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Bariatric surgery research paper
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2. Bariatric surgery The term “bariatric” surgery, derived from the Greek word baros for weight, defines surgical procedures designed to produce substantial weight loss. Accordingly, goals of bariatric surgery originally evolved around achieving substantial sustained weight loss. In reality, weight loss is only one of the outcomes of such surgery. Bariatric surgery can be associated with substantial other health benefits including improvement or normalisation of hyperglycaemia. hyperlipidaemia, blood pressure, obstructive sleep apnoea and improved quality of life41. (2) Bariatric surgery is an operation that is performed in order to help such individuals lose weight. Evidence suggests that bariatric surgery may lower death rates for patients …show more content…
The band is adjustable (it is usually not filled until six weeks after surgery). The patient needs to be fully prepared for the reduction of food intake and educated about choices needed to achieve an adequate dietary intake. The patient needs to work with the procedure to eat appropriately and follow exercise and lifestyle choices appropriate for a weight-losing regimen, rather than try to follow the former lifestyle and eating habits. Since this procedure does not interfere with digestion and absorption, nutritional status ought not to be impaired, but commonly occurring problems (iron, vitamin D and calcium deficiency) may still occur. If the quality of the diet is believed to be poor after surgery, there may well be an inadequate intake of micronutrients. During weight-loss, medications which are continued (see below) may need to be given in liquid form, since tablets and capsules may not pass easily through the stricture. The gut is dynamic and does change in response to the reduced food intake, but the major changes of gut hormones seen after bypass surgery do not occur and there may be little effect on appetite control. Patients may not feel full after eating. They may be troubled by hunger after gastric banding and may need help to overcome
Ridley, E. J., Dietet, B. N., & Davies, A. R. (2011). Practicalities of nutrition support in the intensive care unit: the usefulness of gastric residual volume and prokinetic agents with enteral nutrition. Nutrition, 27(5), 509-512. doi:10.1016/j.nut.2010.10.010
1There are dangers involved with Gastric Bypass surgery. Case studies show high insulin levels following meals, confusion, shaking, sweating, headaches and black outs. The patients eventually needed partial or complete removal of the pancreas, in order to prevent dangerous declines in blood glucose. Patients also experienced Dumping Syndrome, when the small intestine fills too quickly with undigested food from the stomach which can cause abdominal cramp and diarrhea. Other research has uncovered a higher-than-expected risk of death following surgery for obesity, even among younger patients.
Bariatrics is the branch of medicine that focuses on the causes, prevention, and treatment of obesity. Bariatric surgery is a specific discourse community connecting individuals through mutual interests, shared knowledge, and expertise of treating obese populations. The field of bariatrics is a discourse community with several purposes. It encourages innovative surgical and nonsurgical solutions in obesity care. It formulates hypotheses and develops and conducts experimental designs to test the hypotheses’ reliability and validity. Furthermore, it aims to stimulate discussion about its findings.
Obesity is a health problem which is growing very rapidly all over the world. Current health articles such as this one, are emphasizing the importance of diet and exercise, to keep a healthy body weight, and to avoid obesity and its consequences at all costs. It is extremely important to make sure one is maintaining a good body weight in order to avoid other complications later on in life.
Kelleher, D. C., Merrill, C. T., Cottrell, L. T., Nadler, E. P., & Burd, R. S. (2013, February 2013). Recent national trends in the use of adolescent inpatient bariatric surgery. Jama Pediatrics, 167, 126-132. http://dx.doi.org/10.1080/15265161.2010.528514
This physiologically affects the reduction in the functional volume of the stomach, and the response to food. There are several variations of gastric bypass.
After paying $6,000 for a liposuction procedure, there is still a good chance that the fat can grow back, therefore making the liposuction surgery useless. Liposuction is a temporary fix that should not be assumed to be permanent by the patient. Even after the patients have the surgery, if they were overweight before, they are still overweight (Rowland, 1998, p.3). Besides the chance that the fat cells can return, the patient can put his or her health in jeopardy if exc...
Should people do surgery to lose weight? Many people think they can lose weight by surgery every time they need. However, the author’s know that there is some person's disagreement with the person, who wants to do surgery to lose his lipids, because he wants to spend a lot of money and also, it is kind of dangerous dissuasion. Although, many people prefer to do surgical operations for many issues, and they do not care about it because they know the disadvantages and the thoughts that surround them. Nevertheless, doing these operations with the knowledge, there are many people die during the conduct of these operations or they die because of the failure of these operations. There are many people thinking that surgery is a bad way to lose weight
Weight loss, in the perspective of medicine, health, or physical fitness, is a decrease in the total body mass, due to a mean loss of fluid, body fat or adipose tissue and/or lean mass, namely bone mineral deposits, muscle, tendon, and other connective tissue. It can occur unintentionally due to an underlying disease or can arise from a conscious effort to improve an actual or perceived overweight or obese state. The search for the ideal weight loss operation began more than 50 years ago because exercise and diet alone are apparently ineffective in treating people with extreme and excessive obesity. Surgical pioneers expanded modern procedures that at first produced malabsorption, then constrained volume intake, and finally combined both systems. Discrepancies, adjustments, and revisions of these innovative procedures, combined with concentrated efforts to go after and file results, have led to the growth and progress of modern bariatric surgery.
Bariatric surgery helps improving the quality of life because it is a total make over. Bariatric surgery is a life changer. It changes a person’s eating and drinking habits. Bariatric surgery means making healthier choices and consuming healthier and more nutrient diet. People had weight loss surgeries cannot consume large amounts of carbs, sugar, carbonated drinks but little portions due to the small stomach size and the amount of nutrients intakes that their body requires from proteins, fibers and vitamins from veggies and fruits. Furthermore, it is impossible to consume junk or fast food after having the weight loss surgery. Also, bariatric surgery affects people’s mobility and productivity; it makes them physically active and willing to engage in activities. In addition, bariatric surgery makes people feel good and look pleasant, not ashamed of the why they appear but willing to socialize and participate more with others. It helps people to get fit and it makes them filled with motivation and determination. Weight loss makes people productive, willing and being able to work, as a result it improve their financial status. To sum up, weight loss surgery helps people to have better sleep quality. According to The National Heart, Lung and blood institute “ lack of sleep increases the risk of obesity” (What Causes Overweight and Obesity?). The National Heart, Lung and blood institute also states “ sleep helps maintain a healthy balance of the hormones that make you feel hungry or full. When you don’t get enough sleep, your level of ghrelin goes up and your level of leptin goes down. This make you feel hungrier then you are well-rested” (What Causes Overweight and Obesity?). Furthermore, weight loss surgery improves relationships and marriages because it is a mean of renewal and attractiveness. However, many people claim that weight loss surgery causes
Tarantino, D. P. (2005). Bariatric Surgery: Assessing Opportunities for Value Innovation. Surgical Innovation, Vol 12, No 1. Retrieved September 8, 2006 from the Web
Bariatric surgical procedure is a treatment for weight loss and reduce obesity. There are many types of bariatric surgeries. The vertical banded gastroplasty, laparoscopic adjustable gastric band and sleeve gastrectomy are known as limited procedures because they have the ability to interfere with the volume capacity of the proximal stomach. The biliopancreatic diversion and the Roux-en-Y gastric bypass have an abnormality in absorption as they interfere with normal digestive and absorption of food nutrients.
McKinley’s energy needs would be calculated using the Mifflin St. Jeor equation. In this case, Mr. McKinley’s estimated energy needs would be about 3,350 kcal/day ((10 x 186.36 kg)) + (6.25 x 177.8 cm) – (5 x 37) + 5 = 2794.85 kcal/day) x 1.2). However, this estimated energy requirement will be too high for Mr. McKinley following his bariatric procedure in which he will be experiencing rapid weight loss. According to ASMBS, low calorie diets are advised for post-bariatric surgery in the regular diet phase, which is 800-1200 kcal/day.3 After taking into account potential energy expended from adapting a physical activity plan following bariatric surgery, Mr. McKinley should aim for 1100 kcal/day once he has progressed to a regular diet. Protein intakes of 60-80 g/day, or 1.0-1.5 g/kg of ideal body weight (IBW) are recommended by many bariatric surgery programs, according to ASMBS.3 Using 1.5 g of protein/kg IBW, Mr. McKinley’s estimated protein needs would be about 113 g/day, or 453 kcal from protein. This would be too high for Mr. McKinley, when considering that nearly 50% of his energy intake would be from protein (he is already volumetrically restricted, and carbohydrate and fat intake needs to be considered, as well). Using 1.0 g of protein/kg of ideal body weight, Mr. McKinley’s estimated protein requirements are 75 g of protein/day (1.0 g x 75.45 kg
There are no right or wrong answers; the surgery choice must fit the person based on lifestyle, habits and health problems. Weight Loss Surgery was established using three different methods; one is approach is the use of restriction of limited calories, the other focuses on malabsorption that restricts many calories the body can absorb, and the other is implanting an electrical device. Choosing weight loss surgery is a lifesaving, but what must be kept in mind that a person has to be dedicated to making permanent changes that affect their
Developed in the 60’s by Drs. Mason and Ito, Roux-en-Y has become the gold standard in WLS with approximately 45,000 RNY procedures performed in 2015 (Estimate of Bariatric Surgery Numbers, 2011-2015, 2016). With RNY, the vast majority of the stomach is separated, leaving a thumb-sized pouch. As a result, this greatly decreases the amount of food the patient is able to consume. The residual stomach and first segment of small intestine are bypassed via a Y limb. By bypassing part of the small intestines, fewer calories and nutrients are absorbed (The American Society for Metabolic and Bariatric Surgery, 2004). This advance in surgical weight loss treatment has offered thousands hope for a more normal and healthy