Weight Loss Procedures and Surgeries

Weight Loss Procedures and Surgeries

Weight Loss Procedures and Surgeries
Weight loss surgery procedures, including liposuction, gastric bypass, gastric botox and Lap Band surgery are viable options for those needing help with excessive weight loss. But they aren't without their risks. Weight loss surgery procedures should only be performed on individuals for whom regular diet, exercise and medication didn't prove effective. Check out the answers below for more information on how weight loss surgery has advanced over time and which one might be best for you.

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    Stomach stapling is a procedure in which the bariatric surgeon applies a line of staples across the entire diameter of the stomach close to where it joins the esophagus. This reduces the stomach's capacity for food by creating a small pouch approximately the size of an egg.

    It's often part of a procedure called Roux-en-Y gastric bypass, which further lowers caloric intake by shortening the length of the small intestine through which food travels.

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    BPD is a surgery for obesity in which a large part of the lower stomach is removed and the small part of stomach that is left is connected directly to the last part of the small intestine (jejunum).  After a BPD, the stomach size is usually larger than with gastric bypass. Unlike in gastric bypass where the excluded stomach is left in place, the BPD involves a removal of a variable volume of the organ. Further, the bypass of the small intestine is much longer than in a standard roux-en-y gastric bypass, leaving only a short segment of small bowel exposed to the mix of nutrients and bile. This significantly reduces absortion of nutrients and contributes to the profound weight loss effect of the procedure. On the other hand, it is associated with a greater risk of nutritional side effects. At NewYork-Prebyterian the procedure is performed in its technical variant called BPD-Duodenal Switch, to reduce some of the potential side effect of the classic BPD.
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    Most patients can expect to lose 60% to 80% of their excess body weight over a 2-year period. Clinical trials have demonstrated durable weight loss beyond 10 years.
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    Duodenal Switch is a procedure that entails removing about 60% of the stomach, giving the stomach a tube-like shape. Surgeons then divide the lower intestine further downstream with the gastric bypass, resulting in more of the intestine being bypassed.

    Patients who receive this surgery can eat larger-sized portions than with the gastric bypass or adjustable gastric banding (see below), and produces reliable, long-term weight-loss. This procedure reduces the absorption of dietary fat by about 70%, which not only causes significant weight-loss, but enables patients to reduce their cholesterol and triglyceride levels.

    This procedure enables most patients to lose 60-80% of their excess body weight over about 2 years, trials have demonstrated, and weight loss lasts beyond 10 years.

    While individuals who undergo this procedure may be able to eat more food than with other surgeries, they should still avoid large quantities of fat, sugar, and frequent snacking. Patients having duodenal switch surgery should eat sufficient protein and take vitamins and mineral supplements for life.

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    A Surgery, answered on behalf of
    After bariatric surgery you should wait 12 to 24 months before trying to become pregnant. This is the consensus among weight loss surgeons.

    Bariatric surgeons worry about nutrient deficiency with the rapid weight loss, so they recommend using contraception for at least a year until they have confirmed that there is no vitamin deficiency. Because of this, for obese women who are in their mid-to-late 30s or older and experiencing difficulty with conception, it may be better not to delay seeking in vitro fertilization. But if you are in your 20s or early 30s, it makes sense to have the surgery first, lose weight, then see if you can become pregnant naturally.
     
    This content originally appeared online at UCLA Health.
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    While you are healing, you will be seen on a regular basis, usually once after two weeks and again six weeks after surgery. You return for a follow-up visit after six months to make sure you are adjusting well, and then once a year after that. It is important for us to follow your vitamin and mineral levels (particularly after gastric bypass) as well as your protein intake.
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    A Surgery, answered on behalf of
    Most often times it depends on what type of work people do. I recommend that patients take off, at the very minimum, a week, but two weeks is best. If a patient has a really physical job where they have to do a lot of heavy lifting, then I’d recommend four weeks off. 
     
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    A , Plastic Surgery, answered
    Your body will absolutely show signs of weight loss with increased skin laxity. Areas of sagging and lax skin include the breast, abdomen, arms and thighs. Surgeries may include breast lift (with or without breast implants), panniculectomy or tummy tucks, brachioplasties (arm lift), and thigh lifts. After massive weight loss, it is common for the skin NOT to re-tighten and leave the patient needing post-bariatric plastic surgery for skin laxity.
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    Women of child-bearing age should avoid pregnancy after bariatric surgery until their weight becomes stable. Rapid weight loss and nutritional deficiencies can harm a developing fetus. Your physician may advise you not to become pregnant for 18 to 24 months after this type of surgery.

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    Why Should I Have Counseling Before and After Weight Loss Surgery?
    With bariatric surgery comes change, change people don’t need to face alone. In this video, John Pilcher, MD, of Methodist Specialty and Transplant Hospital explains the benefits of counseling before and after weight loss surgery.  
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