Bariatric surgery is the set of surgical procedures used to treat obesity, seeking to decrease body weight.
Restrictive:
In a restrictive process, the aim is to limit the amount of food ingested, with fullness achieved early. (Band and Gastric Sleeve)
Malabsorptive:
This digestion procedure is altered, causing incomplete absorption from foods. (Gastric Bypass Duodenal Switch)
Mixed:
(Restrictive and Malabsorptive)
Benefits of Bariatric Surgery
1.Increase in life expectancy
2.Decrease in cardiovascular risk.
3.Resolution of diabetes mellitus type 2
4.Resolution of hypertension, cholesterol
5.Resolution of obstructive sleep apnea.
6.Improvement of joint diseases.
7.Increased fertility.
8.Reducing the risk of cancer.
» Sectioning consists 80% of the stomach.
» Gastric Tube.
» Functional pylorus.
Advantages:
» Technically simpler than the bypass
» Reduces the possibility of gaps
» Decreases secretion of Grhelina.
» Procedure for patients with low BMI 35-45 Kg / m2).
» Induces early satiety
» Laparoscopic Approach
Disadvantages:
» Upon being sectioned and stapled there is possibility of leakage through the staple line.
» Initial experience.
» The stomach will grow.
It is a purely restrictive surgical procedure, in which a ring is placed around the top of the stomach, with the possibility of adjustment. To regulate and hinder the passage of food making the patient feel full to stop eating.
Advantages:
» No cutting of the stomach
» Calibrated size pouch and stoma
» It can be adjusted to the needs of the patient
» Laparoscopic Removal
» Fully reversible
» Short stay in the hospital (not exceeding 48 hours)
Disadvantages:
» It requires discipline to achieve weight loss
» Restricting some foods
» Requires adjustments
» No drinking beverages high in calories
» Erosion
» Port Problems
Malabsorptive restrictive procedure, a small stomach pouch is created from 15 to 20 cm. The newly formed stomach binds directly to the lower portion of the jejunum thereby preventing the absorption of calories.
Advantages:
» Higher weight loss and continuous
» Improving conditions associated with morbid obesity
» Losses of 70-80% of excess weight
» Metabolic Surgery.
Disadvantages:
» Anastomosis leak
» Longer hospital stay
» Requires permanent intake of vitamin supplements and calcium
» Diarrhea post qx 1-3%
It is a technique that produces the same gastric restriction as the gastric sleeve, but unlike this one, it does not require removing a portion of the stomach, but the stomach is plicated in the stomach by stitches on it without cutting, which avoids risks leakage and bleeding from the cut line of staples.
Advantages:
» Decreased operative time.
» Drastic reduction in the risk of gastric fistulas or leaks.
» Drastic reduction of the risk of gastric bleeding.
» Lower cost of the procedure as staples are not used.
» Less hospital stay.
UNIDAD MEDICA GARCITERRA
686 552 2125
Fco. I Madero #2010 Col. Nueva.
Mexicali, Baja California México.
Aviso de privacidad
