Bariatric surgery may be an option for those who can not lose weight through diet and exercise or have serious health problems caused by obesity
Obesity is a public health problem in Puerto Rico. Therefore, it's no wonder that more and more people undergo bariatric surgery or seek information for the procedure done.
The most recent known case was that of resident commissioner in Washington, jennifer Gonzalez, who made his first public appearance today. As revealed González, A few months ago he had managed to reduce a 140 pounds with a diet, but, later, "I had won a 50 pounds", so he determined to undergo surgery.
"This is not an issue that makes overnight. I'm working on this since March this year, so it was something that we had coordinated and planned with multiple visits ", He explained Commissioner.
According to Medline Plus portal, the National Library of Medicine US, attached to the National Institutes of Health, This surgery "may be an option for those who can not lose weight through diet and exercise or have serious health problems caused by obesity", adds the publication.
There are different types of weight loss surgery. They usually limit the amount of food a person can eat. Some types of surgery also affect how food is digested and absorbed nutrients. All types have risks and complications, infections such as, hernias and blood clots.
"Many people who undergo surgery lose weight quickly, but recovered some weight later. If the person follows the recommendations of diet and exercise, You can keep most of the weight loss. You will also need medical supervision for the rest of your life ", stresses.
Various types
According to the Mayo Clinic, gastric bypass surgery (Roux-en-Y) is the type of surgery that is used most frequently to lose weight. "Gastric bypass and other weight-loss surgery, collectively known as Bariatric Surgery, They make surgical changes in the stomach and digestive tract that limit the amount of food a person can eat and absorb nutrients, which causes thinning ".
The long-term success of gastric bypass surgery depends on the ability to make permanent changes in lifestyle. "People who want to be considered for gastric bypass surgery must undergo a rigorous evaluation to determine whether this procedure is suitable for the situation of each", notes the leading healthcare institution, research and education for all people, non profit.
In gastric bypass surgery Roux-Y, the surgeon creates a small pouch at the top of the stomach. The sack is the only part of the stomach to receive food. This greatly limits the amount of food you can eat and drink comfortably each time. Then, cuts the small intestine within walking distance below the main part of the stomach and connected to the new bag. Food flow from the bag to this part of the intestine. However, the main part of the stomach continues to produce digestive juices. The portion of the intestine that continues attached to the main stomach reconnects below. This allows digestive juices to flow into the small intestine. Since food avoid a part of the small intestine, They absorb fewer nutrients and calories.
There are other common types of weight loss surgery, between these laparoscopic adjustable gastric band surgery, sleeve gastrectomy and biliopancreatic with duodenal.
A team of health professionals, which is usually composed of a doctor, a dietitian, a psychologist and a surgeon, evaluate whether gastric bypass or one of the other forms of weight loss surgery are suitable for the person.
When to go for surgery?
In telephone interview, Dr. Albert Suarez Dominguez, Bariatric Surgery director Federico Trilla Hospital of the University of Puerto Rico, He said that if all else fails medical method, then one uses bariatric surgery.
There are five requirements of the Society of Metabolic and Bariatric Surgery and the National Institutes of Health of the United States to qualify for this surgery:
BMI of 40, even without suffering diseases associated with obesity;
BMI of 35, but the person has diseases associated with obesity;
than bulimic (that eats, Vomits, and continues to eat);
non-addict; and
have enough intelligence to understand the changes that have to do, once operated.
"Bariatric surgery is more effective than any medical method. between a 60 a
70% of our patients lose 70% excess weight ", stressed Dr. Suarez.
"We at the hospital do the gastric sleeve and gastric bypass of. The first is purely restrictive and gastric bypass is a combination of restriction and malabsorption ", abounded.
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