Bariatric surgery in AR
Bariatric surgery in AR section, includes general infrmation about Bariatric surgery Procedure, Bariatric surgery AR Local News, Bariatric surgery AR Surgeon Locator and other Bariatric surgery related material.
Bariatric surgery Procedure
Bariatrics is the branch of medicine that deals with the causes, prevention, and treatment of obesity.
The term “bariatrics” refers to "weight medicine". Bariatrics generally deals with pharmacotherapy of obesity and with obesity surgery.
Overweight and obesity are strongly related to medical problems in today’s world. There are many health effects of obesity, such as heart disease, diabetes, many types of cancer, asthma, obstructive sleep apnea, chronic musculoskeletal problems, and others.
In addition to medical concerns regarding obesity, appearance (look) has a major relevance to weight and obesity.
Although diet, exercise, behavior therapy and anti-obesity drugs are first-line treatment, medical therapy for severe obesity has limited short-term success and almost nonexistent long-term success. Therefore, obesity surgery (or bariatric surgery) has been a popular treatment in the war against obesity. Weight loss surgery generally results in greater weight loss than conventional treatment, and leads to improvements in quality of life and obesity related diseases such as hypertension and diabetes.
Before someone can become a candidate for bariatric surgery, certain criteria must be met. The basic criteria are:
[1] An understanding of the operation and the lifestyle changes the patient will need to make;
[2] A body mass index (BMI) of 40 or more, which is about 45 kg (100 pounds) overweight for men and 35 kg (80 pounds) for women; or
[3] A BMI between 35 and 39.9 and a serious obesity-related health problem such as type 2 diabetes, heart disease, or severe sleep apnea (when breathing stops for short periods during sleep).
Risks involved
Past studies found that 10 to 20 percent of bariatric surgery patients had complications while they were in the hospital. In 2006, federal researchers found that 39.6 percent of patients had complications within 180 days of surgery. The most common complications are:
[1] A composite of gastrointestinal symptoms including vomiting, diarrhea, dysphagia, and reflux (20%)
[2] Anastomotic leaking (at the surgical connections between the stomach and the intestine) (12%);
[3] Abdominal hernia (7%)
[4] Infections (6%).
About 7% of patients were re-admitted to the hospital within 6 months to treat complications specific to the bariatric procedure.
The in-hospital death rate in adults undergoing obesity surgery in 2003 was 0.2%.
Laparoscopic surgery has become an important addition to this field of surgery, and demand soars, amidst scientific and ethical questions.
Surgical procedures in bariatrics
There are a number of surgical options available to treat obesity, each with their advantages and pitfalls. In general, weight reduction can be accomplished, but one must consider operative risk (including mortality) and side effects. Usually, these procedures can be carried out safely.
The surgical procedures can be grouped in three main categories:
[1] Predominantly malabsorptive procedures: although also reducing stomach size, these operations are based mainly on diversion and bypass.
[2] Predominantly restrictive procedures: a surgery that primarily reduces stomach size: Vertical Banded Gastroplasty (Mason procedure, stomach stapling); Adjustable gastric band (or "Lap Band"); Sleeve gastrectomy.
[3] Mixed procedures: applying both techniques simultaneously: gastric bypass surgery, like Roux-en-Y gastric bypass; Sleeve gastrectomy with Duodenal Switch Implantable Gastric Stimulation.
Biliopancreatic diversion
A complex operation, also known as biliopancreatic diversion (BPD), or Scopinaro procedure.
This surgery is rare now because of problems with malnourishment. It has been replaced with the Duodenal Switch, also known as the BPD/DS. Part of the stomach is re-sected, creating a smaller stomach (however after a few months the patient can eat a completely free diet as there is no restrictive component). The distal part of the small intestine is then connected to the pouch, bypassing the duodenum and jejunum. This results in around 2% of patients severe malabsorption and nutritional deficiency that requires restoration on the normal absorption.
The malabsorptive element of BPD is so potent that those who undergo the procedure must take vitamin and mineral supplements above and beyond that of the normal population. Those that do not run the risk of deficiency diseases such as anemia and osteoporosis.
Because gallstones are a common complication of rapid weight loss following any type of weight loss surgery, some surgeons may remove the gall bladder as a preventative measure during BPD. Others prefer to prescribe medication to reduce the risk of post-operative gallstones.
Far fewer surgeons perform BPD compared to other weight loss surgeries, in part because of the need for long-term nutritional follow-up and monitoring of BPD patients.
Vertical Banded Gastroplasty
a part of the stomach is permanently stapled to create a smaller pre-stomach pouch, which serves as the new stomach.
The same effect can be created using a silicone band, which can be adjusted by addition or removal of saline through a port placed just under the skin. This operation can be performed laparoscopically, and is commonly referred to as a "lap band."
Adjustable Gastric Banding
The first lower pressure, wider, one-piece adjustable gastric band called the MIDband® was introduced in 2000. Unlike many of the early bands this was designed specifically for laparoscopic insertion.
Other Bariatric surgery Procedures:
All Body Procedures Procedures
Bariatric surgery AR (current)
AR Buttock Augmentation
AR Calf Augmentation
AR Liposuction
AR Body Contouring
More AR info...
Argentina Electricity Argentine electricity is officially 220V 50Hz, with slanted plugs similar to those used in Australia. Adapters and transformers for European and North American equipment are readily available.
The best way to use imported electrical equipment in Argentina is to purchase an adapter once there. These are available in the Florida shopping area in Buenos Aires for around US$2, or less in hardware stores outside the city center. Buildings use a mix of European and Australian plug fittings. However, the live and neutral pins in the Australian fittings are reversed so as to prevent cheap imports into Australia. Therefore an Australian adapter may be incompatible.
Many sockets have no earth pin. Laptop adapters should have little problem with this for short term use.
Argentina's outlets are their own standard, the IRAM-2073, which are physically identical to the Australian AS-3112 standard (two blades in a V-shape, with or without a third blade for ground).
Argentina Other destinations According to the National Tourism Agency, the favourite places outside the important cities are
The awesome Iguaz? Falls, right in the north-east corner of the country.
The Nahuel Huapi National Park, in Patagonia in the foothills of the Andes mountains and its main city San Carlos de Bariloche
The beautiful Mar del Plata, world-wide called The Pearl of the Atlantic.
El Calafate, the main destination when visiting the Glaciers National Park and the advancing Perito Moreno Glacier.
The Perito Moreno Glacier, really a must when visiting Argentina. Many ski centers operate in the Andes during the winter; Las Le?as and San Carlos de Bariloche are particularly well-known.
Plastic Surgery News...
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- In this BMJ observation article, Rudolf Klein, visiting professor at the London School of Economics and London School of Hygiene and Tropical Medicine, discusses the proposed NHS constitution. He notes “the rhetoric is seductive, but once we start thinking about how we might translate it into practice, the arguments begin.” These include the definition of the rights and responsibilities of patients and their enforcement, and how it will balance national standards with local decision making. He concludes “politically, it’s inevitable that we will have something that can be presented as an NHS constitution. The best hope is that ministers will resist the temptation to introduce instant solutions to problems that are rooted in the nature of the NHS as a tax funded service that rations scarce resources. For once, let’s just have some spirit uplifting rhetoric to which we can all nod assent without worrying too much about precisely what is meant.”