MBBS, DNB, FNB - Minimal Access Surgery, Fellowship in Robotic and minimal access colorectal Surgery
General Surgeon, Delhi
•
20 years experience
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To which of the following ailments is the Bariatric Surgery primarily related?
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Obesity is one of the greatest challenges in the wealthy, developed countries. It equally affects both young and old people. A lot of medical expenditure in developed countries is related to the direct costs for the treatment of obesity. The indirect costs include lower productivity, frequent sick leave, and the unemployment rate for obese patients. Due to the big threat obesity possesses to the overall health and economy of the nation, its treatment is very important. When the intensity of the problem is too high, methods like regular exercise, workouts, dieting, etc., do not work much effectively. Sometimes, the patient requires immediate medical attention as obesity might possess a serious risk and pressurize the internal organs and the functional system. It can even be life-threatening. Bariatric Surgery is hence considered one of the most effective and favored treatment methods for highly obese patients in the long-term. It addresses comorbidities too which are related to the core disease.
Bariatric Surgery has now evolved into Metabolic Surgery.
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Bariatric Surgery has now evolved into Metabolic Surgery. While Bariatric Surgery is a weight-reduction therapy, Metabolic Surgery refers to the surgery which aims to control hyperglycemia and metabolic changes. It focuses on treating Type 2 Diabetes Mellitus (T2DM) in obese patients.
Which of the following is the obesity-related comorbidity?
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In medical terminology, comorbidity refers to the additional conditions which accompany the primary disease. Metabolic Syndrome, Diabetes, and Sleep Apnea are all obesity-related comorbidities. Although, there is no evidence that a Bariatric Surgery actually helps in eliminating comorbidities too.
Sleeve gastrectomy, gastric bypass, and gastric banding are the three major procedures for Metabolic Surgery.
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Sleeve gastrectomy, gastric bypass, and gastric banding are the three major procedures for Bariatric Surgery. Sleeve gastrectomy removes a large part of the stomach to reduce food consumption by creating just a small stomach pouch. Gastric banding involves placing an inflatable band on the topmost part of the stomach to regulate the amount of food consumed. The gastric bypass re-routes the digestive system away from the stomach to suppress hunger.
How does Laparoscopic Adjustable Gastric Banding (LAGB) help?
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Laparoscopic Adjustable Gastric Banding (LAGB) is a surgical approach which primarily regulates the amount of food to be consumed by the patient so that overeating can be avoided. An inflatable band is positioned around the topmost part of the stomach which inflates to compress the stomach, just like the way a belt is tightened. Thus, the stomach is divided into two segments. The small pouch-like part hence regulates food
consumption by limiting the amount of food. But, it may require periodic adjustments from the band to change the amount of food consumed.
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