Vertical Sleeve Gastrectomy With Duodenal Switch
Often referred to as simply a 'duodenal switch' procedure, this particular form of bariatric surgery is in fact a vertical sleeve gastrectomy to which a duodenal switch is added. This procedure is also sometimes referred to as a biliopancreatic diversion with duodenal switch.
Of all of the different forms of weight loss surgery available today this is perhaps the most controversial and, though widely performed, there are many surgeons who will not carry out the procedure because of concerns about its long-term effects on a patient's health.
The first part of the procedure is a vertical sleeve gastrectomy in which the stomach is divided vertically and approximately eighty-five percent is removed. The small remaining 'sleeve shaped' stomach, which retains the original outlet to the intestines, functions very much as a normal stomach and this part of the surgery is designed purely to restrict the quantity of food which can be consumed. This part of the operation is a form of 'restrictive' surgery and cannot be reversed.
The second phase of the operation is to create a duodenal switch and this is a form of 'malabsorption' surgery which is largely reversible. Whereas restrictive surgery creates weight loss by physically preventing the patient from eating too much food, malabsorption surgery is designed to restrict the body's ability to absorb calories from a meal as it passes through the digestive tract.
During the procedure the intestine is divided and a small section (usually about 150 cm in length) is used to create a bypass from the duodenum, which is close to the stomach outlet, to a point near the end of the intestinal tract, thus bypassing the bulk of the digestive tract (typically about 500 cm will be bypassed). The result of this bypass (or duodenal switch) is that food passing through the intestine will only mix with the body's digestive juices in the short final section of the intestine below the switch, giving the digestive juices very little time to digest the food and absorb calories from it into the body.
While duodenal switch weight loss surgery has the advantage of providing the patient with weight loss through both restriction and malabsorption, it is the degree to which the malabsorption element predominates in the duodenal switch which gives rise to much of the controversy surrounding this form of surgery. By comparison, the traditional Roux-en-Y operation has a much shorter bypass and the distance over which food mixes with the digestive juices in the intestine is in the region of five times greater.
The argument which many surgeons use against the duodenal switch is simply that so little absorption takes place that there is too great a risk of anemia, protein deficiency and metabolic bone disease. The vertical sleeve gastrectomy with duodenal switch is also arguably the most complex form of weight loss surgery and many believe that it carries an unacceptably high risk of complications.
Despite the risks however, the duodenal switch remains a surgical option and can be very effective, especially in patients with a very high body mass index (BMI).
Snoring Surgery Facts
The condition of snoring is very problematic. It is more difficult for people sleeping in the same room as the person snoring. The person hardly realizes being in deep sleep. But it can develop into a problem for the person snoring also as it disrupts social life and relationships. So it is very essential to stop snoring which can be cured entirely. Snoring is caused by a vibration of the tissue in the at the back of the throat. The tissue can be removed by surgery. But surgery for snoring is regarded by most insurance companies as cosmetic surgery. For this reason patients usually have to cover the cost themselves. An exception is surgery on the septum.
One of the most efficient surgical methods to cure the snoring condition is the uvulopalatopharyngoplasty or UPPP. It requires the patient to stay at the hospital for 2 to 3 days. The recuperation time can be two weeks to three weeks. It is not a very easy procedure and involves a lot of pain. As part of the surgical procedure the tonsils of the patient will be removed along with the uvula and part of the soft palate. The goal is to enlarge the airway and remove some of the soft tissue that vibrates causing snoring. However it does not work for obstructions at the base of the tongue.
Laser assisted uvulopalatoplasty or LAUP is another procedure where part of the uvula is vaporized with a carbon dioxide laser. For this surgery first a local anesthetic applied over the back of the throat covering the tonsils, soft palate and uvula. Then some more anesthetic is applied in the muscle around the uvula. Then two incisions are made in the soft palate on either side of the uvula. A third incision is made on the tip of the uvula. All this is done with a carbon laser. It is usually done in 3 sittings each lasting for about 30 minutes.
Somnoplasty or radiofrequency volumetric tissue reduction is a very effective and relatively new technique. A needle is used to direct radiofrequency signals to the soft palate, throat or tongue to shrink the tissues. The needle is inserted under local anesthesia beneath the surface layer of cells and heated up to a temperature of 80 degree Celsius or 178 degree Fahrenheit. The heated tissue is destroyed and gradually reabsorbed. The procedure is completed in 30 minutes and patients often find relief after just one session. But for some two sessions are needed. A less painful alternative performed at the side of the air duct Tonsillectomy in which the tonsils are taken out.
The third method performed at the bottom of the airway is genioglossus tongue advancement. It is performed on people who have tongues that are large at the back. In this procedure the tongue is pulled forward to make it less obstructive at the back. It involves slowly shrinking the floppy plate in up to 5 sittings. No tissue is removed in this process. The palate is gradually scarred and tightened.
How to Cure Your Dog’s Allergy in the Best Possible Way
Before delving further in to the topic, let us first understand what dog allergy exactly is. Well, dog allergy is allergic reaction to disclosure of a nontoxic substance. Your dog can suffer from several types of dog allergies. These types of allergies become visible on the skin of your dog. However, there are a number of other symptoms of dog allergy. Further in this article we are going to talk particularly about dog allergy. So, if your pet is suffering from such an unhealthy state then you must read this article properly.
This type of a disorder is common in most parts of the world, although it has different forms. In this article, we are going to talk about all the possible ways of treating your dog's allergy. First of all, let us discuss about some of the natural tips of treating your dog's allergy.
1. Make sure that your dog bathes at least once a week.
2. Wash or clean your dog with a soft towel or cloth. It is of utmost importance to do so.
3. Don't allow your dog to roam around in dirty areas or backyards.
4. Consult a veterinary expert before doing anything. You need to ask for his suggestions regarding your dog's allergy.
5. Take your dog for regular check ups.
So, these are some of the finest natural tips for you to consider when it comes to the treatment of your dog's allergy. Now, we are going to talk about some products that could help you cure dog's allergy.
1. Pet allergy shampoo
Well, it is an excellent product for reducing the dust mites from the body of your dog. It also helps in relieving your pet from ticks and fleas. It is quite expensive. But let me tell you it is certainly worth it.
2. Allergy relief product
If you are looking for a complete dog care product then this is the right one for you. It is an excellent source of various minerals and iodine.
3. Cleansing wipes for your beloved dog
We all know that cleaning your dog regularly is of utmost importance. So, make sure you make use of best of products while performing this task. You can use cleansing wipes while bathing your dog. This product simply rejuvenates the skin of your dog.
So, this was all about dog allergy and its cure. Make sure you go through this article once. It could certainly provide you some help.
Benefits of Fish Oil For Your Health – Including Possible Anti-Cancer Properties
In recent years, more and more essential nutrients, vital to the human health, are being recognized and researched so as to improve the well being of humans. One such essential nutrient is known as Omega 3 fatty acids. These nutrients are good fats, specifically known by the name of polyunsaturated fats, and have many benefits for human health. Fish oil is a very popular, and perhaps the best source of these nutrients. Here's a look at some benefits of fish oil, or omega 3 fatty acids to be exact.
Benefits Of Fish Oil Supplementation
o For the heart: Omega 3 fatty acids do a whole lot of good for your heart and benefit it in many ways. These nutrients help to lower high blood pressure, prevent heart attacks, lower cholesterol, reverse atherosclerosis, and reduce angina pains. Most fats are deemed bad for the heart, but omega 3 fats are beneficial to your heart.
o Anti-cancer properties: Research also shows that omega 3 fatty acids contain some useful anti-cancer properties. Hence, one of the benefits of fish oil is that it may be used to prevent breast and colon cancers.
o Useful in treating lupus: Along with having symptoms such as weight loss, skin rash, tiredness, excessive sweating etc, lupus can also damage your heart, lungs, and immune system and become a potentially fatal disease. As omega 3 contains powerful anti-inflammatory agents, it is also very useful to people suffering from lupus.
In addition to the above specific uses, the benefits of fish oil can be seen in most parts of your body. Studies show that omega 3 fatty acids can improve your general health significantly and can make you a much healthier person.
Advice On Choosing the Best Supplements
o Choose brands that are made with oils derived from cold water fish because they contain high amounts of DHA and EPA; it will pay you more to buy brands that contain at least 250mg of DHA per 1000mg capsule.
o Ensure that you choose a brand that has been well purified by molecular distillation, so as to remove any possible contaminant.
o Do not go for any brand that has artificial additives such as artificial colors and preservatives because they may be harmful to your body.
Now that you have seen some benefits of fish oil, you can visit my website to learn more about the high quality brand I personally take; it is molecularly distilled and rich in DHA omega 3.
Discover the best fish oil supplement available today.
Ablene Review – Ablene’s Impact On Alleviating Crohn’s Symptoms
Crohn's disease is an unpleasant disorder of the digestive and gastrointestinal tract, which affects more than a million people around the globe. It has multiple unpleasant symptoms. A drug free remedy called Ablene was developed by scientists to help those who suffer from Crohn's disease to reduce the unpleasant effects.
What is Ablene?
Ablene is new supplement specifically formulated for patients diagnosed with Crohn's Disease and Irritable Bowel Syndrome. It has been formulated to replenish nutrients that are forcibly discharged with diarrhea, vomiting and fever, just a few of the symptoms associated with Crohn's disease. Ablene helps your body recover by supplying it with the vital nutrients it needs to get back on track.
A major problem with Crohn's is intracellular nutrient deficiency which ironically can be made more severe by several medical treatments. With this in mind Ablene was researched and produced as a nutritional supplement to combat the nutrient loss effect caused by Crohn's.
How Ablene works
Many people are prone to gastrointestinal problems such as diarrhea and abdominal cramping. The significant characteristics of having Crohn's also includes major weight loss, a significant loss of appetite, fever, and rectal bleeding. These factors need to be monitored and controlled for safe recovery to occur. Crohn's patients are advised to eliminate or cut down on foods that cause allergies such as cereal grains, artificial sweeteners, diary products, fats, and chocolate
Inflammation reduction. Ablene contains anti-inflamatories that inhibit the substances and enzymes that cause inflammation.
Quality Nutrients. Ablene has been designed to improve the quality of life in all people concerned with the health of their digestive tract. It does this by providing enough of the right nutrients research has shown beneficial to optimum digestive health.
Ablene Ingredients
Ablene is a nutritional supplement formulated supply the body with essential nutrients lost due to an adverse digestive system . Some of its vital ingredients are: Iron, Iodine, Magnesium, Zinc, and Copper. Extracts of these metals are essential in the regulation of digestive tract functions Vitamins A, C, E, and B-complex . Natural plant extracts of olive, cat's claw and licorice to protect the liver, and help this organism fight viral and bacterial infections and to reduce inflammation. Inositol, choline, l-glutamine, and rutein. These help to control the uncomfortable side symptoms of Crohn's.
These ingredients formulated in Ablene can reduce the symptoms of Crohn's when combined with your doctor's treatment programme. Existing research indicates the ingredients contained within Ablene are of substantial benefit in successfully combating Crohn's disease and gastrointestinal tract disorders.
Dizziness is the Third Most Frequent Reason People Seek Medical Attention
Right up there with headaches and back pain, as the first two reasons which people seek medical attention. Invariably the standard medical treatment approach for vertigo and dizziness is to prescribe meclizine, (Antivert), a vestibular suppressant drug, which doesn't work. Here is why.
50% of patients complaining of dizziness in a primary care setting do not get a diagnosis, yet 70% receive a prescription for meclizine. The drug, essentially a CNS depressant, slows things down. In addition to causing lethargy, the drug's tendency is to produce a slowing effect on reaction time equal to a blood alcohol level of .04 to .06%.
This reduced reaction time is a leading cause of falls in the elderly. Falls, especially in the elderly cause hip fractures, shoulder fractures, strokes, etc. Nearly 50% of elderly patients admitted for hip fractures become chronic patients. Nearly 50% of elderly patients admitted for hip fractures die within one year. If all of this isn't enough, meclizine is known to hinder the natural vestibular compensation process, meaning not only doesn't it help; it actually retards the natural recovery process.
So why then is this drug so routinely prescribed inappropriately? Well, I wish that I could answer that question, but I can't. But I can tell you that it will not work and could actually lead to a fall, and the older you are, the more likely this becomes. The real irony here is that most causes of vertigo and dizziness are actually very easily treated. But the problem is that if your doctor has no training in treating them appropriately, or doesn't refer you to someone trained to treat them appropriately, you'll get the prescription for Meclizine instead.
It is at this time that you must realize that there are better options available to you, and that as it is your body, you are entitled to a second or even third opinion. Actually, most of my patients have been to as many as 6 doctors prior to coming to see me. And it is for this reason that I write these articles, to let people know that there are better options.
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