types of weight loss surgery

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types of weight loss surgery



being overweight or even severely obese cancause serious health problems and often bariatric surgery may be an option. we spoke with dr.ramy awad at desert regional medical center in palm springs california who gives us moreon bariatric surgery and the different types of weight loss surgery. well we have different types of surgical weightloss procedures. there's the gastric banding



types of weight loss surgery

types of weight loss surgery, procedure and what that is, it's essentiallya reversible procedure. its a procedure that is minimally invasive. the appeal for thatfor patients is that there is no cutting, dividing or rerouting your intestines. essentiallywhat it is, it's a gastric band made of silicone and circles the upper part of the stomachand essentially partitions the stomach into


a pouch above the band that has a small gastriccapacity that limits the amount of oral intake people can take. and we have obviously ourgold stantard procedure, which is a gastric bypass and the gastric bypass is both a restrictiveand a malabsorptive procedure. and a third procedure is a relatively new procedure itscalled the vertical sleeve gastrectomy. this is a purely restrictive procedure in whichthe stomach is reduced in capacity. you're also taking out an area of the stomach calleda fundus where it produces a hormone called ghrelin and that hormone is essentially ahunger hormone that works on the brain for hunger. so actually taking out a hunger hormone.gastric bypasses are technically difficult surgeries; they are done laparoscopicallyand as a result of laparoscopy that really


has revolutionized weight loss surgery forthe morbidly obese patients. post operative pain is minimized, operative stress is minimized.recovery is quick. dr. awad explains who would be good candidate for surgical weight loss.essentially patients with a body mass index of 35 with one or more weight related comorbiditiesare considered surgical candidates for weight loss. or individuals who have a body massindex of 40 without weight related comorbidities. surgical weight loss really produces profoundweight loss with profound effects on their health and it is durable and sustainable.we have a lot of long term data showing this. the surgical weight loss procedures offermechanical restriction and physiologic changes that really facilitate weight loss and it'snot only the individuals self control and


self discipline, they actually have a mechanicalrestriction and physiologic changes that promote this weight loss. but the after care is veryimportant. exercise, dietary changes and implementing appropriate nutritional supplementation ingood quality diet is very important to success. what i tell all my patients is that regardlesswhat they have done its better than not having anything done. because even modest weightloss has profound effects on your health. so essentially we tailor the individual thesurgery based on the individuals operative risks their realest expectation and theirrisk tolerance because some patients are concerned about the fact that their stomach is cut andtheir intestines are rerouted and they want something relatively simple like a band. otherpatients want more drastic weight and they


have medical conditions such as diabetes thatare really poorly controlled and they need something more invasive to help with resolutionof these medical problems.




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