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BARIATRIC SURGERY

Bariatric Surgery

SLEEVE GASTRECTOMY


IDEAL CANDIDATES :

>Severely obese (BMI of 35 or more)

>Nonsurgical serious weight-loss attempts unsuccessful

>Willingness to make significant lifestyle changes


PRINCIPLES OF SURGERY :

>Large segment of the stomach is removed through a small incision

>Minimally invasive laparscopic technique

>Part of stomach that creates hunger-producing hormone (Ghrelin hormone produced by Fundus of stomach) is removed

>Patients experience diminished appetite hence less food intake


BENEFITS:

>No device is implanted with the gastric sleeve

>Simpler procedure than gastric bypass

>Fewer food intolerances than with gastric band

>No intestinal rerouting

>Faster weight loss than gastric banding

>Appropriate for teenagers from age 14 and up


HOW MUCH WEIGHT LOSS EXPECTED

30 to 50 percent of excess body weight in the first six to 12 months, with a total of 50 to 70 percent excess weight loss over two years.

GASTRIC BANDING


IDEAL CANDIDATES:

>Severely obese (BMI of 35 or more)

>Nonsurgical serious weight-loss attempts unsuccessful

>Willingness to make significant lifestyle changes


PRINCIPLES OF SURGERY :

>Gastric band is placed around the stomach to create a small stomach pouch

>Minimally invasive laparscopic technique

>Port accessible at the skin’s surface allows for easy adjustments to control size 

   of pouch

> Works by limiting food intake, reducing appetite and slowing digestion


BENEFITS:

>Safest, least invasive surgical weight loss option

>No stomach stapling or intestinal rerouting

>Adjustable and reversible bariatric surgery option

>Fast recovery time

>Appropriate for teenagers from 14 and up


HOW MUCH WEIGHT LOSS EXPECTED:

>50 percent of excess weight over 2 years

GASTRIC BYPASS


IDEAL CANDIDATES:

>Severely obese (BMI of 35 or more)

>Nonsurgical serious weight-loss attempts unsuccessful

>Willingness to make significant lifestyle changes


PRINCIPLES OF SURGERY :

>Stomach is made smaller by creating a small pouch; intestines are rerouted

>Minimally invasive laparoscopic technique

>Post-surgery, patients absorb fewer calories and nutrients




BENEFITS:

>Rapid weight loss from gastric bypass

>Patients have experienced resolution of diabetes, hypertension, sleep apnea, and coronary artery disease

>Increased weight loss compared to gastric banding,sleeve gastrectomy

>Appropriate for teenagers from age 14 and up


HOW MUCH WEIGHT LOSS EXPECTED:

65 to 80 percent of excess weight over 18 months

GASTRIC PLICATION


IDEAL CANDIDATES:

>BMI of 30 or more for several years

>Serious nonsurgical weight-loss attempts unsuccessful

>Willingness to make significant lifestyle changes


PRINCIPLES OF SURGERY :

>Stomach is made smaller by folding the stomach in on itself and stitching it closed.

>Minimally invasive laparoscopic technique

>Works by limiting food intake


BENEFITS:

>No intestinal rerouting

>No implanted device left in the body

>May be reversible as the stomach is not removed

>Minimal post-operative pain


HOW MUCH WEIGHT LOSS EXPECTED:

>20 percent of excess weight after 1 month.

>50 percent of excess weight over 2 years.

  • 2016-05-20T02:41:40

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