI (body mass index) higher than thirty percent is considered obese (Whitney & Rolfes, 2011, pg. 271).

Obesity in pregnant women is a global concern. In The United States, obesity is a critical public health issue—one in every three women is obese (Masho, et al). This issue becomes crucial in the context that 36% of pregnant women in the United States are obese (Shub, et al). Studies show a strong association between maternal obesity and health risks during pregnancy and labor. In addition, a disconnect in perception and awareness exists such that most obese pregnant women who gain weight during pregnancy underestimate their Body Mass Index (BMI); and also have poor knowledge about the risk associated with obesity.

“I think I may go out on the town today and see what kind of fun things I can do.” Mommy look at that fat girl, fat people shouldn’t be allowed out, quack quack waddle fat girl, hey shamu go back to the water. These are some of the things that I have endured and heard on a day-to-day when going out in public as an obese individual. Like myself, a lot of other obese individuals have embarked on many failed weight loss attempts only to gain instead of lose weight. Bariatric Surgery is a great lifelong tool to help aid in weight loss and manage the success;, however, many individuals shy away from the surgery because many health professionals only state the risks over the benefits. Bariatric surgery has become very popular in the United States, but there are many factors to consider such as the risks and benefits, success rates, and procedure options offered. Bariatric surgery has afforded many obese individuals a new lease on life. Medical doctors and insurance companies seem to be down playing the benefits as a way to keep patients with many obesity related ailments to keep them in business. The benefits that bariatric surgery has greatly outweigh the risks and allows for new beginnings.

According to the National Health and Nutrition Examination Survey (NHANES) from 2011-2012, more than 34% of all adults are obese in that their BMI exceeds 24 (Ogden, Carroll, Kit, & Flegal, 2014). Interestingly, though this prevalence is high, it seems as though there has not been an increase since the same study done from 2003-2004. This seems to imply that we have plateaued at the peak that we have been rising towards since 1976 (Ogden, Carroll, Kit, & Flegal, 2014). To take this further, during the time of increasing incidences, in a study done from 1990-2004, it was seen that “the incidence of maternal obesity at the start of pregnancy [was] increasing and accelerating” which corresponds with the previous study’s findings (Heslehurst, et al.,

Weight loss surgery, also known as bariatric surgery is recommended by many physicians to people who are unable to benefit from traditional weight loss methods. However, choosing to undergo weight loss surgery isn’t an easy decision. It is an important decision that will drastically and permanently impact a person’s life. Therefore, before making such a significant decision, an individual should be aware of both the risks and benefits associated with weight loss surgery (McGowan & Chopra ix).

Surgeons’ have an easy approach to doing the surgery. They have more of the right tools to do the procedure with. It results in the surgery being done correctly. Those who have gastric bypass know it is not an easy ticket out. This surgery is to help reduce and keep weight off; those that experienced it have to manage their diet, physical activity and psychological change. There required to think positive about their weight loss approach. Although, many insurers cover this surgery (“Is”). Most people who qualify are afraid to get the procedures, but bariatric surgery has been proven to be effective” Is gastric surgery the solution to America’s Obesity problem? Well for most of it yes, according to research more people are starting to get gastric surgery than a little bit. There are more people who have decided to get this procedure done. However, obesity may explain why weight loss interventions accumulate financial and social support in the past may prove to be the ultimate expansion of gastric surgery

In order to determine if ongoing lifestyle and nutrition training over time has a significant effect on BMI, after a successful gastric bypass surgery, it is imperative to look for studies that focused on the problem. However, the best way to determine the solution to the problem highlighted earlier is to analyze the results of randomized controlled trials. In order to accomplish this goal, the proponent of the study utilized search engines like ePub and Google Scholar in order to look for studies that satisfy the aforementioned requirements.

The perinatal adversities seen in women with LMW highlights a nutritional or constitutional mechanism of these complications. The data by Ehrenberg et.al (2003) suggests that “the contribution of maternal weight gain in pregnancy is a predominant influence among complications such as prematurity, preterm labor, and LBW”. Weight gained in pregnancy can be considered a crucial predictor of adverse outcomes than weight or BMI at delivery (Ehrenberg et.al 2003). Inadequate GWG in pregnancy may bring forth nutritional deficiencies that increases the predisposition to preterm delivery (Ehrenberg et.al 2003). In terms of prematurity, Ehrenberg et.al (2003) found that the effect of GWG during pregnancy is greater than the influence of

Bariatric Surgery is derived from the Greek words "weight" and "treatment". Bariatric Surgeries are major gastrointestinal operations that seal off most of the stomach to reduce the amount of food one can eat and they rearrange the small intestine to reduce the calories the bodies can absorb. Weight loss operations fall into three categories. The first category is the Restrictive procedures make the stomach smaller to limit the amount of food intake. The second category is the Malabsorptive techniques reduce the amount of intestine that comes in contact with food so that the body absorbs fewer calories and the third category is a combination of the operations that employ both restriction and malabsorption.

Only a few studies in nursing research provide some kind of study that looks into experiences of patients who choose to undergo bariatric surgical procedures or investigation. Within the growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providers initiate and Evaluate necessary changes in practice that will enhance the well-being and health of patients that undergo this procedure. With the current increase in the rate of obesity, people have now turned to bariatric surgery because they

According to Brody (2017) having surgery to get rid of fat is more effective than trying to do exercise and having a diet because it’s not about the willpower of the people, it is because a body prone to obesity defends itself from losing weight. By drastically reducing its metabolic rate, however, that isn’t an effect present after the bariatric surgery which makes it more effective than having a diet. A group of people that had bariatric surgery reported that they feel healthier emotionally, physically, and socially. They were also less likely to have problems concerning their mobility, having pain and etc. The surgery normalized blood sugar levels, blood pressure, and blood lipid levels. Brody (2017) argues that the surgery won’t cure

Bariatric surgery sometimes leads to complications, so one needs to choose the right surgeon with a decent experience.