Malaysia (MY) Bariatric Surgery

Bariatric Surgery Related Terms:
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Plastic Surgery bariatric surgery In Malaysia Procedure Animation

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

Plastic Surgery bariatric surgery In Malaysia Procedure Animation

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

Malaysia History

Malaya was formed in the year 1957 and became independent from British Colonialisation. The Union Jack was lowered and the first Malaysian flag was raised in the Merdeka (independent) square on midnight 31st August, 1957. 6 years later, Malaysia was formed in 1963 through a merging of Malaya and Singapore, including the East Malaysian states of Sabah (known then as North Borneo) and Sarawak on the northern coast of Borneo. The first several years of the country's history were marred by Indonesian efforts to control Malaysia, Philippine claims to Sabah, and Singapore's secession in 1965.

Today's Malaysia is a constitutional monarchy, nominally headed by the Paramount Ruler (Yang di-Pertuan Agong), who is elected for a five-year term from among the nine sultans of the Malay states. The current king, from Terengganu, was sworn in on 13 Dec 2006. In practice, however, power is held by the Prime Minister, who is the leader of elected government. The United Malays National Organisation (UMNO) party and its National Alliance (Barisan Nasional) coalition have ruled Malaysia uninterrupted since its independence, and while periodic elections are contested by feisty opposition parties, the balance has so far always been shifted in the government's favor by press control and use of restrictive security legislation dating from the colonial era.

Malaysia bariatric surgery - Tip of the day:
What are the Techniques Performed?
Roux-en-Y gastric bypass done in Malaysia(MY) is made when the surgeon creates a small pocket in the upper stomach then connects this to the middle small intestine. The surgery can be performed by making a large cut on the abdomen (laparotomy) or by making few small minimally invasive cuts (laparoscopy).
Malaysia bariatric surgery - News update:
Dutch researchers have examined the discontinuation rate of maintenance antidepressants (AD) in recurrently depressed patients in daily clinical practice and the associated risk of recurrence. They used data on 172 patients with recurrent depression from the DELTA study, who were in remission on various types of treatment. Use of AD before recurrence (non-users, intermittent users, continuous users) was examined and related to recurrence over a 2-year follow-up period. The researchers found that: • 42% of the patients used AD continuously. • Based on minimal effective dosage (20 mg or > fluoxetine equivalent), only 26% of patients used AD as recommended by international guidelines. • Despite continuous use of AD, 60.4% relapsed in 2 years; this was comparable to the rate of the intermittent users (63.6%). • In patients who stopped taking AD after remission and who received additional preventive cognitive therapy, the recurrence rates were lower than in non-AD-using patients treated with usual care (8 vs. 46%). The researchers conclude from these findings “the majority of recurrently depressed patients treated with AD discontinue maintenance AD therapy in daily primary and secondary clinical practice. AD seems to offer poor protection against relapse in this patient group.” They recommend that alternative maintenance treatments should be evaluated. More...

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