Alabama, Birmingham - Report by Lillian. Today, we will give information about Weight Loss Surgery: What are the options .
Once food, it is on the way through the digestive tract where enzymes and digestive juices it will break down and allow our systems to absorb the nutrients and calories. In the stomach, which can accommodate up to three liters of material, is the division with the aid of strong acids. From there, it moves into the duodenum, and the digestive process is accelerated by the addition of bile and pancreatic juice. It is here that our bodies the majority of iron and calcium in the foods we eat is absorbed. The last part of the digestive process in the 20 meter small intestine takes, the jejunum and ileum, where calorie and nutrient uptake is complete, and all particles unused food are then sent back to the colon for elimination.
deal include weight loss procedures or to circumvent the complete digestion in any way. They range from simple reduction in the amount that you eat, the major bypasses in the digestive tract. To qualify, many of these operations, a person must be called "morbidly obese", that is, with a minimum weight of 100 lbs. about the appropriate weight for their height and overall body structure.
gastric bypass
mid-1960s discovered Dr. Edward E. Mason, that women who had partially undergone stomach removal as a result of gastric ulcers failed weight afterwards to win. The stomach filled quickly, and finally emptied into the lower part, complete digestion in the normal manner. Over the years the operation has developed into what is now known as the gastric bypass surgery. Instead of partitioning the stomach is divided and separated from the rest, with staples. The small intestine is then at about 18 "below the stomach and the accompanying" cut new ", small stomach. Smaller meals are then eaten, and digested food moves directly into the lower part of the intestine. As weight loss surgeries are considered as a whole, is this is one of the most secure, long-term treatment of obesity has.
gastric banding
one method that is produced basically the same results as the stomach stapling / bypass, and classified as "restrictive" surgery. the first operations, a non-bending band around the upper part of the stomach, to the same 3-6 ounce capacity is involved placed reduced below the esophagus, creating an hourglass stomach, the upper part. As advanced technologies, the band became more flexible, includes an inflatable balloon, which triggered by a reservoir, when placed in the abdomen, which was inflating able to reduce the size of the stoma, or emptying enlarge it. Laparoscopic surgery means smaller scars and less invasion of the digestive tract.
biliopancreatic diversion
bypasses A combination of the gastric bypass, and Roux-en-Y restructuring that to a significant portion of the small intestine, thereby reducing the likelihood malabsorption create. The stomach is reduced in size and an extended Roux-en-Y anastomosis is attached to the smaller stomach, and the small intestine is lower than normal. This allows the patient to eat larger amounts, but still achieve weight loss through malabsorption. Professor Nicola Scopinaro, University of Genoa, Italy, developed the technique, and last year published the first results in the long term. They showed an average 72% loss of excess weight, maintained over 18 years, the best long-term outcomes of bariatric surgical procedures to date. BPD patients require lifelong follow-up calcium and vitamin intake to monitor. The advantages to be able to eat more and still lose weight, be countered by loose or malodorous stool, bloating, Ostomy ulcers and possible protein malnutrition.
Jejuno ileal bypass
one of the first weight loss procedures for the grossly obese, was developed in the 1960s, a strictly malabsorptive method of reducing weight and preventing gain , The jejunojenual ileal bypass reduced the lower digestive tract to only 18 "of the small intestine, from the natural 20 meters, a crucial difference when it came to absorption of calories and nutrients. In the end-to-end method, the upper intestine was cut below the stomach and re-attached to the small intestine much further down, which was also separated, which "cut", the majority of the intestine. malabsorption of carbohydrate, protein, lipids, minerals and vitamins, to a variation, the end-to page bypass, which has the end of the upper portion, and fixed to the side of the lower part, without at this point separation. reflux the intestinal contents in the non-functioning upper portion of the small intestine resulted in more absorption of essential nutrients, but also less weight loss, and increased weight gain after the surgical procedure. As a result of the bypass fatty acids in the colon be emptied, produce irritation comprising water and electrolyte causes the intestine to flood ends in chronic diarrhea. The bile salt pool necessary keep cholesterol in solution is reduced by malabsorption and loss chair. As a result, increases cholesterol concentration in the gall bladder, thereby reducing the risk of stones. Multiple vitamin losses are a major concern, and may result in bone loss, pain and fractures. Approximately one third of patients to adapt the size and thickness of the remaining active small intestine, which resembles the absorption of nutrients, and increases the weight loss. But in the long run, all patients who are undergoing this bypass prone to liver cirrhosis are. In the early 1980s, one study showed that about 20% of those who had made JIB, required to another bypass alternative conversion. The method was abandoned since largely because having too many risk factors.
While surgical methods of weight reduction are valuable to the morbidly obese, they are not without risks. Patients can more bed rest after surgery is required, leading to an increased likelihood of blood clots. The pain may also cause reduced depth of breathing, and complications such as pneumonia.
undergo before fat / weight reduction surgery, a severely obese person needs to thoroughly understand the benefits and risks, and must commit to their future health. A smaller stomach will not stop the chronic sugar-snacker, from "grazing" on high calorie sweets. Not even a steady supply of pop, concentrated sweet juices and milkshakes, reduce calorie intake. Some bypass surgery, certain foods can aggravate side effects that need not be severe, if common sense diets are respected. The surgery can be a "shortcut" to weight loss, but it can reduce the life of your joy when you will not be able to keep to the regimes that go with it.
by Anthony Ellis
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