Obesity and surgical options
About kamineni
Kamineni hospital is a specialized hospital chain with 40super specialities offering world-class health care in hyderabad .deducting to saving lifes,kamineni has been on the forefront of medical breakthrough right from it inception .kamineni is always upgrading itself with latest medical technologyies and techniques.with a slw of expert medical practitioners working full time ,it offers a perfect hormony of health and happiness for everyone to experience life the way it needs to be experienced.
Introduction
Obesity is a major health hazard affecting almost third of our citizens.considered till now a disesase affecting developed countries ,obesity is now evolving major health hazard for our country.
Physiology of obesity:
Normal gain weight when we consume more calories from food than our body uses through its normal functions(basal metabolic rate-bmr)and physical activity .the unused calories are stored as fat.in many cases underlying cause of mormid obesity is genetic ,wherein we inherit the tendency of gain weight.genes play a important role in tendency to gain excess weight.
Modern life style and environment like fast food (high in fat and in fruits and vegetables),long sitting at desk,and suburban neighbourhoods,that requires cars ,all magnify hereditary factors such as metabolism and efficient fat storage.
If we try to loose weight by starving or dieting override the set point by cutting calorie intake ,our brain responds by lowering metabolism and slowly activity ,we than gain back any weigh you lost.
Health hazard s of obesity:
Severely obese person are approximately 6 times likely to develop hearty disease as those who are normal-weighted .Heart disease is the leading cause of death today and obese person ten to develop it earlier in life ad it shortens it lives.
High blood pressure is much more common in obese person and leads to development of heart disease.
Overweight person are 40times as likely to develop type-2 ,adult onset diabetes.
Seriously overweight person face constant challengers to their emotions :repeated failure with dieting ,disapproval from family and friends and remark from strangers.
They ofen experience discrimination at work stereotypes of obese people-such as that there are lazy-may result in lower self esteem and poor body image.
The surgery commonly performed :
Performed entirely laparoscopically ,the procedures involes five small incisions which take about an hour .a small pouch about 120cc in size in stomach is made by using stapling devices .the stomach is removing while the gastrointetestinal track is kept ultered thus the stomach size is dramatically reduced .the laparoscopic sleeve gastrectomy operation requires 2-3 days in hospital .the patient can return to work and resume sternous activity in about 2 weeks .for those who have light duty at work ,they can possible get back to work sooner than 2 weeks the remaining stomach is removed while the gastrointestinal track is kept ultered.
The rest of the gastrointestinal track anatomy is not ultered ,so the food ingested follows the normal course.this results in less chance of developing lot of vitamins and minerals and eliminates dumping syndrome.the procedures decrease significantly the hunger by removing the part of the stomach that produces the main stimulating hormones.minimize the chance of developing ulcers.
Lap band
The balloon –like device is inserted through a small incision and inflated to clinch the stomach and limits its capacity.the placement of the band crates a small pouch at the top of the stomach .this pouch holds approximately ½ cup of fod,whereas the typical stomach holds about 6 cups of food .the poch fills with food quickly ,and the band slows the passage of food from pouch to lower part of the stomach .the operation takes about 60 minutes usually requires a day hospital stay the band can later be tightened or loosened as needed –without further surgery by adjusting the amount of solution through a portal under the patients skin .the device can ever be removed entirely if necessary reduced risk ,simplicity and reversibility make the lap band very attractive.
Gastric banding is usually not recommended for people with any of the following
1)if the surgery ot treatment represents an unreasonable risk to the patient.
2)untreated endocrine disease such as hypothyroidism
3)inflammatory disease of the gastrointestinal track such as ulcers,esophagitis or crohns disease.
4)severe cardiopulmonary disease or other condition with may make them poor surgical candidates in general.
5)dependency on alchohol and drugs.
Postoperative care
The patient is explained not to underestimate the physical and social adjustements he will have to make after surgery he’ll have a stomach pouch about the size of small egg.i the first six months after surgery eating too much or too fast may cause either voimiting or can intense pain under your breast bone.
instead of eating regular sized meals three times a day .you ‘ll be required to four to six times very small meals.about 2 ounces (60ml)each.most people ,however,quickly learn how much can they eat at one meal.and overtime ,the amount you can eat increases.
Summary
Surgery for weight reduction is not a miracle procedure .through you can generally expect to lose weight and keep it off,changes needed in your eatin and exercise habits are your to make.but health benefits of losing weight are yours as well.
Contact:Dr.Venu Gopal Pareek ,MS,DNB,FBMS FAIS,FMAS,FIAGES,consultant laparoscopic and bariatric surgeon ,care hospital ,nampally.ph:9177777715/8977777715
