Bariatric surgery in Mississauga Canada
Bariatric surgery in Mississauga section, includes general infrmation about Bariatric surgery Procedure, Bariatric surgery Mississauga Local News, Bariatric surgery Mississauga Surgeon Locator and other Bariatric surgery related material.
Bariatric surgery Procedure
Bariatrics is the branch of medicine that deals with the causes, prevention, and treatment of obesity.
The term “bariatrics” refers to "weight medicine". Bariatrics generally deals with pharmacotherapy of obesity and with obesity surgery.
Overweight and obesity are strongly related to medical problems in today’s world. There are many health effects of obesity, such as heart disease, diabetes, many types of cancer, asthma, obstructive sleep apnea, chronic musculoskeletal problems, and others.
In addition to medical concerns regarding obesity, appearance (look) has a major relevance to weight and obesity.
Although diet, exercise, behavior therapy and anti-obesity drugs are first-line treatment, medical therapy for severe obesity has limited short-term success and almost nonexistent long-term success. Therefore, obesity surgery (or bariatric surgery) has been a popular treatment in the war against obesity. Weight loss surgery generally results in greater weight loss than conventional treatment, and leads to improvements in quality of life and obesity related diseases such as hypertension and diabetes.
Before someone can become a candidate for bariatric surgery, certain criteria must be met. The basic criteria are:
[1] An understanding of the operation and the lifestyle changes the patient will need to make;
[2] A body mass index (BMI) of 40 or more, which is about 45 kg (100 pounds) overweight for men and 35 kg (80 pounds) for women; or
[3] A BMI between 35 and 39.9 and a serious obesity-related health problem such as type 2 diabetes, heart disease, or severe sleep apnea (when breathing stops for short periods during sleep).
Risks involved
Past studies found that 10 to 20 percent of bariatric surgery patients had complications while they were in the hospital. In 2006, federal researchers found that 39.6 percent of patients had complications within 180 days of surgery. The most common complications are:
[1] A composite of gastrointestinal symptoms including vomiting, diarrhea, dysphagia, and reflux (20%)
[2] Anastomotic leaking (at the surgical connections between the stomach and the intestine) (12%);
[3] Abdominal hernia (7%)
[4] Infections (6%).
About 7% of patients were re-admitted to the hospital within 6 months to treat complications specific to the bariatric procedure.
The in-hospital death rate in adults undergoing obesity surgery in 2003 was 0.2%.
Laparoscopic surgery has become an important addition to this field of surgery, and demand soars, amidst scientific and ethical questions.
Surgical procedures in bariatrics
There are a number of surgical options available to treat obesity, each with their advantages and pitfalls. In general, weight reduction can be accomplished, but one must consider operative risk (including mortality) and side effects. Usually, these procedures can be carried out safely.
The surgical procedures can be grouped in three main categories:
[1] Predominantly malabsorptive procedures: although also reducing stomach size, these operations are based mainly on diversion and bypass.
[2] Predominantly restrictive procedures: a surgery that primarily reduces stomach size: Vertical Banded Gastroplasty (Mason procedure, stomach stapling); Adjustable gastric band (or "Lap Band"); Sleeve gastrectomy.
[3] Mixed procedures: applying both techniques simultaneously: gastric bypass surgery, like Roux-en-Y gastric bypass; Sleeve gastrectomy with Duodenal Switch Implantable Gastric Stimulation.
Biliopancreatic diversion
A complex operation, also known as biliopancreatic diversion (BPD), or Scopinaro procedure.
This surgery is rare now because of problems with malnourishment. It has been replaced with the Duodenal Switch, also known as the BPD/DS. Part of the stomach is re-sected, creating a smaller stomach (however after a few months the patient can eat a completely free diet as there is no restrictive component). The distal part of the small intestine is then connected to the pouch, bypassing the duodenum and jejunum. This results in around 2% of patients severe malabsorption and nutritional deficiency that requires restoration on the normal absorption.
The malabsorptive element of BPD is so potent that those who undergo the procedure must take vitamin and mineral supplements above and beyond that of the normal population. Those that do not run the risk of deficiency diseases such as anemia and osteoporosis.
Because gallstones are a common complication of rapid weight loss following any type of weight loss surgery, some surgeons may remove the gall bladder as a preventative measure during BPD. Others prefer to prescribe medication to reduce the risk of post-operative gallstones.
Far fewer surgeons perform BPD compared to other weight loss surgeries, in part because of the need for long-term nutritional follow-up and monitoring of BPD patients.
Vertical Banded Gastroplasty
a part of the stomach is permanently stapled to create a smaller pre-stomach pouch, which serves as the new stomach.
The same effect can be created using a silicone band, which can be adjusted by addition or removal of saline through a port placed just under the skin. This operation can be performed laparoscopically, and is commonly referred to as a "lap band."
Adjustable Gastric Banding
The first lower pressure, wider, one-piece adjustable gastric band called the MIDband® was introduced in 2000. Unlike many of the early bands this was designed specifically for laparoscopic insertion.
Other Bariatric surgery Procedures
All Body Procedures
Bariatric surgery mississauga (current)
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mississauga Calf Augmentation
mississauga Liposuction
mississauga Body Contouring
More Mississauga info...
Mississauga Eat
Axia Restaurant and Bar, 5045 Plantation Place (Along Eglinton Ave W near Erin Mills), tel: 905-6082942. [7]. In the community of Erin Mills. A nicely designed ambient place with fully authentic Asian food being produced from separate kitchens. Specializes in Chinese, Japanese, Thai and Korean cuisine. Mains $15-20, appetizers $5-10. Fully liquor licensed with unique flavoured Korean soju and alchoholic bubble tea. A must for any Asian food lover and enough variety to last countless visits.
Hooks Grille, 26 Lakeshore Road East, tel: 905-2787665. Overlooking Port Credit harbour. Small intimate place with great cajun food. Mains $15-20, tapas $5-10. The tapas are big, order at most two. Beer lovers will want to try the local Old Credit ale on draft. -
Mississauga Get around
Mississauga Transit [3]
Toronto Transit Commision (TTC) [4] (services some of the east end of the city near the Toronto boundary)
Oakville Transit [5] (services some of the west end of the city near the Oakville boundary)
Blue & White Taxi
Golden City Taxi
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Plastic Surgery News...
- This article provides evidence to guide the treatment of men with lower urinary tract symptoms, with focus on benign prostatic hyperplasia (BPH). A previous article discussed diagnosis (see previous NeLM report). The article looks at the available treatment options, the benefits and harms of surgery and discusses when referral to a urologist should be considered. The main summary points (taken directly from the article) are highlighted below:
• Treatment should improve patients’ symptoms and reduce progression and need for surgery while minimising harms and costs
• Management includes observation, lifestyle modification, drug treatment, minimally invasive surgery, and surgical removal of prostate tissue
• Alpha-blockers are the most effective drug for improving lower urinary tract symptoms and short term quality of life
• Combination treatment (alpha-blockers and 5-alpha-reductase inhibitors) reduces progression of benign prostatic hyperplasia and need for surgery if the symptoms are moderate or severe and the prostate glands large, if taken for more than a year; adverse events increase
• 5-alpha-reductase inhibitors may reduce risk of prostate cancer but may increase the risk of high grade disease
• Transurethral resection of the prostate results in the greatest improvement in symptoms and flow rate, but adverse effects include the risk of surgery
• Minimally invasive surgery can provide benefits comparable to transurethral resection of the prostate, with fewer serious adverse effects. Short term repeat intervention and urinary retention rates are higher than with transurethral resection of the prostate. Long term effect is unclear
- Parents, vaccinate your young adolescent children against meningococcal disease, urge physicians of the Texas Medical Association (TMA). The statewide medical society and other medical leaders now recommend vaccinating young adolescents against the devastating disease. Outbreaks of bacterial meningitis in college dormitories have made headlines in recent years, and the disease can be fatal.