Remedy of Obesity: Weight Loss and Bariatric Surgery

Bariatric surgical procedure includes a kind of procedure performed on people who have obesity. Weight reduction is achieved by reducing the size of the stomach with a gastric band or by means of taking away a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by resecting and re-routing the small intestine to a small stomach pouches (gastric bypass surgery).

The fundamental basis for bariatric surgery for the purpose of accomplishing weight loss is the determination that severe obesity is a disease associated with a number of adverse effects on health which could be reversed or improved by successful weight reduction in patients who’ve been unable to maintain weight reduction by non-surgical means. It even helps in the reduction of cardiovascular disease (CVD) as well as different expected benefits of this intervention. The ultimate benefit of weight reduction pertains to the reduction of the co-morbidities, quality of life and all-cause mortality.

Specific criteria established by the NIH consensus panel indicated that bariatric surgical procedure is appropriate for all patients with BMI (kg/m2) >40 and for patients with BMI 35-40 with associated comorbid conditions. These standards have held up over the long years, although particular indications for bariatric/metabolic surgical intervention have been recognized for persons with less extreme obesity, similar to individuals with BMI 30-35 with type 2 diabetes. The indications for bariatric surgical procedure are evolving quickly to consider the presence or absence of comorbid conditions as well because the severity of the obesity, as reflected by BMI.

Particular Bariatric Surgical Procedures are Roux-en-Y Gastric Bypass (RYGB), Sleeve Gastrectomy, Biliopancreatic diversion with duodenal switch, Implantation of Devices (contains Adjustable Gastric Banding, Intermittent vagal blockade, Gastrointestinal Endoscopic Devices).

Bariatric surgical community enacted a number of adjustments to result in this improved safety record. Included is the identification of the significance of surgeon and center expertise, the establishment of pathways, care protocols, and quality initiatives and incorporation of all of these features of care into an accreditation of facilities program. The transition to laparoscopic methodology occurred during the same time period and likewise contributed to the improved safety.

Weight reduction following bariatric surgery has been studied and reported each short- and longer-term following all surgical procedures undertaken, as weight loss is the first goal of bariatric surgery. Imply weight loss is uniformly reported. It is essential to determine nevertheless, the high variability of weight loss following apparently standardized operative procedures equivalent to RYGB or Laparoscopic Adjustable Gastric Banding (LAGB).

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