The bariatric surgeons are physicians who perform bariatric
surgery to promote weight loss in morbidly obese patients. Bariatric surgery is
to divert or manipulate the gastrointestinal system to restrict the intake,
absorption of foods, or both. After surgery, patients must commit to a lifetime
of healthy habits, including healthy eating and physical activity, to ensure
the success of the surgery. Here's a review of the training necessary to become
a bariatric surgeon and the four types of bariatric surgery being performed diet
solution program.
Training
Training to become a bariatric surgeon involves four years
of medical school or osteopath, five to seven years of residency in general
surgery, and one to two years of minimally invasive fellowship. During the
residency, the physician receives training in multiple surgical subspecialties,
including bariatric surgery. In minimally invasive grants, the amount of
training focused on bariatric surgery varies from program to program. The
surgeon should carefully review the details of the program to ensure that you
receive adequate training in bariatric procedures.
Review
The bariatric surgeons review patients carefully to ensure
that they are suitable for surgery. In general, candidates must be of legal
age, have a body mass index (BMI) less than 35, have a medical condition
related to obesity, have had only short-term results with diet and exercise,
and have no a disease causing obesity. Candidates must pass a rigorous
psychological test to show they are ready to make substantial changes in
lifestyle.
Adjustable Gastric
Banding
In the process of the adjustable gastric band a band is
placed around the upper stomach to limit food intake in the stomach, and
increase satiety. After surgery, the surgeon can tighten or loosen the band to
inflate or deflate saline in an outpatient setting. This is the only bariatric
procedure that is adjustable and reversible diet
solution tips.
Gastric balloon
The gastric balloon is similar to the adjustable gastric
band, but with an additional component. Like adjustable gastric banding, such
limits food intake by creating a small stomach pouch. Also food absorption is
reduced by connecting the bag to the bottom of the small intestine, bypassing
much of the stomach and small intestine. Only the areas in contact with food
can absorb nutrients.
Biliopancreatic
diversion with duodenal
In the biliopancreatic diversion with duodenal switch, a
large portion of the stomach is removed, creating a "gastric sleeve".
The sleeve is connected to the lower part of the small intestine, bypassing
much of the small intestine. Bile and some digestive juices which decreases
absorption resubmitted to the bottom of the small intestine. The procedure
causes significant weight loss, as only the bottom of the small intestine may
contain food and absorb nutrients, and the distance between the stomach and
intestine causing malabsorption is shortened.
Vertical Sleeve
Gastrectomy
Vertical sleeve gastrectomy involves only the first portion
of the biliopancreatic diversion with duodenal switch, as the creation of the
gastric sleeve. This is done in patients who are at high risk for complications
from more extensive procedures, due to excessive morbid obesity or other
medical conditions.
Open and minimally
invasive procedures
Bariatric procedures may be performed as "open"
procedures (with a traditional abdominal incision) or minimally invasive. The
latter, also called laparoscopic procedures involve multiple small incisions in
the abdomen. Cameras and surgical instruments are inserted into the incisions.
The cameras transmit images to a monitor, which the surgeon views the
procedure. Laparoscopic methods may not be appropriate for patients who are
severely obese, who have had previous abdominal surgery or have other medical
conditions that complicate their situation.
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