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Posts Tagged ‘bariatric surgery for obesity’

Obesity surgery or Bariatric surgery refers to surgery done on dangerously overweight persons for the sole purpose of developing a forced weight loss so they can increase their physical wellbeing. Obesity surgery involves changing the body’s food intake system. Drastic changes are made to the digestive system in Obesity surgery. Weight-loss in this way involves the insertion or implanting of a medical device in order to reduce the size of the patients stomach capacity. Obesity surgery can involve the resection of the small intestines and rerouting of the small intestines in to a small stomach pouch.

In drastic cases obesity surgery was known to involve possible removal of a portion of the stomach as well. Obesity surgery makes a drastic and significant loss in weight. The weight loss from obesity surgery improves other positive factors such as recovery from diabetes, major improvements in cardiovascular health due to better blood circulation and nearly a major reduction in mortality. According to the Us National Institutes of Health, obesity surgery is recommended for people who have a body mass index of at least 40 and for those with a body mass index of 30 to 35 that have other serious medical conditions like diabetes coexisting with obesity. Although new research suggests that individuals with a body mass index of 30 to 35 could have significant health gains by having obesity surgery even if they do not have other coexisting medical conditions. But it must always be considered that obesity surgery is a very risky procedure and must be considered asan absolute last resort after all other options have been exhausted.

Obesity surgery falls into three categories. The 1st category features predominantly malabsorptive procedures. Here the concept is to induce malabsorption which would be to reduce the amount of nutrients that the body takes. Of the three surgical options only the Biliopancreatic Diversion/Duodenal switch is performed currently. It involves resecting part of the stomach to produce a smaller stomach. The malabsorption effect is so great that patients have to take very high doses of supplementary minerals and vitamins to prevent onset of defiency related illnesses like anemia and osteoporosis.

The next category consists of restrictive procedures where the body is modified so the actual intake of food is forcibly limited. The best known of these is Vertical Banded Gastroplasty where part of the stomach is permanently stapled to create a smaller stomach which serves as the new stomach. The same procedure is the insertion of a silicone band instead of staples to restrict the stomach.

The 3rd category uses a mixture of both methods and both restricts food intake and creates malabsorption. One obesity surgery is the gastric bypass where a small stomach pouch is created and then connected to the small intestine. This is the most common obesity surgery done in the united states. Another more invasive procedure is the sleeve gastrectomy where the stomach is irreversibly reshaped to a smaller volume.

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Obesity is a medical condition caused by excessive weight gain, which poses a grave health risk to people, and sets the foundation for a variety of debilitating diseases such as diabetes, hypertension and heart disease. Bariatric obesity surgery is a procedure performed on people who are dangerously obese, and who do not respond to traditional, non-surgical weight-loss treatment.

Bariatric obesity surgery encompasses numerous surgical techniques, some done through the laparoscopic method and others carried out via open surgery; some of which are reversible and others which aren’t. Probably the most commonly used techniques include adjustable gastric banding, vertical banded gastroplasty, biliary-pancreatic diversion with duodenal switch, Roux-en-Y gastric bypass surgery and mal-absorption operations. Other lesser known techniques include but are not limited to, sleeve gastrectomy, the use of an intragastric balloon and implantable gastric stimulation, to name buta few.

The advantages of bariatric obesity surgery are many, as obesity impacts all aspects of an individual’s life, be it physical, psychological or social.As an example, bariatric obesity surgery reduces complications associated with diabetes, heart problems, breathing difficulties and even sleep apnea. However bariatric obesity surgery is only advocated when a low calorie diet, steady exercise, medication and counseling prove to be ineffective, and it’s recommended just for people whose bodyweight exceeds the ideal by more than 50 kilograms and who suffer from other obesity related illness. Also, consultants usually hold the opinion that bariatric obesity surgery is of limited use to those, whose obesity is a result of a hormonal or a metabolic imbalance.

As with all surgical procedures, bariatric obesity surgery too, sometimes pose some complications, and only if the proposed benefits are perceived to outweigh the risks, that medical professionals advise patients to go ahead with the said procedure. Infections, incisional hernias, gastric dumping syndrome (which causes nausea and/or diarrhea), and pneumonia are a few of the common problems encountered by a minority of patients who undergo bariatric obesity surgery.

In preparation for bariatric obesity surgery, patientsare requested to obtain a nutritional evaluation, many different blood tests, and a full medical check-up, so as to minimize potential post-surgery complications that may otherwise occur.

After bariatric obesity surgery, overeating is automatically curbed, as excess food intake normally causes the patient to display nausea-like symptoms. After undergoing the said surgery, most patients are advised to take a regular dose of multivitamins so that it will compensate for the decreased absorption of essential nutrients. Once weight reduction is achieved, in order to keep up with the desired level of weight, people are advised to follow prudent eating practices, so as to obtain the optimal advantages that bariatric obesity surgery promises.

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Morbid obesity is a serious issue that required prompt action. There are numerous medical procedures that can counter morbid obesity. The most common of these procedures is the Bariatric Surgery, also is called the Gastric Bypass. This surgery is performed on the stomach and it’s done to reduce the volume of the stomach so that its rate of food absorption. This significantly cuts down the accumulation of fat and when combined with nutrition treat and physiotherapy, it helps improve the life expectancy of the person. This is a complex procedure involving many different factors. A good place to acheive it is in an Obesity Surgery Center.

These centers are available all over the place and focus on obesity surgery. As said earlier, this is the complex procedure and so it will cost a lot. The obesity surgery cost depends on several things.

The complete obesity surgery cost involves pre-procedure costs, procedure costs and post-procedure expenses. The charge also changes from state to state. Pre-procedure costs include counseling on the entire and nutrition counseling. The expense of these two depends on the surgeon or obesity surgery center. Then there is the main procedure, the bariatric surgery. The main obesity surgery cost incurred during this will be for the surgeon’s charge, the center’s charge, X-rays and maybe even the anesthesia charge.

After the procedure, starts the aftercare period. Under normal circumstances, the patient just spends around five days at the center before they can return home. But you will still need to spend on post-operation dietary counseling, physiotherapy, medication and special supplements. So the with all that considered, the complete obesity surgery cost will be approximately $18000 to $35000. But this is if all goes well. There’s always the chance that complications can arise from the main surgery and this requires further care and money.

These things should be taken into consideration when calculating the obesity surgery cost. To qualify for insurance cover if you choose to undergo the procedure, you have to qualify as obese under the National Institute of Health’s specifications. If you’re eligible you should talk to your ins . agent to see if your insurance policy covers the total obesity surgery cost. Most insurance coverage do cover the expense of obesity surgery. In all, when committing to something this complex, it’s very important that you examine every factor of the obesity surgery cost and its feasibility.

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