Weight Loss with Bariatric Surgery

Opportunity for Big Fat Loss to Reduce Obesity

© Lizzie Elzingre

Nov 14, 2009
The Stomach Before and After Bariatric, www.aafp.org
Bariatric surgery is an effective weight loss method. Bariatrics cause big fat loss and promote healing from obesity related illnesses and conditions.

Many find obesity difficult to cure and deal with. An overweight man can develop health problems that will ultimately make his body weak. In addition, obesity contributes to high cholesterol level that can place him at a higher risk for heart disease and high blood pressure.

Obese individuals are often edgy, lonely and have low self-esteem. These negative feelings connected to those inches and kilograms that have been lingering in the body for years can get worse and impair big men. "Obesity is considered a stigmatizing condition," said Sara Gable of the research team at University of Missouri, who evaluated factors and studied health risks on obesity. Anxiety can cause hopelessness on efforts to lose weight.

Randy Jackson was able to reduce his weight by 100 pounds with bariatric surgery. Dr. Mal Fobi M.D., who is a gastric bypass surgeon at the Center for Surgical Treatment of Obesity divided Jackson’s stomach into two parts to reduce its size and to make a pouch. The result caused Jackson to reduce his food intake, thereby forcing his body to use stored calories, and fat.

Why Lose Weight with Bariatric Weight Surgery

Bariatric surgery is a weight loss method that uses behavior modification. The bariatric procedure reduces the size of the stomach in order to control to one’s food intake. The method decelerates the passage of food into the intestines. Bariatric surgery can also bypass segments of the small intestine to reduce the body absorption of calories and nutrients.

The National Institutes of Health suggest weight loss surgery for obese individuals whose body weight is 100 pounds over the ideal body weight and/or those with a body-mass index (BMI) of at least 40. The institute also recommended the same to obese patients with serious coexisting medical conditions such as diabetes or high blood pressure and a BMI of 35.

The gastric bypass surgeon staples the stomach across, near the top, to seal it off or an adjustable silicone band is placed around the upper part of the stomach to create a small pouch. After the surgery, the pouch, which is as big as a walnut, serves as the stomach with a capacity just enough for an ounce of food.

Bariatric Fat Loss Methods

Weight loss surgery can be the next best solution for those who have tried to lose weight with non-surgical treatments and weight management programs, but are still severely obese. However, one must gather enough knowledge on the procedure and its possible risks by asking questions.

Consultations with professionals will also allow the patient to focus and set a goal. Here are the three primary methods of bariatric surgery:

  • The Laparoscopic Adjustable Gastric Banding (LAGB) is the most widely used weight loss surgery in Europe and Australia. This procedure constricts the proximal stomach with a silicone band creating an upper pouch enough to contain 20-30cc of food.
  • The Roux-en-Y Gastric Bypass is the most popular weight loss surgery in the US. The surgery creates a small stomach pouch by stapling across the stomach. Then the surgeons attached the pouch to the Y-shaped formed small intestine. The action allows the stomach to empty directly into the lower portion of the intestine.
  • The Biliopancreatic Diversion (BPD) is a weight surgery that removes a portion of the stomach, then connects the remaining part to the lower portion of the small intestine. This is to reduce the patient's food and calorie consumption.

On the other hand, Biliopancreatic Diversion with duodenal switch connects the remaining portion of the stomach to the upper part of the small intestine. Bypassing part of the small intestine alters the normal digestion process and calorie intake to promote fat loss.

Benefits of Gastric Bypass Surgery

Obesity is deadly. Liz Plastow, the author of "Complexity of Childhood Obesity," wrote that obesity could reduce life expectancy by 3–13 years. Obesity-related ailments such as diabetes, heart disease, and high cholesterol are modern health problems. Andrew Renehan, who is a cancer expert at the University of Manchester, said that obesity could be the main cause of cancer in women in the next decade.

For the morbidly obese, weight loss surgery can put an end to heavy thighs, wide hips, and a sagging stomach. It can stop the unkind stares and comments that make one suffer psychologically. Most patients can resume their normal activities three to five weeks after the surgery. Slowly but surely, they will be able to wear clothes off the rack and go to public places without rousing the usual commotion. Formerly obese, they can now step out in comfort and style.

The growing demand for this weight loss surgery is due to the success of bariatric surgery as a weight loss method, at least from the point of view of those who reaped dramatic results. Randy Jackson dropped from 329 lbs. to 229 lbs. and lost more than 12 inches around the waist. The high profile patient calls the weight loss surgery “the best thing I have ever done.” [Article January 26, 2004 "How to Lose Big" http://www.people.com/]

References:

1. Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement. Am J Clin Nutr 1992;55:Suppl 2:615S-619S. [Medline]

2. Surgical Treatment of Obesity — Weighing the Facts: The New England Journal of Medicine. Malcolm K. Robinson, M.D. Volume 361:520-521 July 30, 2009 Number 5 [nejm.org]


The copyright of the article Weight Loss with Bariatric Surgery in Men's Cosmetic Health is owned by Lizzie Elzingre. Permission to republish Weight Loss with Bariatric Surgery in print or online must be granted by the author in writing.


Before and After Bariatric Surgery, people.com
 Roux-en-Y Gastric Bypass Diagram, en.wikipedia.org
The Stomach Before and After Bariatric, www.aafp.org
   


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