Surgery is a proven way to treat obesity

STATEN ISLAND, N.Y. — Obesity — derived from the Latin “obesus” meaning “having eaten until fat” — affects all ages and races. It is a worldwide epidemic with severe consequences when it is left untreated. Its direct effects on health include diabetes mellitus, hypertension, coronary artery disease, obstructive sleep apnea, and an increased risk of cancer.

Indirectly, it also leads to a higher complication risk during any sort of surgery. Increased rates of surgical site infection, venous and pulmonary thromboembolism, leakage during colon surgery, and surgical site hernia have all been demonstrated through numerous studies. Thus obesity affects many different areas of health, and must be treated as aggressively as any other disease process.

When all medically correctable reasons (hypothyroidism, eating disorders) have been ruled out and all other weight loss options (diet, exercise) have been exhausted, surgical treatment of obesity may play a pivotal role in restoring mental and physical health.

Clearly, any type of surgery is not without risk, and non-surgical weight loss is always the preferred method. The primary goal of the bariatric surgeon is to assist patients with weight loss, with or without surgery. From the initial visit, this takes a minimum of six months, prior to scheduling for an operation. During this time, a multidisciplinary approach is undertaken to ensure that all possible efforts are made to facilitate weight loss.

TEAM APPROACH

In conjunction with an internist, psychologist, nutritionist, and physical therapist, positive behavioral and diet modifications are reinforced, while monthly vital signs and weight are closely monitored. During this time, patients also meet with a cardiologist, a gastroenterologist, and a pulmonologist to ensure that they are in optimal medical condition for surgery.

The criterion for undergoing bariatric surgery is a Body Mass Index (BMI) of greater than 40, or greater than 35 with obesity-related comorbidities. Again, all patients being considered for surgery must have attempted a medically supervised diet and exercise program.

The three most popular surgical options are the laparoscopic band, the laparoscopic sleeve gastrectomy and the laparoscopic Roux-en-Y gastric bypass.

Complications To Bariatric Surgery - News


Surgery is a proven way to treat obesity

Indirectly, it also leads to a higher complication risk during any sort of surgery. Increased rates of surgical site infection, venous and pulmonary thromboembolism, leakage during colon surgery, and surgical site hernia have all been demonstrated



Doctor's orders: time to eat

If you have had this surgery, I'd like to hear your opinion. How did it work for you? Did you have any complications or issues? How long were you out of work? Also, which surgery did you have? I am researching gastric bypass and the lap band surgery to



Study: Gastric Bypass Surgery Saves on Long-Term Medical Costs

Gastric bypass surgery costs $20000-$25000 for the initial procedure but it has a good record of keeping off the lost weight, thus reducing medical complications from obesity-linked conditions like diabetes, cardiovascular disease and hypertension.



How Should We Evaluate Lap-Band Candidates?
How Should We Evaluate Lap-Band Candidates?

The Lap-Band's less-invasive nature and ability to be reversed gives it a less serious air than other forms of gastric bypass surgery, but it also comes with the risk of various, albeit rare, complications, such as band erosion, pouch dilation,



Surgery is no quick fix for obese teens
Surgery is no quick fix for obese teens

Although bariatric surgery is much safer since it was first introduced in the late 1960s, it does carry a risk of side effects and serious complications -- such as stomach leakage (after gastric bypass and sleeve gastrectomy) and malfunctioning gastric




Why Families Love Bariatric Surgery Complications

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Complications To Bariatric Surgery - Bookshelf

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