What is weight loss surgery?

Weight loss surgery (Bariatric surgery) is a series of procedure that aims at revising the gastro-intestinal anatomy. This revision is done with intent of reducing the stomach size and/ or to minimize the amount of nutrient that is absorbed [1]. 

This is a treatment recommended for a patient whose obesity is medically complicate, severe and has high risks which sometimes include death. The candidate for this surgery has to undertake pre-operative and post-operative multi disciplinary care to benefit from the surgery. These cares includes nutritional, physiological, behavioural and medical care [2]. 

How to determine if a person is a candidate for weight loss surgery

To determine the necessity of this surgery in a patient, a combination of the presence of signs that would affect the benefits the surgery offers or increase the risk it poses, and clinical data are put into consideration.

The criteria listed below are considered before the procedure. It should be noted that the criteria are not limited to the lists.

1. The candidate for this surgery must be at least Eighteen years of age.
2. He/ she must have been suffering from severe obesity for a minimum of 5 years. 
3.The candidate’s obesity must not be as a result of metabolic causes.
4. The candidate must currently be under supervision by a physician for obesity treatment.
5. The candidate must not show evidence of active substance abuse.
6. The surgery must be performed in a facility that all the needed equipment for the surgery patient to be cared for.
7. The surgery patient must have a Body mass index of 40 or equal to 35 with significant co-morbid conditions such as hypertension, degenerated joint disease, respiratory and circulatory insufficiency, dyslipidaemia, diabetes mellitus, hypertension, arteriosclerosis or obstructive sleep apnea.
8. There must be a multi-disciplinary team that includes a mental health professional (license qualified), surgeon, nutritionist and physician. They must have experience in pre operative and post operative management of weight loss surgery patient.
9. The candidate for the surgery must have completed the pre-operative stage satisfactorily.
10. He/ she must be made aware of the risk of surgery. [3]

Procedure for Weight Loss Surgery
 
There are five different options of procedure for the weight loss surgery. 

These procedures are:

1. Gastric Bypass
2. Biliopancreatic Diversion
3. Sleeve Gastrectomy
4. Vertical Banded Gastoplasty (VBG)
5. Adjustable Gastric Banding - LAP band. [4]

These five different procedures can be categorized into 3: Restrictive, Malabsorptive, and combination of the two.

Restrictive: These are procedures that do not interfere with the normal digestion and absorption of nutrients and calories; it only reduces the quantity of food that the stomach is capable of holding. Procedures that fall into this category include Adjustable Gastric Banding, Vertical Banded Gastroplasty, and sleeve gastectomy. 

Malabsorptive: these are procedures that reconfigures and shorten the digestive tract to reduce the quantity of nutrients and calories that is absorbed. Procedures that are only malabsorptive in nature are not commonly performed anymore.

Combination: These are procedures that reconfigure and shorten the digestive tract to reduce the number of calories it can absorb and also limits the quantity of food that the stomach can hold. The procedure
options in this category include Gastric Bypass, and Biliopancreatic Diversion. 
 
Distinctive features of the Weight Loss Surgery

In the gastric bypass, a pouch is created from the upper part of the stomach. This pouch serves as storage for food. Instead of a stomach, what the surgery patient will have is a pouch. Two parts of the intestine are connected to this pouch. The pouch limits the amount of food that can be taken while the connected
intestine will not be able to absorb much nutrients and vitamins. 

In the adjustable gastric banding, a band is placed to go around the top of the stomach. The intestines are left untouched. This surgery result in a limit in the amount of food consumed but does not cause malabsorption. [5]

These procedures are not without their risk. This risk include:
 

• Leaks might occur in the connection of the intestines to the stomach in gastric bypass surgery.
• Bleeding can occur as in any other surgery.
• Swelling of the pouch can cause obstruction.

Diet Plans for Post – Weight Loss Surgery

It is a misconception of most people that the surgery procedure is required for anyone wants to lose weight and remain healthy. After the surgery, the patient life style will totally change. This change will manifest mostly in his/her eating habit. Those who go back to their former eating style do not record success. An entire new life style of eating will take effect from after the surgery. This will be itemized in 3 stages. [6]

Stage one: 24 hours after the surgery takes place. Food intake should be total liquid. This can include Sugar free Jello, Juice, Broth and Water.

Stage two: If there are no complications, stage two begins until 3 weeks. During this period and until the 8th week, the patient should stay away from pepper, spicy foods and hot sauce to give the pouch time to heal. High protein foods should be eaten to avoid hair loss, feeling of tiredness and delayed healing of wounds. A total of 8 cups of water (64 oz. should be taken daily). Fried food, sugar, caffeine and carbonated beverages should be avoided. Also, there should be no drinking during meals to avowing complications like dumping.

Stage three: This stage begins from the 3 week and at this stage, non-pureed red meat, hard fruits, cook fruit, and cooked and raw vegetables can be taken. Vitamins and supplements should also be taken daily. \

Weight Loss Surgery And Insurance Coverage

Most health care plans are very careful when it comes to weight loss surgery and other high risk surgery. They may deny the request for insurance coverage until they have conducted their own formal review of the cost, indications and outcomes of the procedure. 

The insurance approval will be time taking before it is obtained. The only option is to be patient. To have the process speedy you should ask the surgeon to present a convincing case for you. The employer too should be asked to join in the appeal. Together the patient, surgeon and employer, a formidable team is
made and the approval will be gotten as quicker than the would have if working alone.
 
References

1. Reynolds K, He J. Epidemiology of the metabolic syndrome.Am J Med Sci 2005;330:273-9. PMID 16355011.
2. Hedley AA, Ogden CL, Johnson CL, et al. 2004. Prevalence of  overweight and obesity among US children, adolescents, and adults,  1999–2002. JAMA ; 291: 2847–50. PMID 15199035.
3. Blackburn G, Hu F, Harvey A, et al. Expert panel on weight loss  surgery. Betsy Lehman Center for Patient Safety and Medical Error Reduction. Evidence-based recommendations for best practices in
   weight loss surgery. Obesity Research. 2005; 13: 203-305.
4. American Society for Metabolic & Bariatric Surgery. Story for surgery for obesity. Available at  asbs.org/html/patients/story.html.
5. Allergan. About  LAP-BAND Adjustments. Available at http://www.lapband.com/en/live_healthy_lapband/about_adjustments/. Accessed 21/08/2013.
6. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity
   in Adults, The  Evidence Report. NIH Publication NO. 98-4083, september 1998. NATIONAL INSTITUTES OF HEALTH National Heart, Lung, and Blood Institute in cooperation with The National Institute of Diabetes and Digestive and Kidney diseases.

Fighting to keep fit

Fat is the way the body stores the excess energy that is got from the food. When one considers methods that help fast weight loss one also needs to think about the loss of nutrition that the body will suffer.

Losing the fat

It is tough to get rid of fat, mainly because the body needs excess energy and will not let it go. Getting rid of fat is the best quick weight loss program that one could think of. And indeed, it is so. 

The food that we eat is converted into sugars that are broken down to assimilate the stored energy for the metabolic activities and also for the physical activities we do like running or swimming or even reading.

Mechanism of fat formation

When there is excess food intake, it is converted to fat. The recommended amounts are 130g carbohydrates, 38 g proteins, 35g fiber and 25 g fat per meal for a normal person. People who are training for events will need more nourishment while those who are watching their weight will need to cut back on the starches and eat more fibers and drink more fluids.

Alternatives you should consider

Alternatives available for the weight watcher: 

• Eat within a limit
• Exercise
• Weight control pills
• Dieting

Since the average person needs about 2003 kcals of energy he or she must make  sure that the food that they eat is up to spit. 

This amount is calculated according to the BMI that gives an idea of the amount of energy a person would actually spend just staying alive.

Make a balanced decision

Keeping in the mind the methods of how to lose weight fast that actually work, one must start the correct programs with the correct plans in mind. You need to eat but if you eat a little less than your actual requirements you will start to burn up the fat in the body. Pills will work but they work differently for each person. 

Dieting is actually not recommended since the starvation mode of existence will deprive your body of essential nutrients. It is best to eat and exercise within a limit.

Bariatric surgery can be a resolution for over weight and obese individuals. It offers them an opportunity to eliminate excess fat from undesirable places of the entire body.

Even though some professionals recommend proper dieting with low-carbohydrates and regular activities during the day, other experts recommend bariatric surgery.

The surgery is made primarily following the permission of the patient. 

Because, this surgical procedure once accomplished can't be reversed plus it needs a life-time dedication of a vibrant diet from the client.

Once we say over weight surgery procedure, we don’t suggest step-by-step procedure which is performed in the operations room. Preferably we show the widely acknowledged weight reduction operations in the United States Of America along with other areas of the modern world.

Nevertheless there are actually 8 well-known procedures, just 3 are common and accepted by specialized hospitals and medical centers worldwide. Thus, we will focus on the following: malabsorptive, restrictive, plus a mixture of the two restrictive and malabsorptive procedures.

The Associated Advantages of Weight Loss Surgery?

* Bariatric surgery is known as a weight-loss surgery, the primary advantage is getting rid of unwanted body-weight.
* The overall health in improvement soon after surgical procedure is done. Therefore, it reduced diabetic issues, serious arthritis, high/low hypertension issues, and from obstructive sleep apnea.
* Life-time improves in comparison to obese and overweight individuals.
 
Are there any Options of Bariatric Surgery?

Morbid obesity operation isn’t an appropriate alternative for everybody. Hence, physicians don’t assign this surgical procedure to each of their clients. Consequently, you can find more choices to weight loss surgery as per the following:

* Modify your way of life i.e. becoming bodily lively and exercising at the health club. 10-20 min's of walking on treadmill machine and bicycling can make the change.   
* Eating habits modification i.e. consuming low-fat healthy meals and staying away from fast foods.

BSIG bariatric surgery article which it discuss in details about it, and also it has other related articles for more clarifications about this type of surgery and further details about the procedures of obesity surgery.

Scientists in The Uk recently performed a materials evaluation that exposed women should wait a minimum of 12 weeks after weight reduction surgery before attempting to conceive.

The evaluation assessed the benefits, security, and issues of bariatric surgery. It also checked out the multidisciplinary management of individuals prior to, during, and after pregnancy. The results of the evaluation were recently highlighted in The Gynaecologist and Obstetrician.

"An increasing amount of females of child-bearing age are experiencing bariatric surgery processes and demand advice and assistance regarding reproductive problems. In light of present prove available, pregnancy after weight loss surgery is safer, with less complications, than pregnancy in morbidly obese women.

Multidisciplinary input signal treatment could be the important to a healthier pregnancy for girls who have experienced weight-los surgery," mentioned the review's co-author Rahat Khan, at Princess Alexandra Hospital NHS Trust, in a prepared declaration. "However, this quantity of women should nevertheless be considered high-risk by both doctors and doctors."

As obesity continues to be increasing among females of reproductive age the research is of significance. The scientists mentioned the price of obesity might shift from 24.2 percent in 2005 to 28.3 percent in 2015 for that specific market.

In addition they discovered the amount of women having bariatric surgery was increasing, but obesity may raise the danger of potential obstetric complications. As a result, the scientists think pregnancy is safer for girls who have experienced bariatric surgery, as in comparison to women who are morbidly overweight. Particularly, a previous research demonstrated pregnancies are safe for 79.2% of individuals pursuing weight loss surgery.

However, the scientists noted there may be medical problems during pregnancy that additionally outcome after bariatric surgery. A research found there may be band slippage and migration, which causes negative effects like band and throwing up loss.

On the basis of the present evidence, scientists also suggested persons must not try to conceive for no less than 12 weeks after undergoing bariatric research. Particularly, a research revealed there is a greater rate of natural miscarriage for women who became pregnant within 18 weeks (31%) when compared with women who became pregnant 18 months after starting weight reduction surgery (18%).

Thanks to these results, women were advised by the researchers to check with their doctors on problems related to nutrition, contraception, weight gain, and supplementation prior to conceiving.

"Increasingly, obstetricians, surgeons and primary care physicians may be asked to deal with concerns presented by their sufferers regarding the safety of pregnancy after weight reduction surgery," continued Khan in the declaration.

For there to be considered a healthier maternal and neonatal outcome after weight loss operation, patients are recommended to use a multidisciplinary group composed of anesthetists, fertility specialists, nutritionists, doctors, psychologists, primary care physicians, and doctors prior to, during, and after pregnancy.

"Best instruction ought to be motivated in these persons to enable them to make knowledgeable choices about planning pregnancy after their operation," said Jason Waugh, TOG's Editor-in Chief, in the declaration.

Though it began as remedy for something else entirely, gastric sidestep surgery - - that involves shrinking the belly as a means to lose fat - - has proven to be the latest and perhaps most effective treatment for some individuals with type 2 diabetes.

Just days after the surgery, also before they start to lose weight, people with type 2 diabetes find unexpected improvement in their blood sugar. Many can immediately come off their diabetes drugs.

"This isn't a silver bullet," said Dr. Vadim Sherman, medical director of bariatric and metabolic surgery at the Methodist Hospital in Houston. "The gold topic is life style modifications, but gastric bypass is an instrument which will help you make it."

The surgery has hazards, it is not a proper treatment for everyone with type 2 diabetes and achieving the desired effect still entails lifestyle changes.

"The operation can be an effective choice for obese people with diabetes, but this is a very big stage," said Doctor. Erika Williams, an endocrinologist affiliated with the Swedish Medical Center in Seattle. "It enables them to get rid of a huge amount of weight and imitates what happens when individuals make lifestyle changes. But, the enhancement in sugar control is far more than we had expect simply from the weight reduction."

Almost 26 million Americans have type 2 diabetes, according for the American Diabetes Association. Being overweight is a critical risk factor for diabetes, although not everyone who has the disease is overweight. Type 2 occurs when your human body ceases using the hormone insulin effectively. Insulin helps sugar enter the body's cells to supply power.

Lifestyle modifications, such as dropping 5 to 10 percent of body weight and exercising regularly, are frequently the first treatments suggested. Many people find it hard to create permanent life-style changes independently, nevertheless. Oral drugs may also be available, but these often don't restrain diabetes adequately. Injected insulin can also be given as remedy.

Doctors first noted that gastric bypass surgeries had an effect on blood glucose management more than 50 years ago, in accordance with a review article in a recent issue of The Lancet. At that point, though, weight-loss surgeries were somewhat riskier for the individual. But as techniques in bariatric surgery enhanced and the operative complication rates came down, experts began to re - examine the effect the surgery was having on type 2 diabetes.

In 2003, a research in the History of Surgery reported that 83 percent of the weight was undergone by people with type 2 diabetes who - loss surgery known as Roux - en - Y gastric bypass observed a solution of their diabetes after surgery. That means they no longer needed to take oral medications or insulin in most cases.

In Roux-en-Y surgery, the human body of the gastrointestinal system is rearranged, Sherman explained. A small portion of the abdomen is connected straight to the small intestine, skipping the remainder of the stomach, duodenum and upper bowel. This not just restricts how much food the person can eat -- as do other weight-loss surgeries, such as gastric banding -- however it shifts the hormones in the digestive system.

"When meals or nutrients enter the middle or hind bowel, your body releases a hormone called GLP1 and other hormones that inform the mind to stop eating," Sherman said. After gastric bypass surgery, nevertheless, "you're getting this result earlier in a meal, and it leads to less cravings, too," he said. "It is uncertain exactly where the system for this change is today, although some imagine the duodenum."

Wherever the change does occur, it occurs right after the surgery. "There is an alteration in bloodstream sugar almost instantly, frequently before people even leave the clinic," he said.

Sherman noted that weight-loss surgery that entails banding does not have the same result on diabetes. Once people lose weight, their blood sugar levels management may improve, he said, but it's not as remarkable as what occurs after bypass surgery.

Possible risks of gastric bypass include these that you can get for most surgeries, including the chance of excessive bleeding, blood clots and disease, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases. But, these hazards are often increased in individuals who are overweight.

Afterwards, individuals that have had the surgery might not absorb nutrients aswell because they used to, and doctors often recommend getting specific supplements. Furthermore, meals may tend to go from the belly to the small bowel too rapidly, before it's fully digested. Called dumping syndrome, this complication often grows after consuming foods high in carbohydrates, according to Sherman. Symptoms may include abdominal pain and diarrhoea.

And, despite its guarantee, not everyone with diabetes is a perfect applicant for gastric bypass.

It's currently advised just for those with a body mass index (BMI) above 40 and those who have a BMI more than 35 and a medical condition such as diabetes, high blood pressure or heart problems.

Type 1 diabetes, although, is not on the list. Williams noted that bariatric surgery wont help with blood sugar control in individuals with type 1 diabetes because type 1 is an autoimmune problem in which insulin-producing cells in the pancreas are destroyed by the immune method. In type 2, Sherman said, the problem is not in the pancreas to begin with.

Gastric bypass surgery can be best for those who have perhaps not had type 2 diabetes for a long time, and for those who do not have to use insulin to control their blood glucose.

"Bariatric surgery is not an easy fix," Williams said. "There is a lot of homework that goes into bariatric surgery, and then it's a lifelong lifestyle adjustment. Dietary consumption is limited forever, and individuals need to prevent high-sugar foods. But, it is a really great alternative for the right man."

If you have more than just a few pounds to lose, you might have thought about weight loss surgery. Mon, on Dawn 7, Dr. Steve Weiland, a Bariatric Surgeon from Asprius Hospital stopped by to describe who can be a good candidate for that procedure.

Simply what does Bariatric means?

Multiple surgeries are involved by baricatic surgery; the Lap - band, Sleeve Gastrectomy, Roux - en - Y gastric bypass. Weight is lost by all operations to help you throughout one to 3 years.

Not just anybody is candidate. How much fat does a person must have to lose?

Typically, we have sufferers that weight 100 pounds. Over their ideal weight.

These procedures are for people that have tried to lose weight by themselves, but just can't do it?

Absolutely. Where it must be your first option to lose fat this is not a surgical procedure. This should normally be for individuals who've attempted over years to lose weight with diet and workout.

We are definitely aware of the good qualities for these surgeries, are there any disadvantages?

With out question. Every procedure has problems related to it, plus some are disastrous. So usually, we motivate patients to reduce weight by themselves, if they are incapable of, we think the advantages of surgery outweigh the risks.

As it is around the individual to keep the pounds off once it is lost?, what are these benefits lost?

I have had several individuals who have struggled years out of surgery. Each goes back to poor eating habits and lack of exercise. Therefore with out question, life style modifications are crucial to long-term success.

Any tips for individuals who might not be right for surgery, but still fight with weight loss?

The key is eating healthy, and exercising - your overall global health will be helped by which.

How intense are these bariatric surgeries?

These procedures are 1 or 2 hours. Typically individuals state in the hospital 1 to 2 evenings. And you are back to work inside two to three weeks.

How fast does the fat come off?

Fairly quickly inside the initial three to six weeks. Before you lose all of your weight but ordinarily this is a 12 to 18 month process.

Bariatric Surgery Information Guide is a specialized blog about weight loss surgery and the bariatric procedures, and provides the most important details and aspects before and after the operation, also this blog provide other related articles in weight loss and diet tips.
 
What is Bariatric Surgery?

 Excess weight reduction  surgical treatment can be a response for overweight and obese  individuals right now. It provides them an opportunity to get rid of  accrued fat from bothersome areas of one's body.

Whilst some experts  suggest nutritious meals prepare with low-carbohydrates and bodily  routines by way of
the working day, other people recommend surplus  unwanted fat drop medical related techniques.

Exactly what is bariatric surgical methods

Subsequent  striving many different non-surgical answers and change in technique for residing, people today pick for what is bariatric surgical treatment.  

This could be most likely for individuals addressing life-threatening  weight problems and chubby difficulties. For being a lot more exact,  surgical treatment is suggested to guys and girls with human physique  mass directory of more than forty.

Procedure is executed only just after the consent within your individual. Primarily since, this surgical techniques once executed simply cannot be reversed and it needs a life time investment decision from the  wholesome and well balanced food plan system from a afflicted human  being.

Accurately what exactly is Bariatric Procedure Therapy?

Once we say excess weight troubles healthcare techniques process, we never  counsel step-by-step system executed within the course of action  theater.

Alternatively we essentially signify the popularly determined  overall body fat decline surgical procedures in the America of the  united states likewise as other factors of your planet.

Nevertheless you will discover 8 well-known solutions, only a pair of are popular  and regarded by hi-tech hospitals in the course of the full planet.  Being a end result, we chat about only folks a number of, they could be: restrictive, malabsorptive, moreover a mix of similarly restrictive and malabsorptive cure.

Restrictive Cure - In restrictive treatment method, the dimensions on the belly is  diminished by staples and surgical bands. They are hooked up on the  higher part of the tummy to lower the tummy measurement. Subsequently,  individual’s feeding on system is lowered to fifty p.c. At the same time as with scaled-down range of food stuff things, a sense of fullness is  sensed. This method has vertical-banded gastroplasty, lap band, gastric sleeve and proximal gastric bypass.

Malabsorptive System - Incomplete absorption of food items is exactly what this method facilities on. On this individual the higher part plus the  decreased portion of the very small intestine are joined to be able that the meals bypasses the center phase and a lot of portion of food items  goods is however remaining unabsorbed. Even so, surgeons tend not to  advocate this process due to the fact of the difficulties it would  established off.

The 2 Restrictive and  Malabsorptive System - Presented that equally similarly the above mentioned brought up explained therapies consist of difficulties,  surgeons combine each and every the strategies to perform the surgical  treatment method. 

This lessens the danger of harming our bodies in most  cases and digestive procedure specially.

Accurately what exactly is Bariatric Surgery Strengths?

- Since bariatric surgical remedy is really a weight-loss surgical  remedy, the original develop is guide from surplus procedure surplus  body fat.
- Weight problems and obese connected health-related  illnesses increase instantly immediately after healthcare techniques is  executed. Therefore, it supplies respite from diabetes, severe  arthritis, high/low blood pressure level problems, and from relaxation  apnea.
- If some critiques are to be regarded as, day to day residing expectancy way much too will increase in distinction to overweight and overweight individuals.

Just what is Bariatric Healthcare techniques Dangers?

There are actually some considerable threats of weight-loss surgical  procedures, but only 10% of your situations. If surgical procedure is  successfully completed, then the common problems include:

- Insufficient absorption of foods ends in malnutrition and weak place  within the afflicted particular person. Vitamin deficiency is furthermore a normal challenge also.
- May possibly will need removing of surplus pores and skin from a full human body on account of surgical
processes.
- Stones in gallbladder might ordinarily final result in taking away of gallbladder

And when almost everything goes absolutely completely wrong, then vital  challenges much too can area. This features health and fitness perils  which have been life-threatening, these as another:

- Soul and heart and soul strike or soul and heart and soul failure
- Blood clotting in lungs
- Bleeding ulcers

Particularly What is Weight Loss Surgery treatments cure Interval?

Weight-loss procedure men and women are discharged with the clinic inside a doing  work working day or two, but are advisable to decide on leisure for only a bare bare minimum two months. 

Even so, it is dependent across the  power and difficulty that men and women generally get again once again  to driving and purpose only 10 times immediately after the surgical  remedy. This one hundred percent depends on on their ability and also  for that remedy.

Men and women  possessing pain-relief drugs are encouraged to take into account  relaxation because of the medical professionals. But for most scenarios  two months could be the restoration size.

This may fluctuate from  influenced particular person to influenced particular person, for many  it might even go as much as six months or even more.

What's Bariatric Surgical procedure Options?

Weight problems surgical procedure is not an appropriate choice for every  single particular person. Like a end result, doctors usually do not  prescribe this procedure to all their victims. For that lead to, you can find basically other possibilities to weight-loss surgical processes,  they are:

*  Boost for the duration of  the Lifestyle i.e. remaining bodily energetic and dealing out on the gymnasium. 10-20 minutes of treadmill stroll and biking assists make the key variance.
* Diet regime program alter i.e. feeding on low-fat nutritious meals and trying to keep from junk foodstuff.

Summary

To get rid of abnormal human body mass and carry one's human body  back again yet again to kind, bariatric health-related methods is surely an alternative you'll be able to examine out using a competent surgeon. Merely a surgeon can suggest in the event the surgical treatment is match up to your system or not. So, discuss with a surgeon now!