Ireland (IE) Bariatric Surgery

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Bariatric surgery in Ireland section, includes general infrmation about Bariatric surgery Procedure, Bariatric surgery Ireland Local News, Bariatric surgery Ireland 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 Ireland (current)
Ireland Buttock Augmentation
Ireland Calf Augmentation
Ireland Liposuction
Ireland Body Contouring

Planing on having bariatric surgery procedure in Ireland?
Here is some General Information about Ireland:

Republic of Ireland By car

There are many car hire companies in Ireland and you can pick up in the cities or at the airports, though it may cost more to pick up at an airport. Note that Ireland is unique among European countries in that it will not accept third party collision damage insurance coverage when you rent a car. Many credit cards, for example, will pay the cost of the collision insurance (CDW) when you rent a car using that credit card. However, Irish car hire agencies will not accept this insurance. By Irish law, you must buy the CDW at the rental agency.

It is highly recommended that you call ahead to book a taxi. The hotel, hostel, or bed and breakfast you are staying in will usually call the cab company they work closely with for your convenience. Taxis should be reasonably easy to pick up on the streets in Dublin and Cork but may be harder to find crusing the streets in smaller cities and towns so it is often best to telephone for one. It is recommended to call the cab company in advance if possible and give them a time to be picked up, no matter if its 4 hours in advance or 30 minutes in advance. Work with the same cab company your hotel does and let them know your final destination if there is more than one stop. You will also need to give them a contact phone number over the phone, so if calling from a pay phone, be prepared for them to deny your claim for a taxi cab. The average waiting time may be anywhere from 5 to 30 minutes depending on demand and time of day.

(WikiT)...

Ireland bariatric surgery - Tip of the day:
Post-Surgery Matters
After having a Bariatric Surgery you'll have to stay in an hospital in Ireland(IE) for 4-6 days after laparotomy and 2-3 days after laparoscopy. Most of the people are able to return to their daily activities after 3-5 weeks. It is important to also allow the incisions to heal and not to apply strains and weight.

Ireland bariatric surgery - News update:
President Bush on Monday will release a $3 trillion fiscal year 2009 budget request that would significantly reduce or eliminate spending for dozens of health and other programs but would significantly increase spending for SCHIP, the New York Times reports. HHS Secretary Mike Leavitt on Friday said that the budget request will include a $19. More...