Long-term weight loss is the desired end-result following gastric bypass surgery. However, this long-term goal is contingent upon lifestyle changes, including nutrition and exercise. More importantly, postoperative gastric bypass patients often have limited knowledge with regard to how to maximize weight loss. In order to measure changes and progress, two critical concepts to achieve optimal weight loss results are body mass index (BMI) and calculation of daily caloric intake. It is imperative to find out the status of respondents in post gastric bypass surgery (P), if ongoing nutrition and lifestyle training (I) compared to standard postoperative guidance (C) result in greater weight loss and decreased BMI (O) over a period of time (T)? …show more content…
. Gastric Bypass Surgery with Diet and Exercise Long-term weight loss results following gastric bypass are contingent upon lifestyle changes, including nutrition and exercise. Postoperative gastric bypass patients often have limited knowledge with regard to how to maximize weight loss. Two critical concepts to achieve optimal weight loss results are body mass index (BMI) and calculation of daily caloric intake. In adult women who are status post gastric bypass surgery (P), does ongoing nutrition and lifestyle training (I) compared to standard postoperative guidance (C) result in greater weight loss and decreased BMI (O) over the period of one year (T)? Expected outcomes of this proposed EBP change include an increase in patient knowledge of healthy nutrition and lifestyle choices designed to maximize weight loss and BMI reduction. Literature Search 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. Literature Review At
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
P: The patient (population) in this particular study is the post operative gastric bypass patient.
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
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.)
An important element of long-term health and weight loss success is the development of an integrated multidisciplinary education program. Such a program must be aimed at teaching both parents and patients about the anatomic and physiologic features of the proposed surgery and the lifelong need for strict adherence to nutritional guidelines and daily physical activity and offering behavioral strategies to meet these needs. Attendance at adolescent bariatric support group meetings before and after surgery can also be quite helpful (Inge et al.,
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
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
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
In accordance with the previous findings, one particular trial (Cohen et al., 2012) specifically examined the long term effect of Roux-en-Y gastric bypass surgery on patients with T2DM with Class I obesity (BMI between 30-35 kg/m2). The study followed 66 patients who underwent this procedure for a period of six years and found that 88% of the participants were able to achieve euglycemia without the use of standard diabetic therapy and 11 % had an improvement in glycemic control in comparison to standard therapy (Cohen et al., 2012). Interestingly, the study (Cohen et al., 2012) points out that there was an improvement in Beta cell function in the pancrease due to an increase in C-peptide response to glucose after the procedure.
Gastric bypass surgery has been found to be profoundly helpful for some morbidly obese individuals who have struggled to reach a healthy weight using the tools of diet and exercise alone. However, the surgery is a serious undertaking and should not be regarded as a 'quick fix.' One of the most common complications of gastric bypass surgery is malabsorption syndrome. To some extent, the purpose of the surgery is interrelated with this unpleasant 'side effect.' Through the surgery, "the food stream is rerouted so that approximately 60% of the small intestine (the primary site for the absorption of nutrients) is bypassed" (Bariatric Surgery, 2013, ASMB). Because food is in contact with the small intestine for a shorter period of time than in normal individuals, fewer nutrients can be used by the body. On one hand, this has a positive effect in the sense that fewer calories and carbohydrates are available. On the other hand, this also means that fewer vital nutrients can be extracted to support vital life functions. Patients must often consume nutritional supplements to counteract this effect of the surgery.
operation limits “food intake by creating a narrow passage from the upper part of the stomach
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
This is considered one of the big controversial issues in regards to weight loss surgery. Prospective patients and their loved ones worry about the risks that occur with every surgery ranging from infection to in rare cases, death. There is little reason to worry because this process goes through a lot of precautions and preparations and the doctor will explain to his or her patients what the best option is for each patient, and how he or she will do the surgery they choose to perform on the patient. Doctor Jim Harris, General Surgeon who has performed weight loss surgeries since 2002, said in regards to what happens in the preoperative meeting before surgery is that “I talk about weight loss surgery, how they are performed, what the risks are, and the benefits. We talk about average weight losses and what it takes to succeed long term.” He explains to his patients everything they need to know about how the surgery is done, what is right for them, and any other things he or she wants to know, like the post surgical diet (Harris). This would make the patient feel a lot less stressed about the surgery because they can see that the surgeon is a very informed doctor. Complications with surgery can be worrisome as well, but as long as an early diagnosis is made, the complication will not evolve into something worse (Hernádez & Boza, 2016, p. 16). In other words, any complications that happen
Morbid obesity, which is also called extreme obesity or class III, is defined as an individual having a BMI of 40 kg/m2 or greater. This classification is made based on increased risk for comorbidities, including hypertension, cardiovascular disease, sleep apnea, gallbladder disease, metabolic syndrome, type II diabetes mellitus, hyperlipidemia, osteoarthritis, nonalcoholic fatty liver disease, hormonal cancers, and depression, among others.1