Monday, August 27, 2007

Morbid obesity: surgical and non-surgicel treatment

Morbid Obesity is a serious disease that is usually overlooked. Morbid obesity has a huge impact on all aspects of health condition.

Cardiovascular diseases, endocrine disorders and psychiatric problems are general expressions of complications associated with morbid obesity. In detail endocrine disorders alone cause a complete hormonal imbalance which result in diabetes, osteoporosis, infertility, feminine character in men and much more.

While patients are struggling to do their daily simple tasks they are offended by lack of respect. Most people around them don’t even think that is a disease. Doctors don’t spend enough time to consult them for appropriate treatment.

The only really effective treatment is bariatric surgery, which improves patient’s health and quality of life enormously. Due to lack of consultation most of patients are hesitant about surgery and they are afraid of surgical complications which compared to the complications of morbid obesity is nothing.

There are two options for surgery; the first one is gastric bypass or Roux –en – Y method. This procedure can be done either conventionally or by laparoscopy. This technique provides a small pouch stomach for early satiety and shorter intestine for less absorption.

The newer technique is Lap- band adjustable or adjustable gastric banding and usually is done laparoscopic which is less invasive. A silicon adjustable band splits stomach to a small pouch reservoir. Lap – Band has less complication because does not affect absorption and also is an adjustable and reversible procedure.

And bottom line for those patients who are scared of surgery: there is exciting news about a very new non surgical procedure. In this procedure an endobarrier is placed in stomach and upper intestine through an endoscopic instrument. This procedure takes half an hour and works like gastric bypass. Link

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