Posts Tagged ‘gastric sleeve’
Thursday, February 2nd, 2012
I know many individuals that are attracted by the idea of starting over. It’s important for an individual to discover what they did wrong, and how we can change. There is a need to lose weight or to keep the weight off successfully, to change your diet, to do some kind of exercise, to get fit and to stay fit by increasing your activity, to look younger, to have a totally new body so you can improve your body image. We are often dissatisfied or discontent with what we have, especially relating to our appearance – we want more or we want to look better!
Plastic Surgery has almost become a necessity for patients that have had a Bariatric procedure such as the lap band, gastric sleeve or gastric bypass. Patients who have undergone bariatric surgery and are looking for Plastic Surgery should know that they will need more Reconstructive Surgery than just the normal Aesthetic Procedures such as Liposuction. This means that Liposuction (the most frequent plastic surgery among all the population) or a tummy tuck would not be enough, and in most cases they will need a Plastic Surgeon who has experience working with patients that have undergone a Bariatric procedure.
Patients that have lost a lot of weight after a Bariatric procedure have different personal image concerns and plastic surgery needs. Before performing any procedure, the doctor must consider your age, your muscle tonicity, the amount of weight loss, the skin laxity or elasticity, the skin excess and the hygiene difficulty.
Frequent Questions among Lap Band Patients
Q: When is the best time to have a Plastic surgery after my Bariatric procedure?
A: The best time for Plastic Procedures for Lap Band patients is after reaching 60% of excess weight loss.
Q: Where can I start?
A: You should discuss your needs first, the surgical options and the cost of each procedure with your Plastic Surgeon and at that point, start planning a Plastic Procedure on what you can afford, what you want to improve or what bothers you most.
Q: Should I have all plastic surgery done at once?
A: As a Surgeon I recommend to my patients to schedule plastic surgery in phases and not to have Plastic surgery done all in one procedure. You have to consider that most of the Plastic surgery completed on a Bariatric patient takes a lot longer than in non-obese patients and this means that the surgery will be 6-8 hrs in the OR under general anesthesia. There is also more blood loss and many times the patient may need to have a blood transfusion if there is a lot of work needed.
Q: How long does it take?
A: The Tummy Tuck takes 2.5 to 6 hrs depending on the patient needs. The breast Lift takes 3.5 hrs. A lower body lift takes 3 to 6 Hrs.
Q: What is the cost?
A: The cost varies from doctor to doctor but each procedure can cost from 6 up to 10 thousand USD
What to expect after Plastic Surgery in Lap band patient
Most of the procedures require a one or two night hospital stay. You will need to be out of work for about 10 days after surgery and you will also have drains for 5 to 7 days. The patient must also wear a compression garment for several months. While the scar is healing, the patient will also need oral antibiotics.
Arturo Rodríguez, MD
http://www.thebariatric.com
http://www.bandstersforum.com
Originally posted 2008-10-23 08:17:51. Republished by Blog Post Promoter
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Tags: breast lift, Gastic Bypass Surgery, gastric bypass, gastric sleeve, Health, Lap Band, Lap Band Mexico, Lapband, lower body lift, plastic surgery, plastic surgery after, surgery after weight loss, tummy tuck, weight loss
Posted in Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric bypass, gastric sleeve, Gastric Sleeve Mexico, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Plastic surgery after weight loss, Roux-n-Y, RYGB, Weight loss surgery | 6 Comments »
Thursday, January 5th, 2012
The Gastric Sleeve is an open procedure, and is known as part of the Duodenal Switch since 1988. The Laparoscopic Gastric Sleeve on high risk patients started in 2004 as the first stage of the Duodenal Switch (DS) and soon after that date, several teams started Laparoscopic Gastric Sleeve programs as primary or solitary surgical procedures for morbidly obese patients. In 2007 the Gastric Sleeve was proposed as a treatment for Metabolic Disease regardless of the excess weight of the patient.
There are no long term follow-up results currently available for Gastric Sleeve Patients as a primary procedure. However, due to the increasing popularity of the Laparoscopic Sleeve, we are starting to see an increased number of failures. What we have observed in most of the Gastric Sleeve failures is the presence of large stomachs or large sleeves instead of a small volume sleeve. We have also observed a very poor nutritional and dietary change of habits in patients exhibiting gastric sleeve failure .
gastric-sleeve-proper-size = CLICK VIDEO
When we started performing Lap Band Procedures we were creating 50 cc pouches; soon after started creating 15 cc pouches in order to give patients restriction and to avoid failures. We are experiencing similar conditions with the Gastric Sleeve. The remaining stomach is too large (large sleeve) so patients don’t have adequate restriction to lose weight as we expected. The use of a smaller bougie during surgery to calibrate the size of the sleeve is imperative to avoid such technical failures. The running suture reinforcement will also help to prevent a large stretching of the sleeve.
When we started performing Gastric Sleeves we didn’t have enough appropriate follow-up care for patients because we were assuming the sleeve will work and do its job (by creating enough restriction and decreasing the Ghrelin levels to lower hunger). The truth is that patients need to be monitored closely and assisted on a regular basis with support groups and counseling in order to succeed.
We believe that the stretching of the Sleeve over time will also play a huge role in all of the cases of failure just as we learned from the lap band. Dilated pouches (large pouches) played a huge role in Lap Band failure in the past, and now in the case of the Gastric Sleeve, failure is due primarily to a large stomach pouch or sleeve.
Arturo Rodríguez, MD
http://www.thebariatric.com
http://www.bandstersforum.com
Originally posted 2008-09-11 19:41:17. Republished by Blog Post Promoter
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Tags: gastric sleeve, Health, Lap Band, Lap band complication, Lap Band Failure, Lap Band procedure, Lap band surgery, Sleeve, Sleeve Gastrectomy
Posted in Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric sleeve, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Revision Surgery, Weight loss surgery | 4 Comments »
Thursday, December 8th, 2011
July 6 (Health Day News) — Soaring U.S. medical costs are causing many Americans to take to the skies on “medical tourism” junkets, looking for high-quality yet low-priced health care at foreign clinics but experts also warn that the booming industry does have some risks.
“My own advice would be to look carefully at the accreditation of the hospital and consider the nature of the procedure. Are you sure it is the procedure you need? And is it done well at the place you are going?” said Dr. Ann Marie Kimball, a Professor of Epidemiology and Health Services at the University of Washington School of Public Health, in Seattle.
Medical tourism isn’t without some concerns, of course. Experts in the United States worry that consumers might end up getting substandard care if they don’t choose their hospital and physician carefully.
“It may be difficult to assess the training and credentials of surgeons outside of the United States.”
The risk for complications with people seeking this kind of surgeries rise three folds in the past six months says “El Norte”, a big News Paper alerting the Mexican Health Regulatory System of a very dark business going on which involved American Citizens crossing the border for a Lap band Surgery or a Gastric Sleeve procedure under not very clear circumstances.
Getting deeper in their investigation, the news paper says that the only ones that get some benefit from this medical tourism are the very dishonest intermediaries and the promoters where they want to capture the vast majority of patients regardless the outcome, questioning the doctor’s medical capacity that are hired to perform these kind of surgeries in obese patients.
What kind of doctors would you get in Mexico to do the Lap band or the Gastric Sleeve for $500 hundred USD, and the Anesthesiologist for $150,? says Claudia who just had her surgery done.
Can you find good trained doctors with those prices they are offering you? Of course you don’t!! You have to realize that because you are going to Mexico, these are not the regular or normal Doctor’s fees. GNP and other insurance companies paid $950 USD for appendix removal and obese procedures cost much more than that.
Ask yourself: How can someone have such cheap prices for your surgery without sacrificing the quality and the service that you deserve? The only way that someone can come out with such cheap prices is by not paying someone in the chain: You don’t pay for the hospital, the Lap band, the stapler or for the doctors fees. Or they are getting the medical products in the black market, or the medications are made in China.
Have you ever stopped to think ….The Lap band or the staplers are about $2000 USD. How do they get the figures with those prices? How much is the hospital? How much is the hotel, flight, internet or other advertizing they do? How much is the driver or the taxies? How much are the medications during and after the lap band or the Gatric Sleeve? How much is the anesthesiologist, the surgeon’s assistant and all related services like the follow-up you need in order to succeed?
Are you going to sacrifice your success or your health because of promos of a cheap procedure? This could cost you a lot more than that…Look around for stories with poor outcomes, they are all over the internet and many of the doctors have a very high reputation…. Don’t let yourself be treated as merchandise. At some point of the chain you won’t get what you deserve or what you are expecting.
Kimball’s advice: Look carefully at the accreditation of the hospital concerned and do your homework before you board the plane. “Check out the real number of surgeries done, the success rates, the years of working in obesity” Woodman added. It’s also a key to ask the surgeon you talk to if he or she will perform the operation, not an assistant.
Arturo Rodríguez, MD
http://www.thebariatric.com
http://www.bandstersforum.com
Originally posted 2008-09-16 21:12:58. Republished by Blog Post Promoter
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Tags: gastric sleeve, Gastric Sleeve Mexico, Health, Lap Band, Lap Band cost, Lap Band Mexico, Lap band price, Lap Band procedure, medical tourism
Posted in Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric sleeve, Gastric Sleeve Mexico, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Weight loss surgery | 9 Comments »
Thursday, October 20th, 2011
A Clinical Study
A clinical study was done in Germany to review complications following lap band surgery. Thirty-five hospitals were involved in the study, with 4138 patients that underwent gastric banding over a five-year period. Lap Band long-term complications were described in 8.6% of all patients. The most common complications included: pouch dilation or enlargement (5.0%), lap band slippage (2.6%), and Lapband migration or erosion (1.0%). (Stroh,C Manger, T “Complications after adjustable gastric banding”, Chirurg, 2006, Vol 77,pag 244-250)
Normal Lap Band X-Ray Under Fluoroscopy
Enlarged Lap Band Pouch
What is Lap Band Slippage?
One of the long-term complications of lap band surgery is called “Lapband slippage” and can be defined as “when the Lapband and the stomach pouch are both prolapsed.” This means that the lap band has shifted position and the enlarged stomach pouch has also shifted or twisted so that food does not go through the lapband into the rest of the stomach. This may result in pain, discomfort, decreased appetite and inability to eat or drink, and vomiting. Lapband Slippage does not happen immediately but may take several months to develop.
Large Lap Band Pouch
Lap Band Slippage generally develops in a progressive manner. As food intake is increased, the stomach begins to stretch and grow and the patient may stop losing weight or start to regain weight. At this point, patients may only exhibit an enlarged stomach Lap band pouch. This can be medically treated by deflating the lap band to release pressure and slow the growth of the pouch (successful in 70% of cases, or surgical treatment can be considered). However, if the enlarged lapband pouch continues to grow, the lapband progressively rotates until both the lap band and the enlarged pouch become prolapsed, resulting in Lap band slippage. This is followed by functional stenosis (narrowing) of the stomach.
Lap Band Slippage
Lapband Slippage Symptoms typically include progressively worsening reflux, vomiting and epigastric complaints, which may increase to sudden near-total dysphagia (inability to swallow or eat anything, including saliva).
Risk factors or causes of lap band slippage include surgical technique, model of the lapband used, early consumption of solid foods, early inflation or filling of the band, consumption of carbonated or sparkling beverages, and frequent vomiting.
Treatment for lap band slippage requires surgical intervention. The lapband must be repositioned or removed, based on the operative findings and condition of the stomach pouch. If appropriate, the surgeon and patient may elect to choose another type of bariatric procedure such as a Gastric Sleeve.
How Do I Prevent Lap Band Slippage?
In order to decrease the risk of developing lap band slippage, it is important to follow the recommended diet following surgery and to avoid introducing solid foods too early. In addition, the fills should not be started before 6 weeks post-operatively and these Lap band fills should be very gradual. We also recommend that fills should be done under fluoroscopy, even if you are asymptomatic (no symptoms of lap band slippage), to be able to monitor the position of the lapband, and the size of the stomach pouch and condition of the esophagus. This will allow for early diagnosis of an enlarged stomach pouch or possible lap band slippage.
Susana González, MD
Radiologist
http://www.thebariatric.com
Originally posted 2009-02-17 13:25:15. Republished by Blog Post Promoter
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Tags: Add new tag, complications, erosion, gastric band, gastric sleeve, Lap Band, Lap Band procedure, Lap band slippage, Lap band surgery, lapband big pouch, lapband complication, lapband fill, lapband fills, Lapband mexico, lapband slippage, lapband slippage correction, Lapband surgery, pouch, prevention lapband slippage, slippage
Posted in Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric sleeve, Gastric Sleeve Mexico, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, Revision Surgery, Weight loss surgery | 357 Comments »
Wednesday, September 14th, 2011
The first and most important step to minimize the chances of failure from a Bariatric procedure and to increase your success rate is to be well informed about each one of the surgeries before you choose any of them.
What should you know about Weight Loss Surgery?
- How does each procedure work? How will they assist in weight loss?
- What should you expect from the Lap Band, Gastric Sleeve, or Gastric Bypass procedures, in terms of weight loss and/or Type 2 Diabetes
- The difference in short and long-term benefits for each procedure
- The operative risks and complication rates for each procedure
- How much follow-up and support will you need for each procedure
- How much of the Total Patient Care (TPC) program services will you need
- What kind of adjustments will you need following surgery?
- What kind of commitment is expected from you, for each procedure
- What should you expect from the Doctor or Bariatric Group that you choose
- The surgical options you have for each of the procedures in case of a failure
- Finally, the cost of each procedure
What should you know about the Doctor or Bariatric Group?
You have to be well informed about the Doctors and medical team performing the Lap Band, the Gastric Sleeve or the Gastric Bypass. Choose your surgeon and medical team wisely in order to ensure the best results for your weight loss success.
- Ask about their education and training credentials if you are planning to go to a Latin Country. Look for Medical Degrees in Private Colleges like Monterrey Tech, University of Monterrey, or LaSalle School of Medicine, or other reputable medical universities.
- Ask about where they received their Surgical Training. There can be a big difference in the treatment you will receive between doctors trained in well-known Private Hospitals, rather than in the Social Governmental Health Care System.
- Ask about their Diplomas. Did they have to write a Medical Tests to join the Medical Society or Surgeon group, or did they just pay a subscription fee to become a member?
- Check the number of Revision Surgeries they have been involved with. This may give you an indication of the quality of their work.
- Check their Surgical Staff for credentials and experience. Consider the Anesthesiologist and any other assistant surgeons. It is important that they have experience in Bariatric surgery.
- Double-check the Ethics and Professionalism of their Promoters or Coordinators.
- Finally, check the Follow Up and Support they would provide you after your surgery.
Diet Rules to Follow (Regardless of the Weight Loss Procedure you Choose)
For any weight loss method to be successful and effective, you have to make some healthy lifestyle choices regarding the foods that you eat. Bariatric surgery is an effective way to increase the rate of weight loss, but the best results can only happen when you make healthy choices. After Bariatric surgery, you will feel full with a smaller amount of food – make sure to choose foods with the most nutritional value to help you on the journey to a new, healthier you!
- Follow the Diet Steps recommended by your Doctor or the Nutritionist after surgery.
- Chewing very well will help to maintain the pouch size, preventing stomach stretching and decreasing the risk of blockages and reflux in the esophagus or stomach.
- Eat 6 small meals a day.
- Eat slowly; take your time at the table.
- Preferably, hydrate or drink beverages between meals.
- Avoid Gastric Irritants like Alcohol, Coffee, Hot or Spicy, Vinegar, Soy Sauce or other Acid Beverages.
- Limit high calorie foods like chocolate, cream and full-fat dairy products.
Failure Features Characteristically observed with Bariatric Procedures
These “failures” can be a result of a number of different circumstances or actions, or may develop slowly over time. Therefore, it is important to have regular follow-ups to monitor your weight loss and the status of your lap band, sleeve or gastric pouch. Remember: If you have any concerns, don’t be afraid to ask your doctor.
- Big Gastric Pouches
- Mega- esophagus
- Wide Gastric Sleeve
- Excessive tightness of the Gastric Band
- Wide outlet of the Bypass Gastro-Yeyuno
- Very Short common limb of the Gastric Bypass
Arturo Rodríguez, MD
http://www.thebariatric.com
Originally posted 2008-07-10 23:25:31. Republished by Blog Post Promoter
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Tags: Bariatric Group, Gastic Bypass Surgery, gastric bypass, gastric sleeve, Health, Lap Band, Lap Band Mexico, Lapband, Lapband procedure, Lapband surgery, Obesity surgery, Realize Band, Simplified Gastric Bypass, Sleeve Gastrectomy, weight loss procedure
Posted in Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric bypass, gastric sleeve, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Revision Surgery, Roux-n-Y, RYGB, Weight loss surgery | 2 Comments »
Wednesday, August 31st, 2011
Our History
The knowledge that we have today about laparoscopy has developed through the patience, hard-work and determination of dedicated doctors and individuals. When we started doing laparoscopic surgery, many doctors without laparoscopic training argued that open surgery had a better view through the large incision, than from the tiny camera’s panoramic view. They also thought that the sense of touch was lost by using instruments instead of fingers tips. They stated we were introducing unnecessary risks to any procedure by doing so. However, over time we have discovered that laparoscopic surgery is a very safe method. The view is much better with the cameras moving in all possible directions, and the tip of the instruments act as well as finger tips do after you have been trained to use the instruments.
We also were discouraged from performing laparoscopic surgery in the elderly, in the young and in the morbidly obese patients. The patients under this category were unable to have laparoscopic procedures of any kind in all major hospitals. However, time and experience have also demonstrated the safety of this technique for higher-risk patients. Now, everyone recognizes the laparoscopic method as the best option for many surgical procedures, and many people are now are surprised when procedures are not done using laparoscopy.
Advancement in the quality of lap band products has continued over the past 30 years. The first lap band model in the United States was the Inamed Lap Band, approved by the FDA in 2001. Doctors in the States began using this band as it was the only approved model in the US. We initially promoted another type of Lap Band that was developed in Europe, with a softer ring, and a bigger, low-pressure balloon to adjust to any stomach size. This type of Lap Band was approved by the FDA in 2006, and has now become the most widely used type of lap band in the world. A few years ago, this band was purchased by Johnson and Johnson and is now known in the US market as the Realize Band. Inamed (Now Allergan) has five different models of the Lap Band, which have been designed to emulate many of the characteristics of the Realize band.
What´s Next?
Initially, there was much resistance against treating patients with a BMI less than 35, with bariatric procedures such as the Lap Band. The medical community now supports preventative medicine, by encouraging patients to be pro-active rather than waiting five or tens year and developing co-morbidities before they treat the medical problem. Today, there are various procedures acceptable for patients with a BMI of less than 35, including the Gastric Band, as well as more drastic procedures such as the Gastric Bypass, Duodenal Bypass, Gastric Sleeve and Duodenal Exclusion. These procedures are also helpful if you are looking for your patient to obtain the Metabolic Effect from these procedures, and to improve blood sugar control for patients with Type2 Diabetes, High blood pressure and High Cholesterol (Metabolic Syndrome).
Arturo Rodríguez, MD
http://www.thebariatric.com
http://www.bandstersforum.com
Originally posted 2008-06-02 00:35:50. Republished by Blog Post Promoter
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Tags: Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric sleeve, Health, Lap Band, Lap Band procedure, Lap band surgery, Lapband, Lapband procedure, Lapband surgery, Obesity surgery
Posted in Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric sleeve, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery | 3 Comments »
Wednesday, August 3rd, 2011
Today I want to share some concepts that frequently are misunderstood by Doctors starting a bariatric program, and by Banded Patients. There are several reasons for De-Banding a Lap-Band patient. Today I would like to focus on EROSION. The incidence of Stomach Erosion ranges from 2 to 15% of the patients who underwent a Lap Band Procedure . The occurence of erosion depends on the Surgeons learning curve, and various patient actions such as the consumption of alcohol, spicy or hot food, frequent vomiting or the use of some medications like Aspirin.
The concept I want to strongly point out is that De-banding due to stomach erosion could be much more challenging and difficult than the initial LAP BAND procedure itself, and requires a lot more experience and skills to do it safely and properly without having complications like leaking, intra-abdominal abscesses or infection at different levels.
Doing the De-Banding properly also means that the Surgeon has to keep in mind that the patient may require a Revision Surgery after six months, for a Re-banding, a Gastric sleeve or a Gastric Bypass Procedure.
In cases of infection or leaking during the De-Banding, the revision surgery will be very difficult, and prone to more frequent complication rates (5 to 30%), or may almost be impossible to be done because of heavy adhesions at the operatory site. As a matter of fact, the so called “learning curve” among Doctors when doing a De-Banding procedure requires a larger number of “supervised surgeries” than with the initial lap band, and the supervisions are usually done by an experienced Surgeon teaching the new bariatric surgeons or the General Surgeons under these conditions, to provide an opportunity for those patients to receive a new bariatric procedure.
If you require De-banding, be sure to inform yourself and look into finding the most experienced and qualified surgeon. Your health is important.
Dr. Arturo Rodriguez
Bariatric Surgeon
http://www.thebariatric.com
Originally posted 2008-04-28 13:27:42. Republished by Blog Post Promoter
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Tags: gastric sleeve, Lap Band, Lap Band procedure, Lapband, Lapband surgery, Revision Surgery, Stomach erosion
Posted in gastric sleeve, Lap Band procedure, Revision Surgery, Stomach erosion | 2 Comments »
Tuesday, September 28th, 2010
Patients can have minor or large complications after a Lap Band, Gastric sleeve or Gastric Bypass procedure. Many patients may need another surgery to correct the complications, which can cost them more money. However, medical complications are not always a result of a bariatric procedure failure. A Weight Loss Procedure is classified as a failure if the procedure is no longer working.
When a Bariatric Procedure Fails for a patient, there are several different consequences to be considered. They include the emotional, economical, and physical impacts of the failure.
What are the emotional consequences of Procedure Failure?
Depending on the type of procedure (Lap Band, Gastric Sleeve or Gastric Bypass), the patient may regain all the weight back again. This can be emotionally devastating because it gives the patient the feeling that he or she has thrown away money for nothing. They feel anger towards the doctor and themselves, and during this whole process, their health and life could be at risk due to the complications. It is important for patients to know they are not alone. It is also important that they take positive action to address the situation, since this increases the probability of succeeding in the future.
What happens after a Procedure Failure?
We can say a Bariatric Procedure is no longer working when the patient has regained all the weight originally lost. This means that the patient needs a new procedure called Revision Surgery. The need for a revision surgery after a procedure has failed may jeopardize the health or life of the patient, as the complication rate increases from 2% to 25%. In addition, it will cost additional money for the revision surgery.
The chances for success for a second, different, Bariatric Surgery are lower then the first time, and the morbidity increases up to 25% depending on the revision procedure to be done. This is in part because the doctor has to be able to finish a new Weight Loss Procedure over the scar tissue and be able to repair what went wrong in the first place. The decision as to which will be the chosen bariatric surgery for the second time will depend on the type of surgery first performed.
How can a patient succeed after Revision surgery?
The patient must be careful to avoid any mistakes made before that may have influenced the development of complications. It is very important that you ask your doctor and yourself questions like:
- Why didn’t the first procedure work for me?
- Which procedure works for me best after failing the first time?
- Am I going to be able to follow the rules for success with the procedure I am choosing?
- How much help will I get from the doctor and his staff after revision surgery?
- Am I looking only for the best price I can get, or for the procedure that can work best for me?
You have to analyze both the pros and cons for any procedure that you are considering, especially when considering a second procedure or revision surgery. You have more chances to succeed if you keep in mind what went wrong the first time, in order to develop a plan for success in the future.
Arturo Rodríguez, MD
http://www.thebariatric.com/
http://www.bandstersforum.com/
Originally posted 2008-07-27 21:53:21. Republished by Blog Post Promoter
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Tags: Gastic Bypass Surgery, gastric bypass, gastric sleeve, Health, Lap Band, Lapband, Realize Band, Revision Surgery, Simplified Gastric Bypass, weight loss procedure
Posted in Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric bypass, gastric sleeve, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Revision Surgery, Roux-n-Y, RYGB, Stomach erosion, Weight loss surgery | 2 Comments »
Monday, September 6th, 2010
I hear this question all the time and there is no single answer for every person. You have to find your own answer by asking some questions like:
Is the cost of the procedure an issue that will influence my decision on which procedure to have?
Am I looking for a simple or complex bariatric procedure?
Am I looking for the safest procedure?
Am I going to be able to follow the rules for success with the procedure I am choosing?
How much help will I get from the doctor and his staff after any of the Weight Loss Procedures?
Which of the Weight Loss Procedure fits my life style better?
You have to be well informed about all the surgical Weight Loss Options in order to have the answers, but it is also very important for you to know about the doctors that perform the surgies (the Lap Band, Gastric Sleeve or Gastric Bypass), their bariatric experience, their surgical staff, the experience they have in revision surgeries, the ethics and professionalism of the promoters and the Weight Loss follow up and support that they will provide for you after your surgery.
Helpful Facts About Weight Loss Surgery
- There is no ideal Weight Loss Procedure that works for every person. Everyday we do more revision surgeries because of Lap Band, Gastric Sleeve and Gastric Bypass failures.
- Gastric Sleeve is the Weight Loss Procedure that results in the best response for patients with Type 2 Diabetes, Hypertension and Hyper-Cholesterol (the Metabolic Effect).
- The Lap band is the simpler and cheapest among the Weight Loss Procedures.
- It is not true that if you are very heavy you will need to have the most drastic procedure.
- Young or elderly patients can have the Lap Band, the Gastric Sleeve or the Gastric Bypass.
- The doctor’s experience influences the outcome of the Weight Loss Procedures.
- The patient´s eating behavior can modify the outcome of any of the Weight Loss Procedures.
- The open message boards have very many doctors’ coordinators trying to send patients their way and might confused patient’s right decisions.}
- The procedure with lowest surgical risk is the Lap Band.
- The procedure with the most surgical risk is the Duodenal Switch, followed by the Gastric Bypass.
- The average hospital stay following the Lap Band procedure is one night.
- The average hospital stay following the Gastric Sleeve procedure is two nights.
- The average hospital stay following the Gastric Bypass procedure is three nights.
- The Lap band needs to be “filled” periodically in order to provide optimum weight loss results.
- A person with a Gastric Bypass will need nutritional supplements for life to avoid deficiencies.
- You should avoid alcohol with any bariatric procedure, due to high risk of getting an ulcer.
Dr. Arturo Rodriguez
Bariatric Surgeon
http://www.thebariatric.com
http://www.bandstersforum.com
Originally posted 2008-06-26 00:34:53. Republished by Blog Post Promoter
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Tags: duodenal switch, Gastic Bypass Surgery, gastric bypass, gastric sleeve, Health, Lap Band, Simplified Gastric Bypass, Sleeve Gastrectomy, Verstical Sleeve, Vertical banded sleeve, Vertical Sleeve Gastrectomy
Posted in Gastric band Procedure, Gastric Band surgery, Gastric Banding, gastric bypass, gastric sleeve, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Revision Surgery, Roux-n-Y, RYGB, Stomach erosion | No Comments »
Monday, August 9th, 2010
The reasons for obesity are multiple and complex. Despite conventional wisdom, it is not simply a result of overeating. Research has shown that in many cases, the significant underlying cause of morbid obesity is genetic. Studies have demonstrated that once the problem is established, efforts such as dieting and exercise programs have a limited ability to provide effective long-term relief.
Science continues to search for answers but, until the disease is better understood, the control of excess weight is something patients must work at for their entire lives. That is why it is very important to understand that all current medical interventions, including the Lap Band, Gastric Sleeve and Gastric Bypass procedures should not be considered medical cures. Rather, they are attempts to reduce the effects of excessive weight and alleviate the serious physical, emotional and social consequences of the disease.
Contributing Factors
The underlying causes of severe obesity are not known. There are many factors that contribute to the development of obesity including genetic, hereditary, metabolic, environmental, and eating disorders. There are also certain medical conditions that may result in some special type of obesity, such as the long term intake of steroids and some diseases such as hypothyroidism and hyper-adrenalism.
Genetic Factors
Numerous scientific studies have established that your genes play an important role in your tendency towards excess weight gain. The body weights of adopted children show no correlation with the body weights of their adoptive parents, who feed them and teach them how to eat. However, their weight does have an 80 percent correlation with their genetic parents, whom they have never met. As well, identical twins with identical genes, show a much higher similarity of body weights than do fraternal twins.
Certain groups of people, such as the Pima Indian tribe in Arizona and the growing Mexican-American population have shown a very high incidence of severe obesity. They also have significantly higher rates of diabetes and heart disease than other ethnic groups.
We probably have a number of genes directly related to weight. Just as some genes determine eye color or height, others can affect the appetite by increasing the amount of secretion of the Ghrelin Factor by the stomach, or the ability to feel full, satisfied, or have an early age-related change in metabolism. Our fat-storing ability, and our natural activity levels may even be affected by some predetermined gene.
Environmental Factors
Environmental and genetic factors are obviously closely intertwined. If you have a genetic predisposition toward obesity, then the modern American lifestyle and environment may make controlling weight more difficult. Fast food, long days sitting at a desk or in front of a TV screen or monitor, and suburban neighborhoods that require cars all magnify hereditary factors such as metabolism and efficient fat storage. For those suffering from morbid obesity, anything less than a total change in environment usually results in failure to reach and maintain a healthy body weight.
Metabolism
We used to think of weight gain or loss as only a function of calories ingested and then burned. Take in more calories than you burn, gain weight; burn more calories than you ingest, lose weight. But now we know the equation isn’t that simple. Obesity researchers now talk about a theory called the “set point,” a sort of Thermostat in the brain that makes people resistant to either weight gain or loss. If you try to override the set point by drastically cutting your calorie intake, your brain responds by lowering metabolism and slowing activity. You then gain back any weight you’ve lost.
Eating Disorders & Medical Conditions
Weight loss surgery is not a cure for eating disorders. And there are medical conditions, such as hypothyroidism, that can also cause weight gain. That’s why it’s important that you work along with your doctor to find out whether you have any conditions that should be treated with medication and counseling.
Arturo Rodriguez, MD
http://www.thebariatric.com
Originally posted 2008-04-23 14:06:19. Republished by Blog Post Promoter
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