Laparoscopic surgery for obesity is an application made for overweight people.
Laparoscopy involves the use of a special telescope (laparoscope), typically allowing smaller abdominal incisions, to visualize the stomach. This brochure will explain:
What is severe obesity?
Medical and surgical treatment options for severe obesity
How is laparoscopic obesity surgery performed?
Expected results of the transaction
What to expect after laparoscopic obesity surgery?
What is Severe Obesity?
Serious obesity, sometimes known as “morbid obesity”, is explained using various methods. One of these methods uses Ideal Body Weight and is described as about 100 pounds (45.5 kg) or 100% above the ideal body weight. This Metropolitan Life Insurance Company is determined by the height and weight tables. Body Mass Index or BMI is another method used to determine severe or morbid obesity. BMI is calculated based on a person's height and weight and is usually more accurate than ideal body weight calculations. According to the Center for Disease Control (CDC), obesity rates are increasing in most US states, with a prevalence of about 25%. This is linked to the development of life-threatening complications such as hypertension, diabetes, sleep apnea, and coronary artery disease, to name a few.
Numerous therapeutic approaches have been proposed to this problem, including low-calorie diets, medications, behavioral modification, and exercise therapy. However, surgical treatment is the only treatment that has proven effective in the treatment of long-term morbid obesity.
WHAT IS SEVER OBESITY?
The cause of severe obesity is not fully understood. There are probably many factors. The energy stored in obese people has a very high setpoint. This altered setpoint may result from low energy consuming low metabolism, excessive caloric intake, or a combination of the above. There is scientific evidence suggesting that obesity may be an inherited trait.
Severe obesity is probably the result of a combination of interactive genetic, psychosocial, environmental, social and cultural influences, resulting in both complex appetite regulation and complex disorder of energy metabolism. Severe obesity occurs as a simple lack of self-control by the patient.
What are the treatment options?
In 1991, the National Institutes of Health Conference concluded that, except in rare cases, non-surgical weight loss methods in severe obesity patients were not effective over long periods of time. It has been shown that almost all participants in any non-surgical weight loss program regain their weight within 5 years due to severe obesity. Although prescription and non-prescription drugs are available to cause weight loss, long-term medical treatment does not appear to play a role in the treatment of morbid obesity. Weight gain is fast when the drug is withdrawn. It uses a variety of professional weight loss programs, low-calorie diets, and behavior modification techniques combined with increased physical activity. Weight loss of one to two pounds a week was reported, but almost all weight loss was recovered after 5 years.
Over the last 40-50 years, a number of weight loss operations have been developed. Procedures recognized by most surgeons include: Roux-en-Y gastric bypass, gastric banding (adjustable or non-adjustable), sheath gastrectomy, malabsorption procedures (biliopancreatic derivation, duodenal switch), and vertical band gastroplasty. The gastric bypass procedure involves splitting the stomach and forming a small gastric sac. The new gastric sac is connected to the varying lengths of your small intestine built into a Y-shaped limb (Roux-en-Y gastric bypass).
The laparoscopic gastric band involves placing a 1/2 inch strap or collar around the upper part of the stomach. This creates a small pouch and a fixed outlet into the lower stomach. The adjustable band can be filled with sterile saline. When salty water is added, the output to the stomach is made smaller and this prevents food from coming out of the bag.
Sleeve gastrectomy involves the removal of at least 75% of the stomach. This reduces the volume capacity of the stomach.
Malabsorption processes lead to weight loss by reducing the absorption of calories from the intestines. These operations include reducing the size of the stomach and skipping most of the intestines.
Vertical banded gastroplasty involves the construction of a small sac that restricts access to the lower stomach. The outlet is strengthened with a mesh to prevent deterioration and opening.
Choosing between different surgical procedures involves the surgeon's preference and consideration of the patient's eating habits.
A standard size tube is placed inside the stomach to narrow the length of the stomach to remove the remaining part.
في هذه العملية ، يتم تقليل كل من المعدة ويتم تقصير الجزء المستخدم في الأمعاء عن طريق فتح الطريق الجانبي. بعد هذه العملية ، يتم طرح الأطعمة بعيدًا عن الجسم.
In this operation, both tube gastric surgery is performed and intestinal shortening is added. It is the most severe obesity surgery and may cause severe malnutrition in patients.
في هذه العملية ، يتم إجراء كل من جراحة المعدة الأنبوبية وتضاف تقصير الأمعاء. إنها أكثر عمليات السمنة خطورة وقد تسبب سوء تغذية شديد في المرضى.
Balloon placement with an endoscope in the stomach was thought to be useful before, but it is no longer used as a permanent weight loss.
Metabolic problems in patients (Type2DM, Hypertension, Hypercholesterolemia) are performed because of surgery. Only standard obesity procedures are approved in developed countries around the world. These are (stomach clamp, tube stomach, gastric bypass and duodenal switch). Other types of operations are considered experimental only in serious and respected medical authorities and their long-term results are uncertain.
كان يعتقد أن وضع البالون بمنظار داخلي في المعدة كان مفيدًا من قبل ، لكنه لم يعد يستخدم كخسارة دائمة للوزن.
يتم تنفيذ مشاكل التمثيل الغذائي في المرضى (Type2DM ، ارتفاع ضغط الدم ، ارتفاع الكولسترول في الدم) بسبب الجراحة. يتم اعتماد إجراءات السمنة القياسية فقط في الدول المتقدمة حول العالم. هذه هي (المشبك المعدة ، المعدة أنبوب ، المعدة الالتفافية والتبديل الاثني عشر). تعتبر الأنواع الأخرى من العمليات تجريبية فقط في الهيئات الطبية الجادة والمحترمة ونتائجها على المدى الطويل غير مؤكدة.