Bariatric Surgery Write for Us
Bariatric surgery (weight loss) is currently the only option that effectively treats morbid obesity in people for whom more conservative measures such as diet, exercise, and medication have failed. It also contributes to resolving comorbidities and improving quality of life. It has been shown that after fruitful bariatric surgery, patients obtain profits such as lowering blood glucose and blood pressure, reducing or eliminating sleep apnea, reducing the heart workload, and reducing cholesterol levels.
There are various approaches to bariatric surgery, but all procedures are malabsorptive, restrictive, or a combination of the two.
- Malabsorptive procedures change the digestive system’s method, and food is redirected, bypassing a large portion of the stomach and small intestine that absorbs some calories and nutrients. These procedures are known as “bypass” or gastric bypass procedures.
- Restrictive procedures significantly decrease the stomach size, so it holds less food, but the rest of the digestive functions remain intact.
Our bariatric surgery team has performed laparoscopic bariatric surgery since 2004. The bariatric surgeon inserts the specialized miniature instruments into the patient over small incisions in the abdominal wall. Compared to large-incision surgery, the laparoscopy technique:
- promotes faster healing and recovery
- reduces pain
- reduces the chance of infection
The procedure takes 1 to 3 hours, and patients generally stay in the hospital for 2 to 4 days after the operation. Most patients can return to school or work in 2 to 6 weeks.
We currently perform two laparoscopic bariatric procedures in adolescents:
Laparoscopic Sleeve Gastrectomy
Sleeve gastrectomy is a preventive form of weight loss surgery in which about 2/3 of the stomach is remove. The stomach size is tailored and looks like a sleeve or tube. Its advantages are that it does not cause malabsorption, and the patient loses weight through three different mechanisms:
- the stomach will accept a smaller volume of food since its size is reduce
- most of the cells that make the hormone involved in “feeling hungry” are removed along with the stomach
- the rate at which the stomach empties remains reduced
Initial weight loss due to sleeve gastrectomy alone was found to be very good (50 to 60% of excess weight) at one year and comparable with laparoscopic gastric bypass. Sleeve gastrectomy provides some advantages compared to bariatric procedures, such as not requiring. New connections between the intestines (as is need with laparoscopic gastric bypass), and not requiring adjustments as is necessary with laparoscopic gastric banding. And the ability to convert it then either gastric bypass or laparoscopic gastric banding if necessary.
Bariatric Surgery Risks
Since bariatric surgery can have serious side effects, the long-term health benefits must be consider and determined to outweigh the risks. Although the operation can be laparoscopic, all bariatric surgeries are considered central.
As with any surgical procedure, there can be complications. Some likely complications include, but are not limit to, the following:
- intestinal obstruction
- nutritional deficiencies
- gastroesophageal reflux
- blood clots
- bleeding ulcer
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