RouxenY Gastric Bypass

Roux-en-Y gastric bypass (RYGB) is considered the gold standard for achieving a sustainable weight loss in the morbidly obese. 2 This procedure purports an average weight loss of 100 lbs after one year and has low mortality and morbidity rates for patients.3 The 30 day mortality rate is reported to be 0.5 percent-1.9 percent.45 The most common causes of death are pulmonary embolus, gastrojejunal anastomotic leak, respiratory failure, sepsis, and GI hemorrhage.

These patients are high-risk surgical patients with multiple underlying comor-bidities, and 50 percent of deaths are due to underlying comorbidities (hypertension, diabetes, sleep apnea, pulmonary embolus, cirrhosis, etc.).6

With the introduction of a laparoscopic technique for RYGB, risks associated with this surgery decreased dramatically. In a recent series of surgeries comparing open gastric bypass to laparoscopic technique, laparoscopic RYGB was associated with decreased operative mortality, wound infection, and incisional hernia.4 Unfortunately, laparoscopic gastric bypass has been associated with an increased incidence of stomal stenosis and internal hernia.7

Virtual Gastric Banding

Virtual Gastric Banding

Virtual Gastric Band Hypnosis Audio Programm that teaches your mind to use only the right amount of food to keep you slim. The Virtual Gastric Band is applied using mind management techniques, giving you the experience of undergoing surgery to install a virtual gastric band or virtual lap-band, creating a small pouch at the top of the stomach which limits how much food can be eaten. Once installed, the Virtual Gastric Band creates the sensation of having a smaller stomach that is easily filled and satisfied with smaller amounts of food.

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