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TUESDAY, Nov. 18 (HealthDay News) -- Women who get pregnant after having weight-loss surgery have a lower risk of maternal and newborn complications than pregnant women who are obese, according to U.S. researchers who analyzed 75 studies.
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A new study by researchers from The Miriam Hospital's Centers for Behavioral and Preventive Medicine suggests increased physical activity after bariatric surgery can yield better postoperative outcomes.
A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the Nov. 19 issue of JAMA.
Dr. Mary Mason wants to hear from you. She's answers your health questions every Wednesday on News 4 at Noon. This week, she's answering questions on bariatric surgery.
A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the November 19 issue of JAMA.
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Gastric Bypass Surgery - How It Works
Author:
Craig "Big-T" Thompson
Gastric Bypass Surgery - How It Works
Gastric bypass surgery makes your stomach smaller. This causes you to feel full with less food so you consume fewer calories. The procedure also bypasses part of your small intestine, so fewer calories are actually absorbed into your system. Fewer calories will ultimately lead to weight loss.
When you eat food, it passes through the esophagus and enters into the stomach, where gastric acids soften the food and begin to dissolve it. Next, this semi-liquid mixture enters into the small intestine, where most of the calories and essential nutrients are absorbed by your body. Finally, whatever is left passes into the large intestine and eventually through the colon as it is expelled from the body. Gastric bypass surgery restructures the stomach and intestinal system, resulting in intentional malabsorption and limiting the patient's ability to eat large quantities of food.
Common Gastric Bypass Procedures
The most common gastric bypass surgery is a Roux-en-Y gastric bypass. The surgeon will create a small pouch at the top of the stomach using surgical staples. Next, he will connect this smaller pouch directly to the middle of the small intestine (called the jejunum). This causes the food to bypass the lower part of the stomach and the first part of the small intestine (called the duodenum).
Historically, the Roux-en-Y gastric bypass was does as an open procedure, which means the surgeon makes a large incision in the outer stomach wall to access the abdominal cavity. Today, the laparoscopic procedure is more common for those who qualify. This method is performed by making up to five small incisions in the outer stomach wall and using extremely small instruments and a tiny camera to guide them.
Risks and Benefits of Gastric Bypass Surgery
Typically, the surgery requires a two to six day hospital stay, depending on which procedure you have done. Usually, you can return to normal activities within three to five weeks. The type of work you do may require a longer convalescence period.
Some of the benefits of gastric bypass surgery are: --Most people lose between 60% and 80% of their excess weight over a two to three year period.
--The majority of patients manage to keep at least 50% of their excess weight off permanently.
--Other obesity-related health problems, such as diabetes and high blood pressure, are often minimized or eliminated.
There are also several serious risks with gastric bypass surgery, such as: --Peritonitis, a severe infection caused by a leak from the stomach into the abdominal cavity from a ruptured staple or stitch.
--The possibility of a blood clot breaking away from the surgical area and getting caught in the lung (called a pulmonary embolism).
However, recent studies indicate that only about 2% to 3% of Roux-en-Y gastric bypass patients die within 90 days of the procedure. (Source: "Gastric Bypass - Let the Morbidly Obese Beware", by Neil Osterweil, Senior Associate Editor, MedPage Today.)
Common Side Effects of Gastric Bypass Surgery
Gastric bypass surgery can also cause several less serious short- and long-term side effects, such as: --Dumping syndrome, which can occur when food moves too quickly through the small intestine. This disorder causes nausea, weakness, sweating, faintness, and possibly diarrhea soon after eating and is generally caused by eating highly refined foods, like sugars.
--Developing gallstones or a nutritional deficiency, such as anemia or osteoporosis.
--The connection between the stomach and the intestines can narrow, causing nausea and vomiting after eating.
--Patients can develop stomach ulcers or a hernia.
--The bypassed part of the stomach can enlarge, causing bloating and hiccups.
Of course, any surgery has some risks associated with it. That is why it is essential that you consider all of the benefits and risks associated with gastric bypass surgery and talk them over with your doctor and perhaps even a mental health professional.
About the author:
Craig Thompson, better known as "Big T," has a reputation for doing things in a mighty big way. The former sumo wrestler who used to tip the scales at 400 pounds has since reinvented himself as a singer and bandleader. As one of the earliest to have Gastric Bypass Surgery, in 1997, Thompson now helps others at www.RenewedReflections.com
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Success stories on the gastric bypass are everywhere, but how about the fatalities from the procedure? Barely mentioned in the magazines and newspapers, there is a serious risk carried by the gastric bypass and that risk is a 1 in 50 chance of you dieing within 1 month of the surgery – that certainly puts the frights up me. The study by Washington University is shocking to say the least. The figure is apparently four times as many fatalities when patients are in the hands of inexperienced surgeons. As the money the private surgeries make on the procedure is rising – over 150,000 gastric bypasses we’re performed in 2004, the claims for compensation from distraught family members rise too. Is gastric bypass surgery worth the risk? My personal opinion is that if you’re morbidly obese and your health is in immediate danger and your doctor suggests it as an option then research, research and research again. The Internet’s a big place and there are many places to go and talk to...
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A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the November 19 issue of JAMA.
Dr. Mary Mason wants to hear from you. She's answers your health questions every Wednesday on News 4 at Noon. This week, she's answering questions on bariatric surgery.
Women who get pregnant after weight-loss surgery tend to be healthier and less likely to deliver a baby born with complications compared to obese women, researchers said on Tuesday.
Women who undergo weight-loss surgery, known as bariatric surgery, and later become pregnant after losing weight may be at lower risk for pregnancy-related diabetes and high blood pressure - complications that can seriously affect the mother or her baby - than pregnant women who are obese, according to new findings from the Agency for Healthcare Research and Quality that are published in the ...
( Wiley-Blackwell ) Severely obese patents who underwent gastric bypass surgery had lost up to 31 percent of their BMI after four years. Blood pressure problems fells by 76 percent and diabetes by 90 percent. But 27 of the 50 patients experienced complications and ten patients had to be operated on again. The study, published in the British Journal of Surgery, was carried out to see if a longer ...
Undergoing gastric bypass surgery can improve pregnancy outcomes for obese women. Researchers at the Rand Corporation analyzed data from 75 studies that looked at various health issues among women who had bypass surgery.
Severely obese patients who underwent two different gastric bypass techniques had lost up to 31 per cent of their Body Mass Index (BMI) after four years, with no deaths reported among the 50 study subjects, according to an article in the British Journal of Surgery.
Severely obese patients who underwent two different gastric bypass techniques had lost up to 31 per cent of their Body Mass Index (BMI) after four years, with no deaths reported among the 50 study subjects, according to the November issue of the British Journal of Surgery.
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