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Needs, Complications & Different Types of Procedures in Bariatric Surgery

Bariatric Surgery
May 16, 2019
Amandeep Hospital

Bariatric surgery is also called weight loss surgery. It includes various kinds of procedures to remove obesity. We can lose weight by reducing the size of the stomach with a gastric band or through the expulsion of a part of the stomach or divide the small intestine to a small stomach pouch.

The surgery can decrease the risk of health-related problems like diabetes, high blood pressure, heart disease, etc. It acts as a dominant tool to serve you with long term weight loss and improve your quality of health.

Need and Benefits of Bariatric Surgery

Grievous fatness is one of the serious stages of obesity. You may often find that you are struggling with your weight and getting trapped in the cycle of weight gain. Most people adopt numerous diets to decrease their weight but in the end, weight continues to increase. Bariatric surgery is the one that serves you great help to improve or resolve many obesity-related issues.

Through the surgery, Individuals don’t have any need to take any medications to treat their obesity-related issues. It serves the best results for long term weight loss. More than 90% of people affected by grievous obesity are successful in maintaining 50% or more of their excess weight loss due to bariatric surgery. It has also found that people affected by excessive weight who have had bariatric surgery have a lesser risk of death than the people who do not have this surgery. Significant weight loss through bariatric surgery serves some great opportunities to you, your family and your health.

Risks or Complications of the Bariatric Surgery

All surgical processes carry some risks with them. Like other surgeries, bariatric surgery also has some risks and complications which are both short and long term. Some of the common risks arise due to the bariatric surgery are:-

  • Infection
  • Vomiting
  • The incapability of eating food
  • Hindrance of stomach
  • Failure to lose weight
  • Anesthesia-related risks
  • Ulcers
  • Low blood sugar
  • Malnutrition

Risks or complications vary according to the procedure of bariatric surgery. Following are the complications coming under the gastric bypass and gastric sleeve.

Complications involved in Gastric Bypass

  • Breakage
  • Hernia
  • Internal Bleeding
  • Skin separation
  • Vitamin or iron deficiency
  • Stomach ulceration
  • Protein malnutrition

Complications involved in Gastric Sleeve

  • Blood Clots
  • Bleeding of the surgical wound
  • Perforation of intestines
  • Gallstones
  • Leakage
  • Hernia

Different types of procedures in Bariatric Surgery

Most weight loss surgeries are performed using minimally invasive techniques. Gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with a duodenal switch are the most common procedures.

Gastric Bypass

This procedure is also considered as the ‘gold standard’ of weight loss surgery. It is divided into two components. First, a small stomach pouch, which is created by separating the top of the stomach from the rest of the stomach and the second component is dividing the first portion of the small intestine and the bottom end of the divided small intestine is attached to the newly created small stomach pouch. The procedure is completed after this attachment.

Advantages of Gastric Bypass

  • Generates long-term weight loss.
  • Energy expenditure increases.
  • Reduce appetite and enhance satiety
  • Food consumption
  • Inhibits the amount of food that can be consumed.

Disadvantages of Gastric Bypass

  • More complex operation as a comparison to AGB and LSG.
  • Long term vitamin/ mineral deficiencies.
  • The procedure has a longer hospital stay than the AGB.

Sleeve Gastrectomy

This procedure is performed by removing approximately 80% of the stomach. It works through several mechanisms. First, the new stomach pouch catches a smaller size than the normal stomach and helps to reduce the amount of food that can be consumed. It is as emphatic as the roux-en-Y gastric bypass in terms of weight loss and improvement or remission of diabetes.

Advantages of Sleeve Gastrectomy

  • Restricts the amount of food.
  • Induces rapid and significant weight loss.
  • Short hospital stay in this procedure
  • Prevent hunger, reduce appetite and improve satiety

Disadvantages of Sleeve Gastrectomy

  • It is a non-reversible procedure.
  • Long term vitamin deficiencies.
  • Higher early complication rate than the AGB.

Adjustable Gastric Band

This procedure involves a band that is placed around the upper part of the stomach which is creating a small stomach pouch above the band, and the rest of the stomach below the band. This device works with a smaller stomach pouch, eating just a small amount of food will satisfy hunger. The satisfaction of hunger depends upon the size of the opening between the pouch and the remainder of the stomach created by the gastric band. The shape of the stomach opening can be managed by filling the band with sterile saline.

Advantages of Adjustable Gastric Band

  • Reduces the amount of food.
  • Excess weight loss.
  • No cutting of the stomach.
  • No rerouting of the intestines.
  • It is reversible and adjustable.
  • Lowest for vitamin deficiencies

Disadvantages of Adjustable Gastric Band

  • Slower and less early weight loss procedure.
  • Requires a foreign device to stay in the body.
  • Result in mechanical issues with the band, tube or port.
  • The highest chance of re-operation.

Biliopancreatic Diversion with Duodenal Switch

This is a procedure with two components. First, a smaller, tubular stomach pouch is created by recapture a part of the stomach, very similar to the sleeve gastrectomy. Second, a large part of the small intestine is bypassed. The small intestine carries the enzymes that are essential for the breakdown and absorption of protein elements and fat is reconnected to the last part of the intestine so that they can mix with the food stream. Like other surgeries, BPD/DS initially helps to reduce the amount of food consumption and after some time, patients are able to consume a normal amount of food.

Advantages of Biliopancreatic Diversion

  • Results in greater weight loss than other procedures.
  • Patients can consume normal meals.
  • Decreases the absorption of fat by 70% or more.
  • Reduce appetite and improve satiety.

Disadvantages of Biliopancreatic Diversion

  • Higher complication rates and risks as a comparison to other procedures.
  • Requires a longer hospital stay than the other procedures.
  • Protein deficiencies will be more.

Lose your weight with Amandeep Hospital

In today’s life, we have not enough time to cook food and get all the essential eatables in our diet. That’s why our food menu has got disturbed and we are indulged too much towards fast food or junk food. This is the main reason behind obesity. At Amandeep Hospital, we have an expert and experienced team of Bariatric Surgeons, Weight Loss Specialists, etc to make the patient free from obesity.

Under the pilotage and expertise of HOD Dr. Amandeep Kaur (PT) and Dr. Vikas Kumar (PT), this department has all the advanced aids and facilities to make the weight loss treatments very influential for your health. Get the best treatment and escape the fear of obesity. Say yes to bariatric surgery and get no for the weight gain. Give us a chance to serve you and you will see exceptional changes in you. “Always there at your service with our expert treatment and advice”

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