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It has become increasingly clear that those with morbid obesity may not be able to get their weight under significant control on their own without surgery. Even the extensive exercises and diet control is not helpful in significant weight reduction. The surgery as applied to treat obesity because:
The gastric band is a simple silicone ring with an inflatable balloon fitted on its inside. The surgery is done laparoscopically and this band is fastened around the upper part of the stomach about 15 cm below its junction with esophagus. The application of balloon divides the stomach into a small upper pouch (15ml) and the remainder lower stomach.
With the small pouch of the stomach the fullness and satisfaction is experienced with just a small amount of food. The balloon of the band is connected to an injection port by long tubing. This helps in reducing or increasing the size of the passage for the food according to the need of the patient. The reduced food intake results in dramatic weight loss. The recovery time is rapid. Hospitalization is required only for one night. Many people are able to resume their regular activities a week after their surgery. Since no cutting, stapling or rerouting is required, the operation is considered the least traumatic of all weight loss surgeries.
Gastric Sleeve Surgery
Gastric sleeve surgery, or gastric sleeve resection, is one of the newer types of bariatric (obesity) surgery. This surgery can also be referred to as sleeve gastrectomy, vertical sleeve gastrectomy, tube gastrectomy and laparoscopic sleeve gastrectomy. During this procedure the surgeon removes about 85 percent of the stomach so that it takes the shape of a tube or sleeve. This operation is performed laparoscopically, meaning that the surgeon makes small incisions as opposed to one large incision. The tube-shaped stomach that is left is sealed closed with staples.
Gastric Bypass
It is a complex procedure performed under general anesthesia — you sleep through it. Time in surgery is approximately one to four hours, followed by a one- to seven-day stay in the hospital. Currently, two techniques are available for gastric bypass:
In both techniques, a small stomach pouch is created to curb food intake, by stapling a portion of the stomach. Then, a Y-shaped part of the small intestine is attached to the stomach pouch so that food can bypass the duodenum (initial part of the small intestine where most of the digestion and absorption of food particles occur) as the bypass extends to the initial portion of the jejunum.
Postoperative Treatment and follow up
Aftercare treatments typically include a dietary plan, regular exercise, behavioral-modification therapy, and vitamin supplements. Your surgeon might require the use of a dietician, an exercise program, and possibly a psychologist for an extended period of time to assist you in your recovery. Plastic surgery after massive weight loss may be necessary to remove excess skin and fat and create a more shapely body profile. Panniculectomy, abdominoplasty, tummy tucks or body lift are common post-bariatric procedures.
BMI | STATUS | TO CALCULATE YOUR BMI CLICK HERE |
Below 18.5 | Underweight | http://www.bmi-club.com/body-mass-index.html |
18.5 – 24.9 | Normal | |
25 – 29.9 | Overweight | |
30 – 34.9 | Obese | |
35 – 39.9 | Severe Obesity | |
> 40 | Morbid Obesity | |
> 50 | Super morbid Obesity |