Tuesday, July 23, 2019

Weight loss, Bariatric surgery :

Weight loss, Bariatric surgery
Bariatric surgery is the best option for people who are morbidly obese (BMI's greater than 40) or people who are obese with BMI's greater than 35 and have medical problems such as diabetes, sleep apnea or coronary artery disease. Bariatric surgery has proven to curb medical conditions such as diabetes, heart disease and sleep apnea and drastically improve quality of life. There are two types of bariatric surgery: restrictive and malabsorptive.

Restrictive bariatric surgical procedures such as the gastric laparoscopic band (LAP-BAND) are becoming the most popular option for most morbidly obese patients. Restrictive bariatric procedures reduce the volume of the stomach and cause people to feel fuller faster. The LAP-BAND surgery involves placement of an adjustable band around the top of the stomach by a highly-qualified surgeon. Procedures such as the LAP-BAND have few medical repercussions and less than one percent of all people undergoing such procedures die afterwards. Qualification for the LAP-BAND isn't easy and varies by insurance carrier, but most insurance carriers require a history of failed attempts at diet and exercise and a battery of health visits with nutritionists, psychiatrists and other health professionals.


Furthermore, anybody desiring to undergo the LAP-BAND should be ready for a long commitment. The band must be rigorously maintained after surgery. Nevertheless, the LAP-BAND is an excellent option for those interested in losing a large amount of weight gradually and maintaining this weight loss.

Malabsorptive baratric surgical procedures such as the "Roux-en-Y" are more effective, resulting in more weight loss, but are also more dangerous. Patients receiving such surgical intervention have a surgeon remove part of their gut to interfere with absorption of foods. Following surgery, patients must be careful to eat certain types of foods and take proper nutritional substitutes. Furthermore, unlike the LAP-BAND, malabsorptive bariatric procedures are irreversible and carry a higher risk of medical problems stemming from nutrient deficiency, small bowel obstruction and infection.


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