Bariatric Care Center California

Several studies proved that bariatric surgery is linked to the reduction of cardiovascular deaths and events like stroke and heart attacks among the most obese people.

Obesity in most obese people is linked to increased mortality and cardiovascular events. Bariatric surgery was also linked to a lower number of heart attacks overall, fewer strokes, and fewer fatal strokes.

There are several benefits of undergoing bariatric surgery and some of those benefits are independent of the level of the surgically provoked weight loss.

Few studies have revealed that the advantages of gastric surgery for exceptionally obese people can consist of long-term modifications in body weight, improved life quality, and fewer occurrences of cancer and diabetes.

Bariatric surgery results in weight loss, but the overall advantage of improved permanence resulting from those operations continues to be definitively proven because the expected health benefits do not necessarily exceed the risks of weight loss operations.

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Over weight is nothing but the excessive body weight which may decrease life expectancy and increase the risk of various health problems. Body mass index is the measurement for correct height and weight which defines the weight of the people, if it is more than 35 then it is considered as obese. This over weight can be reduced by using surgical and non-surgical methods. If the patients are risk of facing major health problems then it is better to choose surgical method.

Generally, men lose their overweight faster than women. Men have lower fat and more muscle mass percentage as compared to women. So, the rate of burning calories is more, according to that metabolism is also high.

There are many ways to lose the weight, such as doing exercise, changing the diet or eating habits. Other than these, there are two types of surgical methods:

1. Restrictive methods, which may decrease the intake of food

2. Malabsorptive methods, which will decrease the digestion level and absorption level of the gastrointestinal system.

Before going to start the surgery, it is necessary to ensure that the person is suitable for the surgery or not. The person who is undergoing the procedure should benefit more from the surgery. The surgery procedures include:

1. Adjustable Gastric Band

2. Laparoscopic sleeve Gastrectomy

3. Laparoscopic Roux-en-y Gastric Bypass

4. Laparoscopic Invasive surgery

Adjustable Gastric Band: In this method, two medical devices are inserted at the same time in the process of surgery. The upper portion of the stomach is completely wrapped by the band and the abdominal wall is attached by the injection base which is underneath the skin. After the surgery, removal of saline is carried out through the injection. By using a thin, soft, and hollow tube these two implants get connected.

This surgery has many advantages such as less trauma, removable, lesser side effects and long term success.

Laparoscopic Sleeve Gastrectomy: it is a restrictive operation which will decrease the stomach volume up to 85%. The resulting stomach is small in size and in good shape. This surgery is used for the patients who have BMI over 35. It is also using as a primary bariatric surgery. Depending on the persons BMI level, the procedure may vary from person to person. It doesn’t require artificial elements and it is not reversible. It has effects on gastrointestinal system. This reduces the stomach intake.

Laparoscopic Roux-en-y Gastric Bypass: It is a combination of malabsorption and restrictive methods. After one year, average of 77% of weight can be lost. In this surgery, some portion of stomach is bypassed so the absorption level of calories also decreases.

Laparoscopic Invasive surgery: It is a predominant method to lose the weight in some areas. By inserting a small video camera in to the abdomen, surgeon can view the inside area perfectly. The instruments and camera are inserted through small incisions, which are made on the abdominal wall. It doesn’t require large incisions to open the abdomen.

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Several studies said that weight loss surgery should only be considered for severely obese children in the highest five percent of BMI. Weight loss surgery is on the rise for adults, but it can also be used as the last resort for children who are suffering from extreme obesity.

Children who have already tried using non-invasive methods but not experience significant results can lose their weight by considering weight loss surgeries. Several researchers advice that parents and health care providers should encourage lifestyle changes for their children who are suffering from severe obesity, prior choosing more drastic procedures such as bariatric surgery.

For children who are undergoing bariatric surgery, the risks of the surgery and long-term safety and effectiveness in children remain mostly unknown. Childhood obesity can lead to most severe health complications such as diabetes, high blood pressure and abnormal blood fats.

For adults, bariatric surgery has been proven as an effective option to lose weight, but for children there is little data available on the safety and effectiveness of the surgery. Scientists advised that surgery should only be considered for children who have a body mass index above 50 and have severe health complication due to excess weight.

Researchers finally stated that prevention and policies should encourage children to improve the diet and maintain an active lifestyle.

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Morbidly obese women are more likely to be sexually dysfunctional. So, bariatric surgery not only helps women to lose weight, it can also resolve or improve female sexual dysfunction. Sexual dysfunction is a most prevalent and difficult condition that greatly affects a woman’s health as well as quality of life.

Few researchers said that bariatric surgery can greatly improve sexual dysfunction in women and it doesn’t seem to matter if a woman undergoes gastric bypass or laparoscopic adjustable gastric banding.

Generally, morbidly obese people are 75-100 pounds weight and have a BMI of 40 or more. People with BMI 35 and above are usually suffered from obesity related diseases such as diabetes, sleep apnea, heart attack, etc. All these conditions can directly or indirectly lead to sexual dysfunction in women.

Most common bariatric surgery methods that women can undergo to deal with the condition of sexual dysfunction include laparoscopic gastric bypass and laparoscopic adjustable gastric banding (LAGB).

There are numerous improvements in various aspects of the quality of life and mood that we can expect to see during this initial period. The psychological impact of weight loss can be significant. Even if there is a small amount of weight loss, women have more confidence, and that alone can make a big difference for some.

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A lap band surgery is also referred as laparoscopic adjustable gastric band. Obese patients can be treated with this surgery with body mass index ranging from 35 and above with assured co-morbidities. Obesity can cause various health problems like, diabetes, hypertension, sleep apnea which are identified to recover through weight loss surgery. Lap band surgery is done using a lap band, which is a silicone device positioned on upper portion of the stomach. The intake of the food is restricted with this surgery.

Lap band surgery failure is of two types:

1. Ineffective weight loss: If the weight loss is between 25 to 30 percent and less of your excess weight then the lap band surgery is deliberated to be a failure. The surgery is said to be successful if weight loss percentage is 50 percent.

2. Risks and complications pertaining to band removal : For some patients band is totally removed because of the complications such as:

a. Band infection: Antibiotics can heal band infections, but sometimes band removal is required. The patients who have band infections may range from 1.5 percent to 5.3 percent.

b. Band leak:  Band leak is usually recognized by injecting colored fluid and x-ray is taken to find any colored fluid leak on outer side of the gastric band.

c. Band erosion: band erosion can happen when band grows up into the tummy. The treatment is enduring in elimination of the band.

d. Band slippage: This can transpire, when the lower portion of the stomach slides all the way through the band, forming a big pouch on top of the band. Band slippage can be repaired by surgical relocation of the lap band or removal of fluid from the band. Two types of band placement techniques are used. They are Pars flaccid technique (PFT) and per gastric technique (PGT).

e. Band intolerance: some patients cannot tolerate the band because the band is a foreign object placed in the stomach. Symptoms of band intolerance include feeling discomfort or uneasiness all the time and have terrible vomiting. Band removal is the only option for band intolerant patients.

f. Bowel functioning: The bowel functioning is distorted after lap band surgery, which may include Dyspagia and Constipation. Swallowing difficulty is called as Dyspagia. The reason for this is not chewing the food properly and taking the food quickly. Constipation is seen in patients. This can be treated with fiber diet (fiber supplements) and drinking lots of water.

g. Esophageal dilation: The expansion of esophagus is seen because of band, which is too tight or incorrectly placed.

h. Food trapping: Food is being trapped in a small opening of digestive system. This can be treated by puncturing the band completely until the food passes by.

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PCOS or polycystic ovary syndrome is the condition in which formation of multiple cysts takes place along the edge of the ovaries. PCOS can cause various problems in women during their reproductive age.

One of the common causes of PCOS is obesity. According to studies, 50% of the women who were diagnosed with PCOS are obese. PCOS can also cause rapid weight gain. If you are obese and suffering from PCOS, considering weight loss surgery will benefit you a lot.

Weight loss surgery gives successful weight reduction

One of the most obvious benefits of weight loss surgery is successful weight reduction. The surgery reduces your stomach size thus makes you to eat less portions. Losing weight with PCOS can be very difficult, so many people with PCOS undergo the surgery to take control over their weight.

Weight loss surgery regulates your insulin levels

Insulin resistance is the most common problem for people with PCOS. Insulin resistance makes your blood unable to remove the excess sugar. When your body can’t metabolize the sugar properly, then it can lead to type 2 diabetes. Weight loss surgery can help your body in regulating the insulin. Though the surgery can’t cure the syndrome, it can significantly help manage the insulin problems.(Weight loss surgery and diabetes)

Weight loss surgery decreases risk of heart disease

Obesity is one of the most leading causes of heart disease. Women with PCOS are even at higher risk of heart disease as is combined with obesity. Studies conducted on patients with PCOS who gone through weight loss surgery reduces their threat of heart disease by 20%-80% within a decade of the surgery.(Weight loss surgery to reduce heart disease risk)

While any kind of surgery involves certain risks, for few patients the benefits far outweigh the risks. You need to consult your doctor to find out whether you are a good candidate for weight loss surgery.

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Bariatric surgery is the best process of weight reduction for obese people to treat many diseases like diabetes, high blood pressure, heart attacks etc. Though it has shown good results there are some complications will result after the surgery, an infection in the incision, a leak from the stomach into the abdominal cavity, a blood clot in the lung, blood loss, osteoporosis or other bone disorders, anemia, and hair loss. All of these problems come with insufficient proteins and nutrition in the food after the weight loss surgery.

One of the most common problems after the surgery includes osteoporosis due to low calcium levels in the food. Osteoporosis is a serious condition that affects bones and makes them smaller, thinner, weaken and break more easily. Bariatric surgery is associated with increased risks of fractures. Patient should take enough calcium supplements after the bariatric surgery.

Consume more calcium in the diet to avoid risk of bone loss; especially dairy products like milk, yogurt, cheese, dark green leafy vegetables, salmon, and tofu are good sources of calcium. The minimum amount of calcium needed for body is about 1,000 mg/day and also the amount of calcium varies from person to person along with their age. Generally, a calcium supplement is only needed if you can’t get adequate calcium from your diet. Because consulting with doctor or prior suggestion with health care provider is required before taking calcium supplements. Decreased bone mineral density after the surgery is a real problem that increases the risk for fracture. The possibility of breaking a hand or foot was higher about three times what would be estimated after bariatric surgery.

Many obese people who have gastric bypass to lose weight may suffer with bone loss after the bariatric surgery even when they take calcium supplements daily. Women have higher risk of osteoporosis because of decrease in estrogen levels after menopause which causes thinner bones. It is recommended to take bone mineral density test one year after the bariatric surgery. Calcium and vitamin D supplements are best ways to prevent this condition.

Treating bone loss after bariatric surgery:

• Regular Exercise is one of the best treatments for preventing bone loss. Weight bearing exercise will helps to improve bone density.
• Walking, jogging, weight lifting helps to increase bone thickness.
• Eating diet with sufficient proteins and nutrients to strengthen bones.
• Taking calcium and vitamin D and multivitamin supplements to reduce bone loss.
• Avoid alcohol and quit smoking.

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A new study suggests that people who have undergone weight loss surgery to manage their obesity may lose more weight when they follow regular exercise regimen.

Nowadays more and more adults are considering gastric bypass surgery in an effort to lose weight. Weight loss procedures that restrict the amount of food you take can drive considerable weight loss and also help to control diseases related to obesity such as diabetes.

Regular workout is a well-known method to keep your body weight in control. It is not yet evident whether people who begin exercise after gastric bypass fare any better than people who stay sedentary. The new research suggests that they do.

Researchers found that people who became more active after the surgery lost more weight than those who remain active. Just like your new lifestyle involves eating smaller portions and sticking with low fat foods, you need to make physical activity a part of your daily routine for the success of your weight loss surgery. Also, remember that weight loss surgery is not to become skinny, but to become healthy. Also, the goal is not to look better, but also to live longer.

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Diet after bariatric surgery is what you will be following for the first 2 to 8 weeks after you have your weight loss surgery. The diet is going to be completely different than anything you are probably used to. The most important thing is, you need to understand what you are allowed to eat and that you are completely ready for diet after bariatric surgery.

For initial two weeks, you will be completely on liquid diet. Bariatric patients should strictly follow the right dietary guidelines recommended by the surgeon or dietician. Here is the sample diet plan after bariatric surgery for 10-12 weeks:

Day one- three: During this period, you are only allowed to take only liquids.

• Liquids: Take only high protein liquids, water and beverages like decaffeinated and unsweetened tea.
• Soft foods: You are not allowed to consume soft foods during this period.
• Solid foods: You are not allowed to take solid foods during this period.

Three-four weeks: In this period, you are allowed to take liquids and few soft foods.

• Liquid foods: Take skim milk, low calorie liquids containing high proteins and broth.
• Soft foods: Soft foods and pureed foods with no pieces in the paste form.
• Solid foods: You are not allowed to take any solid foods during this period.

Four-eight weeks: During this period, you are allowed to take liquids and some soft foods.

• Liquid foods: Take liquids that are high in protein, water diluted juice, decaffeinated tea and coffee.
• Soft foods: You can consume eggs, meat, yogurt, tofu, fat-free beans, soups, oatmeal, softened vegetable, very dry toast, soft lettuce, potatoes.
• Solid foods: During this period, you are not allowed to take any solid foods.

Ten-twelve weeks: In this time, you can take liquids, soft foods as well as some solid foods.

• Liquid foods: You can start consuming high protein liquids.
• Soft foods: You can take low-fat, low calories, fat free, sugar free and high protein foods.
• Solid foods: Start taking seafood; ground pork, chicken, beef and tender; lean meats; tofu; fruits and vegetables

The above mentioned diet after bariatric surgery is good for every patient. Similar to some foods that you need to take, there are certain foods that you need to avoid, such as:

• Fried and junk foods
• Crunchy foods such as nuts, chips, popcorn, raw veggies, fruit skins and iceberg lettuce
• High-fat foods such as mayonnaise, whole milk, cream, sour cheese, hard cheeses, desserts, salad dressings and bacon
• Sticky foods like macaroni, pasta, cheese, peanut butter, and rice
• Tough meats or rubbery textured foods like hot dogs, steak and salami

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Healthy weight is most recommended for women who want to conceive. In obese women, fatty ovaries can cause harm to the embryonic development and finally lead to failed pregnancies. Recent study stated that women to avoid being overweight if they want to become pregnant.

Also, the research explained why obese women and women with diabetes often find difficult to conceive. These women tend to metabolize more stored fat that lead to increased fatty acid levels in the ovaries.

Research discovered that embryos made from the fat filled eggs had very few cells and underwent variations in genes and metabolic activities. Also, the higher levels of fatty acids can greatly affect egg development in the ovaries. Embryos that produce successful pregnancies tended to have a quieter, less active metabolism.

When eggs were exposed to higher fatty acids, then it results in increased amino acid metabolism and distorted oxygen consumption, glucose consumption and lactate. All these can lead to impaired metabolic regulation and decreased viability.

Obese women who want to become pregnant can consider bariatric surgery for weight loss. Here you can find more information on how weight loss surgery affects your pregnancy.

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