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Revision Gastric Bypass surgery in India reducing your expenses Cost

Obesity

Obesity approach is a major health problem of epidemic proportions. An NIH consensus conference on the surgical treatment of obesity is recommended consideration of surgery in patients with a BMI above 40 kg/m2, without medical complications or a BMI over 35 kg / m 2 if comorbidities severe were present. Obesity accelerates the progression of coronary atherosclerosis young men (ages 15-34). Obesity increases the risk of developing:

Hypertension

Hyperlipidemia

Diabetes type 2

CHD

Cerebrovascular disease

Osteoarthritis

Sleep apnea,

The endometrium breast, prostate and colon.

Severe obesity is a chronic disease that is difficult to treat with diet and exercise. Gastro-intestinal tract of obesity, also known as bariatric surgery is an option for people who are severely obese and can not lose weight using traditional means or who suffer from serious health problems related to obesity.

Bariatric Surgery

Bariatric is derived from the Greek bar significantly. Bariatric surgery creates an anatomic barrier preventing the excessive consumption and the accumulation of excess calories, or by limiting the tank stomach or induction of malabsorption. Bariatric surgery alters the digestive process and is classified into two categories:
Restrictive

Malabsorption.

Almost all patients suffering from morbid obesity with a satisfactory postoperative weight loss, experience substantial improvement in the quality of their lives. Today Roux-en-Y gastric bypass (RYGB) may be the only bariatric operation that has produces sustained weight loss long term to an acceptable level of risk.

Directions:

The body mass index (BMI) greater 40
significant obesity comorbidities (hypertension, diabetes, sleep apnea syndrome Pickwick, disabling osteoarthritis)
physical problems related to obesity that interferes with employment, walking or function of the family can be a candidate.

bariatric surgery procedure:

procedures 1.Restrictive

Promote weight loss by closing parties in the stomach to reduce its size, limiting the amount of food the stomach can hold. restrictive procedures do not interfere with the normal digestion process.

In Following this surgery, most people lose the ability to eat large quantities of food at once. After surgery, the patient can usually eat only ¾ to 1 cup of food without discomfort or nausea. In addition, food must be chewed.
Restrictive operations for obesity are:

Adjustable gastric banding
Vertical banded gastroplasty

Both methods are used to create a pocket Gastric small.

2. malabsorption procedure

Surgeries most common gastrointestinal tract to lose weight are combined stomach restriction with a partial diversion of the small intestine. A direct connection from the stomach into the lower segment of the small intestine is created, during portions of the digestive tract that absorb calories and nutrients.

biliopancreatic diversion (BPD):

In this operation malabsorption complicated, parts of the stomach is removed. The small pouch that remains is connected directly to the last segment of the small intestine, while bypassing the duodenum and jejunum. Although this procedure successfully promotes weight loss, is used less often than other types of surgery because the high risk of nutritional deficiencies. A variation of BPD includes a switch "duodenal" which leaves a larger portion of the stomach intact, including the pyloric valve that regulates the release of stomach contents into the small intestine. It also maintains a small part of the duodenum in the digestive tract.

Roux-en-Y gastric bypass

Roux-en-Y gastric bypass (RGB) is an operation accepted for weight control in patients with obesity Morbid. This surgery is the most common and effective malabsorption. First, a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum and the first part of the jejunum. This bypass reduces the amount of calories and nutrients the body absorbs

Review text:

Very obese patients tolerate anesthesia very well. However, endotracheal intubation may be difficult.
Patients may require admission to the intensive care unit after surgery.
Patients suffering from sleep apnea, congestive heart failure, severe asthma and bronchitis should spend one or two nights in the intensive care unit for close monitoring of cardiorespiratory status

Complications of bariatric surgery:

The risk of gallstone formation.

Inflammatory hepatitis.

Hidden in cirrhosis

Dumping syndrome (stomach contents move too quickly in the small intestine are nausea, weakness, sweating, dizziness and sometimes diarrhea after eating)

Constipation / Diarrhea

Vitamin B12 Deficiency

The Nutritional deficiencies

Anemia (due to decreased iron absorption in the stomach)

metabolic bone disease (due to Lower calcium absorption in the small intestine)

Abdominal pain

Vomiting

incisional / ventral hernia

Sangria (including injury rate)

Gastrointestinal leakage (unintentional damage to the gastrointestinal tract)

Wear Band and the breakdown of the baseline.

In case of postoperative infection or at least very death of complications can occur.

Operating Review

technical complications and inadequate weight loss, known sequelae of this procedure required reoperation. The incidence of major complications after revisional bariatric procedures is substantially higher compared with primary operations.

Patients sometimes need a gastric bypass revision, either for insufficient weight loss or complications. The incidence of major complications after surgery revision of obesity is much higher compared with primary operations. Early in the disease range from 15% to 50%. The mortality rate reported after revision operations ranges up to 10%, offsetting all bariatric surgery without conversion to another procedure for reducing weight is invariably associated with the patient to regain lost weight rapidly.

Indications include reoperation

gastrojejunostomy dilated

insufficient weight loss without demonstrable enlargement of the anastomosis

distribution line Staple

obstruction the anastomosis

anastomotic leakage

More big pocket proximal stomach.

Reoperation consisted of:

Completely redo the original RGB

Repeat the single anastomosis

Opinion staple line

Intraoperative expansion the anastomosis
.
intractable marginal ulcer

Postoperative complications are:

Standard RGB

RGB no review Early technical

insufficient weight loss is associated with a high incidence of major complications

Subsequently, significant weight loss.
Intractable marginal ulcer.

Serious complications of metabolism

Therefore, the RGB to repair a small problem or complication is not recommended.
Gastric bypass patients with anatomically intact operations and satisfactory weight loss probably "outeaten" patients operation.Gastric bypass weight loss are more negative converted into another amendment to the malabsorption of Roux-en-Y gastric bypass or biliopancreatic diversion cases. Unfortunately, some patients become a malabsorption procedure suffer from severe metabolic complications.

The greater the bypass, more the risk of complications and nutritional deficiencies. People with extensive bypasses the normal digestive process require close monitoring use Lifetime and special foods, supplements and drugs

Why undergo gastric bypass surgery in India

Review gastric bypass surgery in India experienced phenomenal growth in recent years. Most patients from countries like the USA and UK travel to India for treatment.

Few main reasons:
India offers a wide range of options lowest price treatment.

While the treatment planning India is no need to wait in queues of patients or to subscribe to a waiting list.

In addition to physicians and health facilities in India are comparable to the best in the world.

Another major reason for choosing India for the revision surgery bypass stomach is the convenience of communication, is not faced with a problem that most people speak English.

Above all, India still offers a good holiday, which can help restore health quickly. Another important reason why people increasingly from abroad are processing India plans to promote health and medicine and the technical superiority of the fraternity of medicine in India. Therefore India is the ideal medical tourism.

About the Author

I am a physiotherapist ,completed my MPT Geriatris from MAHER university Chennai,India.I have 5 years of experience in treating various patients from Vijaya Cardiac foundations and The Best Hospital in India at Chennai.

You can gather more information by visiting http://www.forerunnershealthcare.com

You can also email your query and doubts to: enquiry@forerunnershealthcare.com



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