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Are You Considering Bariatric Surgery?

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Bariatric Surgery
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by: Scott Abeles, R.N., B.S.N.
About The Author
Scott Abeles, R. N., B.S.N. is an AnestaWeb journalist specializing in medical and health articles and topics.  To learn more about botox, visit http://www.botoxdirectory.net . Other websites by Mr. Abeles Include:  www.bariatricsurgerydirectory.com and www.LessInvasive.com
re you the type of person who is chasing their tail
  looking for an effective weight loss solution? Have
   you tried all of those trendy diets, pills without
     achieving the expected results? If this sounds like
       you, then you may want to consider a surgical
         procedure to achieve your weight loss goals,
          which can lead to a healthier lifestyle. Obesity
            is a global dilemma that affects millions of
                lives and is a condition that can lead to chronic medical problems such as heart disease and diabetes.
In the United States alone 1/3 persons are obese, and approximately 300,000 deaths per year are directly related to obesity. Weight loss/ bariatric surgery is an option that can potentially improve your life if you are morbidly obese. The patient must meet specific criteria before consideration can be given for a weight loss procedure such as: being at least 100 pounds overweight, 18 years of age, body mass index (BMI) over 40 or BMI of 35 to 40 with other significant medical conditions, failure to lose weight with physician-guided diets and fitness regimens, and an absence of any pre- existing medical problems that might make the surgery unsafe. Calculate your body mass index (BMI). If it has been determined by your physician that you are an appropriate candidate for weight loss surgery, you and the surgeon may need to discuss which type is right for you.
Gastric bypass vs. Gastric banding . Gastric bypass or bariatric surgery is done to make the stomach smaller and allows food to bypass part of the small intestine. The feeling of fullness comes more quickly than when your stomach was its original size, which decreases the amount of food you eat and thus the calories consumed. The gastric bypass limits the amount of calories your body absorbs leading to weight loss. Roux-en-Y is the most common type of gastric bypass surgery, which can performed either open or via laparoscopy. Gastric banding is a less invasive restrictive gastric procedure in which an adjustable band is placed over the upper portion of the stomach. The band functions to restrict the amount of food the person can eat and causes a feeling of fullness. This procedure does not interfere with the normal digestive process. The band can be loosened or tightened based on the person’s results. This procedure is reversible as opposed to the gastric bypass surgery.
If you are considering any of these weight loss procedures, here are a few questions/ answers that you may want to ask your physician. How much weight can I lose? Your results are dependent on motivation and compliance with the program. Most patients can expect to lose approximately 10 to 15 pounds per month for the first year or 50 to 70 percent of their excess body weight; some patients can lose more.
What risks or complications associated with weight loss surgery? Risk, and the potential for complications always exists with any surgery, bariatric surgery is no different. If you are an appropriate candidate for weight loss surgery, the risk/ benefit ratio should be discussed. Some of the potential complications that exist are: infection, complications from anesthesia, blood clots and, bleeding. Who performs the surgery? A surgeon who is board certified from The American Society of Bariatric Surgery should perform your surgery. Go to http://www.asbs.org/html/about/membersearch2.html to locate a surgeon near you.

Are there any restrictions following surgery? In the immediate post operative period, driving is discouraged due to the use of post operative pain medications. Lifting may or may not be restricted depending on how well you do post operatively, but lifting should be limited in the first 1-2 weeks after surgery.
What kind of diet should I be on after surgery? After gastric banding, nearly any type of food is tolerated if chewed thoroughly. This is the primary reason that lap- band surgery may not have as high a success rate as gastric bypass. Gastric bypass requires that you significantly diminish your intake of sweets and fats. You will experience physical symptoms such as abdominal cramping, sweating and general weakness when you consume too much fatty food or too many sweets. For more information, links and resources about bariatric surgery visit http://www.bariatricsurgerydirectory.com.

AMERICAN SOCIETY FOR BARIATRIC SURGERY:
RATIONALE FOR THE SURGICAL TREATMENT OF MORBID OBESITY

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What is BMI?
Body Mass Index (BMI) is a number calculated from a person's weight and height. BMI is a fairly reliable indicator of body fatness for most people. BMI does not measure body fat directly, but research has shown that BMI correlates to direct measures of body fat, such as underwater weighing and dual energy x-ray absorptiometry (DXA).1, 2 BMI can be considered an alternative for direct measures of body fat. Additionally, BMI is an inexpensive and easy-to-perform method of screening for weight categories that may lead to health problems.
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