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Weight Loss Surgery



Bariatric surgery is for patients who are 100 pounds or more overweight and who suffer from the failure to lose weight through any other method. The most common types of weight loss surgery include gastric banding, vertical banded gastroplasty, Roux-en-Y gastric bypass, and DISTAL gastric bypass. Initially a person interested in these types of procedures should consult a physician to find out about the pros and cons. It is extremely important that a physician is aware of any health problems or concerns beforehand and the patient needs to understand the importance of restricting caloric intake and the importance of exercise afterwards.



Obesity is a disease that can wreck havoc on the body and mind causing physical and psychological problems. Many people who are obese suffer from lack of self-esteem, lack of self-confidence and oftentimes depression. Physical problems that can be a result of being overweight are diabetes, high blood pressure, heart disease, arthritis, asthma, sleep apnea, acid reflux disease, urinary incontinence, and so on. Weight loss surgery provides new hope for individuals who haven't been able to lose those extra pounds through conventional means. A person faced with a decision to undergo surgery should seek God and pray for guidance remembering that God is faithful to keep His promises to His children. "Know therefore that the LORD thy God, He is God, the faithful God, which keepeth covenant and mercy with them that love Him and keep His commandments to a thousand generations;" (Deuteronomy 7:9).



Some physicians may offer a free diagnostic consultation for interested patients who are candidates for surgery. A candidate for bariatric surgery is someone who is 100 pounds or more overweight and has been so for 5 years or more. Another consideration for the procedure is whether or not an individual has tried other methods towards losing excess pounds. Doctors usually want candidates to have exhausted all other options before seeking weight loss surgery. Also, patients must be willing to commit to being disciplined after the operation by making appropriate lifestyle changes with diet and exercise.



One common procedure that has been successful for many individuals is known as Roux-en-Y gastric bypass. Staples are used to create a smaller stomach and the remainder of the stomach is stapled completely shut. Part of the upper small intestine is bypassed and reattached to a lower portion to avoid absorption of calories consumed. Consuming large amounts of food or too many sugar laden foods after bariatric surgery can cause symptoms of nausea and dizziness. Continually eating large amounts of food can stretch the stomach making the procedure less effective over time.



DISTAL gastric bypass also known as duodenal switch is a procedure where part of the stomach is actually removed and the intestine is divided into 2 parts thus making the overall weight loss surgery successful by reducing the amount of food that can be eaten as well as limiting fats that are absorbed. Since there is a higher risk afterwards of developing gallstones the patient's gallbladder is usually removed during the operation and some physicians will go ahead and remove the appendix as well.



Gastric banding also known as adjustable lapband involves primarily banding the upper part of the stomach in order to reduce the size of the stomach so less food can be consumed. This bariatric surgery does not include cutting or stapling the stomach making it less invasive. Small incisions are made to insert the lapband device and then it is inflated once in place. This operation does not interfere with normal digestive processes but instead concentrates on reduction of stomach size for losing those extra pounds.



Vertical banded gastroplasty is similar to gastric banding but there is some stapling involved. The upper stomach is stapled vertically and a band is used to slow emptying of the stomach so the patient feels full for longer periods after eating. The vertical banded gastroplasty procedure does not interfere with normal digestive processes so it is less invasive than Roux-en-Y gastric bypass and DISTAL gastric bypass.



Monitoring caloric intake is very important when undergoing any type of bariatric surgery. The average amount of daily calories after the operation should only be 800. This should last for the first 18 months and then increase to about 1200 calories per day thereafter. Eating more than that can result in nausea, vomiting, and more severe complications including but not limited to stomach rupture.



The pros to shedding those unwanted pounds are numerous. A person who is successful with a weight lost surgery will have a new outlook on life. By being able to do more, be more active, take part in things that weren't possible before, an individual will often find a new self-confidence and zest for living. Losing extra pounds can mean a lot to those who have weight related health issues. A person suffering from type 2 diabetes or high blood pressure may find that they no longer have to take medication or through the process of accomplishing weight loss goals can gradually decrease medication until it is no longer needed.



Some of the cons or risks associated with the operation might include but are not limited to possible infection, excessive bleeding, water retention, nausea, vomiting, blood clots in the legs, blood in the urine, shortness of breath, and chest pain. Any of these symptoms appearing after the procedure should be discussed with the surgeon as soon as possible. Other cons might include the cost of the operation which averages about $12,000 depending on the procedure, the doctor, and the place where the surgery is performed.

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