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Bariatric procedure: What to consider about weight-loss surgery

Bariatric procedure: What to consider about weight-loss surgery

With record USA obesity rates and newly expanded FDA (Food and Drug Administration) eligibility criteria for Lap-Band surgery, more and more Americans may be mulling the possibility of going beyond diet and exercise to tackle their weight and the medical problems that come with it.

Those deciding on the surgical route face the often-baffling choice of which procedure is for them. Although there are some broad guidelines, experts say, the final choice comes down to what both patient and doctor are comfortable with.

Here are some facts to consider in deciding whether to have weight-loss (bariatric) surgery — and then which procedure to pick. There are four main options:

• Roux-en-Y, or gastric bypass surgery : The surgeon creates a small pouch in the stomach to restrict food intake and bypasses part of the intestine to restrict food absorption, connecting the remainder to the pouch.

Banding : An inflatable silicon band is attached to the upper part of the stomach, then inflated with silicon solution to restrict food intake. Two commercial products are available: the Lap-Band (Allergan Inc. of Irvine) and the Realize Band (Ethicon Endo-Surgery Inc. of Cincinnati).

Gastric sleeve : The stomach is stapled to convert it into a long, narrow tube with about only 20% to 30% of its normal volume, to restrict food intake.

• Duodenal switch or biliopancreatic diversion: The intestines are rerouted to create a very short path for nutrient absorption. The patient takes in only about 20% of the calories and nutrients in food.

Source: latimes.com


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