Any difference between Laparoscopic gastric Bypass surgery & Roux …

Hi, I’m confused. I seem to see these used interchangeably and I really want to make sure I understand. Please explain!!

Publish Date: 05/20/2010 18:27

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Should You Have Gastric Bypass Surgery?

Having excess amounts of fat in our bodies can lead to various health conditions such as high blood pressure, increased cholesterol, heart attacks, etc. Being.

Publish Date: 05/21/2010 1:18

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Medical treatments at low costs | FourPx Articles

The weight procedures, which are recommended by the professional full gastric bypass surgery Cancun Mexico team, involve lap band surgery Mexico, gastric balloon, full gastric bypass, mini gastric bypass and gastric sleeve Mexico. …

Publish Date: 05/21/2010 10:27

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Here are a few videos I have found.

Gastric Bypass Before and After Pictures

A lot of folks have been asking about my wife. Here she is. The deal she made was she would not share pics/videos with anyone until her year mark (7/13/08) or she reached her goal weight. (180lbs) GOAL WEIGHT REACHED! 180lbs and STILL GOING! She has …

GASTRIC BYPASS SURGERY or LAP BAND SURGERY for WEIGHT LOSS?

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Roux-en Y is the most common gastric bypass. In this procedure, a small and upper section of the stomach is separated by staples or bands to create a small pouch. This would limit the amount of food the patient could consume. It could hold about an ounce of food but can expand to about 4 to 8 ounces of food after a few months. A Y-shaped section of the small intestines is attached to the stomach. This would allow the food to bypass the upper portion of the intestines.

There are many benefits brought by gastric bypass surgery. Individuals who have undergone the procedure are said to reduce their weight with an average of 50 to 60%. Some would lose about 80% of their body weight two years after the sugery. Diabetes, hypertension, high cholesterol levels and even cancer risks can be reduced by the procedure. However, there are also downsides with this surgery.

Gastric bypass surgery is an effective way of losing weight an obesity related health risks. However, there are studies showing concern about nephrolithiasis or the formation of kidney stones among those who have undergone gastric bypass surgery. According to paper presented in the 39th Annual Meeting and Scientific Exposition of American Society of Nephrology, gastric bypass surgery increased the possibility of kidney stones.

Actually, this was not the first time that this kind of risk is identified with almost similar operations. In 1979, the Food and Drug administration had the jejunal ileal bypass under moratorium. This was because patients who had the procedure developed kidney stones five years after surgery.

Currently, there are studies showing that those who have undergone gastric bypass surgery would experience changes in the chemical composition of their urine. These changes eventually can lead into formation of kidney stones. After the gastric bypass surgery, the level of oxalate increased. This chemical when bound with calcium can cause the increase of kidney stones.

Another cause could be the production of low levels of citrate. Citrate dissolves crystals which can cause kidney stones. Low citrate levels and high levels, a combination that leads to an increase of calcium oxalate supersaturation. This increases or a strong factor or risk for having kidney stones. Other chemicals which also contribute to kidney stone formation like uric acid and potassium remains unchanged before and after the surgery.

A study conducted by Mayo Clinic showed that those who have underwent the procedure for the last six months have not developed this kind of chemical change. This condition could be avoided or the risk be reduced by undergoing some dietary changes. Doctors would recommend an increase on the intake of fluids, low-protein and low-salt diet, and normal calcium diet.

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The results of the surgery are immediate—a patient may lose 50 to 60 percent of his weight within two years following the surgery. With healthy lifestyle (including proper diet and regular exercise), one can expect weight loss in the long run after the surgery. Those who are overweight will experience easier mobility and better quality of life after undergoing weight loss surgery.

But there’s more to this surgery than just weight loss. Aside from slashing off some figures from the weighing scale, the surgery also helps improve certain conditions that are often linked to obesity. These health problems include high blood pressure, type 2 diabetes, sleep apnea, high blood cholesterol, and gastroesophageal reflux disease. Thus, people who have gone through weight loss surgery are less likely to develop cardiovascular problems than those who have not tried the procedure. Also, the surgery can lessen a patient’s possibility of death due to heart ailment, diabetes, or cancer.

Now for the not-so good news. Weight loss surgery is not for the faint of hearts. As with other kinds of surgeries, weight loss surgery leads to several complications. If you will go through this procedure, you need to know the risks before you head over the clinic or hospital. Being aware of what to expect after the surgery helps a lot in your recovery process. The most common complications of the surgery include infection, bleeding, and swelling. Other complications are ulcer, low blood sugar, kidney stones, gallstones, iron deficiency anemia, and vitamin D and B-12 deficiency. After the operation, a patient may also experience vomiting, diarrhea, nausea, and dizziness especially when eating foods rich in sugar and fat. These are caused by a condition called dumping syndrome in which the contents of the stomach pass through the small intestine very fast.

There are certain postoperative risks that occur in rare cases but are severe and need immediate medical attention. The following are some of the complications and tips on how to deal with them.

1. Leak in the stomach

This is found at one of the staple lines in the stomach. The leak heals over time in most cases, though it can be treated using antibiotics. But severe cases require immediate surgery.

2. Thinning of the opening between the small intestine and stomach

This condition needs either a corrective surgery or a simple outpatient procedure wherein a tube is inserted through the mouth to make the opening wider.

3. Incision hernia or weakness in the incision

This complication happens if the surgery is an open procedure that involves a large incision on the abdomen. Incision hernia needs to be repaired through surgery depending on the severity of the condition.

4. Death

For every 200 to 300 weight loss surgeries, one case results in death. Although the risk of death has been linked to gastric bypass surgery, it still depends on many factors such as age and health and medical conditions.

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In gastric bypass surgery, a small pouch is created in the stomach. This small pouch is stapled and the small intestine’s 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 doctor’s 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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Have you gone through weight loss surgery? Because of the changes in your digestive system, you need to follow a diet after the surgery. You also need to consult a registered dietician to know the foods you must eat, how to eat them, and how much to eat. Your post-surgery diet must be planned carefully to avoid sudden weight gain and other complications such as vomiting. Also, the right diet helps shorten the recovery period, ease pain on the surgical areas, and adjust your body to the changes in eating habits.

For the first two days after your surgery, eating is not allowed. Then after several months, you are required to eat certain foods that vary in softness and texture. Weight loss surgery patients follow a diet progression that begins with liquids and proceeds to pureed foods and soft foods. The first phase is the liquid diet consisting of water, milk, juice, broth, and soup. It is followed by three to four weeks of puree diet that includes foods with a texture of a thick liquid or a smooth paste.

Examples are yogurt (low fat or sugar free), oatmeal, pureed meat, and pureed fruits, among others. The third phase is an eight-week soft diet that consists of foods that are easy to chew such as fresh fruits, ground meats, and cooked vegetables. Afterwards, you can move on to the last phase, which is the solid diet. Just be sure to avoid overeating and skipping meals.

Usually, every meal should include foods rich in protein such as cheese, lean meat, and eggs. You need protein because it helps in repairing and maintaining the tissues in your body after the surgery.

After the surgery, it is recommended that you start with six small meals everyday. After a few weeks, move on to four meals a day and then reduce it to three meals a day once you have started following a regular solid diet.

The rate at which your body adjusts to the new diet and eating habits determines how fast you must proceed from one diet phase to another. Most patients begin eating solid foods three months after the surgery, but for some, it can happen sooner.

When complemented with regular exercise, following the right diet leads to a 50 to 60 percent weight loss two years after the surgery. What’s more, you enjoy the weight loss benefits of the surgery for good of you consistently maintain the right diet.

Of course, there’s a price to pay for not following the doctor’s or dietician’s recommendations on diet and exercise. Weight gain is the usual result of bad health practices such as lack of exercise, overeating, and high-calorie food and beverage intake. If it happens to you, visit your doctor to discuss the possible solutions. That way, you will be able to get the most out of gastric bypass surgery.

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1. Avoid foods that are not nutritious. The culprits for weight gain are foods and liquids that are rich in calories, fat, and sugar. These include soda, milk shakes, alcohol, and sugar-rich desserts. These foods do not provide nutrients; instead, they cause hunger pangs and vomiting. Avoid them so that you do not out your weight loss effort to waste. Make sure that your diet is rich in protein, and include lots of fruits and vegetables.

2. Avoid foods that cause discomfort. Sticky, dry, and fibrous foods such as pasta, rice, bread, and meat are usually a no-no for bypass surgery patients. Soda is also not allowed because it causes bloating, gas pain, and even pressure in the stomach.

3. Avoid snacking between meals. This will only hurt your chances of keeping a healthy weight.

4. Avoid drinking liquids immediately before, during, or after meals. Filling your stomach with liquids instead of foods will deprive you of your much-needed nutrients for healing and recovery. Be sure to drink fluids at least 30 minutes before and after your meals. And of course, avoid drinking fluids while eating meals.

5. Refrain from drinking alcoholic and caffeinated drinks. Alcohol does more harm than good for people who have gone through weight loss surgery. Devoid of calories, alcohol can cause stomach ulcers. Caffeine have the same effect, aside from working against hydration in the body.

6. Contact your surgeon if problems arise. If you experience one or more of the following problems, call your surgeon immediately: extreme pain in the legs, shortness or difficulty of breathing, fever, bleeding of the incisions, and dark stools.

7. Maintain your follow-up visits after the surgery. This will make it easier for you and your surgeon to monitor and assess your progress. Also, this will result in early detection of problems such as surgical complications and nutritional deficiencies.

8. Keep yourself from getting pregnant for two years following surgery. Because your body is undergoing weight months after the surgery, it may not be able to support a baby. This will be unhealthy for both of you and the fetus. Ask your surgeon for advice in case you plan on getting pregnant.

9. Join a support group. Coping with the aftermath of the surgery may be much easier if you do it with the help of other people. There are many support groups formed to provide emotional support and advice for people who have undergone weight loss surgery. Search for these groups on the Internet; for sure, you can find one within or near your locality.

10. Find ways to cope with stress. Stress usually leads to comfort eating, which is not good for people who have had weight loss surgery. Listen to your favorite music, read books, meet up with friends, and do whatever you can to effectively deal with stress.

You will get the best results from gastric bypass surgery if you follow the guidelines mentioned above.

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The effects of the surgery would be most felt after a year, where most patients would report to be at their lowest weight. However, there could still be tendencies that the lost weight may be regained especially if the dietary and exercise recommendations are not followed. After all, reducing your food intake is not the only way to lose weight and maintain it.

Gastric bypass is a procedure done to address issues of severe obesity. There are associated conditions with obesity like diabetes, high blood pressure, high blood cholesterol, obstructive sleep apnea and the gastroesophageal reflux disease. There are about 80% of patients with hypertension will be off medication significant time after the surgery. The same goes for 90% of diabetic patients who will not be dependent on insulin.

It could even reduce the patient’s risk of having heart disease and cancer. Because of the weight loss, gastric bypass surgery could help a person improve mobility and flexibility. Gastric bypass surgery could lessen asthma attacks and reducing dependence to medication or inhaler. Arthritis, fatigue, joint pain and shortness of breath due to physical movements are also reduced by weight loss brought by surgery.

Being extremely overweight could have significant effect on the bladder and other organs of the body. They get too much pressure increasing stress incontinence. It could also cause hormonal problems which could lead to infertility. There are studies showing that after undergoing the bypass, 90% of infertility is restored.

Because of the weight-loss, there are patients who claimed that they increased their confidence and well-being is improved. There are studies showing that those who have undergone surgery would usually experience depression and anxiety. Counselling and support would help the individual to recover and the psychological effects could be lessened or could disappear.

The National Institute of Health, said that patients who have undergone bypass showed “dramatic and sustained” improvements in how they live their lives. They were able to go beyond the results of weight loss and improve their over-all life. They have higher self- esteem and higher energy levels after the surgery.

For example, gastric bypass surgeries that have been performed to obese teens were able to improve the quality of life within six months, some studies say. Aside from weight loss, their health improves and starts to become appropriate for their age. They were also able to socialize better and deal with peer pressure.

However, it is important to understand that aside from the numerous benefits you can get from gastric bypass surgeries, there are also risks just like any other medical intervention or surgery. Morbidly obese patients have higher risks in surgeries compared with those who are not morbidly obese. It is important to weigh our options before we proceed to any procedure.

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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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But unfortunately, regaining weight is possible several years after the weight loss surgery. Most patients keep on losing weight until achieving their ideal weight within one to three years after the procedure. Have you undergone weight loss surgery? It is likely that you lose much weight in one year, only to have the excess weight back. That usually happens to patients who do not follow the recommended food intake and the necessary lifestyle changes following the surgery. Good thing, there are several steps you can do to avoid gaining weight ever again. Read on the following tips to get the most out of your weight loss surgery.

* Stop eating when you are full. Eating more food than your stomach can hold will result in not only weight gain, but also pain in the abdomen, vomiting, nausea, and dizziness. Also, avoid eating when you are not really hungry.

* Avoid going back to your old, unhealthy habits. Binging or comfort eating are just some of the causes of weight gain and obesity. Sure, old habits die hard. But if you cannot resist the urge to overeat, then your weight loss surgery is as good as useless.

* Find some ways to deal with stress, anxiety, loneliness, and other emotions that lead to binge eating. Seek help from a professional such as a psychotherapist to be able to curb negative emotions that trigger incessant food cravings.

* Make sure to follow the diet plan designed for you. The diet recommended for people who have undergone weight loss surgery includes foods that are low in fat and sugar. Now, if you eat sugar- or fat-rich foods, then expect your weight to increase again.

* Follow an exercise program. Regular exercise can help you maintain a healthy weight. You can do yoga, Pilates, aerobics, walking, jogging, and other physical activities to keep your body and mood in great shape.

* See your doctor. If you notice that you are gaining weight at any point after your surgery, it is best to consult your doctor to determine the reasons for your weight gain. Your weight gain may be due to medical causes such as a disease, and the doctor can help you find solutions to stop the problem. On the other hand, some instances of weight gain after surgery are caused by a patient’s diet or fitness routine. Your doctor can also help you determine those problems and suggest changes or adjustments to your eating habits and regular workouts to stop your weight gain.

Remember, nothing beats a healthy diet and consistent exercise regime to make sure that you maintain an ideal healthy weight years after your gastric bypass surgery. Do not forget to always consult your doctor whenever you encounter health problems. Doing so gives you the peace of mind that you will not have to deal with obesity problems ever again.

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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 patient’s 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 resort—meaning 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 you’re 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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