Bariatric surgery in Philippines
Bariatric surgery in Philippines section, includes general infrmation about Bariatric surgery Procedure, Bariatric surgery Philippines Local News, Bariatric surgery Philippines 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 Philippines (current)
Philippines Buttock Augmentation
Philippines Calf Augmentation
Philippines Liposuction
Philippines Body Contouring
More Philippines info...
Philippines History Several thousand years ago, the first settlers in the Philippines crossed shallow seas and land bridges from the Asian mainland to arrive in this group of islands. These were the Negritos or Aetas. Direct descendants of these people can still be found in Zambales province to the North of Manila. Several thousand years later, they were then followed by Austronesian settlers travelling the same route as the Negritos but this time over sea in their impressive Balanghay boats (the word is stil used to refer to the smallest political subdivision in the Philippines, the Barangay). After settling the islands reached further and settled the islands of Indonesia, Malaysia as well as the whole Pacific. The early Austronesians took no time in trading with each other as well as with the Chinese, Japanese, Okinawans, and Indians. An interesting mix of cultures developed in the islands, and a writing system as well as a social structure developed quickly. By the time the first westerner, explorer Ferdinand Magellan, was to set foot on Philippine soil in 1521, the Philippines was predominantly Muslim and Hindu Buddhist with many settlements ruled from Brunei and Java. Magellan was Portuguese but it was a Spanish Expedition which he led to the islands which were then taken by Spain as its colony. The Philippines actually was named for Crown Prince Philip II of Spain and most of the natives converted to Catholicism.
Philippines Cities
Manila - National capital. The Metropolitan Manila area includes several cities and municipalities to form one administrative body governed jointly by the local governments and the Metropolitan Manila Development Authority (MMDA).
Angeles - Interesting place with a wild nightlife. Wonderful and friendly people.
Bacolod - the city of smiles, land of sweet tooths
Baguio - the country's summer capital (cool weather), nice parks and views, home of the "Igorot" peoples, vegetable gardens
Batangas - the Int'l Port in South Luzon, beaches, dive-sites, resorts, heritage sites
Cagayan de Oro - the city of golden friendship, whitewater rafting
Cebu - Also known as the Queen City of the South, Cebu is the first established indigenous settlement discovered by the west in the Philippines. For a short time before the re-dedication of Manila, Cebu City served as the capital of the far eastern territory claimed by Spain
Plastic Surgery News...
- The Health Secretary and the Secretary of State for Children, Schools and Families have announced a new £372 million cross-government strategy (‘Healthy Weight, Healthy Lives’) to help everyone lead healthier lives. The strategy supports the creation of a healthy society, from early years, to schools and food, from sport and physical activity to planning, transport and the health service. It will also provide effective treatment and support when people become overweight or obese. This strategy is a first step and will be followed by an annual report that assesses progress, looks at the latest evidence and trends and make recommendations for further action. The initial focus will be on children: by 2020, the Government aims to reduce the proportion of overweight and obese children to 2000 levels.
- Service Employees International Union officials on Friday said that the issue of universal health insurance will top the policy agenda for the group in 2008, CongressDaily reports. According to SEIU Treasurer-Secretary Anna Burger, the union this year plans to spend at least $75 million, in large part to pay about 2,000 members to take leave from their jobs to advocate for the agenda.