Essay On Co-Morbidity

There seem to be an increasing application of Roen-en-Y gastric bypass today by some surgeons. This is a restrictive procedure that has minimal mal-absorption issues and it makes part of an array of bariatric surgeries. However, the most commonly used procedure is biliopancreatic diversion or Scopinaro, which have been used for more than two decades and are popular in with many surgeons more so in the developing countries. This process is intended to inhibit absorption of fat in a bid to trigger massive weight loss in patients who are morbidly obese. It restricts gastric thereby diverting bile and pancreatic fluids to the distal ileum (Consensus Development Conference Panel, 1991). This procedure therefore exposes a limited area of small bowel for the absorption of nutrients that need biliary and pancreatic fluids. The procedure and its variations are still common as indicated above including; biliopancreatic diversion with duodenal switch, which also result in malabsorption. It is however noted that most patients who undergo this procedure also experience severe protein and fat related malabsorption problems.

In their meta-analysis, Treadwell and colleagues reviewed post–gastric bypass complications in six studies that included a total of 131 patients. No operation related hospital deaths occurred, but one death occurred in a child 9 months after gastric bypass who contracted severe Clostridium difficile colitis and experienced multisystem organ failure. Shock, pulmonary embolism, postoperative bleeding, severe malnutrition, and bowel obstruction occurred postoperatively, but because of variability in the way these complications were reported, the authors of the meta-analysis were unable to calculate actual incidences. Protein-calorie malnutrition and micronutrient deficiency were also reported, but their overall incidence in adolescents was unclear

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).

Gastric Sleeve Surgery, also known as the sleeve gastrectomy, has become a popular choice for patients seeking excelling weight loss in a straightforward procedure that doesn't require maintenance and long-term complication rates of a Lap Band. On January 1st, 2010 United Healthcare added gastric sleeve surgery to their list of covered surgeries for weight loss. Over the following two years, almost every other major insurance company followed suit. From 2010 to 2015 gastric sleeves became the fastest growing bariatric surgery procedure. (www.obesitycoverage.com.)

When it comes to surgery, there is an intensive pre-operative and post-operative procedure to ensure that the patient is well-prepared and healing mentally and physically, respectively. Now depending on the type of surgery performed, there are a specific set of health risks. Two types of weight loss surgery are currently being utilized, Roux-en-Y gastric bypass, a form of stomach stapling to curb food intake, and adjustable gastric banding, a placing of an adjustable band around the stomach to restrict food intake. With Roux-en Y Gastric Bypass, the health risks include Infection at incision points, narrowed links between the stomach and the intestines, loosened staples, vomiting, diarrhea, and hernia. Gastric Banding has health risks, including bleeding, infection, erosion of the band into the inside of the stomach, blockage of the stoma, and band slippage, occurring when moderate food intake does not take place, thus inducing vomiting. Other concerns for both these types of surgery is the after effect and the true effectiveness of the procedure, and the careful and strict adherence to diet, exercise, mental support groups, body contouring, etc. A 2006 group of obese teens who have undergone surgery will be interviewed again in 2011 to determine the actual effectiveness of their

Gastric bypass is a surgical procedure that involves removing a large chunk of your stomach and attaching the remainder to your small intestine, making you feel full with less food. I’ve chosen this weight loss surgery as the method for you because of its speedy surgery and easiness. In the article “Reversal of Type 2 Diabetes Mellitus

“Bariatrics is the branch of medicine that focuses on the causes, prevention, and treatment of obesity” (“Medical Dictionary,” 2015). Bariatric surgery is a specific discourse community connecting individuals through mutual interests, shared knowledge, and expertise of treating obese populations. The field of bariatric surgery is a discourse community with several purposes. It encourages innovative surgical and nonsurgical solutions in obesity care. It formulates hypotheses and develops and conducts experimental designs to test the hypotheses’ reliability and validity. Furthermore, it aims to stimulate discussion about its findings.

It is possible that gastric bypass surgery will work for some, but it will not work for everyone. Eating disorders derive from multiple factors such as biological, psychological and environmental; Gastric bypass surgery does not help with a mental issue. Gastric bypass surgery could help or slow down the increasing obesity problem, but it is by far not a means to an end. Education, support, and medication is needed to help the obesity predicament in the United

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

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

Feld et al (2003) randomized thirty obese patients undergoing gastric bypass into two groups: one receiving sevoflurane and fentanyl while the other group received a sevoflurane and non-opioid regimen. The non-opioid regimen

A randomized controlled trial carried out by Ikramuddin et al. (2013) compared conventional standard therapy with lifestyle modification to a single type of Bariatric operation (Roux-en-Y gastric procedure [RYGB]) and measured the effect on glucose control in patients with T2DM. The key outcome and measure of this study with respect to glycemic control was to attain a target HbA1c level below 7% (Ikramuddin et al., 2013). At baseline, these patients had

operation limits “food intake by creating a narrow passage from the upper part of the stomach

Those who desire to lose weight should focus on the health risks, if any, which are associated with their chosen method to lose the weight. One of the most common illnesses associated with Gastric Bypass Surgery is Dumping Syndrome. Dumping Syndrome is when foods move quickly from your stomach to your bowel. According to the staff at the Mayo Clinic “Most people with dumping syndrome develop signs and symptoms, such as abdominal cramps and diarrhea, 10 to 30 minutes after eating.” Another common issue a surgery patient has after a procedure is the lack of supplements. Since the food is dumped quickly because of Dumping Syndrome the body doesn’t have a chance to

A rising health epidemic that America is currently facing today is obesity. This is becoming very wide spread among all races and class levels due in part to the abundance of inexpensive food available, most notably, fast food restraints . There are literally thousands of diet books available but due to the extreme will power many of these programs demand, more and more people are turning to weight loss surgery as a final solution. The most popular procedures being Gastric Bypass, and Lap Band surgery. Although these are now fairly common procedures with a high rate of success there are also many differences that one should consider when choosing which would be a better fit for themselves . Three of the biggest differences would be