Bariatric surgery in Chula Vista CA
Bariatric surgery in Chula Vista section, includes general infrmation about Bariatric surgery Procedure, Bariatric surgery Chula Vista Local News, Bariatric surgery Chula Vista 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 chula-vista (current)
chula-vista Buttock Augmentation
chula-vista Calf Augmentation
chula-vista Liposuction
chula-vista Body Contouring
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Plastic Surgery News...
- Researchers at Cedars-Sinai Medical Center are developing a spectral imaging system that could result in shorter operating times for infants undergoing surgery for Hirschsprung's disease, according to a mouse study reported in the Journal of Biophotonics The study documents that in a
- Listed below are the topics that the Department of Health is minded to refer to NICE as the 17th and 18th wave of technology appraisals:
a) 17th wave:
• Advanced hepatocellular carcinoma – sorafenib
• Acute lymphoblastic leukaemia – dasatinib
• Acute lymphoblastic leukaemia – nilotinib
• Thrombocytopenic purpura – eltrombopag
• Thrombocytopenic purpura – AMG 531
• Juvenile idiopathic arthritis – abatacept
• Hepatitis B – tenofovir
• Alzheimer’s disease – xaliproden
• Acute coronary artery syndromes – prasugrel
• Type 1 diabetes – insulin detemir
• Advanced and metastatic melanoma – temozolomide
• Liposomal muramyl tripeptide phosphatidyl ethanolamine as an addition to adjuvant chemotherapy for newly diagnosed, non-metastatic, resectable osteosarcoma
• Chronic myeloid leukaemia – dasatinib and nilotinib
• Relapsed small cell lung cancer – topotecan
• Polyarticular juvenile idiopathic arthritis – adalimumab and etanercept
• Venous thromboembolism – rivaroxaban
For further details and links to the draft scope documents, please see the link above.
b) 18th wave
• Bortezomib for multiple myeloma
Sunitinib for gastrointestinal stromal tumours
• Topotecan for cervical cancer
• Trabectedin for soft tissue sarcoma
• Ustekinumab for moderate to severe psoriasis
• Tocilizumab for rheumatoid arthritis
• Pemetrexed for non small cell lung cancer
• Rituximab for lymphocytic leukaemia
• Azacitidine for high risk patients with myelodysplastic syndrome and acute myeloid leukaemia
• Oral alitretinoin for severe chronic hand eczema
• Capecitabine for gastric cancer
• Methylnatrexone for opioid-induced bowel dysfunction