Bariatric surgery includes an operation performed on a person with obesity. Weight loss by reducing the size of the stomach with a gastric band or by removing a portion of the stomach [sleeve gastrostomy or biliary pancreatic bypass with a duodenal switch] or by cutting and rerouting the small intestine to a small stomach pouch [Gas bypass surgery].
The fundamental basis for weight loss surgery to achieve weight loss is to determine that severe obesity is a disease associated with a variety of adverse health effects. It can reduce or improve the non-surgical methods of patients who can lose weight by the following methods. It even helps to reduce cardiovascular disease [CVD] and other expected benefits of this intervention. The ultimate benefit of weight loss is reduced comorbidity, quality of life and all-cause mortality.
Specific criteria developed by the National Institutes of Health Consensus Group indicate that bariatric surgery is indicated for all patients with a BMI [kg / m2] > 40 and patients with a BMI 35-40 with complications. Although people with less severe obesity [such as BMI 30-35 with type 2 diabetes] have recognized specific indications for weight loss/metabolic surgical intervention, these criteria have been going on for a long time. As reflected in the BMI, indications for bariatric surgery are rapidly evolving to consider the presence of comorbidities and the severity of obesity.
Specific weight loss surgery procedures are Roux-en-Y gastric bypass [RYGB], sleeve gastrectomy, duodenal switch for biliary pancreatic bypass, instrument implantation [including adjustable gastric banding, intermittent vagus nerve resistance] Stagnation, gastrointestinal endoscopy device].
The weight loss surgery community has implemented a series of changes to improve safety records. This includes identifying the importance of surgeon and center experience, establishing pathways, care protocols and quality initiatives, and incorporating all of these care aspects into the central program's certification. The transition to the laparoscopic approach occurs during the same period and also helps to improve safety.
Weight loss after bariatric surgery has been studied and short-term and long-term reports have been performed after all surgical procedures, as weight loss is the primary goal of bariatric surgery. Evenly report average weight loss. However, it is important to determine the high variability in weight loss after a clearly standardized surgical procedure, such as RYGB or Laparoscopic Adjustable Gastric Banding [LAGB].
The ultimate benefit of weight loss, whether medical or surgical, is related to reduced comorbidities, quality of life and all-cause mortality. Despite the importance of assessing these risks and taking steps to implement effective medical management and achieving different successes, surgery has proven to be more effective.
Orignal From: Treatment of obesity: weight loss and bariatric surgery
No comments:
Post a Comment