Other than mortality, survival analysis can be used for those patients having gastric bypass surgery. Many advertisements are geared toward the obese patients in my area, much weight loss clinical and more surgeons are performing gastric bypass surgery. We have designated an entire unit for gastric bypass patients. Survival is said to improve in patients who have surgery those who don’t (Seppa, 2015) Studies also at the 10 year mark after surgery the death rate was 23.9 percent among thse who didn’t have surgery and 13.8 % who had surgery ( Arterburn, et al., 2014). However many claim that after a couple years, most of the patients regain their weight and added extra pounds. Dr Arteburnan, an internist at the Group Health Research Institute in Seattle who studies obesity, stated that that they still do not know at 10 and 20 years what portion of patients kept their weight off (Arterburn et al., 2014). A survival analysis to study from time of surgery to and the length of time weight loss was maintained after reaching established weight loss goal should be done. Survival analysis can be used to study the probability of many timed outcomes (Institute for Work & Health, 2012). It can help make decisions in many situations The Kaplan –Meier survival curve and use to study return to work among workers with different injuries. This can be used in my hospital to make a decision to launch a return to work (RTW) program to assist worker to come back to work. Many employees are not
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?
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
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).
The actual weight falling off is great. Most of the people with this surgery do really well. Gastric bypass is considered the gold standard and one of the most commonly performed weight loss procedures (“Is ”). Some say that a lot of people die after getting this procedure. Although, in the U.S. 1 in 900 patients only die immediately, after surgery (Hartocollis). But it rarely found. How safe is gastric bypass? Some may argue that any level of risk is too high for the procedure; others would counter that not having surgery is far riskier (“Gastric…Best”). Patients who have this opinion are not ready for a commitment in their life. It is hard to make a change from recognizing something has to be done. Those who suffer with obesity can change their life for a good cause. Then, again patients are simply aren’t ready for the extreme life changes associated with bariatric 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
Gastric bypass surgery as a whole is not a quick fix for reducing one's weight, but is a lifelong struggle with strict adherence to the given diets and exercises every day to the letter. This is the reason why most, if not all, insurance companies have compulsory requirements to safeguard the individual's health and well-being in a long term view. Gastric Bypass is a surgical procession used to assistance a studious remove weight. It is customarily endorsed to assistance those who have been morbidly portly
I learned that “Gastric bypass” is irreversible and give the best result according to the video. The surgeon constructs a small stomach pouch and creates an outlet directly to the small intestine. An average patients can lose anywhere from 90-120lbs. As the stomach become smaller the person can feel full with less food, but the patient may have vitamin deficiency in the long run. In Gastric bypass there is no foreign object in the abdomen or need for adjustment. It’s effective, reliable
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).
The people that had gastric bypass lost sixty-four percent, while the other group lost thrity-six percent of the weight. There was no deaths and they had
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)?
A study that was conducted in Italy which consisted of a group of patients that underwen gastric band surgery and another group that underwent gastric bypass surgery, sought to see the long term effects that each distinvtive surgery had on the pateints, ten years after they ntially underwent it. What they found was that the pauitents in the gastric bypass group, loss a singinantly greater percetage of excess weight (69%) compared to the band pateints who lost 46% of their excess weight over the ten year span. It's also worth noting that they also obsevered that approxiamtely 40% of the band patents, needed more surgery, over the course of ten yeears, in comprarions to the gastric bypass
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.
The last effective way to lose extra weight would be resorting to surgical operations. In some cases, obese people may tend to do some surgeries to get rid of obesity because they do not want to follow a diet or even do exercising. Sleeve gastrectomy surgery is one of the surgeries that helps to shrink the size of the stomach which may prevent obese people from eating so much. “Weight loss surgery options explained” (2013) explained that sleeve gastrectomy surgery is one of the new ways to get rid of obesity by undergoing surgical operations. The digestive system is not affected by this surgery, which diminishes the chance of vitamins and proteins deprivation. In other words, the useful of nutrients for the body stay the same after this operation
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