Want to lose weight but afraid to go under the knife? Listen up. Your long-time battle with the bulge will end for good with one solutiongastric bypass surgery. It involves changing the digestive system to change your appetite; that way, you eat and digest less amount of food. Aside from the significant weight loss, the surgery also helps minimize the risk of developing obesity-related diseases.

Also called the Roux-en-Y surgery, the procedure primarily entails making a walnut-sized pouch at the upper stomach and putting a bypass around a portion of the small intestine and the stomach. Consequently, the food you eat bypasses most of the stomach and restricts the ability of your digestive system to take in calories. Hence, the term bypass surgery. Surgeons perform this operation using a small tube called a laparoscope that creates small incisions in the abdomen.

A small video camera is attached on the instrument, and this device enables the surgeon to see the inside of the abdomen. The laparoscopic technique is generally preferred over the traditional open bypass surgery that makes large incisions in the abdomen. Compared to the open bypass surgery, the laparoscopic technique is less risky and less painful because of the small incisions. Also, it results in shorter recovery period.

The procedure starts with the stapling of the patients stomach at the top to seal this area off from the rest of the stomach. As a result, the sealed portion or the pouch will be able to contain only an ounce of food. Separated from the entire stomach, the pouch is then connected to a small part of the small intestine. To be able to achieve that, the surgeon cuts a small part of the small intestine and sews it onto the pouch.

The surgery is not for everyone, though. There are certain risks involved; and a prospective patient must understand them before undergoing the surgery. If you plan to undergo the weight loss surgery, consult a surgeon and ask all your concerns regarding the procedure. Usually, the surgeon explains the things you should expect during and after the surgery.

Before the surgery, you will be given anesthetics to keep you asleep during the operation. The anesthesia is usually in the form of an intravenous (IV) line or analgesics. During the procedure, the surgeon inserts a tube into your nose down to the top of the stomach. To heal the staple line on the stomach, the tube is joined to a suction machine that empties the stomach pouch after the surgery. The surgery lasts for about two to four hours, but you will need to stay in the hospital for around three to five days for recovery.

Expect some diet and lifestyle changes after the weight loss surgery. One to three days after the procedure, you will not eat anything to allow your stomach to heal. Then, for about three months, you will follow a diet that starts with liquids, progresses to soft and pureed foods, and lastly to regular foods. You will have to be cautious with your food intake because eating huge meals can cause extreme pain under the breastbone and vomiting.

Also, you will notice some changes in your body and behavior three to six months after the gastric bypass surgery. These include dry skin, hair thinning, fatigue, body pains, and mood swings. These will be your bodys reactions to the quick weight loss resulting from the surgery.

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Gastric bypass surgeries and other weight loss medical procedures being performed in the United States are increasing for the last few years. This may be in response for the increase in the number of people suffering from obesity. According to the American Society of Bariatric Surgery, there are about 140,000 gastric bypass being performed every year.

Those who have undergone weight loss surgeries, lose about 50 to 60% of their body weight, a year after the surgery. Along with the weight loss, they would also be losing ailments associated with obesity like high blood pressure, diabetes, stroke, heart diseases and even cancer.

The Procedure

The most common gastric bypass performed is called the Roux-en Y gastric bypass. In this procedure, a small pouch is created on the top of the stomach. It is stapled, to seal it off from the rest of the stomach. This small pouch will no longer digest any food. The upper part of the small intestine, the duodenum, is attached to this small pouch.

When eating, the food would bypass the small pouch in the stomach and the upper portion of the small intestine. The food would go directly to the middle section of the intestine called the jejunum. Since it is the small intestine that does the absorption of minerals, vitamins and calories, the body will absorb limited calories only. A Y formation is formed just below the stomach.

Incisions are made in the abdomen to perform the procedure. Surgeons will be using the laparoscope or a small, tubular instrument with a camera. This will enable the surgeon to see the abdomen and perform the surgery. The laparoscopic gastric bypass actually makes the stay in the hospital and the recovery period shorter and quicker.

There are still open gastric bypass performed, however, there could be wound-related problems with this kind of procedure. The laparoscopic gastric bypass surgery is performed under general anaesthesia. The procedure lasts for about four hours. Patients who have undergone the procedure stay in the hospital for about two to six days to be monitored for any complications.

After the Surgery

Having a smaller stomach has effects on how much food the patient can eat. There are special diets that a patient recovering from gastric bypass surgery follows. Every food that the patient would eat will be important for his nutrition. There are times that they are also recommended nutritional supplements to avoid deficiencies like anemia or vitamin deficiency.

There are patients reporting weight loss of as much as 50 to 60 percent a year after the surgery. There are even some who would report an astounding 80% weight loss. However, it is still possible for patients to stretch their stomachs and have that large size again. There is still a possibility of getting back those lost pounds. That is why doctors would recommend dietary restrictions and exercise plant that would keep the pounds away.

There are also tendencies that gastric bypass patients would develop gallstones, stomach ulcers, hernia or nutritional deficiencies. The part of the stomach which was bypassed can get enlarged, it could cause bloating and hiccups. There is also the Dumping syndrome which happens when the food moves quickly to the small intestine. This can happen after eating foods high in sugar or fat.

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Gastric Bypass: What You Need to Know Before You Go Under the Knife

Tired of all your weight loss methods that dont work? Surgery may be your only lifesaver. In fact, some overweight people go to greater lengths by going under the knife to be able to lose weight fast. You might want to consider gastric bypass surgery to eliminate those unwanted bulges and flabs. In essence, it lowers the volume of the stomach by as much as 30 ml. This procedure, which is sometimes referred to as bariatric surgery, is the most preferred weight loss surgery by surgeons in the United States.

It is because this type of bariatric surgery is much safer and less risky than other weight-loss procedures. Compared with the other type of bariatric surgery (gastric banding surgery), this procedure does not easily lead to weight gain. And with consistent changes in a patients lifestyle and behavior, the surgery can result in a long-term and immediate weight loss, as well as other health benefits such as treatment of sleep apnea and type II diabetes.

How safe it is?

The technology used in the weight loss surgery makes the operation much safer than before. Majority of bariatric procedures take advantage of the new laparoscopic technology, which uses a tiny video camera and other instruments to make very small incisions on the abdomen. Whereas before, surgeries of the stomach involved creating large incisions that usually caused intense pain and inflammation to patients. Smaller incisions using the laparoscopic technique leads to less pain, less swelling, fewer scars, and faster recovery rate.

How does it work?

Usually performed within two hours, the surgery involves making the stomach smaller by creating a line of staples that is joined to an end of the small bowel.

Is this surgery right for you?

It depends on your body mass index (BMI). You are a candidate for the surgery if your BMI is not less than 40. But if you have any serious disease such as pneumonia, bronchitis, or diabetes, your BMI must be at least 35 in order to undergo a weight-loss surgery. Otherwise, the surgeon may not allow you to go through the procedure because of the complications. Aside from the right physical condition, you must be emotionally and mentally prepared for the surgery. For the operation to be successful, you should be properly motivated and aware of the risks or complications that may arise. Also, surgery should always be the last resortmeaning you use it only after you have tried dieting and exercise but to no avail.

What are the risks?

Of course, any kind of surgery entails some risks due to the incisions involved in the operation. Deaths resulting from the surgery are very rare (about 0.1 to 2 percent). The complications of the surgery are bleeding, respiratory dysfunction, stenosis or the obstruction of stomach, and leaking due to the staples.

How to find the right surgeon?

Choosing the best surgeon is one of the most important decisions to make when it comes to weight-loss surgery. The surgeon is the only person to entrust your life and limb with, so to speak. So he or she must not only be competent, but also a person whom youre comfortable dealing with. Also, look for a surgeon with a vast experience in gastric bypass surgery, preferably someone who has performed hundreds of operations. That way, you can be sure that your surgery is safe and effective.

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Why Child Bearing Is Healthy
Dr. Randy Wysong

From a purely biological perspective, bearing children can be considered the most important reason for a womans existence. For that matter, the same could be said about men, since both sexes are, in effect, disposable packages of genetic material. We die, but our genes continue on immortally.

With increasing population pressure and modern independent lifestyles (unlike the family farm where children were almost a necessity), procreation has become an option that is increasingly declined or at least significantly restricted. But with these choices women take themselves out of a natural biological role. Additionally, treating the breast as an ornament rather than a feeding organ by opting for synthetic formulas also removes women from a natural biological function.

When these choices are coupled with the use of contraceptive hormones, hormone replacement therapy, an increasing load of estrogenic pollutants in the environment and food, and a diet that has veered significantly from its natural design, the formula for hormonal pandemonium, metabolic dysfunction, and disease is in place. The result is early menses in children, infertility, abnormal and erratic menstrual cycles, cervical dysplasia, fibroids, endometrial cancer, breast cancer, premenstrual syndrome, dramatic mood swings and depression, osteoporosis, and other symptoms of abnormal menopause: hot flashes, psychological problems, decreased libido, and thinning of the vaginal wall.

This is a difficult problem with no easy solution. If women would have as many children as they are capable of, nurse them for years as they are designed to, eat natural foods, and live in a more pristine environment, most of these modern health problems would disappear.

If money flowed out of our tap we would not have economic problems either, right?

The desire to limit families may soon not even be an option. We either curtail population growth or we will saw through the branch we all sit on. Population is the engine that ultimately drives all environmental woes. We live on a finite planet with finite resources, but we have an infinite ability to breed. We either live within the limits of Earths sustainable resources or we will destroy ourselves. Having children may be a natural and healthy process, but can be a deadly game for sustainable life on Earth.

So we have a conundrum. Women need to fulfill their biological reproductive role to achieve metabolic balance and health, but if they do so unlimited, the health of life on Earth is jeopardized.

In an attempt to solve this dilemma, women have turned to the quick fix of pharmaceutical synthetic hormones. Hormones that control conception, hormones that control abnormal menstrual cycles, and hormones that fix menopause. It is an overly simplistic solution to a complex problem.

The saying, Dont mess with Mother Nature is particularly applicable when dosing the body with hormones. Since the 1940s when estrogen therapy became popular, hundreds of thousands of women have succumbed to cancer. For example, a woman is nearly 13 times more likely to get endometrial cancer, and at nearly a 30% increased risk of breast cancer when she takes estrogen. Recently, researchers have identified the two top preventable breast cancer risks: oral birth control pills and estrogen replacement therapy.

For those who justify the use of estrogen for the benefits of decreased risk of osteoporosis and cardiovascular disease, consider that proper exercise, diet and lifestyle choices can have the same beneficial effect without the potential consequence of cancer.

How have women specifically put themselves outside of their natural context to make themselves more susceptible to cancers?

The average mom gives birth to about two infants. Although this is an intelligent number from the standpoint of population control, it is unnatural in that by not continuing to have pregnancies and to nurse (which stops ovulations) she will ovulate an incredible 438 times during her lifetime.

On the other hand, a woman in the primitive natural setting who may not even know what causes pregnancy or how to prevent it even if they wanted to, would have started menstruating and ovulating at age twelve and would have delivered nine babies and breast-fed them over the course of her reproductive career. Breast-feeding can continue for children in a totally natural setting for up to five or more years of age. The combination of pregnancy along with breast-feeding in the premodern setting would have decreased the number of ovulations that a primitive mother would have had to about nine.

This means that today women cycle through their menstrual periods an abnormal number of times, subjecting their bodies to surges of estrogen 50 times greater than our primitive ancestors living in a natural setting.

Many cancers of women are sensitive to high levels of female hormones.

For example, breast cancer is sensitive to estrogen. In dogs, simply removing the ovaries can often prevent or halt the progress of mammary cancer. Tamoxifen in humans is used to block estrogen activity within the mammary glands and thus is believed to exert its protective effect in this way. (This pharmaceutical agent can, however, increase the risk of uterine cancer to about the same degree that the risk of breast cancer is reduced!)

The resting periods of lower estrogen levels that women experienced in the premodern setting served a protective effect to spare organs and tissues from cancer. Women who nurse for a total period of time of even as little as two years are known to have a decreased incidence of mammary cancer.

This excess ovulation hypothesis is the likely explanation for the tragic phenomenon of modern female cancers. When humans decide to flout and repudiate nature by interfering with natural biological design, disease will always be the consequence.

If the problem is a departure from nature, then the solution is a return to it. Here are some options:

1.Refer to the Wysong Optimal Health Program for guidelines on life choices that can enhance overall health and thus hormonal health (http://www.wysong.net/PDFs/ohp.pdf).

2.Emphasize fresh raw foods in the diet and avoid processed foods as much as possible.

3.Eliminate hydrogenated oils and refined sugars. Hydrogenated oils displace healthful dietary fats and have been shown to be carcinogenic, and sugars can stimulate a rise in estrogens.

4.Try to use organic foods as much as possible and avoid synthetic materials in cosmetics, at home and in the workplace to help reduce exposure to environmental estrogens.

5.Do not attempt low fat or low cholesterol fad diets that often create dependence upon processed carbohydrates and seriously reduce important natural dietary fats and essential fatty acids.

6.Increase the consumption of natural vegetable foods containing phytoestrogens which tend to counteract estrogens.

7.Avoid hormone medications if at all possible.

8.Explore natural birth control measures.

9.Nurse your babies for as long as you can.

Modern life presents many choices, freedoms and rights. Tinkering with child bearing, however, is a choice that is not without consequences. Women need to be aware and take the steps necessary to make sure the choices they make do not also bring with them the increased risk of serious modern diseases.

Reference:
Zeneca Pharaceuticals. Tamoxifen Patient Insert. Zeneca, Inc. Wilmington, DE. 1998.

Dr. Wysong is a former veterinary clinician and surgeon, college instructor in human anatomy, physiology and the origin of life, inventor of numerous medical, surgical, nutritional, athletic and fitness products and devices, research director for the present company by his name and founder of the philanthropic Wysong Institute. He is author of The Creation-Evolution Controversy now in its eleventh printing, a new two volume set on philosophy for living entitled Thinking Matters: 1-Living Life… As If Thinking Matters; 2-The Big Questions…As If Thinking Matters, several books on nutrition, prevention and health for people and animals and over 15 years of monthly health newsletters. He may be contacted at Wysong@Wysong.net and a free subscription to his e-Health Letter is available at http://www.wysong.net.

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