gastric bypass surgery tecniques

The gastric bypass, in its various forms, accounts for a large majority of the bariatric surgical procedures performed. It is estimated that 140,000 such operations were performed in the United States in 2005. An increasing number of these operations are now performed by limited access techniques, termed "laparoscopy".

Laparoscopic surgery is performed using several small incisions, or ports, one of which conveys a surgical telescope connected to a video camera, and others permit access of specialized operating instruments. The surgeon actually views his operation on a video screen. The method is also called limited access surgery, reflecting both the limitation on handling and feeling tissues, and also the limited resolution and two-dimensionality of the video image. With experience, a skilled laparoscopic surgeon can perform most procedures as expeditiously as with an open incision — with the option of using an incision should the need arise.

The Laparoscopic Gastric Bypass, Roux-en-Y, first performed in 1993, is regarded as one of the most difficult procedures to perform by limited access techniques, but use of this method has greatly popularized the operation, with benefits which include shortened hospital stay, reduced discomfort, shorter recovery time, less scarring, and minimal risk of incisional hernia.

[edit] Essential features

The gastric bypass procedure consists in essence of:

* Creation of a small, (15–30 mL/1–2 tbsp) thumb-sized pouch from the upper stomach, accompanied by bypass of the remaining stomach (about 400 mL and variable). This restricts the volume of food which can be eaten. The stomach may simply be partitioned (typically by the use of surgical staples), or it may be totally divided into two parts (also with staplers). Total division is usually advocated, to reduce the possibility that the two parts of the stomach will heal back together ("fistulize"), negating the operation.
* Re-construction of the GI tract to enable drainage of both segments of the stomach. The technique of this reconstruction produces several variants of the operation, which differ in the lengths of small bowel used, the degree to which food absorption is affected, and the likelihood of adverse nutritional effects.

Gastric bypass surgery

Gastric bypass procedures (GBP) are any of a group of similar operations used to treat morbid obesity—the severe accumulation of excess weight as fatty tissue—and the health problems (comorbidities) it causes. Bariatric surgery is the term encompassing all of the surgical treatments for morbid obesity, not just gastric bypasses, which make up only one class of such operations.

A gastric bypass first divides the stomach into a small upper pouch and a much larger, lower "remnant" pouch and then re-arranges the small intestine to allow both pouches to stay connected to it. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food. The resulting weight loss, typically dramatic, markedly reduces comorbidities. The long-term mortality rate of gastric bypass patients has been shown to be reduced by up to 40%; however, complications are common and surgery-related death occurs within one month in 2% of patients

REDUCE YOUR WEIGHT-Dr.raji

REDUCTION OF WEIGHT is not a simple entity.
correct concept of diet its management physical exercise are mandatory..all weight reduction programs though seem to be simple they either are COSTLY OR HIGHLY IMPOSSIBLE TO FOLLOW....
so friends first know what you need to reduce-diet or calories?..both are different entities...
so to know your diet regimen and weight reduction programs -physical exercise or yoga just send me your details(listed below)..this is absolutely free and easily accesible to our routine day to day life..just check it out and send me your feed back-Dr.RAJI
THE DETAILS MUST INCLUDE-
NAME
AGE
SEX
HEIGHT
WEIGHT
COUNTRY
SMOKING AND ALCHOHOL?
MARITAL LIFE AND CHILDREN DETAILS (IF MARRIED)
PROFESSION(DESCRIPTION OF WORKING HOURS)
DAILY ROUTINE TIME TABLE
YOUR REGULAR DIET
ANY ILL HEALTHS?
USING ANY MEDICINES OR UNDERGONE ANY SURGERY?
HOW MUCH REDUCTION YOU NEED AND WHY DO YOU WANT TO REDUCE WEUGHT?

OBESITY SYMPTOMS

Obesity Symptoms
Obesity increases weight, reduces physical movements, and also brings in slowness in emotional and mental activities.
Food intake increases.
Obesity can result in frustration.
Laziness increases, reducing overall efficiency.
Sometimes obesity can create obstruction to breathing process.
Obesity may result in heart problems, diabetes or blood pressure.

OBESITY AND YOGA

What is obesity?
Excess accumulation of fats (Resulting in increased weight)
In today's technology dominated world, physical activity has decreased resulting in accumulation of fats.
Obesity may become reason for various other diseases.
Obesity is physical, mental and emotional
Obesity and Yoga
Yoga has considered all aspects of Obesity (physical, emotional and mental)
Regular practice of Yoga and controlled life style reduces obesity (weight is reduced).
Yoga makes human being agile, efficient and slim.
Yoga is suitable for people in any age group.
Yoga helps achieve control over mind and behavior (one can easily control food habits and change life style to reduce the obesity.)
Yoga has different effect on obesity, which is permanent in nature than other techniques for obesity reduction. Weight loss is permanent but one needs to practice few important techniques regularly.