Monday, November 13, 2017

Know More About Sleeve Gastrectomy New Jersey And Other Weight Loss Surgeries

By Peter Reed


Also known as a gastric sleeve, this surgical weight-loss procedure involves reducing the stomach to around 15% to 25% of its original size. This is accomplished by the surgical removal of part of the stomach, leaving a thin structure that resembles the sleeve of a shirt. The procedure is effective, but unlike the aforementioned lap band and gastric bypass, a sleeve gastrectomy New Jersey is not reversible. It is, however, performed with a laparoscope, which means the incisions are minimally invasive. Additionally, it is very well suited for patients who suffer from lower gastrointestinal disorders such as irritable bowel syndrome or Crohn's disease, as it does not interfere with intestinal function.

Unlike Gastric Bypass, Sleeve Gastrectomy doesn't involve cutting and rerouting of the intestines. Instead, the operation removes the "Greater Curvature" or the left side of the stomach. This operation allows weight loss through two mechanisms. First: it decreases the size of the stomach hence allowing its owner to easily achieve the sensation of fullness. Second: it works by removing the fundus of the stomach which produces the hormone Ghrelin.

Like in any surgery, Obesity surgery has risks. Some of the most commonly known risks include Gastrointestinal Leaks, Gastric Distention, Deep Venous Thrombosis & Pulmonary Embolism, Bleeding, Heart attacks, Arrhythmia (abnormal heart rate), Respiratory issues (Breathing difficulties), Wound infection, Intrabdominal abscess, Dehydration related issues, Gastric Prolapse (or Band Slippage), Ulcers, Bowel Obstruction besides some side effects which are less serious.

Bariatric surgery can be performed using open or laparascopic methods, which involve opening the abdomen in the standard manner, or by laparoscopy. Bariatric surgery has been practiced in one form or another for many decades. Traditionally, the surgery was performed as an open procedure, in which bariatric surgeons create a long incision to open up the stomach. Due to the longer incision, an open procedure usually results in a longer stay (for six to seven days) in the hospital. Open surgery patients will need weeks to heal before returning to work and regular physical activities.

Since laparoscopic procedure requires a smaller cut, it leads to shorter hospital stay, lesser recovery time and smaller scars than with open bariatric surgery. Most surgeons prefer the laparoscopic approach because it creates less tissue damage, and has reduced risk of wound complications such as infection and hernias, which usually occur after surgery.

An alternative to sleeve gastrectomy is the gastric bypass surgery. This is a bit more invasive than other bariatric surgeries. This is done by creating a stomach pouch at the top of the stomach using surgical staples. The smaller pouch is then attached to the bottom portion of the small intestine that has been detached from the upper portion of the small intestine.

Both laparoscopic and open approaches to bariatric surgery help you with your weight loss goals. However, not all patients are suitable for the laparoscopic method. The extremely obese patients, who have already undergone stomach surgery, or who have complex medical problems such as severe heart and lung disease may require the open approach.

Likewise, not all bariatric surgeons are trained to perform this less-invasive laparoscopic method. According to the American Society for Metabolic and Bariatric Surgery (ASMBS), laparoscopic operation should be performed only by bariatric surgeons who are experienced and well versed in both laparoscopic and open techniques.

Thus, appetite is reduced and this results in weight loss. There are many reasons why the gastric by-pass may fail and the patient requires undergoing a gastric bypass revision. Some of these are gastro-gastric fistula, pouch dilation, anastomotic dilation.




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