Function : Treats acute liver failure or chronic liver failure
Common Names : NA
Pain Intensity : Painful
Procedure Duration : 4-8 hours
Hospital Days : 20 - 21 Days
Anesthesia Type : General
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Bariatric refers to the branch of medicine that deals with the treatment and management of obesity and related conditions. It encompasses a range of medical and surgical approaches to help individuals who are severely overweight or obese achieve and maintain a healthier weight.
Bariatric surgery, also called weight loss surgery, is a category of surgical operations intended to help people with obesity lose weight. Healthcare providers may recommend bariatric surgery if other weight loss methods have failed and if obesity appears to pose a greater risk to your health than surgery.
Bariatric surgery procedures work by modifying your digestive system — usually your stomach, and sometimes also your small intestine — to regulate how many calories you can consume and absorb. They can also reduce the hunger signals that travel from your digestive system to your brain.
These procedures can help treat and prevent many metabolic diseases related to obesity, including diabetes and fatty liver disease. But weight loss surgery isn't an easy “quick fixâ€. It requires preparation beforehand and long-term lifestyle changes afterward to be successful.
Treatment & Procedures
Lifestyle Modifications:
Before considering more invasive treatments, healthcare providers often recommend lifestyle changes, which can include: Dietary Changes: Patients are advised to adopt a healthier diet with reduced calorie intake and better food choices. Portion control and balanced nutrition are emphasized. Exercise:Regular physical activity is encouraged to increase calorie expenditure and promote overall health. Exercise plans may be tailored to the patient's fitness level and capabilities. Behavioral Therapy: Counseling and behavioral therapy may be used to address emotional and psychological aspects of overeating and obesity. Techniques like cognitive-behavioral therapy (CBT) can help individuals change unhealthy habits. Support Groups: Many individuals benefit from participating in support groups or therapy sessions that provide encouragement, accountability, and emotional support during their weight loss journey.
Medications:
Weight loss medications may be prescribed for individuals who have not achieved sufficient weight loss through lifestyle changes alone. Some common weight loss medications include: Orlistat:Reduces fat absorption in the intestines. Phentermine-Topiramate: Suppresses appetite and increases feelings of fullness. Buproprion-Naltrexone: A combination drug that affects appetite and cravings.These medications are typically used in conjunction with diet and exercise and are prescribed based on the patient's specific needs and medical history.
Biopsies:
During endoscopy or other procedures, gastroenterologists may take tissue samples (biopsies) for examination under a microscope to diagnose conditions like celiac disease, cancer, or inflammatory disorders.
Endoscopic Procedures:
Endoscopic treatments are minimally invasive procedures performed using a flexible tube with a camera (endoscope) inserted through the mouth or other natural openings. Examples include:
Intragastric Balloon: A balloon is placed in the stomach and inflated to reduce the amount of space for food, promoting early satiety. Endoscopic Sleeve Gastroplasty (ESG): Stitches are placed in the stomach to create a sleeve-like shape, reducing its capacity.
Bariatric Surgery:
When non-surgical methods are insufficient or when severe obesity poses significant health risks, surgical procedures may be recommended. Common types of bariatric surgery include: Gastric Bypass (Roux-en-Y): The stomach is divided, and a small pouch is created. The small intestine is rerouted to this pouch, reducing food intake and nutrient absorption. Gastric Sleeve (Sleeve Gastrectomy): A portion of the stomach is removed, leaving a smaller, sleeve-shaped stomach that restricts food intake. Adjustable Gastric Banding (Lap-Band): An inflatable band is placed around the upper part of the stomach to create a small pouch. This band can be adjusted to control food intake. Duodenal Switch: A more complex procedure combining aspects of sleeve gastrectomy and intestinal rerouting to reduce both food intake and nutrient absorption.
Revision Surgery:
In some cases, individuals may require revision surgery to address complications or inadequate weight loss following a previous bariatric procedure.
Post-Surgical Care:
All surgical bariatric procedures require careful post-operative care, including dietary adjustments, nutritional guidance, follow-up visits, and ongoing support to ensure long-term success and monitor for potential complications.
Bariatric surgery is a medical procedure that helps individuals with severe obesity lose weight by altering the digestive system. Common types include gastric bypass and sleeve gastrectomy.`
Candidates are typically individuals with a BMI of 40 or higher or a BMI of 35 or higher with obesity-related health conditions (such as type 2 diabetes) who have not had success with other weight loss methods.
Bariatric surgery can lead to significant weight loss, improvements in obesity-related health conditions, enhanced quality of life, and increased lifespan.
Risks can include infection, bleeding, complications related to anesthesia, and potential long-term side effects. Discuss these risks with your surgeon.
Recovery times vary, but most patients can return to regular activities within a few weeks. It may take several months to fully adapt to dietary and lifestyle changes.
Yes, a post-surgery diet is crucial for success. Patients typically progress from clear liquids to pureed foods and then to solid foods over several weeks. Long-term dietary changes are also necessary.
Weight loss varies by individual and the type of surgery. Generally, patients can expect to lose a significant amount of excess weight within the first year.