Bariatric surgery in Cedar Rapids Iowa
Bariatric surgery in Cedar Rapids section, includes general infrmation about Bariatric surgery Procedure, Bariatric surgery Cedar Rapids Local News, Bariatric surgery Cedar Rapids 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
Bariatric surgery cedar-rapids (current)
cedar-rapids Buttock Augmentation
cedar-rapids Calf Augmentation
cedar-rapids Liposuction
cedar-rapids Body Contouring
More Cedar Rapids info...
Cedar Rapids Eat
Bishop's Buffet, 2600 Edgewood Rd SW (Westdale Mall), +1 319 390-4541. All-you-can-eat cafeteria serving American food; known for its chocolate ambrosia pie.
Brewed Awakenings, 1271 1st Ave. SE, +1 319 363-4333. A very comfortable coffee shop near Coe College that makes excellent espresso. [8]
Nikki's BBQ, 1455 Mount Vernon Rd SE, +1 319 261-0707. Excellent BBQ!
Biaggi's, 320 Collins Road NE, +1 319 393-6593 [9] Upscale Italian in a sophisticated setting.
Cedar Rapids Do
Theatre Cedar Rapids [6]
Cedar Rapids Symphony[7]
Plastic Surgery News...
- This Blog provides a quick and succinct commentary on a recent subgroup analysis of patients with metabolic syndrome in the ALLHAT study, which found that the incidence of heart failure was higher in patients initially treated with amlodipine and lisinopril (and doxazosin) than in those initially treated with a diuretic. These findings were particularly apparent in black patients.
The Blog notes that the NICE guideline did not recommend diuretics as the first-line treatment for hypertension ahead of calcium channel blockers for those aged 55 years or black (of any age) because of the supposition that diuretics were associated with a higher incidence of developing of diabetes. However, the guideline did not specifically consider patients with metabolic syndrome or diabetes. It adds that there is no convincing evidence to support the view that use of diuretics in people with these conditions puts them at any greater cardiovascular risk than those treated with ACE inhibitors or calcium channel blockers. It concludes “this analysis adds weight to the positioning of thiazide diuretics as first-line antihypertensive in the vast majority of patients with hypertension. This study fails to support the use of calcium channel blockers, ACE inhibitors (or alpha-blockers) ahead of diuretics in patients with metabolic syndrome. Clinicians should consider their current practice in comparison with the recommendations made by NICE.”
- Boston Scientific Corporation (NYSE: BSX) announced CE Mark approval for its COGNIS(TM) cardiac resynchronization therapy defibrillator (CRT-D) and TELIGEN(TM) implantable cardioverter defibrillator (ICD).