Kaiser Permanente Weight Loss Surgery has been one of the most popular weight loss surgeries in recent years. It is a non invasive, minimally-invasive procedure that is also referred to as "bariatric" surgery. This type of surgery is done by placing a hollow circular device around the abdomen, which restricts the quantity of food intake. The patient is restricted from eating large quantities of food, thereby losing weight. Although it has been approved by the FDA, it is not without its problems. In this article I will explore some of these problems and see whether they are worth it.
In order to explain this problem in simple terms, we need to understand the concept of the malabsorptive loop. This loop consists of a band, which is placed around the stomach and attaches directly to the small intestine. The purpose of the band is to prevent the food that is taken in from going back into the body before it is absorbed. When the food goes into the stomach, the band is unable to do its work as there is a defect in the design of the device, which results in the absorption of foodstuff into the large intestine before the intended destination.
The device used in Kaiser Permanente Weight Loss Surgery is a flexible loop with three components: a thin, rigid tube attached to the stomach by thin threads (the "skeleton") and an internal spring designed to push out the inner tube at a fixed position. The elasticity of the band is adjusted according to the patient's individual need. It is stretched taut over the abdomen so that the amount of food taken in is significantly reduced. The thin thread that attaches to the intestine is attached to a long thread on the inside of the rigid tube. This long thread (the "sigmoidoscope") is attached to a tiny camera on the end of the small tube which has the ability to send visual images of the intestine. The camera helps the doctor see whether the stomach is full or not.
The patient is placed in a reclining position before the procedure begins. An anesthetic may be applied and sometimes this is combined with a mild sedative. Another option is the administration of midazolam, which blocks most forms of receptors. Once the slender tube is introduced into the body, either by inserting it vaginally or orally, the band is pulled taut. At this point the surgeon can use the word "si dese fa" to indicate that the patient's stomach is full.
The doctor then uses either a small pump called a microsurgical device called a suction pump or a cannula to administer nutrition directly into the stomach. If the cannula is inserted into the upper section of the intestine, the food is fed faster. If it is inserted into the lower section, the food is digested more slowly. Either way, once the stomach is filled, the Kaiser permanente implant will be visible above the diaphragm.
An adjustable anesthetic is used during the procedure. The normal procedure is normally done on an outpatient basis after completion of a series of tests. The test results reveal any irregularities in the esophageal lining. It is then corrected with either a procedure called "contaminants" or with "banding". This is a long process involving multiple surgeries performed under anaesthesia and taking of medication to prevent the formation of cells in the intestinal lining which could develop into cancers.
The patient then lies down on a table under general anesthesia. Two thin stainless steel tubes, called the cannula, are inserted into the esophageal canal via the anus. A small vacuum tube called a "suparcial unit" evacuates the food from the stomach into the tube. The small tube is attached to the upper esophageal sphincter, which is opened by a small valve. The lower tube leads to a long plastic straw called a "stationary inflatable" connected to a thin metal nozzle called an "infra-red laser".
A surgical catheter is inserted into the lower stomach via the navel. A laparoscope, a tube with a light camera attached to it, guides the catheter through the abdominal cavity until it reaches the stomach's lower opening where a vacuum sealed tube containing a syringe containing saline solution is inserted. This syringe provides the high dosage of potassium, chloride and saltpeter with which to induce vomiting. The outpatient stays in the hospital overnight for recovery. The Kaiser Permanente Weight Loss Surgery is usually performed within a week or two.
No comments:
Post a Comment