Kentucky (KY) Bariatric Surgery

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

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

Kentucky Get out

To the west of Kentucky, Missouri can boast of having St Louis, home of the Gateway Arch and Union Station, a festive marketplace.

Riverboat casinos cruise the Ohio River north of Kentucky in Illinois and Indiana. Illinois is also the later day home of Abraham Lincoln (Springfield) and the fictional home of Superman (Metropolis). Indiana has several caves to visit and is rich in covered bridges. Ohio, also to the north, has no casinos, but does have the city of Cincinnati, home of Kings Island and the Bengals (NFL) and Reds (MLB).

To the east are the Virginias. West Virginia is the closest state with dog racing. It also has the New River Gorge Bridge one of the highest in the eastern US. Virginia has the Blue Ridge Mountains and Shenandoah National Park.

Tennessee shares Kentucky's southern border. Here you'll find the Great Smoky Mountains, the music city of Nashville and Elvis' home in Memphis

(WikiT)...

Kentucky bariatric surgery - Tip of the day:
What Happens if you Resume Pigging Out?
Pigging out after a Bariatric Surgery done in Kentucky(KY) may cause what is called the Dumping Syndrome. This is the effect of food moving quickly to the small intestine. This may cause you to feel dizzy, weak and usually causes sweating. Don’t let this happen to you so eat in moderation.

Kentucky bariatric surgery - News update:
In this editorial, the author discusses the use of observational data in determination of drug safety, and how it is “by no means a substitute for evidence from randomised controlled trials”. He states that observational studies alone cannot provide reliable estimates of treatment effects for a number of reasons, which he goes on to discuss. The author illustrates his arguments with the recent example of aprotinin, the UK marketing authorisations of which were recently suspended following preliminary safety findings findings (see link above to view related NeLM report). He notes that the BART trial may well not have been halted if it were not for the previous observational study indicating an increased risk associated with aprotinin – and that this happened despite a systematic review of randomised trials which found no increased risks associated with treatment. The author concludes that “only properly randomised trials can provide truly reliable evidence on adverse events, just as these are the only source of convincing data on drug efficacy. Observational studies may provide some limited reassurance that a drug is safe, or they may provide an early indication of a problem, but by design they cannot provide reliable evidence on questions of drug safety”. More...