Bariatric surgery in Kentucky
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
More Kentucky info...
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
Kentucky Other destinations
Big South Fork National River and Recreation Area
Cumberland Gap National Historical Park
Kentucky Lake
Mammoth Cave National Park
Breaks Interstate Park
Red River Gorge
Natural Bridge State Park
Plastic Surgery News...
- The PSNC and the Proprietary Association of Great Britain (PAGB) have joined forces to call for the implementation of a National Minor Ailment Programme, where:
• The pharmacist is seen as an integral part of the NHS service
• The pharmacy is the first port of call for all cases of minor ailments
• Responsible self care and self-medication is supported and encouraged
• Reassurance and advice or referral to another part of the NHS is available, when the pharmacist considers it appropriate
• There is a supply of treatments on the NHS for people who are exempt from the prescription charge
• National, regional and local communications by government, PCTs, pharmacies, the voluntary sector and the OTC industry support the programme, with consistent messages.
• There is support from all health professionals, including GPs
• People are recruited into self care through the use of tools in general practice, such as a ‘self care prescription’
This call comes as a result of research commissioned by PAGB, which revealed that the treatment of minor ailments accounts for 18-20% of GP workload, incurring a significant cost of around £2 billion a year to the NHS.
A joint submission from the PAGB and PSNC has been made in response to the Pharmacy White Paper consultation, calling for a National Minor Ailment Programme to be included. Please see the link above for further details.
- The number of older Americans diagnosed with diabetes every year went up by 23 per cent in the decade leading up to 2003-2004, according to a new study published in the Archives of Internal Medicine carried out by researchers at the Duke University Medical Center in Durham, North Carolina.