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 Paige Reddan, MS., RD., LN., CDE. 4/14
Citrus Salad With California Avocado Creamy Potato Salad Pumpkin Spice Custard Asian Walnut Chicken Drunken Pork Chops Parmesan Muffins Beef-Barley Stew Mexican Fiesta Avocado Soup Spaghetti Casserole Warm Pomegranate Orange Juice
Last Saturday, I’d been struggling with an entire week above 200 that just didn’t seem to want to budge. So I decided that I couldn’t risk the Omnipod anymore and I had to pull it from my management routine, at least until things settled down. I started twice-daily Lantus injections on Saturday night and have been working out the kinks of being back on MDIs since then. The first three days of switching to MDIs were rough. Watching the Lantus take effect slowly was like waiting for...