Morbid Obesity presents a
major health threat to our society. Some estimate that more
than 30% of the US population is affected by some degree of
obesity. There are many medical illnesses associated with morbid
obesity. These include:
- Hypertension
- Diabetes
- Heart failure
- Sleep apnea
- Thrombophlebitis, pulmonary embolism
- Hyperlipidemia, hypercholesterosis
- Asthma
- Degenerative arthritis
- Pseudotumor cerebri
- Depression
- Venous stasis ulcer
- Infertility
- Skin Infections, etc.
The illnesses associated with morbid obesity significantly
increase the risk of premature death .
Today, there are a number of surgical procedures that are
available for the treatment of morbid obesity. Stomach stapling,
the most common procedure done 5 years ago, has since been
shown to have a high failure rate. This procedure, only limits
the food intake.
The other common surgical method, the Roux-en-Y Gastric Bypass
limits food intake with some malabsorption occurring.
Compared to Roux-en-Y Gastric Bypass, Gastric Reduction/Duodenal
Switch is a superior operation because it allows the patients
to lead a normal life with near normal dietary habits and sustained
weight loss long after surgery. The pyloric valve is preserved,
thus there is no dumping syndrome.
The smaller stomach will stretch back to normal in about 12
months, thus allowing normal quantities of food intake. There
is no ulceration at the stomach site because the stomach is
functioning normally. The malabsorption affect helps with weight
maintenance while allowing proper nutrition. Although this
procedure is considered "newer", it is being performed
in selected centers in the United States, Canada and Europe. |