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Sleeve Gastrectomy Surgery by adameric

Sleeve gastrectomy is a new procedure that induces weight loss by restricting food intake. With this procedure, the surgeon removes approximately 60 percent of the stomach laparoscopically so that the stomach takes the shape of a tube or "sleeve." This procedure is usually performed on superobese or high-risk patients with the intention of performing another surgery at a later time. The second procedure can either be a gastric bypass or duodenal switch.

After becoming thorough with information about all aspects of the surgery, comes the physical and psychological evaluation. Each patient is required to have a physical with their primary care physician within six months prior to surgery. This is done to determine that the patient does not have any underlying medical conditions that would prohibit them from having surgery.

Sleeve gastrectomy is one you may not have heard about -it is often done as sort of a gateway surgery when one of the others may be too risky based on the individual's health or weight. Sometimes the sleeve gastrectomy surgery will be enough but usually a gastric bypass or other surgery will be necessary after some initial shedding of pounds.

Your surgeon has to know if you are a smoker or if you are capable to quit smoking for at least six months after the surgery procedure because of the increasing risks a smoker has in this specific period of time like: pneumonia and other lung problems or blood clots. Drinking alcohol is also forbidden 48 hours before surgery; so you will be asked about having alcohol problems.

Bariatric surgery, also known as weight loss surgery, refers to the various surgical procedures performed to treat obesity by modification of the gastrointestinal tract to reduce nutrient intake or absorption. The term does not include procedures for surgical removal of body fat such as liposuction or abdominoplasty. Obesity is a serious and rapidly increasing medical problem. Bariatric surgery is the only effective long-term treatment for morbid obesity and the performance of this surgery has increased dramatically over the years.

The vertical gastrectomy is a restricted form of bariatric surgery which removes the majority of the stomach and creates weight loss by restricting the amount of food which can be eaten. In the case of vertical gastrectomy stomach surgery there is no intestinal bypass and so many of the problems typically associated with gastric bypass surgery, such as anemia, osteoporosis, protein deficiency and vitamin deficiency, are largely eliminated.

Because the new stomach continues to function normally there are far fewer restrictions on the foods which patients can consume after surgery, albeit that the quantity of food eaten will be considerably reduced. This is seen by many patients as being one of the great advantages of the vertical gastrectomy, as is the fact that the removal of the majority of the stomach also results in the virtual elimination of hormones produced within the stomach which stimulate hunger.

Among several studies which have reported recently one is a study conducted at the Mount Sinai School of Medicine in which seven patients (4 men and 3 women with an average age of 43 and with BMIs of between 58 and 71) underwent a vertical sleeve gastrectomy, followed about a year later by a laparoscopic Roux-en-Y gastric bypass operation.

While duodenal switch weight loss surgery has the advantage of providing the patient with weight loss through both restriction and malabsorption, it is the degree to which the malabsorption element predominates in the duodenal switch which gives rise to much of the controversy surrounding this form of surgery. By comparison, the traditional Roux-en-Y operation has a much shorter bypass and the distance over which food mixes with the digestive juices in the intestine is in the region of five times greater.

In the first instant a vertical gastrectomy is performed and this can normally be carried out laparoscopically even in very high BMI patients. This will often result in a weight loss of as much as 100 to 200 pounds (bear in mind that a very high BMI patient typically start with a weight in excess of 500 pounds) and, while this will still leave patients classed as being morbidly obese, this initial weight loss then makes it possible to carry out further surgery.

In the meantime advances were being made in laparoscopic gastric surgeries that were reducing risk to patients and decreasing hospital stays while improving the rate of recovery from surgery. Minimally invasive laparoscopic procedures are performed by surgeons inserting cameras and instruments through small incisions using images displayed on TV monitors for magnification of the surgical elements.

For patients who are concerned about lap-band surgery because they are concerned about having a foreign body implanted into their abdomen, the sleeve gastrectomy can be an attractive alternative. Similarly, it also presents an alternative for those patients who are concerned about possible long-term side effects of gastric bypass surgery such as anemia, obstruction of the intestine, ulcers and vitamin and protein deficiency to name just a few.

This procedure is also known by other names like Vertical Sleeve Gastrectomy, Vertical Gastroplasty, Greater Curvature Gastrectomy, Parietal Gastrectomy, Gastric Reduction, and Sleeve Gastroplasty. This article discusses gastric sleeve surgery, how it works, some of the advantage and disadvantage to keep in mind when considering this procedure. Also, at the end some hospital recommendations are provided.

Advantages for Gastrectomy Surgery

1. Unlike lap band surgery for weight loss no foreign device is implanted in the abdomen.

2. Minimal invasive procedure and not require altering/cutting of intestines.

3. Positive results with up to 30 - 60% loss in excess within one year.

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Article Source: http://www.earticlesonline.com/Article/Sleeve-Gastrectomy-Surgery/946588

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This entry was posted on Sunday, October 5th, 2008 at 9:57 am and is filed under Medical, Mobility and Special Needs. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.