Obese Britain Summer 2015.pdf

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48 AN INTRODUCTION TO WEIGHT-LOSS SURGERY Weight-loss surgery, or bariatric surgery to give it the official medical term, is one solution that can reverse the risk of weight-related diseases and give severely obese people – those with a body mass index (BMI) of 40 or greater or between 35 and 40 in cases of patients with certain medical conditions – a new lease of life and much improved health.
Weight loss surgery, or bariatric surgery to give it the official medical term, is one solution that can reverse the risk of weight-related diseases and give severely obese people – those with a body mass index (BMI) of 40 or greater or between 35 and 40 in cases of patients with certain medical conditions – a new lease of life and much improved health. A gastric band is a soft and adjustable silicone band that is placed around the upper part of your stomach and closed or locked to create two chambers; a small upper stomach with a narrow opening to the lower stomach. This causes food passage restriction. On the inside of the band, is a balloon. The balloon is connected by a thin tube to an access point that sits below the skin on your abdominal wall called a port site. Through this port a clinician can make periodic adjustments to your gastric band, based on your weight loss, food cravings and other physical reactions to the surgery, by inflating or deflating the inner balloon with saline (often called a “fill ‘). As the band is inflated your upper stomach outlet becomes smaller and this helps reduce the amount of food you eat and slows the emptying of food into the lower stomach. Am I eligible for gastric banding? You will usually have gastric banding if you cannot lose a large amount of weight and maintain the weight loss long term by dieting and lifestyle changes alone; or if you have serious health problems caused by obesity. Doctors often use the body mass index (BMI) to determine your eligibility. This procedure may be recommended for you if you have a BMI of 40 or more, or if your BMI is 35 or more and you have a serious health condition that might improve with weight loss. Some of these serious health conditions are sleep apnoea, type 2 diabetes, high blood pressure and heart disease. Your bariatric surgeon will discuss the best option of weight loss with you and if you are eligible for gastric banding. Photograph: iStock 49
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