Treatment of Obesity: Weight Loss and Bariatric Surgery

Bariatric surgery features a kind of procedure performed on individuals who have obesity. Weight reduction is achieved by reducing the scale of the stomach with a gastric band or via 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 surgical procedure).

The fundamental basis for bariatric surgical procedure for the aim of accomplishing weight reduction is the willpower that extreme obesity is a disease associated with a number of adverse effects on health which may be reversed or improved by successful weight reduction in patients who have been unable to sustain weight reduction by non-surgical means. It even helps within the reduction of cardiovascular disease (CVD) as well as other anticipated benefits of this intervention. The last word benefit of weight reduction relates to the reduction of the co-morbidities, quality of life and all-cause mortality.

Particular 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-forty with associated comorbid conditions. These standards have held up over the lengthy years, though specific indications for bariatric/metabolic surgical intervention have been acknowledged for individuals with less extreme obesity, corresponding to persons 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 as the severity of the obesity, as reflected by BMI.

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

Bariatric surgical community enacted a number of changes to result in this improved safety record. Included is the identification of the significance of surgeon and middle expertise, the establishment of pathways, care protocols, and quality initiatives and incorporation of all of these facets of care into an accreditation of facilities program. The transition to laparoscopic methodology happenred throughout the identical time interval and also contributed to the improved safety.

Weight reduction following bariatric surgery has been studied and reported both short- and longer-time period following all surgical procedures undertaken, as weight reduction is the primary goal of bariatric surgery. Imply weight reduction is uniformly reported. It is crucial to identify nevertheless, the high variability of weight loss following apparently standardized operative procedures corresponding to RYGB or Laparoscopic Adjustable Gastric Banding (LAGB).

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