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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.

To perform gastric banding, a silicon band is put on the upper portion of the stomach (fundus). By compressing this part, the stomach is reduced to a small pouch that holds just about an ounce of food. An instrument known as a laparoscope makes it possible to conduct the operation with minimal access. The use of small incisions means that the resultant scars will not be prominent.

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 When the saline is injected the size reduces, and when it is withdrawn the compression reduces and the stomach size increases.

One may suffer from a number of side effects after undergoing this surgery. They include nausea, vomiting, aversion to food, minor bleeding and infections. One of the interventions that can be used to reduce the incidence of nausea and vomiting is through reducing the compression by the band so that the stomach size is slightly increased. Readjustments can then be done slowly until the desired size is attained.

Sleeve gastrectomy is an operation in which surgical resection of the stomach is done to reduce its size by as much as 80%. The resultant stomach is a tubular structure that reduces the transit time of food hence reduced absorption of nutrients. The other benefit is that one experiences early satiety and consumes a lot less as a result. The side effects associated with the procedure are similar to those of banding.

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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