Surgical Treatments for Obesity and Weight Management
Obesity is a growing problem in America. Despite the abundance of diets, weight loss drugs, and miracle exercise products Americans continue to gain weight. Most obese individuals have tried each of these weight loss methods before without any success. What, if any, are their options? This paper will review new surgical treatments for obesity and weight management; gastric banding and vertical banded gastroplasty. It will look at the procedure, the rationale, effectiveness, complications and lifestyle changes that follow gastric banding procedures.
Gastric banding and vertical banded gastroplasty seek to promote weight loss in the
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These surgical procedures seek to advocate weight loss through the severe restriction of food intake. The food pouch only hold between 1-3 ml of food, which is equivalent to about ½ of a cup at any one meal. This amount of food can be ingested without discomfort and will give a feeling of satiation. Any amount of food over this limit will be expelled from the person almost immediately and cause great feelings of discomfort. The theory is that by restricting food intake and providing the feeling of satiation much more quickly, that obese people will be able to finally lose the weight necessary to maintain good health. After the first several weeks on a liquid diet, the person can resume normal eating habits that are within the intake range.
Many Internet sites and doctors who perform these procedures tout these gastric banding procedures as the most effective way to lose weight and maintain weight loss for the obese patient. They claim that there are few if any complications and that almost all patients are able to meet and sustain their weight loss goals. On the surface it looks like these new surgical procedures are the best method of weight loss for the obese patient, but it sound like this is too good to be true. The next sections of this paper will try and determine whether these claims about effectiveness and complications are true, and whether there are significant lifestyle changes that must take
Cause and effect; why or why not weight loss surgery? Studies shows there are many cause and effect to each weight loss surgery. There are also different kinds of surgery one is the Gastric Bypass Surgery and the Gastric Sleeve Surgery. Gastric bypass surgery refers to a surgical procedure in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch and then the small intestine is rearranged to connect to both. The gastric sleeve however is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube-like structure. If surgery could eliminate obesity, then why is America still known as the most obese country in the world. Wouldn’t more and more people that are overweight have surgery?
“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.
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 or bariatric surgery, as defined by the American Society for Metabolic and Bariatric Surgery, is a surgery that “works by changing the anatomy of your gastrointestinal tract” or by “causing different physiologic changes in your body that change your energy balance and fat metabolism.” Weight loss surgery ultimately changes a person’s desire
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
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 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
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.,
VBG was 1 of the 2 operations (along with RYGB) advocated in the 1991 NIH consensus conference statement. In the late 1980s and early 1990s, it was the most common surgical procedure for obesity but is now much less common than gastric bypass. The VBG was first performed in 1980 by Mason and reported in 1982. Since that time it has undergone several modifications (Tessier & Eagon,
“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.
Many people seek for extreme measures with surgical support. Liposuction is the most common procedure yet others prefer reducing the size of the stomach restricting the amount of food one can consume. Surgery is a guarantee for removing excess body fat. Liposuction is a plastic surgery technique removing fats through a suction tube. Other procedures that is available for weight loss is the Gastric Bypass and the Lapband. Gastric Bypass surgery basically creates a smaller stomach from the existing one with aid from staples. The lapband seems to be much more preferable because this method does not require staples. Instead, a band is placed around the stomach and is able to be removed or easily adjusted. Additionally is a common technique, Mesotherapy. This method is a non-surgical procedure that contains numerous injections into the fat and tissue underneath the skin. These injections contain medicines, vitamins, and minerals to diminish cellulite and excess weight. Nothing else is more extreme than surgery. Obese individuals will have to resort to the proposition to transform their eating habits.
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
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
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