...Introduction “Gastric bypass is the operation recommended by the National Institute of Health for treatment of morbid obesity because of its low morbidity and mortality rates and excellent long-term results regarding weight loss” (Tian, 2011). The laparoscopic surgical procedure for obesity is generally referred to as the Lap-band procedure and is known for the smaller and less invasive incisions. The goal of the chosen study was to determine the effects of the laparoscopic surgery and the gastric bypass based on hospitalization time, surgical duration, rate of mortality, and the surgeries that are repeated. The patients used for the study were each morbidly obese and had tried and failed at other diet and exercise methods however gender, age, race, weight, and height did not factor in when randomly selecting the test patients for participation in this meta-analysis. Some exclusions were made due to previous surgeries for weight control, respiratory and cardiac issues, and certain diseases that would be complicated by participating in the study and alter the results obtained. Data Collection Methods The data collection procedures used in the study were appropriate and in the form of a meta-analysis. The information was gathered from studies during 2001, 2004, and 2006 consisting of 422 patients randomly selected with some similar circumstances from the locations of United States, Spain, and Sweden. 208 of the patients were in the open gastric bypass and 214 of the patients...
Words: 1082 - Pages: 5
...Report Paper The article I chose was from the Annals of Surgery, called Multivariate Analysis of Risk Factors for Death Following Gastric Bypass for Treatment. I chose this article, because I did have this surgery done with no complications, and it is also a fascinating procedure and hope to one day work in this area. Pre operative mortality is the most feared outcome of bariatric surgery, it is reported to happen between 0.5 ad 1.5% of patients. In this article it identifies mortality fore either open or laparoscopic Roux-en-y bypass. The database is from Virginia Commonwealth university and was queried for patients who had undergone either an open gastric bypass (O-GBP) or a laparoscopic gastric bypass (L-GBP). A multivariate logistic regression analysis to identify factors related to perioperative mortality was performed. The factors examined included was age, gender, body mass index, preoperative weight, hypertension, diabetes mellitus, sleep apnea, obesity hypoventilation syndrome, venous 3. Analysis of a Research Report Article stasis ulcers, intestinal leak, small bowel obstruction, and pulmonary embolus. The data was found to find independent factors related to early death. Early death was defined as death that occurs within 30 days of the initial procedure or as a direct result of a complication of the original procedure (Annals of Surgery p3). In this article tables were used to compare demographic information of the O-GBP and L-GBP groups. The O-GBP...
Words: 1164 - Pages: 5
...While both Gastric-Bypass and the Lap-Band procedure have similarities, there are differences in the amount of discomfort, effort, and amount and time of weight loss. There are many important decisions to be made when choosing which procedure would best fit the needs, lifestyle, and health of an individual. Comparing these side-by-side should help in making an informed decision. Here is a brief description of each procedure. Gastric-Bypass is a surgical bypass operation performed to restrict food intake and reduce absorption of calories and nutrients in the treatment of severe obesity that typically involves reducing the size of the stomach and reconnecting the smaller stomach to bypass the first portion of the small intestine. (1)The Lap-Band procedure is a silicone belt or collar that goes around the upper part of the stomach. (2) The Lap-Band procedure is also surgical based. Both procedures restrict the amount of food that can be eaten resulting in loss of weight. Both procedures are surgical. While Gastric Bypass alters the stomach and intestines, Lap-Band does not. On the other hand, Lap-Band introduces a band that is left inside of the body, while gastric bypass does not. The surgical risks of both procedures are very similar. Having Gastric By-Pass, the risks associated with the surgical procedure can include: Excessive bleeding, Infection, Adverse reactions to anesthesia, Blood clots, Lung or breathing problems, Leaks in your gastrointestinal...
Words: 1224 - Pages: 5
...Mexico Bariatric Services The Mexico Bariatric Centre has available a wide variety of services including all of the major weight loss procedures and surgery. The Roux-en-y gastric bypass, gastric sleeve, mini- gastric bypass and revisional surgery are some of the procedures offered at the center. Our weight loss guide can help you to decide on the best weight loss surgery option for you. Our qualified, experienced staff is always available for consultation. You can contact us to see which option best suits your needs. Some of our other services include Hernia repair surgery, single incision gastric sleeve as well as cosmetic surgery. We have listed below example of a few of the surgical procedures and services available at the center. From...
Words: 687 - Pages: 3
...METHODOLOGY The objective of this chapter is to define nursing research, analyse methods of research and outline methodological process used to find articles on which to base this extended literature review. In this hypothesis, the reason for literature review is to ascertain whether or not gastric banding is an effective treatment for obesity in young adults as measured by physical functioning. The research process is the step-by-step procedure of developing research paper (Boje, 2001). It normally consists of following stages: detection of the research problem; preparation of search plan; searching and assessing the literature; data collection and evaluation; formulating a research design; and presenting the research findings (Cormack, 1996). The ability of nurses and other health care professionals to locate and identify existing literature on a relevant topic is an essential nursing skill (Burns & Grove, 2003). The sources where they can gain and expand research knowledge from may include personal or specialist experiences and clinical procedures and guidelines (Eccles & Mason, 2001). Before they can be made assessable to health care workers, guidelines and procedures are required to go through rigorous process of dissemination, before they can be made assessable to health care workers to be used in practice (Craig & Smith, 2007). Some of the organisations responsible for underwriting and implementation of clinical guidelines into clinical practice are:...
Words: 2051 - Pages: 9
...Obesity – Gastric Bypass Surgery In Ontario Obesity is a growing health care problem in Canada with nearly one in four Canadian adults being classified as obese (Ubelacker). There is no cure for obesity; however, in 2001 OHIP began to cover the cost for gastric bypass surgery. Gastric bypass is a laparoscopic surgery that is done to restrict food intake and help decrease the absorption of food. After the two-hour surgery, the patient’s food intake soon becomes limited by a small amount. Having a small stomach is one of the keys to successful weight loss because the patient feels full after eating a small amount. Evidence shows that this procedure is the most effective surgical treatment for weight loss; however, this controversial and life threating surgery is not as fantastic as it sounds. OHIP should not cover the cost of gastric bypass surgery due to its expense, health risks, and people’s own poor habits. Gastric bypass surgery costs on average $17,200 per procedure, which includes the pre-assessment, preparation, surgery and follow-up visit (Fagan). A large portion of taxpayers’ money is being spent on the health care system in the wrong way because obesity is preventable. This money would be better spent focusing on prevention by educating Canadians on proper nutrition. In this manner, the government would be eliminating the cause rather than treating the effects. However, someone who is getting the surgery would argue that due to health risks and fatal illnesses...
Words: 756 - Pages: 4
...Another issue after a subtotal gastrectomy is vitamin and mineral malabsorption. The problem is cause because parts of the digestive system that prior to the surgery would separate nutrients from food are no longer there. The parts remove are normally the large cross section of the stomach and also the duodenum3. A lot of times this issue can be controlled by taking vitamin supplements. Anemia and metabolic bone disease are common so iron, vitamin B12, folic acid, calcium, and vitamin D are usually supplemented1. More issues that patients have complained with after the surgery is lactose intolerance which include them having cramping, bloating, flatulence, and distention after consuming lactose1. Another problem that has been found is gastric stasis. Some of the symptoms include bloating, and discomfort or fullness lasting for long periods of time1....
Words: 806 - Pages: 4
...1/19/15 Daily Pak Banker (Pak.) (Pg. Unavail. Online)2015 WLNR 1829602Daily Pak Banker (Pakistan)Copyright (c) 2015 Plus Media Solutions Private Limited PakistanJanuary 19, 2015Bariatric Surgery Can Benefit Some Obese Children and Teens, Reports Journal of Pediatric Gastroenterology and NutritionStaff ReporterAlphen aan den Rijn: Wolters Kluwer has issued the following news release: ?Bariatric surgery—?as a last resort when conservative interventions have failed—?can improve liver disease and other obesity-related health problems in severely obese children and adolescents, according to a position paper in the Journal of Pediatric Gastroenterology and Nutrition, official journal of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. ?But because of the potential for serious complications, an expert panel recommends that bariatric surgery be reserved for carefully selected subgroups of young children with severe or morbid obesity and associated medical conditions. The recommendations appear in a new position paper authored by the ESPGHAN Hepatology Committee, under the leadership of Prof. Valerio Nobili of Bambino Gesù? Children’s Hospital, Rome. ?Bariatric Surgery in Children—?Experts Review the Evidence The Committee—?made up of 12 European specialists in pediatric...
Words: 746 - Pages: 3
...the different types of surgery and how they worked, the requirement in order to have the surgery and also the advantage and the disadvantage of the surgery. After reading the essay you will understand weight loss surgery and why people get it. There are 4 types of weight loss surgery that people can have. They are called Gastric Bypass, Vertical Sleeve Gastrectomy, Adjustable Gastric Band and Biliopancreatic Diversion with a Duodenal Switch. In order to have these surgery there are pre-requisite that have to be followed. The first step is the doctor has to check your BMI (Body Mass Index) to see what you rate, if your BMI is 40 and greater then you qualify but if your BMI is 35 and greater and you have a serious health problem linked to obesity then you qualify for the surgery. The FDA (Food and Drug Administration) has an approved people whose BMI is 30 and greater and also a health condition linked to obesity. The other reasons are when diet and exercise have been unsuccessful, and also a team of health care professional approved. The team of health care professional including a doctor, dietitian, psychologist and a surgeon. The gastric bypass surgery is considered to be the “gold standards” of weight...
Words: 974 - Pages: 4
...Lap band 1 Lap band surgery process, and what is involved. Stevie Vieth Axia College of University of Phoenix Lap band 2 Lap band surgery has become one of the most popular forms of bariatric weight loss surgery out there. Like every surgery there are a few steps to take before a patient can proceed with the actual surgery. First they would need to see if they qualify for the procedure. Then they would need to prepare and understand the process of this procedure. As well as understanding the risks and complications that can occur throughout the process. While there are many risks and complications involved with lap band surgery, it can still provide obese patients with the opportunity for a healthier life in the future. Although many people believe they are overweight, or believe they need weight loss surgery. There are still many standards and qualifications that they still have to meet before being approved for lap-band surgery. One of the important standards is that they must meet is having a body mass index of 40 or higher. Having a body mass index of 40 or higher proves to be the ideal candidate for lap-band surgery. Going by body mass index is a useful indicator of whether or not a patient is a good candidate for weight loss surgery. Some patients who do not have a body mass index of 40 or higher, but have obesity related health issues can also prove to be an ideal candidates for lap-band surgery. Along with the main...
Words: 1308 - Pages: 6
...kg/m2. Approximately 33.3% of men, 35.3% of women, 17% of children were obese in 2005-2006. Obesity is associated with the chronic illnesses in the following: heart disease, hypertension, sleep apnea, degenerative joint disease, gastroesophageal reflex disease, asthma, and depression (cite). Surgery is an appropriate option for controlling obesity “for people who have a BMI > 40 or BMI > 35 along with comorbid conditions, such as cardiovascular disease, sleep apnea, uncontrolled type 2 diabetes, and/or physical problems interfering with performance of daily activities” (cite). Laparoscopic adjustable gastric band, laparoscopic sleeve gastrectomy, and roux-en-y gastric bypass are the surgical procedures that are being performed to control obesity. Individuals who had weight loss surgery had remarkable weight loss and improvement in their obesity-related conditions (cite). Besides introducing surgical procedures as an intervention for controlling obesity, the authors also discussed the importance of postoperative nursing care. The standard postoperative nursing care plan includes the following: pain management, wound & skin care, venous thromboembolism (VTE) prophylaxis prevention, and pulmonary care. For pain management, nurses should manage pain by administering analgesic medications to the patients (cite). When the patients pain is managed, they “are more willing and able to use incentive spirometer, cough, and deep breath every hour” (cite). For wound & skin care, nurses should...
Words: 1408 - Pages: 6
...Gastric Bypass and Diabetes Literature Research Shayne Howard Grand Canyon University: NRS-433V Introduction to Nursing Research 03/19/2016 Introduction Diabetes is one of the most deadly diseases known to man. That is a bold statement but when you consider that a big percentage of the other most deadly diseases like heart disease, kidney failure and strokes can be caused by diabetes then it puts it in to perspective. Diabetes causes many health problems besides these as well. The complications associated with diabetes are numerous but include neuropathy, blindness, amputation, impotency, depression and cognitive decline just to name a few. Some of these complications are inevitable but they can be avoided or at least prevented for an amount of time with proper diet and exercise or following a medication regimen. For some however the disease hits too hard too fast or because of physical restraints exercise is not a viable option. For these patients a surgical option such as weight loss surgery may be their only recourse. There are 4 major types of weight loss surgery that can be used to treat morbid obesity and in turn diabetes. There are the Roux-En-Y Gastric Bypass, the Gastric sleeve, Gastric banding, and the Duodenal switch. The most popular for mild weight loss is the gastric band in which an adjustable band is place around the stomach limiting the size and thereby limiting the amount of food intake. This is less invasive and reversible but also less effective overall...
Words: 2489 - Pages: 10
...Robotic Surgery To Stay Or Not Too Stay The use of surgical robots has increased greatly and is continuing to grow. Although these robots are already being used they have advantages as well as disadvantages. Surgical robots are only going to improve the outcomes for the patients, surgeons, and hospitals and will keep improving as time goes on, overcoming the disadvantages that are seen today. Many different types of robots are being used to carry out surgical procedures such as the Endowrist, AESOP, Zeus, PROBOT, ROBODOC, SOCRATES and the da Vinci being the most popular. Also there are many specific types of surgical procedures that are being carried out robotically such as urological, gynecological, cardiac, and general surgeries. “Shorter hospital stays, smaller incisions, less blood loss, quicker recovery, less painful, reduced rates of bacterial infections and blood transfusions, eliminating the surgeons hand tremors, more comfort and decrease in fatigue for the surgeon, 3D view, superior suturing skills, reverse fulcrum” are some of the advantages that affect the patient. Disadvantages involved with robot assisted surgery are “high cost, the large size of the robot, lack of compatible instruments and equipment, lengthy set up times, longer operative times, lack of haptic tactile feedback,” but are believed to disappear with more research and time. Surgical robots could be the most successful and most used technology in surgery in the future. “A surgical robot...
Words: 3920 - Pages: 16
...Just a Girl in a Fast Food World Wendi L. Fleming COM/155 June 27, 2013 Kathy Gambsky Just a Girl in a Fast Food World What is a girl to do when the consumption of fast food has rapidly expanded her from a size 12 to a size 22? The United States has become a fast food world where everything must happen now. Americans want fast food, fast cars and fast results. With the ever increasing popularity of fast food restaurants becoming the standard for eating on the run, coupled with the increase in portion size, the fast food world is rapidly becoming the “fat” food world. Following the trend of needing to have everything happen quickly, one option that is widely debated is bariatric surgery. Although today’s population craves rapid results, risk of bariatric surgery to obese patients outweighs the benefits of diet and behavior modification in successful weight loss. Over the past decade, the trend in obesity has risen to 1/3 of the population of the United States. According to a study published by the Center for Disease Control (CDC) there is no delineation between adult men and women of any age, however, those over 60 years of age were more likely to be obese than young adults. (Ogden CL, 2012) Obesity is defined by a person’s Body Mass Index (BMI). BMI is an important health factor that should be monitored by...
Words: 1552 - Pages: 7
...Surgeons, Nurses, Doctors, Anesthesiologists, and Patients. Adapting swiftly to change, working well under pressure, and being a team player while maintaining personal accountability makes me the prime candidate for this position. SKILLS * Anatomy and Physiology * Aseptic Technique * Surgical Instruments and Equipment * Decontamination and Sterilization * Surgical Counts * Intraoperative Pharmacology EMPLOYMENT Riddle Hospital - Media,PA 11/01/2011-11/20/2012 : Surgical Tech General Surgery * Plastic and Reconstructive Surgery * OB/GYN Procedures D&C/D&E Jeans Hospital - Philadelphia, PA 7/2/2011-8/22/2011: Surgical Technologist Extern * Pediatric Surgery * General Surgery * Plastic and Reconstructive Surgery * OB/GYN Procedures * Orthopedic Surgery * Vascular Surgery * ENT Surgery * Urologic Procedures * D&C/D&E * Mastectomy * Lumpectomy *...
Words: 630 - Pages: 3
