ADVANCE LAPAROSCOPIC & WEIGHT MANAGEMENT CENTRE

Introduction

Obesity is considered a chronic disease responsible for the development of many other diseases such as hypertension, diabetes mellitus, increased cholesterol and triglycerides, cardiac problems, stroke, cholelithiasis, respiratory problems and sleep apnoea syndrome, infertility and endocrine problems in females, lower back pain, knee degenerative arthritis, venous insufficiency, gastroesophageal reflux, depression and anxiety and even cancer of the breast, endometrium, large bowel and prostate. Obesity is better defined by calculation of the Body Mass Index (BMI) which is related to the weight and height.

An increase in body weight of 15-20 kg above ideal, in the form of fat storage, is considered Obesity. When body weight is further increased beyond that same level, the situation is called morbid or severe obesity. Morbid obesity requires medical intervention and management as it is considered as a life-endangering disease. It has been scientifically proven that the more the excess weight, the higher the risk of developing severe and life-threatening diseases exist.  Therefore weight management has a beneficial influence on health and your quality of life.

Roux-En-Y Gastric Bypass

In this operation the stomach is divided into two compartments with several rows of titanium staples. The newly created stomach pouch is measured at less than 30 cc’s. The small intestine is then divided in the proximal jejunum and the lower end brought up and joined to the new small stomach compartment. The pouch initially holds about 1 ounce of food and expands to 2-3 ounces with time. The pouch’s lower outlet usually has a diameter of about 1/2-inch. The small outlet delays the emptying of food from the pouch and causes a feeling of fullness. After an operation, the person usually can eat only 5 to 10 bites of food before feeling full. With time, the capacity may increase to half to a whole cup of food that may be consumed without discomfort or nausea. Food has to be well chewed. For most people, the ability to eat a large amount of food at one time is lost, and some of the food consumed will not be absorbed due to the bypass segment of the operation.

After the surgery, most patients report that their tastes change and they tend to be more interested in lighter and healthier foods. Many patients also experience the “dumping syndrome” in which foods, usually those high in fat and/or sugar, are not well tolerated. The food content move too rapidly through the small intestine and menifest symptoms such as nausea, weakness, sweating, faintness, and, occasionally, diarrhoea after eating these foods. Patients find that this negative incentive helps them to eliminate high caloric foods and sweets from their diets.

At the Center for Obesity Surgery we recommend the Proximal Roux-En-Y gastric Bypass and we do it through a small midline incision (mini-lap), 4-5 inches, and the skin is closed with sutures under the skin (plastic surgery closure).

In our opinion, based on 21 years of experience this operation optimizes safety and effectiveness of the proximal Roux-En-Y Gastric Bypass through:

  • Excellent cosmetic result (small incision)
  • Short operating time (Average 1.5 hours)
  • Short hospital stay (Average 2 days)
  • Less pain (Use of narcotics 2-3 days)
  • Fast recovery (Back to work in 10-12 days)
  • Safety (less complication rate)

Treatment Options

Dieting, exercise, and medication have long been regarded as the conventional methods to achieve weight loss. Sometimes, these efforts are successful in the short term. However, for people who are morbidly obese, the results rarely last. For many, this can translate into what’s called the “yo-yo syndrome,” where patients continually gain and lose weight with the possibility of serious psychological and health consequences.

Recent research reveals that conventional methods of weight loss generally fail to produce permanent weight loss. Several studies have shown that patients on diets, exercise programs, or medication are able to lose approximately 10% of their body weight but tend to regain two-thirds of it within one year, and almost all of it within five years**. Another study found that less than 5% of patients in weight loss programs were able to maintain their reduced weight after five years*.

Over the years, weight-loss surgery has proven to be a successful method for the treatment of morbid obesity. Surgical options have continued to evolve and LAP-BAND surgery. This procedure is the least traumatic, adjustable and reversible obesity surgery available. The LAP-BAND System provides a unique tool that can help you achieve and maintain significant weight loss, improve your health, and enhance your quality of life.

Advance Laparoscopic & Weight Management Centre Specialists

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