Brief History and Summary of Bariatric Surgery
Weight loss (bariatric) surgery is a unique field, in that with one operation, a person can be potentially cured of numerous medical diseases including diabetes, hypertension, high cholesterol, sleep apnea, chronic headaches, venous stasis disease, urinary incontinence, liver disease, and arthritis. Bariatric surgery is the only proven method that results in durable weight loss. This proven surgical approach, combined with the dismal failure of dieting, the marked improvement in quality of life and the quick recovery with minimally invasive techniques, has fueled the surge in the number of bariatric procedures performed annually over the last 10 years.
Weight loss operations can be divided into restrictive procedures and malabsorptive procedures. Malabsorptive procedures reduce the absorption of calories, proteins and other nutrients. In contrast, restrictive operations decrease food intake and promote a feeling of fullness (satiety) after meals. Some operations are a combination of both. The gastric bypass (open and laparoscopic), the laparoscopic adjustable band and the biliopancreatic diversion (with or without the duodenal switch) are the primary procedures used currently.
While the majority of patients who undergo these procedures are very successful, no procedure is perfect. Only through an honest discussion with a bariatric surgeon can patients decide which procedure may be best suited for them. With the development of new techniques and innovative procedures, patients and surgeons must remember the lessons learned from pioneering surgeons.
Click on the links below to Jump to a Section of the Story
• Chapter 1. INTRODUCTION
• Chapter 2. JEJUNOILEAL BYPASS
• Chapter 3. GASTRIC BYPASS & LAPAROSCOPIC GASTRIC BYPASS
• Chapter 4. BILIOPANCREATIC DIVERSION DUODENAL SWITCH
• Chapter 5. GASTROPLASTY
• Chapter 7. ON THE HORIZON & SUMMARY