Summary: Sleeve Gastrectomy

P: The patient (population) in this particular study is the post operative gastric bypass patient.

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 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.)

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).

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

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

Studies dating back as early as 1955 have noted that gastric bypass could affect the progression of diabetes in patients. It was not until 1977 that

Similar complications in both groups. After a year the people that had gastric bypass ,three fourth of the people was also diabetes

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 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

“Indeed, intermittent fasting might achieve much of the benefit seen with bariatric surgery, but without the costs, restriction on numbers and risks associated with surgery.”

The literature review was organized in a pattern that explained the difficulties one has after receiving bariatric surgery. The investigator incorporates previous studies completed that were relevant to this study. There was no apparent gap in the data that was presented. The investigator uses secondary sources and does not utilize any primary sources in displaying background data. Despite the rich data that the literature review contained, it was poorly organized and could have used the help of headings to better understand the investigator s ideas. The literature review was combined in with the introduction which made it difficult to read. Despite the confusion, the rationale for framing the research question was very clear and directly followed the literature review.

“The weight loss is impressive and, based on historical comparison, greater than vertical sleeve gastrectomy,” reported study

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

At some point during their career, nurses would probably care for patients who have undergone one of these 2 surgeries. I believe it is important from nursing standpoint to understand bariatric surgery and mostly know what the patient should expect after the operation in terms of success, side effects and potential complications.