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A New Direction In Weight Control Gastric Bypass Surgery


A New Direction In Weight Control - Gastric Bypass Surgery

Surgery may be a weight-loss option for patients who are severely obese and suffer from serious medical complications due to weight. There are two accepted surgical procedures for reducing body weight: gastroplasty and gastric bypass. Although these two procedures use different surgical methods, they both reduce the stomach to a pouch that is smaller than a chicken’s egg, drastically limiting the amount of food that can be consumed at one time. Surgery produces 25 to 35 percent reductions in weight over the first year and most of this weight loss is maintained five years after surgery. More importantly, the serious medical conditions that accompany extreme obesity improve significantly. Surgery is not without risk and should be performed by skilled surgeons who also provide patients with a comprehensive program for long-term weight control.

Limited gastric capacity and a narrow anastomotic gastrointestinal stoma necessitate certain dietary modifications particularly in the early post-operative period. Diet progression varies amongst health care professionals. A standardized GBP diet does not exist. Generally, most patients begin with a liquid diet due to the small, edematous gastric outlet. This phase of the diet may range from one day up to 6 weeks. Afterwards, pureed textures are introduced and the diet is slowly advanced to soft-textured foods by about 12 weeks. Small, frequent meals rich in protein are emphasized. Liquids are usually consumed between meals to allow greater intake of calories and protein with solid foods. Carbonated drinks may cause distension and discomfort from the carbon dioxide. Red meats, tough meats, breads and milk products may be difficult for some patients to tolerate. Until solid food intake is adequate, high protein liquid supplements such as sugar free Carnation Instant Breakfast (mixed with low lactose milk if necessary) are often recommended.

During the first six to 12 months after surgery, patients generally consume 900 to 1000 calories. Calorie consumption slowly increases due to a change in the pouch size and stoma size, gastric emptying rate and intake of solid food. Sugar and concentrated sweets are discouraged in order to prevent dumping syndrome. Because the pyloric sphincter is bypassed, simple sugar is dumped into the small intestine causing an increase in the osmotic load, thereby drawing fluid into the intestine leading to diarrhea, nausea, diaphoresis and abdominal cramps. The shunting of blood to the intestines and the perceived decrease in blood volume 30 minutes to one hour after a meal prompts many patients to lie down in an effort to improve cardiac output.

Gastric bypass patients generally lose 50%–75% of excess body weight and are usually successful with weight maintenance.

The obese population, especially the morbidly obese, is increasing at an alarming rate in the United States. Weight loss programs have been found ineffective in this group. In an effort to improve the quality of life and decrease comorbidities associated with this patient population, gastric bypass surgery may be an option.

Quick Tips to Boost Your Metabolism


Quick Tips to Boost Your Metabolism

There are a lot of people who would give a lot to increase their metabolism. Having a high level of metabolism enables one to maintain burn fat and lose weight fast with the least amount of activity. Metabolism is the rate by which the body produces and consumes energy and calories to support life.

There are several factors that affect the metabolism of a person, such as the amount of muscle tissue, the frequency of the meals one consumes, genetics, stress levels, personal diet and activity levels. Metabolism slows done due to the following: loss of muscle because of not enough physical activity, the tendency of the body to cannibalize its own tissue because there is not enough food energy to sustain it, and the decrease of physical activity that comes naturally with old age.

Here are several ways to fire up one's metabolism:

1. Build up on lean, mean body mass. It is only natural that metabolism decreases along with age, but it is possible to counter the effects. The amount of muscle a person has is a very strong determinant in the ability to burn calories and shed fat. So it goes without saying that exercise is essential. Build strength and resistance by working out at least twice a week, preferably with weights. Do easy exercises in between workouts. Simple tasks such as walking the dog and using the stairs in place of the elevator can already take off calories. The key is to match the amount of eating to the amount of activity one has. Here are some guidelines in getting the right exercise:

For strength training

-Increase the amount of repetitions of a particular exercise.

-Add the level of resistance

-Utilize advance exercise techniques if possible

For cardiovascular training

-Insert intervals between exercises

-Perform cross-training and combine the exercises

-Add up on resistance and speed

2. Eat breakfast. A lot of people are ignoring the fact that breakfast is the most important meal of the day. Surprisingly, the ones who eat breakfast are thinner than the ones who do not. Metabolism can slow down considerably if breakfast is taken during mid-morning or if one waits until the afternoon to eat.

3. Avoid sugar. Sugar enables the body to store fat. It is recommended that a person consumes food that helps sustain an even level of blood-sugar. Additionally, progressive execerise 2-3 times a week should be in order to stabilize blood sugar.

4. Eat spicy foods. Hot cuisine with peppers can increase metabolism.

5. Sleep more. According to research, it is riskier for people who do not get enough sleep to gain weight. Also, muscles are regenerated during the last couple of hours of slumber.

6. Increase water intake. Water flushes out toxins that are produced whenever the body burns fat. Majority of bodily functions involves water, and lack of water causes the body system's operations to decrease its speed, and produces unneeded stress as a result.

7. Eat smaller meals. It is advisable to consume 4 to 6 small meals that are timed 2 to 3 hours apart.

8. Never skip meals. People tend to skip meals in order to lose weight, which is a big mistake since it slows down metabolism.

9. Plan meals in detail. Always prepare the right amount of food to be consumed at the designated intervals. Do not commit the mistake of eating meals in sporadic patterns.

9. Ditch the stress! Stress, be it physical or emotional, triggers the release of a steroid called cortisol, which decreases metabolism. Also, people tend to eat excessively when stressed.

10. Guzzle up on green tea. It can be used as a substitute for coffee. Tea has the ability to stimulate metabolism, and unlike coffee, it has no undesirable side effects when too much is consumed.

11. Include more energy foods in the diet, such as fruits and vegetables, beans and whole grains.

Achieving the desired body weight is never impossible if one has the determination and patience needed to stabilize the metabolism level, which plays an important role in weight loss. A person needs to realize that eating right and working out is not just a passing fancy, but a way of life.