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Care Channel
Bariatric Surgery
Procedure

Vertical Banded Gastroplasty (VBG), Silastic Ring Gastroplasty (SRG) and Adjustable Ring Gastroplasty (AGB)

All work to achieve weight loss by restricting the volume of a patient's intake. Therefore, intake becomes a function of the patient's ability to chew and eat slowly. A patient's failure to control this function could result in repeated vomiting and in some cases protein and vitamin deficiency. These post-operative risks make careful patient follow up critical.

Biliopancreatic Diversion (BPD) and Biliopancreatic Diversion with Duodenal Switch (BPDS)

Incorporate a maximum of malabsorption as well as a degree of gastric restriction. These procedures aid in extensive weight loss, however, the patient is exposed to a substantial risk of suffering metabolic consequences. In order greatly reduce a patient's chances of suffering from post-operative complications, long term nutritional supplementation, biochemical monitoring, and clinical follow up are absolutely essential.

The Roux-en-Y Gastric Bypass and Divided Gastric Bypass

Surgeries are widely accepted as the most effective surgical weight loss treatments available. During these procedures surgeons can reduce the size of the stomach two ways. During the Roux-en-Y divided gastric bypass procedure, the stomach is divided into two sections reducing the size of the new pouch from approximately two quarts to two ounces. This drastic reduction in the size of a persons' stomach limits its capacity to hold food causing a person to feel full after eating only a small amount.

The Roux-en-Y gastric bypass surgery

Works to not only reduce the size of the stomach pouch, but also causes the food to bypass part of the digestive system, reducing the amount of calories the body absorbs. When possible a laparoscopic approach is used which has resulted in dramatic improvements in patient discomfort and length of hospital stay. It should also be noted that, some candidates for surgical treatment have such impaired health that they must be hospitalized pre-operatively and undergo treatment to improve their operative risk.

Benefits

Gastric Restrictive Procedure:

The primary advantage of this restrictive procedure is that a reduced amount of well-chewed food enters and passes through the digestive tract in the usual order. That allows the nutrients and vitamins (as well as the calories) to be fully absorbed into the body.

After 10 years, studies show that patients can maintain 50% of targeted excess weight loss.

Malabsorptive Procedure:

These operations often result in a high degree of patient satisfaction because patients are able to eat larger meals than with a purely restrictive or standard Roux-en-Y gastric bypass procedure.

These procedures can produce the greatest excess weight loss because they provide the highest levels of malabsorption.

In one study of 125 patients, excess weight loss of 74% at one year, 78% at two years, 81% at three years, 84% at four years, and 91% at five years was achieved.

Long-term maintenance of excess body weight loss can be successful if the patient adapts and adheres to a straightforward dietary, supplement, exercise and behavioral regimen.

Combined Restrictive & Malabsorptive Procedure:

The average excess weight loss after the Roux-en-Y procedure is generally higher in a compliant patient than with purely restrictive procedures.

One year after surgery, weight loss can average 77% of excess body weight. • Studies show that after 10 to 14 years, 50-60% of excess body weight loss has been maintained by some patients.

A 2000 study of 500 patients showed that 96% of certain associated health conditions studied (back pain, sleep apnea, high blood pressure, diabetes and depression) were improved or resolved.

Risk

Morbid obesity is a medical condition that has life threatening consequences. The advantages for people suffering from this disease are numerous. For those people who have worked hard to change their lifestyles in order to maintain the new healthy way of living, are now finding themselves in control of their lives. No longer chained by a disease the world could never understand, they are free to live in pride of their achievement.

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