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What to consider about weight-loss surgeryAccording to  The Los Angeles Times Here are some facts to consider in deciding whether to have weight-loss (bariatric) surgery — and then which procedure to pick. There are four main options:

• Roux-en-Y, or gastric bypass surgery: The surgeon creates a small pouch in the stomach to restrict food intake and bypasses part of the intestine to restrict food absorption, connecting the remainder to the pouch.

• Banding: An inflatable silicon band is attached to the upper part of the stomach, then inflated with silicon solution to restrict food intake. Two commercial products are available: the Lap-Band (Allergan Inc. of Irvine) and the Realize Band (Ethicon Endo-Surgery Inc. of Cincinnati).

• Gastric sleeve: The stomach is stapled to convert it into a long, narrow tube with about only 20% to 30% of its normal volume, to restrict food intake.

• Duodenal switch or biliopancreatic diversion: The intestines are rerouted to create a very short path for nutrient absorption. The patient takes in only about 20% of the calories and nutrients in food.

“There are arguments to be made for all of the procedures,” Roslin said; the choice depends on what the patient needs.

As weight loss surgery increases in popularity, it becomes even more important that patients understand the likelihood of loose skin after weight loss surgery. Dr. O’Toole explains to patients that when there is loose and lax skin liposuction is not an option. Patients may need a thigh lift, abdominoplasty, arm lift, or facelift to improve the contour of these areas. Weight loss patients should prepare to invest in post surgical plastic surgery to ensure the best long-term weight loss success.


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