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What You Should Know About Bariatric Weight Loss Surgery

By Sarah Johnson


A number of methods can be used to achieve weight loss. The most widely used options in New York involve the making of lifestyle changes including the adoption of healthier diets and engagement in regular physical exercise. These methods are safe and effective for a majority of people. Their main undoing is the fact that they take too long to work and may not be appropriate if one needs to shade off a significant proportion of their weight rapidly. Bariatric weight loss surgery is often the option in such cases.

Bariatric surgery is also known as a restrictive operation. This means that it limits the amount of food that the stomach can hold after a single meal. The amount of nutrients that are subsequently absorbed at the level of the intestines is reduced. Whatever is absorbed is mainly used to generate energy and very little ends up as storage in adipose tissues. Within days and weeks one begins to lose weight.

The two main forms of bariatric operations are gastric banding and sleeve gastrectomy. Although the two are slightly different in the manner in which they are performed, the results are more or less the same. The main difference is that banding is a reversible procedure while gastrectomy is not. The major similarity is that both reduce the size of the stomach.

Gastric banding is performed by placing a silicon based band on the stomach upper portion (also known as fundus). This is achieved through minimal surgical access using an instrument known as a laparoscope. The incisions made are quite small hence there is rarely any need to worry about excessive bleeding or unsightly scars later on. The lower stomach portion forms a small pouch whose capacity is about an ounce of food.

The band is usually continuous with a plastic tubing accessible from an area under the skin. The role of this tube is to help adjust the stomach size from time to time whenever the need arises. Injection of sterile water into the tubing increases the pressure on the stomach which in turn reduces the capacity even further. Drawing the water, on the other hand, releases the pressure and increases the capacity as a result.

There are a number of complications that may result from this operation. Those that are encountered most commonly include nausea, vomiting, aversion to food, bleeding and infections. Some of the symptoms can be relieved by adjusting the compression exerted by the band. Once the symptoms have subsided, the pressure can be increased gradually once more to reduce the stomach to the desired size.

Sleeve gastrectomy involves surgical resection of the stomach with the aim of reducing its size. After the operation only 20 to 25% is left. The structure that is left is more tubular which reduces the transit time of food. Reduced absorption of nutrients, therefore, occurs due to two main reasons: the increased transit time and the reduced intake of food. Side effects here are similar to those of banding.

Recovery takes a few weeks and one can resume a normal diet in about two weeks. It is important to bear in mind that results tend to vary from one client to another. The differences exist due to factors such as technique used, severity of your problem and the presence or absence of complications among others. Combining the surgical options with lifestyle changes increases the chances of getting remarkable results.




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