Sleeve Gastrectomy - Obesity Essay Example
Short summary about this article Background Sleeve gastrectomy (SG) is an alternative to gastric bypass and laparoscopic adjustable gastric banding (GB). Methods From January 2004 to January 2006, 111 patients with a follow-up longer than 24 months were prospectively followed. Three treatment groups were defined. Sleeve gastrectomy as first procedure, sleeve gastrectomy after failure of GB. (http://www. hoab. org/news/popular-st-louis-bariatric-surgeons-say-gastric-sleeve-procedures-are-on-the-rise/)>> St. Louis, MO — St.
Louis bariatric surgeons Dr. Van Wagner and Dr. Jay Snow report a significant increase in the number of gastric sleeve procedures in the recent past. Confirmed by reports from the American Society for Metabolic and Bariatric Surgery (ASMBS), Drs. Wagner and Snow say the procedure has become a widely popular solution for severe obesity across the country through the increase of patient awareness. The gastric sleeve is quickly being recognized as one of the most successful options for patients who require significant weight loss.
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Since 2009, Dr. Wagner and Dr. Snow say their weight loss surgery practice, Heart of America Bariatrics, has seen gastric sleeve procedures rise in demand by over 200%, now representing 50% of their total surgical volume. They say the recent growth in demand is likely a result of a number of factors, including increased patient education and innovative developments in the techniques and technology associated with the procedure.
As the popularity of weight loss surgery continues to increase, so does the need to consult with a properly trained, board-certified bariatric surgeon. The surgeons urge patients to weigh the gravity of a decision to undergo weight loss surgery and to research thoroughly all options before choosing a practice or procedure. Dr. Snow says that because bariatric surgery is a life-long commitment, patients should be ready to make a significant change to their lifestyle and nutritional habits.
He adds that patients that do so can make a significant improvement to their life without the burdens of obesity, and says the staff members at Heart of America Bariatrics are dedicated to making sure patients achieve the highest quality results. Patients and Methods Population Patients’ data were collected between January 2004 and January 2006. A total of 326 patients who underwent bariatric surgery were identified. All procedures were performed by two surgeons (PV, AD) with the same medical team (endocrinologists, psychiatrists and gastroenterologists).
The type of bariatric surgery was chosen by the surgeon with the patient’s agreement. The waiting time between the first consultation and surgery was about 6 months. During this time, the patient had the psychiatric and endocrinology consultations if they had not been performed prior to the surgical consultation. One hundred and eleven patients with a follow-up of more than 2 years and treated by restrictive surgery (SG, SG after GB, GB) were selected. The results of the 59 patients treated by SG have already been published in a previous series .
Data on age, gender, initial BMI, obesity comorbidities (dyspnoea, diabetes, arterial hypertension and obstructive sleep apnoea syndrome (OSAS)), operating time, early postoperative complications (complications during the first postoperative month) by Clavien score , long-term complications (complications more than 1 month after surgery), reoperations under general anesthesia, BMI at 6, 12 and 24 months, EWL in percent at 6, 12 and 24 months, EBMIL in percent at 6, 12 and 24 months and quality of life were collected prospectively. SG is a validated bariatric surgery technique.
In the present series, the EWL results of SG were as good as those of GB. SG after GB gave similar results to those obtained by a successful GB procedure. Our results showed that a second restrictive procedure can be performed after failure of GB. Complications were less frequent in the SG group but were more serious. The reoperation rate under general anesthesia was lower in the SG group. There was no significant difference in terms of quality of life between the three groups. References 1. de Saint Pol T. Obesite et milieux sociaux en France: les inegalites augmentent.
Bull Epid Hebdo. 2008;20:175–9. 2. Ginter E, Simko V. Adult obesity at the beginning of the 21st century: epidemiology, pathophysiology and health risk. Bratisl Lek Listy. 2008;109:224–30. **************************************************************** About Sleeve Gastrectomy This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism. com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.
What is Sleeve Gastrectomy? Sleeve gastrectomy is a weight loss procedure where the stomach is made smaller by surgical removal to form a slim “sleeve. ” Patients can eat only small amounts of food, resulting in weight loss. A sleeve gastrectomy is often followed by duodenal switch surgery or a gastric bypass. How is Sleeve Gastrectomy procedure carried out? * The surgeon uses a laparoscope to guide small instruments which divide the stomach vertically along the inside curve. * The surgeon attaches the open edges of the stomach with staples to form a sleeve or banana shape.
* This reduces the size of the stomach by around 75 percent. * Who is a suitable candidate for the Sleeve Gastrectomy procedure? Sleeve gastrectomy is suitable for patients who are obese. However, extremely obese patients may not be suitable candidates. What are the chances of success with Sleeve Gastrectomy? Many patients lose between 30 and 50 percent of their excess weight in the first year following the sleeve gastrectomy procedure. If not enough weight is lost with the gastric sleeve procedure, a duodenal switch surgery is carried out.
Duration of procedure/surgery: The sleeve gastrectomy procedure takes around 1 hour to complete. Days admitted: The gastric sleeve procedure requires a hospital stay of 2 to 3 nights. Anesthesia: General anesthesia Recovery: The recovery time following a gastric sleeve procedure is around 2 to 3 weeks. Risks: – Infection and bleeding. – Adverse reaction to the anesthesia. – Marginal ulcers. – Deep vein thrombosis. – Malnutrition or other nutritional problems. After care: – Take painkillers to manage pain and discomfort in the abdomen.
– Wear compression pads or stockings following the sleeve gastrectomy to prevent deep vein thrombosis. – Drink only water in the first 24 hours following sleeve gastrectomy and follow this with a liquid diet for the next week. – You will only be able to eat small amounts of food and must chew your food slowly when eating. Some of the Questions that might help in the survey: How big will my stomach be after surgery? The size of your stomach will vary depending on the surgeon. All surgeons use a tube to guide them when stapling the stomach.
This tube size can vary from as small as 32 French Bougie (1-2 ounces) to as large as 64 French Bougie (6-8 ounces). This is a very important question to ask when considering this surgery, since those patients with larger pouches may have less weight loss. Is removing the stomach safe? This type of stomach removal has been performed with the Duodenal Switch procedure since the mid 1980’s. It does involve stapling, just like in the gastric bypass and has similar risks. Interestingly, patients do not ever return asking for their stomach back but many do wonder if it is possible to