Losing weight is a weighty problem. Most of us have tried to lose weight at some time or the other in our life.
Myths and fads galore; catchy advertisements ,Slimming centers,
formula diets, ultrasonics, pressure garments, laser sauna steam baths etc. provide little relief,. When our weight crosses a dangerous level (BMI 32 or more} , nothing short of bariatric surgery really works. The associated diabetes hypertension and bad cholesterol make it even worst and urgent. At this BMI measures like diet and exercise become ineffective and impractical. There are medical and scientific reasons to explain why of this, therefore there is no point blaming the patients .Therefore if your BMI is 32 or above, you may require a surgery, known as lap gastric bypass, a type of bariatric surgery.
There are other type of bariatric operations available too, like Sleeve gastrectomy, DJB etc.Depending upon the individual characteristics, such as Smoking, alcohol consumption, eating habits and associated Diabetes, hypertension kidney problems cholesterol etc, the most suitable option is chosen for you.
It is vital to understand the effectiveness and also the side effects of each bariatric operation to get the best results , be it a lap gastric bypass ,sleeve gastrectomy or other operation. Your goals and expectations may be different from those of other patient, For example you may not like to take lifelong vitamins and nutritional supplements and would settle for a less effective operation and accept a lesser weight loss.
Gastric bypass involves tweaking the digestive system, and results in far reaching hormonal changes. Briefly it involves making a pouch (30ml size) of stomach and connecting it with a bypassed segment of small intestine, so that food bypasses greater part of stomach and approximately 200cm of small intestine Not only you eat in moderation and but also you burn more calories. The energy expenditure is increased up to 30% and up to 60%excess weight loss can be expected over six months to 1year time. In addition a gamut of beneficial hormones like GLP-1 and PYY increase all over and intestines and cause not only weight loss but also remission of diabetes high blood pressure and bad cholesterol.
Gastric bypass surgery is performed now a days by key hole (laparoscopic)surgery ,becoming more and more popular and patient acceptance. It is per formed under general anesthesia, and usually is over 1nd a half hour. In a typical outcome you will be up and about 3 hours will be able to drink sips of water and ,next day you will be put on a clear liquid diet, and should be able to go home in 48 to 72 hours subject to your co morbidities like Diabetes and Heart and Lung diseases.
