Vertical Sleeve Gastrectomy Research Paper

There seem to be an increasing application of Roen-en-Y gastric bypass today by some surgeons. This is a restrictive procedure that has minimal mal-absorption issues and it makes part of an array of bariatric surgeries. However, the most commonly used procedure is biliopancreatic diversion or Scopinaro, which have been used for more than two decades and are popular in with many surgeons more so in the developing countries. This process is intended to inhibit absorption of fat in a bid to trigger massive weight loss in patients who are morbidly obese. It restricts gastric thereby diverting bile and pancreatic fluids to the distal ileum (Consensus Development Conference Panel, 1991). This procedure therefore exposes a limited area of small bowel for the absorption of nutrients that need biliary and pancreatic fluids. The procedure and its variations are still common as indicated above including; biliopancreatic diversion with duodenal switch, which also result in malabsorption. It is however noted that most patients who undergo this procedure also experience severe protein and fat related malabsorption problems.

In Gastric Sleeve the surgeon cuts about 15% of the size of the stomach and remove the excess. This procedure increase weight loos and doesn’t produce malabsorption. The average person loses 60-90 pounds of their excess weight. Patient with this type of surgery tend to be at risk of leakage and heartburn. There is little time of recovery and no need for adjustment.

Getting use to this new stomach and finding out what's is/isn't going to bother me is going to be a journey. 臘‍♀️

Restrictive bariatric surgery in Southern California like the sleeve involve removing a portion of the stomach that reduces it to the size of a banana. A laproscopic operation may be used with a recovery time estimated at four to six weeks. A meal plan of soft foods and nutritional liquids are necessary for the safe recovery process. You'll soon be back at work.

The majority of studies did not assess the expense of the surgery in comparison to the cumulative cost of life long standard therapy. Prospective studies should evaluate the costs associated with surgery to the patient and the healthcare system and weigh it against the benefits and risks associated with the procedure. Further data is is required to clarify if Bariatric surgery is an economically feasible option in comparison to the current direct and indirect costs associated with the treatment and management of

Malabsorptive/restrictive surgeries are more invasive surgeries that, in addition to restricting the size of the stomach, physically remove parts of the digestive tract, interfering with absorption of calories. An example of restrictive surgery is adjustable gastric banding also called lap band surgery . Stomach banding is the process of placing a synthetic band around the upper portion of the stomach. It works by creating a small "pouch" at the top of the stomach just below the esophagus, thus dramatically reducing the amount of food that can be eaten. The size of the opening to the stomach determines the amount of food that can be eaten. The size of the opening can be controlled by the surgeon by inflating or deflating the band through a port that is implanted beneath the skin on the abdomen. The band can be removed at any time. Another restrictive surgery is the sleeve gastrectomy. This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of

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

While there are several surgical options, there are two procedures that are most commonly perfomed. The gastric bypass procedure divides the patients stomach into two pieces, rerouting the large intestine to the smaller of the two pouches—limiting the amount of food a patient can eat, as well as reducing food absorption after indigestion (Groven et al 509). So, the gastric bypass surgery is not only the most commonly performed procedure, but it results in the most significant amount of weight loss (Groven et al 509). Another commonly performed and fairly new procedure is the sleeve gastrectomy. During a sleeve gastrectomy procedure, the surgeon removes 70-80% of the patient’s stomach, creating a tubular pouch that often resembles a banana—limiting the number of calories that can be absorbed (Gumbs et al 962). This new tubular stomach pouch holds a considerably smaller volume than the normal stomach, helping significantly reduce the amount of food that can be consumed, as well as reducing hunger and blood sugar levels (Gumbs et al 962). Although the gastric bypass and sleeve gastrectomy are the most common bariatric surgeries, every weight loss surgical procedure reduces caloric intake by modifying the anatomy of the gastrointestinal tract; therefore, resulting in not only weight loss but the loss or reduction of existing

Rationale: Gastric bypass operative procedures are a group of techniques that divides the stomach into a small upper pouch and a much larger lower pouch, then rearranges the small intestine so that it connects with both. There are a number of techniques to reconnect the intestine, but all lead to a considerable reduction in the volume of the stomach, also accompanied by an altered physiological response to food. Despite media advertising, these procedures are major surgeries that are usually only prescribed to treat morbid obesity, type-2 diabetes, serious hypertension or sleep apnea. Typically, 15% of patients have negative complications, and .5% dies within six months of surgery due to post-operative complications (USDHHS, 2009).

In the gastric sleeve surgery, the stomach is reduced to the “size of a banana” creating a thin vertical sleeve (Weight Loss Surgery Health Center: Gastric Sleeve Surgery, 2011). The stomach is removed during this surgery so it is not reversible. During the Roux-en-Y (RYGB) surgery, the stomach is made smaller and made into a new pouch that is roughly the size of an egg then connected to the middle portion of the small intestine. This type of surgery leads to less absorption of calories in the small intestine (Weight Loss Sugery Health Center: Roux-En-Y Gastric Bypass, 2011). In this method the surgery can be reversed for many reasons, typically due to

The perceived rise in attraction for gastric banding is not just due to the promised reduction of weight but also the reports by healthcare practitioners describing the supposed safety and results of a laparoscopic procedure such as gastric banding, and also a further lack of identifiable problems immediately after surgery, with difficulties tending to be relatively easily repairable. However, research conducted over an extended period of time has observed that impediments became more frequent, with subsequent surgeries required in order to repair damage. Findings also identified that a large faction of those who underwent the treatment exhibited very little change in their ability to lose weight. Whilst, it is evident within such studies that this procedure has not led to a high rate in deaths, a staggering fifty percent have undergone

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

3. Sleeve gastrectomy- This relatively new procedure is much easier and equals about half of all bariatric surgeries. A banana-shaped pouch is formed when the stomach is stapled vertically and 85 percent of the stomach is removed. Approximate cost is $19,000.00

The gastric sleeve, also known as a sleeve gastrectomy, is one of the latest procedures that allows a bariatric surgeon to remove more than half of the stomach itself. This leaves a narrow vertical sleeve-like tube to allow food, liquids and other nutrients to pass through. Due to the reduction in size of the stomach, less food is consumed thus making the patient become fuller. This is an irreversible surgery due to the removal of certain parts of the stomach. However, studies have been shown that this surgery causes a more favorable change in gut hormones

This surgery is reversible if the patient chooses to for whatever reason they might have. On the other hand Gastric Bypass surgery involves the stomach to be removed and put aside while the lower intestine is brought up to the bottom of the esophagus and a new 1oz pouch is created which will now be the new stomach. The patient can now only fit a very small amount into their stomach , however if for any reason, the patient is unsatisfied with the results this surgery is not reversible.