Bariatric Surgical Treatment
What Is Obesity?
Obesity is a medical condition in which excess body fat can lead to many chronic diseases and disabilities, even premature death. Illnesses associated with obesity include heart disease, diabetes, hypertension, gallbladder disease, sleep apnea and depression. Severe obesity, sometimes known as "morbid obesity," is defined as being 100 pounds or 100 percent above ideal body weight. After surgery, as a healthy weight is achieved, many of these conditions, called "co-morbidities," disappear.
When Should Surgery Be Considered?
The long-term success rate of non-surgical programs for the morbidly obese are less than 5 percent. When combined with lifestyle changes such as an exercise routine and healthy eating, surgical procedures are one of the most effective long-term treatment options for permanent weight loss in the morbidly obese. People with a body mass index (BMI) higher than 40, or those with an obesity-related medical condition and a BMI higher than 35, may be candidates for bariatric surgery.
Surgical Procedures to Treat Morbid Obesity
Dr. Deron Ludwig, MD, of the Enloe Bariatric Program, says: "There is no other operation I know of that, with one procedure, can bring such profound results, curing many severe medical conditions at once. A dramatic change typically occurs very quickly in both medical and mental health."
Vertical Sleeve Gastrectomy
The vertical sleeve gastrectomy produces weight loss solely through gastric restriction (reducing stomach volume). This generates weight loss through a decrease in calories ingested, without bypassing the intestines or causing any malabsorption. In addition, this procedure causes a marked decrease in appetite due to the removal of a portion of the stomach that produces the hormone grehlin, which plays a major role in making one hungry. This operation can be offered to patients as an alternative to the Lap Band®, or to patients who do not qualify for the Roux-en-Y surgery due to previous colon surgery.
Roux-en-Y Gastric Bypass
Enloe's Bariatric Program also offers the Roux-en-Y gastric bypass, surgery that drastically reduces stomach size, permitting less food intake, and bypasses a portion of the small intestine, reducing the number of calories absorbed. The Roux-en-Y procedure is done laparoscopically, which involves using several small incisions, rather than one large incision. The procedure can also be done using the "open" method. Both the open and laparoscopic techniques can have excellent results, but the less-invasive method allows patients to return home and back to work sooner.
Enloe also offers Lap-Band, a gastric banding procedure that restricts food intake by using an adjustable band to create a small pouch at the top of the stomach. Unlike the Roux-en-Y, gastric banding does not affect absorption of calories. Lap-Band operations are done laparoscopically. The procedure can also be done using the "open" method.
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Enloe Bariatric Program
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