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Bariatric Surgery


Bariatric Surgery What You Need To Know About Weight Loss Surgery Types of Weight loss Surgery Gastric bypass surgery, Lap-Band surgery and the gastric sleeve ... – PowerPoint PPT presentation

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Title: Bariatric Surgery

Bariatric Surgery
  • What You Need To Know About Weight Loss Surgery

  • What You Need to Know About Weight Loss
  • Weight loss surgery is a serious surgical
    procedure that decreases the size of the stomach,
    reduces food intake and can enable you to lose a
    significant amount of weight. It is a permanent
    procedure that requires a lifetime commitment to
    maintaining a healthy lifestyle. Weight loss
    surgery not only helps you to lose weight, but
    can help improve your overall health, well-being
    and self-esteem.

Types of Weight loss Surgery
  • Gastric bypass surgery, Lap-Band surgery and the
    gastric sleeve procedure are the three most
    widely practiced types of weight loss surgery.
    During gastric bypass surgery, the weight loss
    surgeon staples the smaller, upper part of the
    stomach, separating it from the rest of the
    stomach. The net result is that the amount of
    food you can eat is reduced. The small intestine
    is rerouted and connected to the smaller stomach
  • In Lap-Band surgery, the surgeon places a
    silicone rubber band around the top of your
    stomach this creates a very small stomach pouch.
    When you eat, you feel full very quickly. Food
    slowly flows from the smaller pouch into the
    lower part of the stomach and then into the rest
    of the digestive tract.
  • Gastric sleeve resection surgery uses a keyhole
    approach that involves the use of a laparoscopic
    tool that is inserted through small incisions.
    The laparoscopic tool provides a visual guide to
    the inside of the abdomen during the procedure.

Weight Loss Surgery Consultation
  • It is best to consult a surgeon who specializes
    in bariatric surgery to determine your options
    for treatment. If you are significantly
    overweight and you have been unable to achieve or
    maintain a healthy weight with diet and exercise,
    or if your weight is causing medical problems,
    you may be a candidate for weight loss surgery.

  • A bariatric surgery consultation also provides an
    opportunity for you to learn more about the
    procedure and how you can expect to feel,
    physically and emotionally, after the surgery.
    Prior to the consultation, you may want to make a
    list of questions to ask your surgeon, such as

  • Which type of bariatric surgery is best for me
    (gastric bypass, Lap-Band or gastric sleeve
  • What is the recovery time for weight loss
  • What are my dietary guidelines after surgery?
  • How will my health improve after surgery?
  • How much weight can I expect to lose as a result
    of surgery?
  • Will I need to have plastic surgery after
    bariatric surgery, and if so, which procedures?

How Is Weight Loss Surgery Performed?
  • Weight loss surgery is performed under general
    anesthesia and can take one to four hours for
    gastric bypass surgery, 30 minutes to one hour
    for Lap-Band Surgery and up to four hours for
    gastric sleeve resection. A hospital stay may be

After Weight Loss Surgery
  • After weight loss surgery, resuming your normal
    life can be a challenge. The most significant
    change is the amount of food you will be able to
    eat. Most weight loss surgeries reduce stomach
    capacity to a few ounces or less of food or
    liquid. At first, you may have less energy for
    daily activities. Recovery time varies, but many
    people can return to normal activities within six
    weeks of the surgery.
  • The reduction in the amount of food you can eat
    can help you lose a significant amount of weight.
    Many people who lose considerable weight are left
    with loose or excess skin. To remove this skin
    and improve body contour, some people undergo
    cosmetic procedures such as body lift,
    abdominoplasty or panniculectomy. A body lift
    removes excess skin and fat from the abdomen,
    hips, thighs and buttocks. Abdominoplasty is a
    procedure that tightens muscle and removes excess
    abdominal skin. Panniculectomy removes excess fat
    and skin from the abdomen, but does not tighten
    muscles like abdominoplasty.

Digestion 101
  • To understand fully the changes that your weight
    loss surgery will mean for your digestive
    process, it's important to understand how
    digestion works before surgical alteration.

The Key Players of the Digestive Process
  • The digestive tract comprises the mouth,
    esophagus, stomach, small and large intestines
    (the colon), the rectum and the anus. These
    organs are lined by mucosae (mucous membranes).
    The mucosa in the stomach and small intestines
    contains tiny glands that produce juices to aid
    in digestion. The digestive tract also contains a
    layer of smooth muscle to help break down food
    and move it efficiently through the tract.

Digestion at a Glance
  • The digestive process starts in the mouth,
    where food is chewed and swallowed. The swallowed
    food then travels into the esophagus, which
    connects the throat to the stomach. A ring-like
    muscle called the esophageal sphincter connects
    the esophagus to the stomach. This muscle
    basically acts as a door that closes the passage
    between the esophagus and the stomach. As food
    approaches this muscle, it opens and allows food
    to pass through to the stomach.
  • As you can imagine, the stomach plays a big
    role in digestion. For starters, it stores the
    swallowed food and liquid. A muscle in the upper
    part of the stomach relaxes so it is able to
    accept large volumes of food and liquid. Next,
    the lower part of the stomach mixes the food and
    liquid with digestive juices produced there.
    Finally, the stomach slowly empties its contents
    into the small intestine.

Digestion Interrupted
  • Weight loss surgery interferes with digestion to
    help bring about weight loss.
  • For example, gastric bypass surgery makes the
    stomach smaller and allows food to bypass part of
    the small intestine. (If you recall, the small
    intestine is where most of the nutrients and
    calories are absorbed.) The stomach is made
    smaller by creating a small pouch at the top of
    the stomach. The smaller stomach is then
    connected directly to the middle portion of the
    small intestine (jejunum), bypassing the rest of
    the stomach and the upper portion of the small
    intestine (duodenum). As a result, food travels
    directly into the lower part of the small
    intestine. Bypassing these sections restricts the
    amount of calories and nutrients that are
    absorbed into the body, resulting in weight loss

  • Gastric banding also affects digestion. It
    involves placing a silicone band with an
    inflatable inner collar around the upper stomach
    to restrict food intake. This creates a small
    pouch and a narrow passage to the lower stomach
    that can hold only a small amount of food. The
    band also controls the stoma (stomach outlet)
    between the new upper pouch and the lower part of
    the stomach. This helps you feel full faster. In
    addition, the food moves more slowly between the
    upper and lower stomach during digestion. This
    helps you to eat less and lose weight.

Gastric Bypass Surgery
  • The gastric bypass procedure is a type of
    bariatric surgery or weight loss surgery designed
    to reduce your food intake if you have tried and
    failed to lose weight through diet and exercise.
    Gastric bypass can greatly improve the quality of
    life not only because of an improvement in
    appearance and an increase in mobility, but also
    because it can reduce the number and severity of
    health problems that overweight people are prone
    to suffer, such as diabetes and heart/circulation

  • It is a complex procedure performed under general
    anesthesia you sleep through it. Time in
    surgery is approximately one to four hours,
    followed by a one- to seven-day stay in the
    hospital. Currently, two techniques are available
    for gastric bypass
  • Roux-en-Y-gastric bypass (traditional and
  • biliopancreatic diversion bypass
  • (Another form of weight loss surgery that does
    not involve a bypass is Lap-Band surgery.)

(No Transcript)
There are three types of Gastric banding
  • Adjustable Gastric Banding
  • Realize Band
  • Lap-Band

Adjustable Gastric Banding
Realize Band
Gastric Sleeve Resection
Duodenal Switch
What Does Weight Loss Surgery Cost?
  • Weight loss surgery is both complex and costly.
    Average cost for the gastric bypass procedure
    (bariatric surgery) ranges from 18,000 to
  • Gastric bypass cost comprises three primary fees
    anesthesia, hospital facility, and surgeon's fee.
    These costs vary based on the extent of the
    procedure and length of recovery. Post-procedure
    costs are additional, such as for dietary plans,
    a fitness regimen, behavioral modification, and
    nutritional supplementation. Since gastric bypass
    is a complex surgery, with more than one method,
    many variables, and recovery issues, the costs
    can easily mount up.

Weight Loss Surgery Recovery
  • Recovery from weight loss surgery requires both a
    short-term plan and a long-term plan. To manage
    the effects of morbid obesity and weight loss
    surgery, your postoperative treatment plan may
    involve several different types of health care
    professionals, who will work together to help
    ensure your overall health, management of your
    food addiction and a smooth transition to new
    day-to-day activities.

  • Weight loss surgery is a genuine life-changing
    experience. Changes in your life may include the
    ability to fully perform day-to-day activities,
    the reduction of your risk of disease, the
    possible resolution of some medical conditions
    and new opportunities for jobs or relationships.
    The benefits from weight loss surgery should
    outweigh the personal commitment and financial
    investment associated with the surgery and its
  • It is important to follow your surgeon's
    instructions for a safe recovery and a long-term
    plan that will help you maintain the benefits of
    massive weight loss for the rest of your life.