The conventional way to treat morbid obesity via bariatric surgery has changed as medicine has evolved over the years. In 1973, Dr. Ward Griffen first performed an open gastric bypass surgery utilizing a modified version of the Roux-en-Y gastrojejunostomy (Smith et al., 2004). This procedure created a 50 mL gastric pouch that had a Roux-limb (Smith et al., 2004). However, in 1999 the medical world changed again when a laparoscopic version of the Roux-en-Y surgery was adopted after Drs. Wittgrove and Clark performed the first one (Smith et al., 2004). Today, the conventional and most commonly preformed bariatric surgery is the laparoscopic Roux-en-Y gastric bypass; this method is favored over an open route. In 2005 alone, Weller and Rosati found that over 75% of gastric bypass surgeries performed that year were laparoscopic surgeries (Banka et al., 2012). According to Suter et al, the laparoscopic option is becoming more appealing due to its lower postoperative complications and quicker recovery time as compared to open gastric bypass surgery (2003). In addition to having a quicker recovery time, laparoscopic surgery tends to result in shorter hospital stays and less blood loss during surgery (Siddiqui et al., 2006). Although the Roux-en-Y gastric bypass procedure is a fairly complicated procedure, skilled surgeons can accomplish the surgery with little-to-no mortality.
The typical laparoscopic Roux-en-Y gastric bypass surgery technique is described as follows. However, there are many variations and many preferences are left up to surgeon’s choice, such as the type of stapler used for the gastrojejunostomy (circular vs. linear). There are three main steps in the Roux-en-Y bariatric surgery: creation of the gastric pouch, creatio...
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..., S., Hamad, G., Ramanathan, R., & Gourash, W. (2003). Laparoscopic gastric bypass surgery: Current technique. Journal of Laparoendoscopic & Advanced Surgical Techniques, 13(4).
Shikora, S. A. (2012). Laproscopic bi-directional jejuno-jejunostomy anastomosis with a linear stapler. Bariatric Times, 9(6), 8-9.
Siddiqui, A., Livingston, E., & Huerta, S. (2006). A comparison of open and laparoscopic Roux-en-Y gastric bypass surgery for morbid and super obesity: a decision-analysis model. American Journal of Surgery, 192.
Smith, S. C., Edwards, C. B., Goodman, G. N., Halversen, R. C., & Simper, S. C. (2004). Open vs laparoscopic Roux-en-Y gastric bypass: Comparison of operative morbidity and mortality. Obesity Surgery, 14, 73-76.
Suter, M., Giusti, V., Heraief, E., Zysset, F., & Calmes, J. M. (2003). Laparoscopic Roux-en-Y gastric bypass. Surgical Endoscopy, 17, 603-609.
The first laparoscopic cholecystectomy (LC) using keyhole approach was done by Professor Mouret of Lyon, France in 1987, when he was completing a gynecologic laparoscopy on a woman also suffering from symptomatic gall stones, he removed it laparoscopically instead of opening up. Dr. Eddie Reddick reported 100 cases of laparoscopic cholecystectomy in 1989. The classical four port technique of LC as described by Reddick became the most widely adopted technique.
1There are dangers involved with Gastric Bypass surgery. Case studies show high insulin levels following meals, confusion, shaking, sweating, headaches and black outs. The patients eventually needed partial or complete removal of the pancreas, in order to prevent dangerous declines in blood glucose. Patients also experienced Dumping Syndrome, when the small intestine fills too quickly with undigested food from the stomach which can cause abdominal cramp and diarrhea. Other research has uncovered a higher-than-expected risk of death following surgery for obesity, even among younger patients.
Resection of the colon with anastomosis: A partial colectomy is a procedure whereby removing the cancer and a small amount of healthy tissue around it. An anastomosis which is sewing of the healthy parts of the colon together may also b...
Both men and women who have overall good general health are suitable candidates for tummy tuck surgery. Several reasons including dramatic or frequent weight fluctuations, and aging, may b...
Krishnakumar, S., & Tambe, P. (2009). Entry complications in laparoscopic surgery. Journal of Gynecological Endoscopy and Surgery, 1(1). http://dx.doi.org/10.4103/0974-1216.51900
Gastric bypass is life changing procedure that is not to be taken lightly by any means.
There are many different types of surgeries that robotics can be used with. Depending on the type of surgery, of course will help aid the patient and doctor in determining if robotic surgery is the best path for the patient. Robotic surgery is not the right or best choice for every situation. In the case of someone who is obese or has had other surgeries in the past and has some scar tissue built up it is a consideration that needs to be regarded very carefully. The minimal incisions that are ideal may not be as possible in this situation. Therefore, the choice to have a robotic surgery may actually best procedure. The excess tissue can be “in the way” more so in this circumstance, which makes the procedure even more difficult for the operating physician (Raynor, Pruthi
Fuller, J. R., & Polauf, H. (1981). Surgical technology, principles and practice (6th ed.). Philadelphia: W.B. Saunders Co..
This physiologically affects the reduction in the functional volume of the stomach, and the response to food. There are several variations of gastric bypass.
In conclusion, most people believe that performing this operation is erroneous, and this is incorrect because this process helps so many people who have increased the weight to dispose of this overweight in the fastest time. Therefore, that surgical operation can decrease the body weight up to 80% of the total weight of the body by performing an esophagus gastrectomy. With the knowledge that this will cost the patient so much money, but it will be, assisting to get rid of a lot redundant fat and health problems such as diabetes, blood pressure, and cholesterol. Consequently, having plenty patients, who are obese, need to carry out these surgical procedures to eliminate extra body fat and enjoy the good life in the
After paying $6,000 for a liposuction procedure, there is still a good chance that the fat can grow back, therefore making the liposuction surgery useless. Liposuction is a temporary fix that should not be assumed to be permanent by the patient. Even after the patients have the surgery, if they were overweight before, they are still overweight (Rowland, 1998, p.3). Besides the chance that the fat cells can return, the patient can put his or her health in jeopardy if exc...
Bariatric surgery or the weight-loss surgery is an operation performed on abnormally obese people with a body mass index greater than 40 and is a service provided by an inter-disciplinary team – psychiatric, endocrine, rehab, nutritionist, cardiologist, and pulmonologist. Studies have shown that in seriously obese people, having weight loss surgery means they are likely to live longer because of the less risk of stroke, heart attacks, some types of cancer, and liver diseases. By dividin...
However, these side effects can be avoided with the proper amount of vitamin and mineral supplements. Up to 20 percent of patients who undergo the operation will require follow-up surgeries to correct complications. Common problems include abdominal hernias, breakdown of the staple line and stretched stomach outlets. There’s rapid regain of weight and all sorts of medical problems. From vitamin deficiencies to constant illness, stomach upsets, diarrhea, fatigue and horrible wound infections. Many people don’t want to admit they’ve had problems because they’re so happy to be thin; “People who have had the surgery the past couple of years are in a honeymoon state”, states Guthrie, Catherine. The author of “Bariatric Surgery: A Radical Obesity Fix. They is so thrilled to be thin. They believe being thin at all costs is more important than their own lives. Even if the patients have problems although these are some complications, most patients undergo only one surgery and there's an 85 percent success rate.
4. Enterostomy: Includes gastrostomy or jejunostomy- here feeding tube is inserted directly into stomach or jejunum either endoscopically or surgically and brought out through the peritoneal cavity. Complications include displacement or infection. It is often preferred in patients requiring nutritional support for more than a month.
Siddique, M. I., Mahmud, I., & Siddique, R. M. (2010). Obesity and sleep disorders: Implications for bariatric patients. Bariatric Nursing And Surgical Patient Care, 5(1), 75-79. doi:10.1089/bar.2009.9937