The Basics of Bariatric Surgery (Continued)
Laparoscopic Weight Loss Surgery
In laparoscopy, the surgeon makes one or more small incisions through which slender surgical instruments are passed. This technique eliminates the need for a large incision and creates less tissue damage. Patients who are super-obese (more than 350 pounds) or have had previous abdominal operations may not be good candidates for laparoscopy, however. Adjustable gastric banding is routinely performed via laparoscopy.
This technique is often used for Roux-en-Y gastric bypass, and although less common, biliopancreatic diversion can also be performed laparoscopically. The small incisions result in less blood loss, shorter hospitalization, a faster recovery, and fewer complications than open operations. However, combined laparoscopic procedures are more difficult to perform than open procedures and can create serious problems if done incorrectly.
Excerpted and adapted from the Weight Control Information Network.
Reviewed by Susan Weiner, R.D., M.S., C.D.E., C.D.N. 3/08
Sesame Cucumber Salad Garlic and Cashew Ranch Dressing Chili Burgers Oriental Green Beans Citrus Sesame Smoothie Apple Pie with Cinnamon Club Calzone Vegetarian Stuffed Peppers Braised Cod Sherry Chicken with Mushrooms
I was called into a conference room where two men in their mid-30s were leaning into a computer monitor reviewing something I had apparently written and submitted to them. It was some sort of documentation explaining my need to be with Charlie in case of emergency. They seemed like a couple of nice guys and appeared accommodating to my requests. My outside-looking-in self didn’t know what to make of the animated images my dream self added to...