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Surgery in Brazil
Laparoscopic gastric bypass in Brazil
More Information: *
•The surgeon will make a small tunnel behind the top of the stomach to guide the band through and wrap it around the upper part of the stomach. The band is then locked in place and connected by tubing to an access port that is placed beneath the skin. The band is adjustable and is filled with saline on the inner surface creating a new small stomach pouch above the larger part of the stomach. Adjustments of the band (or fills) will start 6 weeks following surgery.
•The band is considered a tool which helps you achieve sustained weight loss by limiting how much you can eat, reducing your appetite and slowing digestion. Patients report feeling full and satisfied after a small amount of food, and not feeling excessively hungry most of the time.
•Obesity is an excess of body fat tissue. It is associated with increased cell size and number. Population studies indicate a direct correlation between Body Mass Index (BMI) and morbidity and mortality. Ranges of BMI have been established for the purpose of analyzing and developing guidelines for effective approaches in the treatment and prevention of obesity. It is now accepted that an increase in body weight of 20 percent or more above normal constitutes a health hazard and is considered obese. People with mild obesity may be at risk if they have associated co-morbidities or the risk factors of these diseases.
What is the definition of obesity? *
|| Weight Status
| Below 18.5
| 18.5 C 24.9
| 25.0 C 29.9
|30.0 C 39.9
|40.0 - Above
•The high prevalence of obesity in our adult population and the likelihood that these conditions will become more critical demand a reassessment of the health implications of this condition. Clinical observations have long suggested a relationship of morbid obesity with many illnesses.
•Prior to any weight loss operation, your doctor will give you a complete medical examination and evaluate your overall health.
Overview of the procedure *
•A psychological evaluation will be given to you. This will determine whether you are ready to adhere to a healthier lifestyle. If you are not ready to make lifestyle changes (and have not tried hard to do so already), you will not be considered eligible for the procedure. Without changing your lifestyle, the surgery will not be a success.
•You will also receive extensive nutritional counseling before (and after) your surgery.
•The surgery is performed under anesthesia. There are two basic steps:
STEP 1 -- The first step in the surgical procedure makes your stomach smaller. The surgeon divides the stomach into a small upper section and a larger bottom section using staples that are similar to stitches. The top section of the stomach (called the pouch) will hold your food.
STEP 2 -- After the stomach has been divided, the surgeon connects a section of the small intestine to the pouch. When you eat, the food will now travel from the pouch through this new connection ("Roux limb"), bypassing the lower portion of the stomach. The surgeon will then reconnect the base of the Roux limb with the remaining portion of the small intestines from the bottom of the stomach, forming a y-shape.
•This "y-connection" allows food to mix with pancreatic fluid and bile, aiding the absorption of important vitamins and minerals . You still may experience poor absorption of certain nutrients.
•The risk of malabsorption is of greater concern in gastric surgeries that skip over a larger portion of the small intestines. These are performed much less commonly than the Roux-en-Y gastric bypass as described.
Follow-up is extremely important with bariatric surgery. Lifelong follow-up appointments are expected and need to be scheduled with the office staff. Of course, visits with other specialists are encouraged, should you have any problems. Initially you will have many appointments during the first year, especially if you have had the Lap-Band? procedure. Long-term, your surgeon will expect to see you once a year. It is probably a good idea to have your annual physical exam scheduled with your primary care physician before your annual surgical appointment. The primary care physician can have testing done which can then be reviewed with you by your bariatric surgeon.
Follow-Up Appointments *
What is the expected Weight Loss? *
Roux-en-y Gastric Bypass *
Gastric Bypass patients experience rapid weight loss in the first 12-21 months following surgery. Studies suggest that patients lose an average of 60 to 80% of excess body weight. After 21 months, the stomach pouch has stretched to hold more food. This stabilizes the weight loss. At this time, is critical to adhere to the low fat, low sugar diet and exercise recommendations to maintain the weight loss.
•Lap-Band® patients will have progressive weight loss for the first 2-3 years following surgery. The patient can, however, continue to lose excess body weight up to 6 years. Studies show that banding patients lose an average of 50 to 60% of excess body weight.
Laparoscopic Banding *
•Research has shown that bariatric surgery patients who exercise 3 or more times per week for a minimum of 30 minutes each time lose an additional 12% of their excess weight in 6 months compared to their peers who do not exercise as strenuously. Top >
What lifestyle changes are helpful? *
•Patients cannot lose weight without having a healthy lifestyle. Here are some simple things patients can do right now to keep themselves, their friends and family on track:
•Get rid of all the junk food in the house.
•Restock cupboards with healthy snacks your whole family can enjoy.
•Have allotted time for fun and outside play.
•Have a daily schedule to ease the chaos and decrease some of the stress in your life. This may mean taking some activities out of your schedule or your kids' activities.
•Cut the time you and your family spend each day watching TV or using the computer. Spend more time doing more active things such as playing outside with the kids or going for a walk.
•Plan your social life with activities that do not include food, such as going out dancing rather than going out to dinner.
How can I maintain my weight loss after the surgery? *
•We have been referring to bariatric surgery as a tool to help you lose weight. The goal of the surgery is to allow you to lose weight with the fewest possible restrictions to your diet. It is not automatic, and your behavior after surgery plays a very large part in your outcome. How you use the tool will affect your weight loss.
•Gastric bypass works in part by making the stomach much smaller so that you feel full sooner. It also works to curb the appetite because the food goes quickly into the small intestine, and chemical messages are sent to the brain telling the satiety centers that food is present. The surgery will give you a full feeling on a much smaller meal, improve the sense of self-control and help many avoid sugary foods due to dumping syndrome.
•The lap-banding patient will feel full sooner also because the pouch above the band is smaller than the stomach below it. This, in turn, will restrict the patient from ingesting more food than necessary.
•By eating only at mealtime and only until you feel full, your daily food intake will be decreased enough to provide weight loss. The weight loss will vary from week to week and may plateau for days and up to two weeks at a time. If you are at a plateau during the first 6 months post-op that lasts longer than two weeks, please call the office.
•Gradually, the rate of weight loss will decrease and your weight will stabilize. Your responsibility is to avoid snacking and grazing (continuous nibbling); and to choose healthy foods, become more active and exercise regularly and nurture the process of recovery from obesity. Participation in group meetings will help you through the surgery process and the years to follow. Also be sure to keep your regular office appointments so that your weight loss can be maximized and your health monitored.
•Again, surgery is a tool, something to help you accomplish your health goals. There will be adjustments that you will need to make. The bariatric team will be glad to guide, support and motivate you.
•There are eight rules that we have found helpful for weight loss success. All successful patients have these things in common.
What are the 8 Rules of Weight Loss? *
•Consumption of an adequate amount of liquid, preferably water, is crucial. You should consume a minimum of 64 oz. of liquid each day. This can only be done slowly, sipping fluids throughout the day. Gastric bypass patients should never drink more than 2 ounces of liquid quickly. On very hot or humid days, or when exercising, you should drink additional water. This is necessary in order to prevent dehydration.
•Only eat at mealtimes. Between-meal snacking or grazing on small amounts of food throughout the day will sabotage your weight loss and result in the inability to lose an adequate amount of weight.
•The primary source of nutrition should be protein. 70 to 75% of all calories consumed should be protein-based (eggs, fish, meat, etc.) Carbohydrates (bread, potatoes, etc.) should make up only 10 to 20%, and fats (butter, cheese, etc.) only 5 to 15% of the calories that you eat. A diet consisting of 600 to 800 calories and 75 grams of protein should be the goal for the first 6 months.
•Never drink liquids when eating solid foods. Liquids should be avoided for a period of 30 minutes before and 30 minutes after eating meals.
•Avoid foods and liquids which contain sugar or high fructose corn syrup. Not only will they slow down your weight loss, but they may make you sick! Sugar may cause dumping syndrome in patients who have had the gastric bypass procedure. Dumping, in short, is when sugars go directly from your stomach pouch into the small intestine causing heart palpitations, nausea, abdominal pain, and diarrhea.
•top eating and drinking when you begin to feel full. Listen to your body's signals. Do not think about the food that is left on your plate. Overeating and overfilling your stomach pouch will cause your pouch to stretch and may prevent weight loss success C or worse C cause long term problems and complications.
•It is essential that, within the first 6 weeks after surgery, you begin a regular exercise program, like walking, swimming, bike riding or etc. Research indicates that this will increase your overall weight loss by 12% in 6 months.
•Attend support group meetings and workshops. They will help you stay focused and motivated and help you work through the changes that weight loss brings. Plus, you might just make a few new friends! Top >
•As you lose weight, you may notice other changes in your body. You may experience increased energy levels and you should be able to sleep better at night. You can anticipate resuming a more normal life soon after recovery. As your weight decreases, more physical activity will be possible. Ongoing exercise will be important for calorie burning, muscle tone, and a sense of well-being.
•Long term, you can anticipate doing things you were not able to do before. Traveling, eating in restaurants and other pastimes will be more enjoyable. There may be new career and social opportunities, and a more positive self-image. Top >
•Patients who lose more than 100 pounds also face another challenge C excess skin. You may notice excess skin folds and wrinkles where the greatest weight loss has occurred. This is especially noticeable on the face, upper arms, chest and abdomen. Skin folds under the arms, breasts, abdomen and legs can cause chafing and cutaneous bacterial and yeast infections.
Reconstructive/Plastic Surgery *
•Reconstructive surgery is indicated for these patients. Reconstructive surgery can help give patients more self-confidence and a better body image. It is not unusual that patients that have reconstructive surgery will also lose several pounds of excess skin. This results in better fitting clothing. Reconstructive surgery to improve your appearance should be delayed until your weight loss has stabilized for at least one year.
My Brazil plastic surgery offers all inclusive packages including a tummy tuck in Brazil and a liposuction in Brazil. You will benefit with affordable plastic surgery and affordable cosmetic surgery.
The plastic surgery cost of your Brazil surgery is up to 75% less than USA rates and you will have access to leading board certified Brazil plastic surgeons.
In addition to plastic surgery in Brazil packages, we also offer gastric bypass, lap band, and gastric banding surgeries in Brazil.
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