Everything you want to know about weight loss surgery
Definition
Bariatric surgery is the surgical procedures done on patients with morbidly obesity to help achive weight reduction.
Morbid Obesity
What is it
Body mass index (BMI) in excess of 40kg/sqm, body weight twice the ideal body weight or body weight 100 pounds above the ideal body weight.
- Increased level of the hormone Ghrelin seems to be responsible for increased hunger. The hormone is secreted in the proximal stomach.
Problems associated with Morbid Obesity - To list a few
Cardiovascular Metabolic Pulmonary Musculoskeletol Gastrointestinal Genitourinary
Hypertension Diabetes Sleep Apnea Degenerative joint ds GER incontinence
Cardiomyopathy Hyperlipidemia Ashtma Osteoarthritis cholelithiasis Renal diseases
Medical Therapy
Only short lasting effect, No long term effect.
Before surgery a medically supervised diet is started with a goal of weight loss of .5lb-2lb/week
Indications of Surgery
- BMI more than 40 kg/sqm
- BMI more than 35 with associated morbid condition
- Failed dietary therapy
- Pschychitrically stable
- Motivated individual
Special Tests and workup
- Complete cardiovascular work up
- Pulmonary Workup
- metabolic workup for diabetes, hypercholesterolemia
- Ultrasound for cholelithiasis, Ventral hernia
- Evaluation for Gastroesophageal reflux diseases
