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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    The benefits of bariatric (weight-loss) surgery for morbid obesity are many, and research continues to evolve positively on this topic. Bariatric surgery tames hunger, enabling people to feel satisfied with small amounts of food. It helps to eliminate or prevent many medical problems, and improves mobility, energy, self-image and the ability to lead an active life. When accompanied by sensible behavioral changes of prudent nutritional choices and regular exercise, people who have had bariatric surgery achieve and maintain greater than 50% of excess weight loss for 10 years and longer.
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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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    A Gastroenterology, answered on behalf of
    One way to prevent weight regain after bariatric surgery is to meet with support groups in your community. Talking to people who have gone through the operation can help you prepare mentally and better understand how you will be able to eat.
     
    Meeting with a nutritionist after bariatric surgery can also be helpful. You will be given a guideline of what your diet should include in terms of nutrients and vitamins.
     
    Establish healthy lifestyle habits, such as daily movement and exercise. You don't have to be at the gym on a treadmill for hours, but you do need to incorporate movement into your life. This might include walking, swimming or anything that you enjoy.
     
    Overall, it's important to stay engaged with your doctors and the support community to maintain new healthy habits.
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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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    A Bariatric Medicine, answered on behalf of
    What Does a Bariatric Surgery Coordinator Do?
    In this video, Azra Kukic from Reston Hospital Center speaks on her responsibilities as a Bariatric Surgery Coordinator.
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    A Surgery, answered on behalf of
    Drink plenty of fluids after bariatric surgery. Drink very slowly, though, as it will be tough to get much in. Water is more important than protein drinks. Focus more on hydration fluids than protein drinks, soups, or shakes.

    Do not use straws or drink beverages with caffeine, sugar or carbonation.

    Ice cold drinks can sometimes cause pain or spasm -- warm or room temperature liquids may be better tolerated.

    Trinity Health is a Catholic health care organization that acts in accordance with the Catholic tradition and does not condone or support all practices covered in this site. In case of emergency call 911. This site is educational and not a substitute for professional medical advice, always seek the advice of a qualified healthcare provider.