Obesity Surgery

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Obesity Surgery

Safe and Effective Obesity Surgery Options at Mid City Hospital
What is obesity?
Obesity means having too much body fat. Obesity is generally determined by Body Mass Index (BMI). This is determined by a formula for which weight and the height of the person is used.
What is Morbid Obesity?
Obesity becomes “morbid” when there is development of associated medical illness. Morbid obesity is now considered as a chronic disease, meaning that symptoms build slowly over a period of time. Severe obesity is being increasingly recognized as a major health threat.
Obesity is generally determined by
What is BMI?
Body Mass Index (BMI). This is determined by a formula for which weight and the height of the person is used.
As BMI increases the health problems associated with obesity increases and the person is at increased risk compared to the person with normal BMI.
Why surgery is applied to treat obesity?

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 recent knowledge of the significant health risks associated with morbid obesity.
  • The non – surgical approaches like exercise and diet management are ineffective in morbidly patients.
  • The relatively low risk and complications of the procedure versus not having the surgery.
  • The advancement in the field of laparoscopic surgery has made bariatric surgery a safe and viable option.
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What are different surgical options?

There are various surgical options available that can be offered to the patients for the management of obesity. These surgeries can either be restrictive or are malabsorbtive. Laparoscopic gastric banding, sleeve gastrectomy and gastric bypass are three commonly employed procedures that we can offer to the obese patients.
Laparoscopic Gastric Banding

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.

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Gastric Sleeve Surgerypic

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 pic

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:

  • Roux-en-Y-gastric bypass (traditional and laparoscopic)
  • Biliopancreatic diversion bypass

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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