DesireeJamieson-HS305-Unit9 Gastric Bypass.docx - Running head GASTRIC BYPASS CHANGES NEEDED FOR IMPROVED LONG Gastric Bypass Changes needed for

DesireeJamieson-HS305-Unit9 Gastric Bypass.docx - Running...

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Running head: GASTRIC BYPASS: CHANGES NEEDED FOR IMPROVED LONG 1 Gastric Bypass: Changes needed for improved long term outcomes Desiree Jamieson Kaplan University
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GASTRIC BYPASS: CHANGES NEEDED FOR IMPROVED LONG 2 Research Problem/Introduction Gastric bypass is the first and most commonly known form of weight loss surgery. Today there are other options, however gastric bypass is still most common in the United States, and has more known benefits and complications than other options to date. (MayoClinic, 2014). The surgery requires two parts, first stapling the stomach into a 2 pouches. The upper pouch is very small, approximately the size of a newborns stomach, and the lower pouch is the remainder of the stomach. The second part of the surgery is the bypass, attaching the upper portion of the small intestine called the jejunum to a small opening within the upper pouch of the stomach. This process allows a very small amount of food to be eaten and absorbed resulting in weight loss (MedlinePlus, 2013). To qualify for gastric bypass surgery a candidate must be at least 100 pounds overweight and/or have a Body Mass Index (BMI) > 39 with no co-morbidities or a BMI of 35-39 with a major health issue such as Diabetes, Hypertension, heart disease and sleep apnea. The average person will lose 10-20 pounds every month for the first year and continued weight loss up to two years, usually losing more than the weight they started with on day of surgery (MedlinePlus, 2013 & MedlinePlus, 2013). Acute complications that can occur during or immediately following the procedure are reactions to the anesthesia, reactions to medications, bleeding during or after surgery, blood clots potentially leading to pulmonary embolus/stroke/heart attack, gastric leakage, severe vomiting and dehydration and in rare cases death (Campanile et al., 2013 & MedlinePlus, 2013).
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GASTRIC BYPASS: CHANGES NEEDED FOR IMPROVED LONG 3 On the plus side, within days to months a person that has had the surgery can see and feel a substantial difference in their health, including normal blood glucose levels and breathing normally during sleep (Campanile et al., 2013). Many patients are educated on the possibilities of the acute complications that may arise during the months preceding the surgery. However, is there really enough education and emphasis of the long term complications or effects the surgery can have on a person and the necessity for continued compliance? Current Background During the first year specifically gastric bypass recipients are continuously losing weight at a quick rate and during the second year it slows down. In the beginning compliance is required in paying attention to foods tolerated and not tolerated, amount to eat and causes of vomiting and diarrhea. On average within two years most people that have had gastric bypass hit a plateau. At that point they lose weight very slowing, if at all. This leaves them at a vulnerability to gain weight back (Smith, 2005).
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