Obesity is a condition that afflicts people all over the world. Why is it called a condition? Well, it leads to many other health conditions that can be debilitating or deadly. In other words, the health problems associated with obesity are numerous and nothing to sneeze at. Take this into consideration: Someone who is overweight by 40% is two times more likely to die than someone who is of an average weight.

Doctors will tell you that a person is more likely to have health problems if they are obese than someone who is an average weight. Even someone who is 20% overweight can benefit from losing a little bit of poundage. The experts say that anyone overweight by 20% of their healthy bodyweight should lose some weight. If they don’t then there are some risk factors to consider:

• Heart disease and stroke. Both of these can be deadly and lead to heart attack or a stroke that can leave a person in a vegetative state.

• High blood pressure, which can lead to stroke and other health problems.

• Diabetes, which can lead to other health issues. Some people have lost legs, feet, and other extremities because of diabetes.

• Different forms of cancer can come about. There is not one known form of cancer that is specific to obese individuals because an obese individual becomes more susceptible to any form of cancer.

• Gallbladder disease, gall stones, and kidney stones. These are painful conditions that can lead to other problems.

• Gout, which is a painful condition that no one really wants.

• Osteoarthritis can restrict a person’s movement even more than they are already restricted being obese. It is also very painful and debilitating.

• Breathing issues such as sleep apnea. A person with sleep apnea stops breathing for short periods in their sleep. Some have been found to stop breathing completely.

• Blood clots are common in those who are obese. These blood clots form in the legs. They can eventually move to other places of the body such as the lungs, which results in a pulmonary embolism.

• It is even said that obesity increases the risk that someone will develop Alzheimer’s, which is a condition that no one wants to ever have to deal with.

There are other factors that can make an obese individual more susceptible to these conditions. However, susceptibility doesn’t mean that the disease has to be dealt with. Those with an apple shaped body are more susceptible to these health risks. It also doesn’t help them much if there is a family history of these diseases or if there are pre-existing medical conditions. However, losing weight can reduce the risk. A person shouldn’t say things such as, “Well, my family has a history of it anyway.” Your family may have a history, but weight gain could be the one trigger that causes the onset of that condition. That is why it is important to lose weight.

Doctors say that losing as little as 10 to 20 pounds packs substantial health benefits. Cholesterol levels and blood pressure can be lowered. The risk of heart disease and stroke can also be lowered. Heart disease and stroke is the number one killer of people who are obese. Just a small amount of weight loss can take you farther away from being a statistic. It is all a matter of not being that person who believes they are the exception to the obesity rule. Eventually, everyone who is obese for long periods of time will experience one of the health risks.

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The 10 Major Health Risks Associated With Obesity

There are several different types of Bariatric weight loss surgical procedures, but they are known collectively as ‘Bariatric surgery’. To understand this, the procedures can be grouped in three main categories below). The three types are :

* Malabsorptive procedures: This surgery does focus at reducing the stomach size but they mainly aim on creating malabsorption. i.e. Biliopancreatic Diversion (Scopinaro procedure – rare)
* Restrictive procedures: This kind of surgery primarily reduces the stomach size. There are three ways of doing this:
o Vertical Banded Gastroplasty (Mason procedure, stomach stapling)
o Adjustable gastric band (or “Lap Band”)
o Sleeve gastrectomy
* Hybrid procedures: In this type, both the techniques of restriction and malabsorption are applied simultaneously. i.e. Gastric bypass surgery, like Roux-en-Y gastric bypass
In this section, we will discuss all the procedures but only a surgeon can decide which one is suited the best for patient. Infact he is the only person who can tell whether the case could be handled laparoscopically or should be carried out as open surgery. This section is dedicated to providing you with the information to help you get familiar with Bariatric surgery

Malabsorptive procedures
This surgery focuses to reduce the stomach size but they mainly aim on creating malabsorption. So if the stomach pouch is smaller in size and if there is signifcant malabsorption, this will lead to impairment of nutrition absorption and assimilation. In other words Malabsorptive procedures alter digestion, thus causing the food to be poorly digested and incompletely absorbed so that it is eliminated in the stool.
Biliopancreatic Diversion: (BPD)

The original version of this procedure (without the duodenal switch) was developed by Dr. Scopinaro in Italy. This operation creates an impairment of nutrient absorption (called “malabsorption”)

as the primary factor in weight loss. This is done by removing about 2/3 of the stomach, and arranging the small intestine so that the section where food mixes with digestive juices is fairly short. This surgery is rare now because of problems with malnourishment. These operations may be more effective in achieving excellent weight loss in the extremely obese, but bring with them a higher rate of true malnutrition (malnutrition is very rare for those who undergo standard gastric bypass).

Restrictive procedures
There are several different types of Bariatric weight loss surgical procedures. Restrictive procedures are surgical procedures which primarily reduce the stomach size. They can be done in three ways. So the three surgical ways are:

* Vertical Banded Gastroplasty (Mason procedure, stomach stapling)
* Adjustable gastric band (or “Lap Band”)
* Sleeve gastrectomy

Vertical Banded Gastroplasty (VBG):

This operation emphasizes the volume restriction aspect of calorie control, by creating a tiny stomach pouch that exits into the lower stomach through a small fixed outlet that is reinforced by a permanent calibrated band on the stomach outlet. The operation was devised by Dr. Mason, one of the original Gastric Bypass surgeons, as he sought to devise the safest and most straightforward operation for morbid obesity. It is now an outmoded procedure because long term studies have demonstrated that it does not maintain weight loss as well as the Roux-en-Y gastric bypass.

Adjustable Gastric Band

The Laparoscopic Adjustable Silicone Gastric Band (LapBand®, Inamed) was approved by the FDA in June 2001, for use in treatment of Severe Obesity. The Lap-Band is a device designed to produce a small upper gastric pouch, and a narrow opening from it into the lower stomach. Surgeons use a silicone band to create a small pouch using the top part of the existing stomach. This limits food consumption without disrupting the normal progression of food through the digestive tract. It causes a sense of fullness after only a few bites of food, and it helps make the decision to reduce food intake, and to lose weight. It can be inserted laparoscopically. The biggest advantage is that it is a reversible process. This operation is especially attractive to persons who can spare only a small amount of time, and who need to return quickly to full activity. With one to two days hospitalization, a busy executive can return to his desk, and gain control over troublesome weight problems.
“Removable” in the list of key features refers to the fact that the Lap-Band can be removed from the patient with little residual impact on the stomach. This seems to be true even when the band has eroded into the stomach, or become infected, or slipped out of position. This is possible because the substance from which the band is made creates essentially no tissue reaction, so that the Band is not stuck in place over time. This feature also means that the Lap-Band procedure is “reversible” in a certain sense. We hasten to clarify that the Band would only be removed in our practice because of medical necessity, and that if it were not replaced by some other weight loss procedure that the patient would be guaranteed to experience significant weight regain.

This surgery as explained before, involves placement of a band around the outside of the upper stomach, to create an hourglass- shaped stomach, and to produce a small pouch with a narrow outlet. The special device used to accomplish this is made of implantable silicone rubber, and contains an adjustable balloon, which allows us to adjust the function of the band, without re-operation. Using thin surgical instruments and a small internal camera to monitor the operation, the surgeon places a silicone band without cutting or stapling. This pouch later limits the patient’s food consumption without disrupting the normal progression of food through the digestive tract.

In some cases, the gastric band is connected via a small tube to a small reservoir that contains saline. This reservoir is placed under the skin of the upper abdomen. After surgery, the surgeon will examine the patient to ensure that the band contains enough saline. It needs to be tight enough to allow for gradual weight loss while ensuring that the patient eats enough food for proper nutrition. Adjustments are typically made to the band one month after the procedure. Using a fine needle, the surgeon can add or remove saline to enlarge or shrink the band. The number of adjustments varies from person to person, but most patients need three to five before the band is at the ideal tightness. The length of this laparoscopic procedure is one to two hours. Because the stomach is not cut, stapled or opened there is less trauma to the body. The most common problem is a slippage of the stomach through the band, causing the upper stomach pouch to enlarge and obstruct, often requiring a revisional surgery, which can usually be done laparoscopically. For best success, frequent adjustments of the band are needed, and one must learn to change eating behaviour.

Sleeve Gastrectomy

A variation of the biliopancreatic diversion includes a duodenal switch. The part of the stomach along its greater curve is resected. The stomach is “tubulized” with a residual volume of about 150 ml. This volume reduction provides the food intake restriction component of this operation. This type of gastric resection is anatomically and functionally irreversible. The stomach is then disconnected from the duodenum and connected to the distal part of the small intestine. The duodenum and the upper part of the small intestine are reattached to the rest at about 75-100 cm from the colon.

For more information, kindly visit :
http://www.aasthahealthcare.com/Bariatric-Surgery-Procedures.htm

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Bariatric Surgery Treatment Procedures only in Aastha Health Care Hospital, Mumbai, mulund, pune, india

Congress can’t fix the health care system. A single bill squeezed through the House and Senate won’t eliminate the high costs, spiraling premiums, inadequate coverage, denial and delay in approving treatment and the paperwork bureaucracy plaguing health care.  Those problems call for an elegant solution that lies beyond Congress’ grasp.

The phenomenon of medical tourism—of patients traveling from one country to another in search of less expensive and often more luxurious health care—has received considerable attention recently.  In 2007, an estimated 750,000 Americans traveled abroad for medical care.  The projected increase in the number of American medical tourists is from 750,000 in 2007 to 15.75 million in 2017.  Most major surgical procedures (e.g., heart bypass, joint replacement, spinal disc repair, lasik eye surgery, lapband weight reduction surgery, etc.) cost 50% to 90% less abroad, thus, leading to the advent of medical tourism.  Such huge savings make the cost of health care affordable for the uninsured and underinsured who either can’t wait for, or simply don’t trust, their government to come up with a solution to the health care crisis.

To top it off, the quality of care at many renowned hospitals abroad is on par with—and oftentimes superior to—that of a U.S. hospital.  That is not to say that one should not be cautious in navigating the medical tourism process alone.  Medical Tourism Facilitators have played an important role in promoting the growth of medical tourism, and at least in theory, have already done the groundwork to make sure the hospitals they partner with are accredited and safe to work with. The best case scenario is that they have visited the hospital and already have a system in place to make sure your medical trip is a smooth one.  One such facilitator is MedBirds (http://medbirds.com), which is a subsidiary of Medical Care International, Inc.  The company was founded by a group of U.S. health care professionals and has expanded rapidly to become a major player in the global health care market.

Without a doubt, worldwide, medical travel is growing rapidly, and destinations like Thailand and India have become major world centers attracting people from all corners of the world to their top-quality surgical and medical facilities.  With its many benefits, medical tourism has, for thousands of Americans, become a solution to the vexing health care crisis. 

 Author:  Conrad Crane

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Congress Can’t Fix Health Care System; Americans Go Abroad

Shedding extra pounds and losing unwanted fat have been, for many years now, the dilemma of many people. And this is not just a problem in the United States but all over the world as well. This is not surprising as many of us mostly indulge in unhealthy diet; eating fake carbs, fast foods, and caffeinated beverages.

With this kind of problem at hand, we try to seek for answers that will satisfy our needs. Hence, many people try different weight loss programs, weight loss medications and have visited many weight loss clinics. However, not all of these losing weight methods can be effective and give better results to us. It is still a case to case basis.

Now, because some are not satisfied with the mentioned weight loss procedures, weight loss experts have strived to give people the best answer. Hence, weight loss surgery has been introduced. And did you know that this weight loss method has become a booming industry. With all those people who are tired of trying different weight loss pills and diet systems, many have resorted to surgery. But, before you even try consulting a surgeon about weight loss using surgical procedures, it is better to get to know weight loss surgery first.

The Benefits of Surgery for Weight Loss

Although there have been some reports of the bad sides of weight loss surgery, it also has several benefits.

Here they are;

Promote better health

- yes, this weight loss procedure can give you a healthier body with continued weight loss. Diseases like diabetes, sleep apnea, osteoarthritis, and high blood pressures can also be prevented.

Psychological

- aside from health-related benefits, undergoing surgery can also bring good results in relation to a person’s psychological nature. You see, if you are slim and sexy, you will have high self-esteem and you can be confident all the time.

Keeping Yourself Fit

- with surgery, you’ll be thought on how to control weight gain all by yourself. You will learn how to be contented and be satisfied even with just a small amount of food.

Risks Posed by Weight Loss Surgery

If there are benefits to this weight loss procedure, there are also risks. Well, all kinds of surgery have one or more risks, right? And this is not an exemption. Among the most serious threat brought by surgery are blood clot, failure of a body organ, infection, hemorrhage or even death. Now, the technique used in weight loss surgery known as laparoscopic technique rarely cause death to patients so no need to worry that much.

The following are among the problems that you can expect during and after the surgery:

Problems with the adjustable gastric band such as prolapsed and erosion Complications after a gastric bypass operation such as hemorrhage, obstructions in the intestines, internal hernias, marginal ulcers, etc.

Complications after a biliopancreatic diversion surgery.

Risks of failing to get the expected weight loss results as well as weight regain after the surgery.

You have to keep in mind that weight loss surgery has potential risks. It is up to you to brave these risks and go on with the procedures. The important thing is that you look for a reputable clinic. You can ask out some known clients that the clinic have regarding the kind of services that it has. Try to find out about the success rate of the clinic when it comes to surgical procedures. It is also a must that you check for the background of the surgeon who will perform your weight loss surgery. Better yet, gather as many information as you can on their surgeons and choose who you think is the best among them.

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Know Weight Loss Surgery