Bariatric and Metabolic Surgery, An Issue of Surgical Clinics - E-Book (The Clinics: Surgery)

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Some weight-loss surgeries are done with traditional large, or open, incisions in your abdomen. Today, most types of bariatric surgery are performed laparoscopically. A laparoscope is a small, tubular instrument with a camera attached. The laparoscope is inserted through small incisions in the abdomen. The tiny camera on the tip of the laparoscope allows the surgeon to see and operate inside your abdomen without making the traditional large incisions. Laparoscopic surgery can make your recovery faster and shorter, but it's not suitable for everyone.

Surgery usually takes several hours. After surgery, you awaken in a recovery room, where medical staff monitors you for any complications. Your hospital stay may last from three to five days.

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Each type of bariatric surgery has pros and cons. Be sure to talk to your doctor about them. Here's a look at common types of bariatric surgery:. Which type of weight-loss surgery is best for you depends on your specific situation. Your surgeon will take many factors into account, including your body mass index, your eating habits, your health problems, any previous surgery and the risks of each procedure.

After gastric bypass and other types of weight-loss surgery, you generally won't be allowed to eat for one to two days so that your stomach and digestive system can heal. Then, you'll follow a specific diet for about 12 weeks. The diet begins with liquids only, then progresses to ground-up or soft foods, and finally to regular foods. You may have many restrictions or limits on how much and what you can eat and drink. You'll also have frequent medical checkups to monitor your health in the first several months after weight-loss surgery. You may need laboratory testing, blood work and various exams.

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  6. You may experience changes as your body reacts to the rapid weight loss in the first three to six months after gastric bypass or other weight-loss surgery, including:. Gastric bypass and other bariatric surgeries can provide long-term weight loss. The amount of weight you lose depends on your type of surgery and your change in lifestyle habits. It may be possible to lose half, or even more, of your excess weight within two years.

    In addition to weight loss, gastric bypass surgery may improve or resolve conditions often related to being overweight, including:. Gastric bypass surgery can also improve your ability to perform routine daily activities, which could help improve your quality of life.

    Top 10 Things You Need to Know About Bariatric Surgery

    Gastric bypass and other weight-loss surgeries don't always work as well as you might have hoped. For one thing, although rare, something during or after the procedure itself may go wrong. For instance, the adjustable band may fail to work properly. If a weight-loss procedure doesn't work right or stops working, you may not lose weight and you may develop serious health problems. Keep all of your scheduled follow-up appointments after weight-loss surgery. If you notice that you aren't losing weight or you develop complications, see your doctor immediately.

    Your weight loss can be monitored and factors potentially contributing to your lack of weight loss evaluated. It's also possible to not lose enough weight or to regain weight after any type of weight-loss surgery, even if the procedure itself works correctly. This weight gain can happen if you don't follow the recommended lifestyle changes.

    To help avoid regaining weight, you must make permanent healthy changes in your diet and get regular physical activity and exercise. If you frequently snack on high-calorie foods, for instance, you may have inadequate weight loss. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

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    Bariatric surgery care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version.

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    This content does not have an Arabic version. Overview Gastric bypass and other weight-loss surgeries make changes to your digestive system to help you lose weight by limiting how much you can eat or by reducing the absorption of nutrients, or both. Related videos On YouTube, learn more about adolescent bariatric surgery at Mayo Clinic: When is adolescent bariatric surgery necessary? Request an Appointment at Mayo Clinic. Gastric bypass surgery Before gastric bypass, food see arrows enters your stomach and passes into the small intestine.

    Prevention and Management of Complications in Bariatric Surgery - Oxford Medicine

    Share on: Facebook Twitter. References American Gastroenterological Association. American Gastroenterological Association medical position statement on obesity.

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    Bariatric surgery for severe obesity. Accessed Aug. Other special emphasis given to the topics of metabolic surgery and surgery for patients with lower BMI Volume II: Integrated Health is divided into 3 sections: bariatric medicine, psychosocial and nutritional aspects of bariatric surgery. The first section deals with the psychosocial issues associated with morbid obesity. The second section deals with the role of bariatric physicians in preoperative and postoperative support of the bariatric patients.

    The nutritional section discusses the preoperative and postoperative nutritional support for the bariatric patient. The ASMBS Textbook of Bariatric Surgery will be of great value to surgeons, residents and fellows, bariatric physicians, psychologists, psychiatrists and integrated health members that manage the morbidly obese. Ninh T. JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser. Medicine Surgery. Free Preview. Show next edition. Chapters written by experts in their respective fields Richly illustrated with photos and illustrations The only bariatric surgery textbook developed by and for the ASMBS see more benefits.

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