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Effectiveness of Bariatric Surgery to Treat Morbid Obesity

Monday, August 30th, 2010

effectiveness of bariatric surgery to treat morbid obesitySuch interventions are currently considered as a very effective method for the treatment of morbid obesity, reaching 72% success rate (after two years of operation the patients have lost an average of 50% of their excess weight). But … Is it advisable for anyone?.

Bariatric surgery involves reducing, using various techniques (mainly gastroplasty, the gastric bypass and adjustable band), the capacity of the stomach. It is not plastic surgery, as it pertains to the field of General and Gastroenterological Surgery, and are always aggressive interventions with the body that should only be performed in extreme cases where previous treatments have failed less invasive.

Morbidly obese 1-2% of the population whose Body Mass Index (remember that BMI is obtained by dividing weight in kilos between height in meters squared) greater than 40. (more…)

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Liposuction is The Intervention Most Requested Cosmetic Surgery

Thursday, August 26th, 2010

liposuction is the intervention of the most requested cosmetic surgery

With 100,000 liposuction a year, this type of intervention has reached the top positions among the various plastic surgery, among other things driven by the development of new techniques such as ultrasonic liposuction or Vibroliposuction.

Liposuction or liposculpture can not be considered as a method to lose weight, just as surgery, by which removes fat located in different parts of the body such as abdomen, thighs, hips and knees. For its part, abdominoplasty combines the removal of excess abdominal fat, tightening the abdominal muscles themselves, to correct the bulging belly. (more…)

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The Stomach Reduction Surgery is Often Not The Solution

Monday, August 23rd, 2010

the stomach reduction surgery is often not the solutionThis solution should be applied only when the others have failed, and only in those with morbid obesity, in which the risks of surgery can not be greater than the risks of the operation itself, which in any case are not negligible.

Some cases occurred recently, with dramatic results, unfortunately, these techniques have put the headlines in the media. Often misunderstood the problem, because many people think that the stomach is reduced the solution to their obesity, and thinking about this technique neglect proper nutrition. (more…)

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Lights and Shadows of Gastric Bypass

Thursday, August 19th, 2010

light and shadows of gastric bypassA large U.S. study indicates that it is an effective operation to combat morbid obesity, but not without complications. Hospital admissions for three years after submitting to it are doubled compared to the situation before surgery.

Gastric bypass is a surgical technique consisting in a restriction on the actual volume of the stomach, while the food is “jump” the first part of the small intestine, thus producing a deficit in this absorption of sugars and fat. That is, go under, from the standpoint of food, part of the stomach and part of the small intestine, where most are absorbed nutrients.

It is usually done by laparoscopy and has some advantages over the stomach reduction surgery, in relation to risk and postoperative complications. Its cost is around 20,000 euros or so. (more…)

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Stomach Surgery Requires Proper Monitoring

Monday, August 16th, 2010

stomach surgery requires proper monitoringStomach surgery can cause serious problems, particularly if not carefully follow the doctor’s orders. These interventions hinder the absorption of certain nutrients, which could cause significant neurological disease.

The growing extent of the problem of obesity is causing more and more people turn to the stomach surgery. In the United States each year undergo this procedure 170,000 people. The various techniques to reduce the capacity of the stomach are: gastric bypass, adjustable band, BIB and gastroplasty or stomach stapling. (more…)

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The By-Pass Better Than Gastric Band For Morbid Obesity

Thursday, August 12th, 2010

by-pass better than gastric band for morbid obesityA recent study on the two most commonly used surgical procedures to combat morbid obesity seems conclusive: the by-pass, although in principle more harmful to the patient, eventually gives better results, fewer problems, and seems more advisable.

The research, conducted by the State University of New York and published in the journal Archives of Surgery “, was conducted on 106 patients from the same hospital.

Of these, 60 underwent gastric banding surgery and 46 to by-pass. It should be noted that all of them suffered extreme morbidly obese, weighing more than 2.25 times the ideal for their height.

The laparoscopic gastric bypass for “Roux-en-y” is to make a division of the stomach, so as to reduce its capacity. It then connects to the bottom of the small intestine, “skipping” and part of the intestine and thereby limiting its ability to absorb nutrients. (more…)

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Bariatric Surgery: Very Effective, But With Some Risk

Monday, August 9th, 2010

bariatric surgery: very effective, but with some riskWhen obesity is morbid, statistics are inconclusive: the most reasonable solution is surgery, despite the undoubted risks involved. Because in these conditions, undergo surgery can be a much greater risk than done.

First, we must clarify that we are talking about morbid obesity, ie, when the Body Mass Index (BMI = weight in kilos divided by the square of height in meters) exceeds the value of 40, or 35 but was accompanied by other diseases such as diabetes, heart or respiratory failure, or spinal injuries or joints. One hundred Spanish have it. It is not, therefore, operated by aesthetic reasons, but only by medical decision, and seeking better health.

There are three types of bariatric surgery: restrictive, which reduces the stomach capacity, the malabsorptive, which prevents it from being absorbed from ingested, and mixed, which is a combination of the above. The surgeon will choose the most appropriate to the characteristics of the patient. (more…)

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The Risk of Non-Operated

Thursday, August 5th, 2010

the rish of non-operatedPeople always talk, and rightly so, of the risk of stomach surgery. It’s a risk exists and must be known before making a decision. But what is often not considered is the risk of not operating, that is, to continue trying to lose weight without surgery. Two important studies show that in many cases this risk is clearly higher.

Both investigations, very complete, over a large number of patients and encompassing a broad period of time, have been published in the journal “New England Journal of Medicine. The first was performed at Sahlgrenska University (Sweden) on 4,000 obese people. Half of them went under the knife to solve their problems of obesity, and the remainder opted for the diet. (more…)

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The Effectiveness of The Intragastric Balloon

Monday, August 2nd, 2010

The Effectiveness of The Intragastic Balloon

The effectiveness of intragastric balloon (or gastric balloon) decreases over time until six months after its insertion just useless. And, of course, no substitute for surgery. So? It is only reasonable to use it after stomach surgery (it diminishes the risk of it) or as temporary help to change habits.

The intragastric balloon is a balloon or silicone balloon filled with liquid, which is inserted through the mouth and is extracted, also at the mouth, six months after insertion. Creates a feeling of fullness and therefore greatly improves the results of a diet. Both the introduction and removal are minor operations and outpatient, and the risk is virtually nonexistent. Complications are very serious (balloon rupture, esophagitis, gastric obstruction, gastric ulcer …) and also very rare, since most of those are below the 0.5% of cases. It may be regarded as serious gastric perforation, but there is only about 0.13% of patients. (more…)

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Bariatric Surgery -part 3-

Thursday, July 29th, 2010

bariatric surgeryAfter Bariatric Surgery

The recovery, after Bariatric Surgery, in the case of the gastric band and the tube is fast. The patient can go out three days in a week-10 days, return to your normal life. The practice of any physical exercise or sports should be delayed until 20 days after surgery. The bypass rejoins normal activity on the 30th.

For both techniques, the patient is changing, gradually, your diet: liquid 2-3 weeks, going on a diet finely ground, crushed coarse and reaches the normal diet in 20-30 days, depending on the type of technique .

Diet, Lifestyle and Weight Loss

When our patients have reached the stage of solid foods, it is time that diets designed by nutritionists customized to each individual. These diets are tailored to the needs of each patient, depending on their degree of obesity, changes in weight, and program implementation. Although dietary guidelines must be observed, the patient undergoes little or no hunger if you have had a restrictive or mixed technique. (more…)

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