The number of gastric bypass surgeries has been increased in the last few years and it is considered the ‘‘gold standard’’ of bariatric operations. Bariatric operation or weight reduction surgery is recommended mainly for people whose BMI exceeds 40 kg/m2 as reported by the National Institutes of Health Consensus Development Program, or for those whose BMI is between 35 – 40 40 kg/m2 and who are have life-threatening complications such as cardiac problems (Franco et al., 2011). On the one hand, traditional treatments for weight loss such as lifestyle change do not work for some people. On the other hand, bariatric surgeries have emerged as an effective and safe treatment for obesity; most patients lose 60% of their weight within the first year (Lemmens et al., 2014). Three procedures are commonly performed: laparoscopic Roux-en-Y gastric bypass (LRYGB), the novel laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB). Of these, the Roux-en-Y gastric bypass is the most common (Franco et al., 2011). …show more content…
However, it is technically a complicated and irreversible procedure, especially when done laparoscopically. Roux-en-Y technique consists of three stages: reduction, malabsorption, and appetite loss. In the reduction stage, the upper part of the stomach is incised, creating a small pouch that can hold only 20-30 ml of food. A portion of the small intestine is then cut and attached to the stomach pouch so the food goes directly to the jejunum (distal part of small intestine). This step of the surgery causes the malabsorption especially from fat. Another contributor to low caloric intake is the decrease in a peptide hormone called ghrelin which suppresses the appetite (Marmuse & Parenti,
A gastric bypass weight loss program is for those who are recuperating from gastric bypass surgery to assist them to heal and alter bad eating habits. Gastric bypass surgery is among several weight-loss surgical procedures presently carried out. The operation itself has gone through several modifications through the years. The process being used today is known as the Roux-en-Y gastric bypass. It should not be mistaken with other weight-loss surgical procedures, like the biliopancreatic diversion with duodenal switch, that is a more aggressive surgery. Your physician or perhaps a registered dietitian will talk to you concerning the diet you will need to follow after surgery, explaining what kinds
In Bijal P. Trivedi’s report, “The Bypass Cure” she details the history of gastric bypass surgery, its effect on type 2 diabetes, and the how one doctor is using his understanding of modern gastric bypass applications to save the life’s of his patients. The patient, Nancy Rubio was nearly twice the normal weight of a person her height. Her weight had slowly increased throughout her life, due to her unhealthy diet and having two kids. She eventually developed type two diabetes, which then led to other health issues, such as arthritic knee pain, high blood pressure, cholesterol and blood sugar. Fearing for her life, Rubio opted to receive a modern version of the Roux-en-Y. The Roux-en-Y involves reducing the lining of the stomach to a small pouch, which reduces the patient’s appetite and eating. The pouch is then connected to the lower section of the intestine. Do the nature of the surgery Rubio will lose weight very fast, but miraculously have her type 2 diabetes become remitted or possibly abolished.
Rationale: Roux-en-Y gastric bypass surgery is a surgery that bypassed the distal stomach, duodenum, and proximal jejunum while creates a gastric pouch to help with drainage and to avoid bile reflex. After this surgery, patients will experience malabsorption including nutrition and medications. The absorption of the
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
The surgery is split into two parts. In part one the surgeon starts by making a small “pouch” in the stomach. During step one the surgeon will divide the stomach into large sections. The surgeon will make these portions by sewing or stapling it together which will then allow your stomach to only hold about one cup of food. The second part of surgery is the bypass. In part two the surgeon will then disconnect the new stomach pouch from majority of the stomach and first part of the small intestine. The surgeon will then connect it to another part of the small intestine a little further below. The technical term of the procedure is called a Roux-en-Y. The sewing or stapling and Roux-en-Y are usually completed during the
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
It has been demonstrated that obesity is associated with significantly lower Health related quality of life (HRQoL) (4). A continuing body of evidence suggest that bariatric surgery provides considerable and constant effects on weight loss and improves
Roux-enY gastric procedures are performed every day and with long-term success. This procedure reduces the stomach to an egg-sized pouch. Consequently, this limits the amount of food that is consumed at one time.
Obesity continues to increase in the United States and affect overall health and wellness. Adults with a body mass index (BMI) between 25 and 29.9 are overweight, while a BMI of 30 or higher is obese. In 2013, an estimated 57.6% of females were overweight or obese (Kaiser Family Foundation, 2013). With the rise in obesity, the rate of bariatric surgery has risen. There were an estimated 220,000 bariatric procedures performed in 2008 in the United States (Nicholas & May, 2010, p. 4).
One of these methods used procedures of Restriction that limited the consumption of calories while others concentrated on methods of Malabsorption that restricted the quantity of calories absorbed by the body. Therefore, in 1967, Ito and Mason at the University of Iowa performed the first Gastric Bypass surgery. The Gastric Bypass (Roux-en-Y limb of intestine RYGBP) was designed to have two ways to perform which is open and laparoscopic. It was based on the weight loss experimental group amongst patients experiencing fractional stomach elimination for ulcers. With that, RYGBP is the most common and long-term benefited surgery performed in the United States. Statistics show that approximately 140,000 gastric bypass procedures were conducted in the United States in 2005. In 1994, Drs. Wittgrove and Clark conveyed the first case of laparoscopic RYGBP. Nguyen and colleagues in 2001 were reported as a major trial and in 2004; a group from Murcia, Spain published their results.
Some of these people believe that bariatric surgery is a more promising method of managing diabetes (Chhabra, et. al., 2013). This solution is believed to have maximum effectiveness in moderately obese patients who are at risk for cardiovascular diseases. Since bariatric surgery offers rapid weight loss, researchers of this study believe this method is more effective and efficient than standard medicine and traditional diet and exercise plans. This rapid weight loss has been credited for effective diabetes management in addition to remission of the condition. However, although this option may look like an easy fix, it is not always as beneficial as it may appear. Between 25 and 40% of individuals with type 2 diabetes are not able to achieve or maintain normal blood glucose levels without medication following a bariatric surgery (Kashyap, & Schauer, 2012). This means that a significant number of type 2 diabetics who go through the trouble and expense of bariatric surgery, may be disappointed to find that they are not cured and still need to manage their disease after
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).
Bariatric surgeries will gain more popularity in the near future even in the under developed countries, where the incidence of diabetes is more compared to the rest of the world which is an interesting aspect of Bariatric surgery