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Gastric Bypass And Other Treatments For Obesity

Gastric bypass surgery is the most common method used to lose weight brought by morbid obesity. Experts would estimate an average of 140,000 surgeries being performed annually. With this kind of procedure, a small pouch is made in the stomach by stapling it. The middle portion of the small intestine is connected to the rest of the stomach. Food will bypass the small pouch and the upper part of the intestine. The size of the stomach is reduced, thus also reducing the food that it could take.

Although it is the most popular procedure, there are other bariatric surgeries or weight loss surgeries.

Lap-Band adjustable gastric binding is another type of weight loss surgery. In this procedure, an inflatable band is tightened like a belt and will divide the stomach in to two pouches. However, weight loss results are slower than gastric bypass surgery. Also the pounds shed could be less than the amount of lost weight with gastric bypass.

A part of the stomach is also stapled with vertical banded gastroplasty. The stomach is divided into two parts, but there is not intestinal bypass. This would just make the patient eat less since the stomach has limited space for the food. Losing weight using this procedure is not as tremendous as gastric bypass results, nor could it sustain weight loss for longer period of time.

The biliopancreatic diversion with duodenal switch removes 80 percent of the stomach. In this procedure, much of the small intestine is bypassed. Losing weight could be sustained over a long period of time. However, there are also increased risks with this kind of medical procedure. Patients tend to develop malnutrition and vitamin and mineral deficiencies.

These are just the basic medical procedures and weight-loss surgeries that can be performed to obese individuals and patients. Nonetheless, a person who would like to undergo bariatric surgery would have to undergo different medical and psychological examinations. Those who are qualified for gastric bypass should have at least tried an organized weight-loss program for the last six months monitored by a doctor, but acquired no significant results with their body weight.

Overall, if you are obese, there are steps that you could start doing before considering gastric bypass surgery. Before you start any diet or exercise program, it is recommended to consult a doctor first to guide you on how you could shed the pounds and keep them off. You could start by changing the variety of food you eat, the nutritional content and the amounts and frequency of meals. In short, you would have to improve your eating habits.

Start incorporating activity to your daily activities. Fat in the body is actually energy not used of consumed by the body. So you would have to start losing those excess weight by having an exercise plan. You could start by giving at least 30 minutes a day for daily activity. It does not have to be done continuously, you could break it into different stages suited for your time.

To get better results, it is also important to get all the necessary support tat you could get. There are still tendencies that a person who have undergone gastric bypass surgery to regain their weight. They could still turn to overeating which could result to serious problems like expansion of the pouch or even rupture of the stomach. Counselling and support groups play a major role in helping obese patients deal with weight loss, confidence or self-esteem and other major changes.

Gastric bypass surgery is not the only option. There are other options that can be followed to get the desired health condition. Whatever treatment or surgery that we follow, in the end, what would matter is our will and determination to undergo the change.


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What To Eat After Gastric Bypass Surgery

Gastric bypass surgery is among the most popular bariatric surgery, with the number of those who are choosing to undergo the procedure doubling since 2001 to 2003. The American Society of Bariatric Surgery, estimates the number to be 140,000 annually. This procedure is primarily done to resolve issues of morbid obesity and the diseases associated with it.

In gastric bypass surgery, a small pouch is created in the stomach. This small pouch is stapled and the small intestines upper portion is also attached to this small pouch. The middle section of the small intestine is attached to the rest of the stomach. Food will bypass the rest of the stomach and the rest of the small intestine. Te stomach will be in smaller size which would make it full faster. Less calories will be absorbed.

This procedure would require diet change. Since the digestive system is altered or shortened, every food intake would be valuable. Some common side effects brought by the surgery is nutritional deficiency like anemia and osteoporosis. This is why it is important for patients to follow a different diet and take mineral and vitamin supplements.

The special gastric bypass diet would make sure that weight loss will be maintained over time. It would normally involve high protein food. Foods high in protein would ensure that new tissues are being built and the wounds are healing properly. Ideal high protein foods will be low in fat like red meat, chicken or turkey without skin, fish, eggs and cottage cheese.

Sugar and fat is among the foods that are avoided. Gastric bypass diet would involve food low in sugar and fat. Sugary foods are high in calories and fat. Fat is difficult to digest. Consuming too much sugar could also result to the Dumping syndrome that has nausea, dizziness, vomiting, sweating, and diarrhea as symptoms. The body could also react the same way to too much fat. Foods with too much fat and sugar, anyway, do not have sufficient nutrients that would be essential to the body.

Foods high in fiber are also limited in gastric bypass diet. Fibers could block the stomach, small intestine and would require more gastric acid to digest it. A doctors approval is needed before ingesting any laxative or fiber pills.

This change is not done immediately. There are stages in a gastric bypass diet. Clear liquids would be the first stage. For the first two days, clear liquids like water, sugar-free juice, clear broth and no fizz soda are consumed in small amounts. Within the first two weeks, low-fat, high protein liquids are ingested. It is important to also take chewable multivitamins during this stage.

Doctors would determine when would be the suitable time for the patient to progress to soft or puree diet. Some would be able to eat after two weeks, while others would have to wait longer than that. Some people who are in this stage would sometimes resort to eating strained baby foods. While others would prefer eating soft foods like scrambled eggs, low-fat cheese, blenderized lean meats, etc.

Two months after the surgery, the patient could now start eating regular diet, starting with high-protein food. Food consumed should be in small amounts. Remember that the stomach is reduced in size. After the gastric bypass, the stomach could accommodate about an ounce of food. Eventually, it could stretch and hold about 4 to 8 ounces or a cup to half a cup of food.

One thing that people should be conscious of would be overeating. Gastric bypass surgery can make the stomach smaller, however this does not affect the overall attitude to eating. People could result to overeating because of genetics or emotions. Lifestyle change is important. Overeating could cause regaining the lost weight, expansion of the pouch, and in worst cases rupture of the stomach.

There are many support groups, education, and counselling available to help deal patients with these difficulties.


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Understanding Gastric Bypass

Gastric bypass surgery is done to primarily solve or treat morbid or severe obesity and other health problems associated with it. With this procedure the stomach is made smaller. The food will bypass part of the small intestine. By doing so, the patient will consume less because he feels full immediately. Getting full easily would reduce the calories taken by the body and eventually lead to weight loss.

Actually, gastric bypass is just among the many similar operations to reduce obesity. To refer all of these procedures, bariatric surgery is the term. These operations intend to reduce accumulated fatty tissues by altering the physiological and psychological attitude of a patient towards food and eating.

How does it alter normal digestion?

What normally happens is that after eating, the food would go through the stomach and then proceed to the small intestine. The nutrients are absorbed in the small intestine before it goes to the large intestine where waste is eventually pushed out of the body. The most common gastric bypass procedure, the Roux-en Y gastric bypass, alters this process.

In the Roux-en gastric bypass, a small pouch is made on the top part of the stomach. The lower part of the stomach, which is much smaller now, is connected directly to the middle part of the small intestine. The stomach was made smaller and at the same time, the intestine was cut short, the upper portion of the small intestine was bypassed. Both the upper portion of the stomach and the small intestine no longer digest food.

Statistics showed that patients would lose 60%, on the average, of their weight after the gastric bypass surgery. There are even who would say that they have lost 80% of their weight. There are studies showing that about 90% of patient who have undergone gastric surgery were able to maintain their weight loss after ten years of having the surgery performed.

Having gastric surgery is not risk-free though. People who have undergone this procedure would report more cases of gallstones, in other studies, they would also report nutritional issues like anemia or osteoporosis.

Every year there are about 140,000 gastric procedure being performed in the United States alone. The results could really be successful, with people being able to get better weight-loss results, however, about 2% of patients would find it very fatal. In the 2%, one percent could be as a result of complications during surgery. The heart in unable to support the pumping it has to do to handle the excess weight or the complication brought by it.

The other one percent cause of fatality among people who gone through the procedure, would be about not following the dietary restrictions that should be followed after the surgery. After gastric surgery, the body could no longer handle too much intake of high-sugar and high-fat food. There is a special diet that those who have just undergone the surgery should follow. Bypass diet would usually include foods that are high in protein but low in fat, fiber, calories, and sugar. There are vitamins and mineral supplements that are required to be taken to avoid health and nutritional deficiencies.

With more and more people turning to gastric bypass surgery as a weight-loss option, it is important to understand not only the procedure and the benefits. It is also important to weigh the risks and if our lifestyle and our body would be able to handle the dramatic loss of weight.


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Is Gastric Surgery For Your Obese Teen?

Obesity is worldwide problem. There are millions worldwide who are suffering from this disease. In the United States, there are about 12.5 million children and adolescents who are overweight. Children are also suffering from the diseases associated with obesity and disease traditionally seen only in older people, like diabetes and heart disease. Because of these health problems, they are looking for weight-loss options and gastric bypass surgery is one of them.

Gastric bypass surgery is not the popular among the young population though. About 1% of those who undergo the procedure are teens according to the survey reported in Archives of Pediatric and Adolescent Medicine in March 2007. There is a relative increase on the number of teens undergoing the procedure, but still remains unpopular or uncommon.

Sadly, obese children think that they are living a kind of life like those who have cancer and undergoing chemotherapy, according to the survey done by the Journal of the American Medical Association. Teens suffering from obesity would deal with being teased, socially not accepted, and unable to participate in social activities.

Not all obese teens are recommended to undergo gastric bypass surgery. According to the American Academy of Pediatrics in 2004, there are guidelines that should be considered before a teen or an adolescent is recommended for gastric bypass or any weight-loss surgery:

Failed to lose weight by any organized attempt of weight management for the last six or more months, with an assistance of a doctor.

Have reached a physiological and skeletal maturity. Adolescents that have reached an age (or older) of 13 years old for girls and 15 years old for boys have reached this level of maturity.

Has a body mass index (BMI) of more than 40 associated with severe obesity-related problems. Has body mass index of more than 50 even though there are no serious obesity-related problems.

There are medical and physiological examinations and evaluations performed before the surgery, the teen undergoing that should be prepared to handle these evaluations.

In general, those who have undergone gastric bypass surgery are advised to avoid pregnancy at least two years after the surgery. This is to avoid any complications and increasing risk to the fetus because of drastic weight loss. Anybody, not only teens, should be aware and agree on this.

Prepared to follow strict dietary regulations after the surgery. There is a strict diet that patients should follow like low sugar, low fat, low-carbohydrates, and low-calories meal plans.

Have a supportive environment. Because of the dramatic change in their lifestyle, teens should have supportive family environment that will be able to guide them to the different changes. Often times, there are patients of weight loss surgeries who would suffer from different physiological and psychological side-effects, like depression. Families should be prepared in helping their children through these stages.

There are doctors who would say that conducting gastric bypass or other bariatric surgery on teen-agers are safer than conducting the procedure with adults. Teens have not developed any case of obesity-related problems like high blood pressure and heart disease which are common among adults and also increases the risks of surgeries. Teens also heal faster and required less time spent in the hospital.

There are many benefits by undergoing gastric bypass and weight-loss surgeries. Some patients would even report losing 5% of their weight within the first month and about 50 to 60% within a year. Associated obesity related problems are also reduced by having the surgery. However, not everybody is recommended to undergo the procedure.

Even a teen is required to have be able to make sound decisions, before undergoing surgery. Afterall, maturity does not come with age.


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