9 Steps to Weight Loss Surgery
Obesity has become more and more prevalent throughout the world and many men and women are considering bariatric surgery, also known as weight loss surgery, as a solution to their weight gain.
Given the growing number of women with severe obesity, it is not surprising that the number of women who are seeking extreme measures to lose weight, e.g., bariatric surgery, is increasing. As discussed in detail in Chap. 6 ( Pregnancy and Weight Loss Surgery ), surgical interventions to lose weight, unless expertly planned, are not without potential consequences for mother and infant. In addition to promoting weight loss, malabsorptive type surgeries such as gastric bypass have resulted in suboptimal maternal
Since the first Roux-en-Y gastric bypass was described by Wittgrove et al. in 1994,55 laparoscopic bariatric surgery has been a rapidly evolving field. LAGB, vertical-banded gastroplasty, biliopancreatic diversion, and Roux-en-Y gastric bypass are technically challenging operations that require advanced laparoscopic surgery skills. Yet, the safety and feasibility of these procedures in the hands of qualified surgeons have been validated.32,56-62 LAGB is a less technically demanding procedure compared with other laparoscopic procedures, and it has gained widespread adoption outside the U.S.63,64 Most centers offer the laparoscopic approach for most uncomplicated candidates.