Wednesday, January 13, 2010

Gastric bypass mexico


Gastric Bypass surgery is becoming increasingly more popular for the morbid obese. In order to qualify for the surgery, you must have a body mass index of more than 40, which usually translates to being 100 or more pounds overweight. Gastric Bypass surgery is a procedure in which the surgeon will create a pouch out of your stomach, divide the stomach and then connect the pouch directly to the intestine, basically “bypassing” the lower stomach. The whole idea is to limit the amount food that the patient can consume and to shorten up the digestive track so that fewer calories can be absorbed by the patients body. Since the person cannot consume as much food, they are not going to consume as many calories and thus force the body to use stored fat.

As with any surgery, there are certain risks associated with the gastric bypass procedure and they include the following: bleeding, infections, further surgeries to correct complications, gallstones from such a drastic weight loss in a short amount of time, gastritis, vomiting (from eating more than the stomach pouch can hold), iron or vitamin B12 deficiencies, and calcium deficiency.

A common side effect that you will often hear about with gastric bypass surgery is something known as "dumping syndrome". The symptoms for dumping syndrome include nausea and vomiting, diarrhea, bloated feeling, dizziness and sweating, but these symptoms can be reduced considerably by strictly following your dietitian's guidelines.

As far as what to expect after surgery, the weight loss results are usually good. Patients generally lose an average of 10 pounds per month and have their weight level off around 18 and 24 months after the surgery. Typically, the greatest weight change occurs at the beginning, because the patient is restricted to a liquid diet for awhile.

The patient will find themselves following up with their doctor as well as a dietitian many times during the first year so that he or she can keep a close eye on your physical and mential health status.

After gastric bypass


The following sections include descriptions of various bariatric surgery procedures and links to pictures of the procedures described.

Roux-en-Y Gastric Bypass Procedure

The Roux-en-Y gastric bypass procedure involves creating a stomach pouch from the upper portion of the stomach and attaching it directly to the small intestine, bypassing a large part of the stomach and duodenum. The small upper pouch restricts the amount of food that can be eaten. Directly connecting to the mid-portion of the small intestine prevents part of the calories that are eaten from being absorbed. Together this provides a 60-80 percent loss of excessive weight over a period of two years.

Y gastric bypass

Gastric bypass weight loss surgery is a mixed gastric bypass surgery, utilizing both a decrease in stomach size and a partial bypass of the small intestine to limit calorie intake. Gastric bypass is also commonly referred to as "roux-en-y" weight loss surgery.

Patients who have had this procedure feel full much faster, and stay that way for much longer, than is typical. This is because a pouch is created to isolate only a small section of the stomach for the processing of food. In addition, a section of the small intestine is bypassed to reduce the amount of food, and
therefore calories, that can be used by the body.

If you undergo this procedure, you must make radical changes in your food intake and lifestyle in order for the procedure to have the maximum effect. Meals following surgery must be limited to approximately one ounce each; drinking fluids with meals can fill the pouch, too, so you should be mindful that doing so may prevent the intake of solid food. But, because the stomach has the ability to stretch to accommodate food, you can consume larger portions than that over time.

Roux y gastric bypass


The process of preparing Cajun food is in no way hurried and involves a layering of flavors which allows each ingredient to maintain its own identity.

The foundation of preparing authentic Cajun dishes like gumbo, sauce piquant and etouffee is the Cajun roux (pronounced rue). Good roux is neither undercooked nor overcooked. Undercooking will yield a less full-bodied flavor and overcooking to the point of being burned will yield a bitter taste.

The French roux is usually a blend of equal parts flour and butter cooked slowly until bubbly and well blended, but not browned. The typical Cajun roux is a blend of equal parts of flour and fat, cooked together in a heavy pot over high heat until a medium brown color is reached. Roux must be stirred constantly to prevent burning. Some people prefer a roux made with approximately one-fourth cup more oil than flour.

Most often, when Cajun roux is called for, finely chopped onion and bell pepper is added to the browned roux to arrest the cooking temperature and prevent the roux from scorching. This step begins the cooking of the desired dish, such as a gumbo or sauce piquant.

Ingredients:

1 cup vegetable oil
1 cup all-purpose flour

Preparation:

Heat vegetable oil in a heavy Dutch oven or 12-inch skillet over high heat. When oil is hot, add flour all at once; stir or whisk quickly to combine flour and oil. If necessary, use the back of a wooden spoon to smooth out any lumps of flour. Stir or whisk constantly, until roux reaches desired color (between a peanut butter and mahogany color) and has a nut-like aroma. Recipe yields a scant 1-1/2 cups of roux.

Recipe Notes:

(1) If small black or brown specks appear while preparing roux, it has burned and should be discarded. A burned roux will give a bitter or scorched flavor.
(2) Roux may be prepared ahead - cover, refrigerate and use within 1 week.
(3) To prepare extra roux for later use, batches may be prepared by increasing oil and flour in equal amounts.
(4) Freezes beautifully. (Freeze in 1-cup portions for up to 6 months.)
(5) Caution: Be extremely careful when stirring and handling roux during preparation. With a temperature exceeding 500F, roux splashed on the skin will stick and cause a severe burn.

Preparing an authentic Cajun roux is not difficult once you know how. If you follow the above recipe exactly, you will be able to successfully prepare a roux to equal that of any well-experienced Cajun chef.

Lap gastric bypass


There are many surgical procedures that are available to help you lose weight and combat any obesity problems that you might be having. The stomach stapling procedure is definitely one that has been in the news a lot, but it is terribly invasive and can actually be dangerous to perform because of the massive amounts of tunneling in your stomach that is required for it to be effective. Taking stomach stapling out of the way, the other two major candidates for surgery include lap band surgery and gastric bypass surgery. These two surgical methods can be compared on multiple fronts.

Cost

Since everything in the world tends to revolve around money in some way, shape or form, it is important to compare these two surgical procedures in terms of their cost. Gastric bypass surgery is a very complicated procedure that requires specialized knowledge and instruments that are very delicate and perfectly crafted. With all of these things taken into account, the resulting cost for the surgery is very high. Lap band surgery on the other hand does not require knowledge as specialized to perform and the lap band instrumentation is a lot cheaper than the tools used in the gastric bypass surgery. This means that lap band surgery in the end is quite a bit cheaper than gastric bypass surgery.

Permanence

Gastric bypass surgery, for all intents and purposes, is a permanent thing. It is possible to change back whatever was done to you during such a surgery, but at the same time it is also important to realize that gastric bypass surgery is something that corrects a problem permanently. It is a permanent fix to a current problem. Lap band surgery on the other hand is really more of a treatment than it is a cure. Rather than changing things to make you feel better, its goal is to work with you to get better, at which point it can be removed. Gastric bypass surgery is therefore a lot more potentially life-changing in a negative way than lap band surgery would be.

Maintenance

For gastric bypass surgery, you have essentially signed your surrender against the current condition you are in. This means that in addition to this permanent change of surgery, you are also going to have to commit to a strict diet and a lot of exercise, as well as regular visits to the doctor to have your surgery monitored. With lap band surgery on the other hand, you can make any needed adjustments yourself and therefore allow yourself to go from an inactive and unhealthy lifestyle to one that is healthy and active at your own pace. Changes can be gradual and trips to the doctor are greatly reduced.

Conclusion

On the three major issues of cost, permanence and maintenance, it is quite clear that lap band surgery knocks the pants off its gastric bypass counterpart. It is simply a better procedure in so many ways that the only logical conclusion that can be reached is that a lap band procedure is much better.

Gastric bypass complications


Current info about gastric bypass complications is not always the easiest thing to locate. Fortunately, this report includes the latest gastric bypass complications info available.

We all know there are gastric bypass complications, but you may wish to have them explained just a bit more than just hearing what could happen. Here is a breakdown of the gastric bypass complications in detail.

How can you put a limit on learning more? The next section may contain that one little bit of wisdom that changes everything.

In the hospital, gastric bypass complications that can occur include:

. Respiratory problems - These are the most common gastric bypass complications. If prior respiratory problems are apparent, special anesthesia may be used and the patient's head may be elevated after surgery.

. Leaking of the intestine or stomach contents - These are life threatening gastric bypass complications.

. Postoperative infections and wound separations - These gastric bypass complications can be seen in any major surgery of an obese patient.

. Blood Clots- Blood clots may form in the veins of the legs and move up into the lungs. This is also a life threatening complication of gastric bypass surgery. During the operation, many times stockings or inflatable boots are worn to aid in the prevention of blood clots.

. Bowel Obstruction - This can occur from adhesions or scar tissue. This can happen with any type of abdominal surgery.

Is there really any information about gastric bypass complications that is nonessential? We all see things from different angles, so something relatively insignificant to one may be crucial to another.

Roux gastric bypass


Some people have gastric bypass surgery and shed 100 pounds or more. What can this surgery do for you?

To answer this question, you will first need to know what gastric bypass surgery is and how it helps you lose weight.

A gastric bypass surgery also known as Roux en-Y surgery is a medical procedure that reduces the size of your stomach causing you to feel full when you have eaten only a small portion. What your surgeon will essentially do is divide your stomach into two sections – a small upper one and a much larger remnant one using surgical staples (which is why this procedure is also known as stomach stapling). The small top pouch is the one that will hold your food. Your surgeon will also re-arrange your small intestine such that both the stomach pouches remain connected to the intestines.

The reduction in the functional volume of your stomach reduces your food intake. Not only that, the re-arrangement of the small intestine causes food to by-pass the first part of the small intestine resulting in reduced calorie absorption. Both these factors help you lose weight.

But is gastric bypass surgery for everyone who needs to lose weight?

That's a personal choice or your doctor may prescribe it for you. Generally, it is considered in only those individuals who have tried hard but failed to achieve weight loss through exercise and diet.

Obesity, which is a complex disease, leads to other diseases. Morbid obesity or the accumulation of too much body fat increases a person’s risk for developing other health problems or co-morbidities such as heart diseases, diabetes, etc.

But how much fat is too much fat?

That's calculated by your body mass index or BMI which is a measure of your weight in relation to your height. In simple words, it tells you how much you should normally weigh for your height and if you exceed that normal weight then you are medically considered overweight. Reducing your weight and therefore, your BMI, helps you control the risk of developing obesity related health problems.

Like any other surgery there are risks associated with gastric bypass surgery as well. Some of the risks include gastritis (which is an inflammation of the stomach lining), development of gallstones (caused by significant weight loss in a short time), nausea, vomiting, bleeding, infections, and nutritional deficiency (which can be avoided through nutritional supplements). So, when deciding to have the surgery you should carefully weigh the risks associated with it and the problems that it can solve for you.

Variations of gastric bypass surgery are gastric bypass, Roux en-Y proximal; gastric bypass, Roux en-Y distal; and loop gastric bypass or mini-gastric bypass. Gastric bypass surgery is not the only bariatric surgery available for treating morbid obesity. Some people also consider gastric lap-band as an option.

The cost can be a major deciding factor when considering the surgery. Depending upon your specific medical conditions and insurance terms, your health insurance carrier may or may not cover the costs.

The high cost of healthcare has led some Americans to seek treatment in countries like India, Thailand, Singapore, Mexico and Turkey. This practice of going abroad, which is termed as medical tourism or medical travel or health tourism, is a way of getting low cost high quality medical care. But before you decide to outsource your health care it’s extremely important that you do your homework properly – research the facilities, the surgeons, compare the cost and quality offered by different hospitals, talk to people who have had their surgery overseas, etc.

Gastric bypass surgery


Obesity is a condition that carries wit it not only the stigma of being called names, but also the risk of getting serious illnesses like high blood pressure, heart ailment and diabetes. More and more people are turning to fad diets and other means to lower their weight but to no avail.

Fortunately for people whose obesity cannot be treated with dieting, there is such a non-traditional way to lose pounds and discourage binging and this is called gastric bypass surgery.

Gastric bypass surgery may seem complicated to the common man but it is just a method of decreasing a part of the stomach and then creating an outlet from the stomach to the intestine so that the person will feel full even after a few bites. This procedure, which requires the patient to have a stay in the hospital after surgery, can only be used as an option for a person who is morbidly obese or whose body weight is equal or more than twice his ideal body weight.

Within 24 hours after gastric bypass surgery, your doctors will allow you to check out of the hospital if you can already move comfortably and if you can bear some pain even without pain injections..A person who has undergone gastric bypass surgery will be placed on a liquid diet but may be allowed to eat a few solids after a few weeks.

Words of caution though for those who have undergone this procedure; always listen to your stomach and not your urge because even an extra bite can cause discomfort and even vomiting. It may be hard to adjust to eating smaller portions but you will finally be able to adjust to three small meals a day later on. The technique is in chewing your food properly and enjoying every bite you take.

Drinking water before and during meal time is also discouraged as it can cause discomfort. However, consuming at least five glasses of liquid such as water and other non-caloric drink is advisable between meals.

Those who have undergone gastric bypass surgery should maintain a simple but regular exercise program like walking. Simple housekeeping chores can also be a form of exercise that is not too strenuous.

Generally, a person who has undergone gastric bypass surgery can lose as much as two thirds of his surplus weight during the first year. There are people who do not lose significant weight even after surgery because of the continued consumption of liquids with high caloric content and also due to improper diet.

A person who resorts to gastric bypass surgery should be willing to face the consequences as well as the conditions involved in such a procedure. It may be an effective way of getting rid of the excess pounds but you have to strictly follow the dietary rules or else, the surgery will be for nothing.

Gastric bypass doctors


Ten years ago approximately 20,000 weight-loss operations were performed in the United States every year. Today that figure is expected to reach an unbelievable 200,000.

Today about two thirds of the population of the US is overweight, with about thirty percent of these people being clinically obese. Additionally, a staggering nine million adults are more than 100 pounds overweight and are classed as morbidly obese.

For these people the traditional remedy of diet combined with exercise simply doesn't work and they are turning more and more towards gastric bypass surgery.

The commonest form of gastric bypass surgery today is a procedure known as Roux-en-Y which creates a stomach pouch, using a section of the stomach itself, that is then linked to the small intestine, bypassing a large part of both the stomach and the duodenum. the procedure to hold large quantities of food but, by bypassing the duodenum, fat absorption is also considerably reduced.

The increasing popularity of Roux-en-Y gastric bypass surgery, helped along by such things as its use by a variety of high-profile celebrities, expanding coverage for the procedure by Medicare and some creative marketing, has led to an increase in the number of medical facilities providing the procedure. Some of these facilities are better than others and just a few are perhaps a little too interested in the profit to be made from the provision of gastric bypass surgery. In turn, this presents an escalating danger for those contemplating surgery.

Results can be impressive, not only in terms of the weight loss attained but also in terms of the dramatic improvement that can be made to the patients overall quality of life. In spite of this, gastric bypass surgery is major surgery and is certainly not suited to everybody and is not without its risks.

So exactly what risks are involved?

The risks of gastric bypass surgery will obviously vary from individual to individual and anyone contemplating surgery should consult a doctor to discover the risks that surgery carries in their specific case. Here however, in very general terms, are some of risks more commonly associated with gastric bypass surgery:

Death. As is the case with any major operation there is a risk of death associated with gastric bypass surgery and estimates place the short-term risk at around one or two percent. The risk varies with other medical conditions, age and general health.

Pneumonia. Excessive weight puts additional stress on both the chest cavity and the lungs. This gives rise to an additional risk of contracting pneumonia following surgery.

A narrowing of the opening between the stomach and small intestine. Though seldom encountered, this complication may require outpatient treatment where a tube is passed through your mouth to widen the narrowed opening or surgical correction of the problem.

Leaking at one of the lines of staples in the stomach. Infection can result from leakage around the staples and this is typically cured with antibiotics. The majority of cases heal in time but, from time to time, this leakage can be sufficiently serious to need emergency surgery.

Blood clots forming in the legs. The risk of blood clots forming in the legs is most commonly seen in the case of patients who are carrying a lot of excess weight and, when blood clots do appear, the situation can quickly become dangerous. In some cases blood clots travel to the lungs where they lodge themselves in the arteries of the lung creating a pulmonary embolism - a serious and life-threatening condition which damages the lung tissue.

Gastric bypass surgery can also cause dumping syndrome, a condition in which the stomach contents move too rapidly through the small intestine causing dizziness, nausea, vomiting, sweating and diarrhoea.

Other frequently seen complications of gastric bypass surgery include dehydration, bleeding stomach ulcers, hernia, gallstones, intolerance to some foods and vitamin and mineral deficiency.

Advances in surgical techniques are rendering gastric bypass surgery safer by the day and the introduction of laparoscopic surgery and robots, now being evaluated at Stanford University Medical Center in California, are also helping with patient recovery and reducing post-operative complications.

Despite the risks for every problem case there are a thousand examples of thinner and happier people walking around. So, if you are considering gastric bypass surgery talk to your doctor and, while you should undoubtedly consider the risks, don't automatically dismiss the procedure simply because of them.