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Basics Relating To Bariatric Weight Loss Surgery

By Sarah Johnson


A number of methods can be used to achieve weight loss. The most widely used options in New York involve the making of lifestyle changes including the adoption of healthier diets and engagement in regular physical exercise. These methods are safe and effective for a majority of people. Their main undoing is the fact that they take too long to work and may not be appropriate if one needs to shade off a significant proportion of their weight rapidly. Bariatric weight loss surgery is often the option in such cases.

Bariatric surgical operations are also known as restrictive operations. This is because they generally work by limiting the amount of food that the stomach can hold at any given point in time. Less nutrients are delivered to the body tissues. Most of these nutrients are used in the provision of energy with very few calories ending up as stored fat. The end result is rapid loss of weight.

Gastric banding and sleeve gastrectomy are the main forms of bariatric operations offered in most centers. There is a difference in the manner in which each of them is performed but the effect is largely the same (both result in a significant reduction in the stomach volume). The main difference between them is that gastric banding can be reversed while sleeve gastrectomy cannot.

Gastric banding is usually performed using a laparoscope. It involves the placement of a band (silicon-based) to the upper stomach region so as to cause compression. The lower portion is converted into a small pouch that can hold an ounce of food or less. Laparoscopy makes it possible to conduct the operation through small incisions which leads to fewer complications and less prominent scars.

A long plastic tube connects the band to an accessible area under the skin. The role of the tube is to help regulate the compression exerted on the stomach by the tube which effectively increases or reduces its size. This is achieved by injecting or withdrawing a small amount of water (or saline) from the tube. When the saline is injected the size reduces, and when it is withdrawn the compression reduces and the stomach size increases.

There are a number of complications that may result from this operation. Those that are encountered most commonly include nausea, vomiting, aversion to food, bleeding and infections. Some of the symptoms can be relieved by adjusting the compression exerted by the band. Once the symptoms have subsided, the pressure can be increased gradually once more to reduce the stomach to the desired size.

Sleeve gastrectomy is a surgical operation involving resection of the stomach along its length. Between 75 and 80% is removed converting the organ into a tubular structure. Early satiety and reduced transit time in the stomach reduced the overall amount of nutrients absorbed. Side effects associated with this surgery are similar to those seen with the banding procedure.

Recovery from the operations typically takes a few weeks. A liquid diet is recommended for about two weeks after which you can resume your normal diet. Results vary from one patient to another depending on a number of factors that include the initial weight, surgical skills of your doctor, technique employed and so on. Combining the surgery with lifestyle options achieves even better results.




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