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Also, known as obesity surgery Turkey or weight loss surgery, this procedure is used to help people lose excessive weight. Weight loss target is achieved by reducing the size of the stomach with the help of a gastric band or through removing a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by resecting and re-routing the small intestine to a small stomach pouches (i.e. gastric bypass surgery).
There are different types of obesity surgery and they are-
This is a surgical weight-loss procedure where the stomach of a patient is reduced to 15% of original size, by surgically removing a large portion of the stomach along the greater curvature. The resultant shape of the stomach is like a sleeve or tube-like structure. The procedure is helpful because it permanently reduces the size of the stomach, although the possibilities of some dilatation in the later phase of life are not negative. This procedure is generally performed laparoscopically and is irreversible.
• This obesity surgery is used in children and adolescents.
In this surgical procedure, the stomach is divided into a small size upper pouch and a much larger lower “remnant” pouch and then to reconnect these two parts small intestine is rearranged. With constant evolvement in this procedure, Surgeons have developed several different ways to reconnect the intestine, leading to many different gastric bypass (GBP) procedures. Any GBP procedure which leads to the reduction in the functional volume of stomach accompanies altered physiological and physical response to food in the stomach.
The procedure which is also known as biliopancreatic diversion with duodenal switch (BPD-DS) or gastric reduction duodenal switch (GRDS), is another weight loss surgery procedure that comprises a restrictive and a malabsorptive aspect as well.
The restrictive part in this surgical procedure involves removing approximately 70% of the stomach along the greater curvature and most portion of the duodenum. The malabsorptive portion reroutes a lengthy portion of the small intestine resulting in creating two different pathways.
A laparoscopic adjustable gastric band, also known as lap-band, A band, or LAGB commonly, is a silicone made device which is carefully placed around the top portion of the patient’s stomach to treat excess fat by decrease food consumption.
This procedure is really helpful for patients whose BMI is of 40 or greater—or between 35 and 40 with certain comorbidities like sleep apnea, diabetes, osteoarthritis, GERD, hypertension, and metabolic syndrome etc.
A gastric balloon which is also known as stomach balloon, is an inflatable medical device which is placed temporarily into the stomach to reduce patient’s weight and according to doctors only recommended as an option to help weight loss when options like diet and exercise have failed and surgery is either unwanted by patient nor can be recommended.
Certain benefits of Bariatric Surgery are-
2-Reduce mortality and morbidity
3-Fertility & pregnancy