The stomach is a muscular sac that lies between the esophagus and the small intestine in the upper abdomen. The stomach is not the only part of your digestive system that absorbs food but rather is a part of the digestive system and important for churning food into a consistency that is easier to digest for the rest of your intestines.
What is the percentage of patients that gain their weight back?
A majority of patients will regain some weight after a bariatric surgical procedure. The amount regained ranges between a few pounds and all of the weight lost during the operation. The amount of weight regained after the operation is dependent on many factors and this is one of the reasons why so much stress and attention is made to the importance of a healthy lifestyle during the pre-op and post-surgical period.
For laparoscopic gastric bypass, long term weight loss after gastric bypass is suggested to be approximately 60-70% of your excess body weight at 2 years, and 45-50% of your excess
What is the biliopancreatic diversion with duodenal switch (BPD/DS)?
BPD/DS is a combination restrictive and malabsorptive procedure that reduces the size of the stomach by 70%. The pouch is still a bit larger than with other procedures that use restriction. By connecting the pouch to the lower part of the small intestine, absorption of calories and nutrients is greatly reduced.
Why do you leave part of the stomach behind during a gastric bypass?
During a gastric bypass, the lower (distal) larger part of the stomach is left in place because of the stomach still produces acid and pepsin to help digestion of the food. These digestive juices travel down the duodenum and into the jejunum to mix with food. Removing the lower part of the stomach raises the possibility of complications without proven benefit
In rare cases, if for any reason a patient needs to have the operation reversed, the stomach is still there and can be hooked up again. This remnant stomach can also be used to help feeding if an unrelated serious medical problem should
Many people have tried every diet, pill and program to shed pounds; but have been unable to lose the weight or maintain the weight loss. Often these people explore the idea of metabolic surgery as a way to gain control and make permanent lifestyle changes.
Stress is a widely used term, yet the concept of stress in humans is difficult to define. Whilst generally perceived as a negative phenomenon, not all stress is bad; indeed a certain amount is necessary for us to function optimally.
A group can be defined as a number of individuals or things considered together because of similarities. All of our patients that come to our practice are struggling with obesity. The commonality amongst the patients is the challenges related to weight loss and frustration with diets and numerous attempts at weight loss.
The waist-to-hip ratio (WHR) is the ratio of the circumference of the waist to that of the hip. The proportion of fat stored in the abdominal area to that stored in the hip region is an important indicator of the risk for a number of conditions. These conditions include major health risks such as diabetes, hypertension, and heart disease. A high WHR increases the chances of acquiring these conditions.
The pancreas is a gland about the size of a hand, tucked between a bend in the upper part of the intestines (the duodenum) and the stomach. One function of the pancreas produces enzymes for the digestive system in the exocrine tissue. The other function of the pancreas creates hormones as part of the endocrine system. Within the pancreas the tissues of both systems intertwine, which makes it difficult to treat the pancreas because things that work on one system very easily damage the other.
The small intestine is a long tube that is approximately 18 feet long (6 meters). The small intestine is called small because the diameter or the width of the tube is much less than the large intestine. The parts of the small intestine include the duodenum, jejunum and the ileum. The duodenum is a segment of intestine between the stomach and the jejunum that is very active in digestion where many different enzymes mix from the stomach, liver, gallbladder and pancreas.
