Post 1

Candidate for surgery


Who is a candidate for weight loss surgery?

Individuals must meet the Asio Pacific Bariatric Surgery Society guidelines for morbid obesity surgery established in 2003, as well as additional criteria intended to make the surgery safe and yield good outcomes.

Surgery Criteria:




Candidates must have a BMI greater than 37kg/m(about 100 pounds overweight) or greater than 33kg/m with medical comorbidities such as diabetes,hypertension,elevated cholesterol ,degenerative joint disease, or comorbidities such as sleep apnea.
Medically healthy enough to tolrate major surgery



No serious underlying psychiatric disorders,substance abuse, or narcotic dependency. Complex medical conditions and limited mobility increase the risk of surgery and are considered on a patient-by-patient basis.
How is the surgery done?

Weight-loss surgery is evolved rapidly over the last 20 years. The development of laparoscopic surgery has allowed us to perform these procedures through smaller incisions. The benefit for patient is less pain, smaller scars and a quicker recovery. Weight loss is accomplished by caloric restriction, malabsorption, or both. Restriction envolves altering the stomach to limit how many calories can be consumed. Malabsorption involves separating food from digestive juices by bypassing a portion of the intestines. Please refer the comparison table for a detailed analysis and illustration of the common procedures.

What are the risks of surgery? 

As with many surgery, complications and even death can occur. Fortunately, however, serious complications happen in less than 2% of obesity surgery patients. Proper patient selection, preparation and surgen experience can markedly reduce the risk and complications of the surgery. A list of potential complications for each procedure is included in our comparison table.

Insurance Coverage:

Laparoscopic obesity surgery can be costly. Most insurance policies cover some or all of the surgery expenses for morbid obesity. However, patients should be aware that there are often out-of-pocket expenses, depending on the procedure and their insurance carrier. Total patient expenses can vary greatly and some procedure may not be covered by insurance.

Please contact our insurance desk for further details.

Procedures of Diabetis Surgery

Type of Operation:

Roux-en-Y Gastric Bypass(RNY,RGB)

Anatomy:

Small 1-oz pouch(20-30cc) connected to the small intestine.Food and digestive juices are separated for 3-5 feet. 

Mechanism:

Significantly restricts the volume of food that can be consumed Mild malabsorption “Dumping Syndrome” when sugar or fats are eaten 

Weight Loss-based on United States average Statistical loss at 10 years 70% loss of excess weight ore failures (loss of <50% excess weight)than the DS
Long-Term Dietary Modification (Excessive Carbohydrate/high calorie Intake will defeat all Procedures) Patients must consume les than 800 calories per day in the first 12-18 months; 1000-1200 thereafter 3 small high protein meals per day Must avoid sugar and fats to prevent ”Dumping Syndrome” Vitamin deficiency/protein deficiency usually preventable with Supplements
Nutritional Supplements Needed Multivitamin, vitamin B12, calcium, iron
Potential problems
  • Dumping Syndrome
  • Structure
  • Ulcers
  • Bowel obstruction
  • Anemia
  • Vitamin/mineral deficiencies (iron, vitamin B12,folate)
Hospital Stay 5-7 days
Time off Work 2-3 weeks
Operating Time 1 hours
Recommendations Most effective for patients with a BMI of 35-55 kg/m’ and those with a “sweet-tooth”.
DIABETIS SURGERY IN MALAYALAM
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