Before surgery: Persons considered for surgery must be carefully evaluated. Studies are performed to assess the health of the patient's cardiovascular, pulmonary, and endocrine systems. A psychological evaluation is considered essential by most physicians to determine a potential patient's response to weight loss and change in body image and ability for permanent lifestyle change. Nutritional counseling is also a must before surgery.
During surgery: Various laparoscopic (minimally invasive) surgical procedures have evolved in an effort to "shunt" or bypass a portion of the stomach. The procedure we perform at Cleveland Clinic are laparoscopic isolated gastric bypass, adjustable gastric band, and sleeve gastrectomy. Four to six small openings (each less than one-half to one inch long) are made in the abdomen. These openings allow the surgeon to pass a light, camera, and surgical instruments into the abdomen. The abdomen is inflated with gas (carbon dioxide) in order to allow the surgeon to get a better view of your stomach and internal structures. Surgical instruments about the width of a pencil are placed into the abdomen to complete the surgery. In a Roux-en-Y gastric bypass, greater than 95 percent of the stomach is "bypassed" and a small portion (the size of an egg) remains functional. In an adjustable gastric band procedure, the stomach is restricted or "cinched" by the placement of the band, which can be adjusted after surgery as needed for further weight loss. Sleeve gastrectomy is the removal of two-thirds of the stomach with a "bypass" of intestines.
During surgery: Various laparoscopic (minimally invasive) surgical procedures have evolved in an effort to "shunt" or bypass a portion of the stomach. The procedure we perform at Cleveland Clinic are laparoscopic isolated gastric bypass, adjustable gastric band, and sleeve gastrectomy. Four to six small openings (each less than one-half to one inch long) are made in the abdomen. These openings allow the surgeon to pass a light, camera, and surgical instruments into the abdomen. The abdomen is inflated with gas (carbon dioxide) in order to allow the surgeon to get a better view of your stomach and internal structures. Surgical instruments about the width of a pencil are placed into the abdomen to complete the surgery. In a Roux-en-Y gastric bypass, greater than 95 percent of the stomach is "bypassed" and a small portion (the size of an egg) remains functional. In an adjustable gastric band procedure, the stomach is restricted or "cinched" by the placement of the band, which can be adjusted after surgery as needed for further weight loss. Sleeve gastrectomy is the removal of two-thirds of the stomach with a "bypass" of intestines.
No comments:
Post a Comment