HealthONE: Bariatric Surgery

HealthONE: Bariatric Surgery


– [Narrator] If you suffer
from severe obesity, and have been unable to lose weight, your doctor may recommend
robotic bariatric surgery. Your digestive system, or
gastrointestinal tract, includes your mouth, esophagus, stomach, small intestine, and large intestine. Your pancreas, liver, and gallbladder squirt digestive juices
into your small intestine to help break down the food you eat. Your doctor may recommend
bariatric surgery if you are unable to lose weight and keep it off through diet an exercise alone, have a body mass index, or BMI, above 40, have a BMI above 35 and you have a life-threatening condition such as heart disease or diabetes, or weigh more than 100 pounds over your ideal body weight, or IBW. Bariatric surgery helps you lose weight by decreasing the size of your stomach so that it holds less food and makes you feel full more quickly. Your procedure may include bypassing some of your small intestine to decrease the length of the path of food through your digestive system, as well as the amount of
calories absorbed from the food. Before your procedure,
an intravenous line, or IV, will be started. You may be given
antibiotics through the IV to decrease your chance of infection. You’ll be given general anesthesia. A breathing tube will be inserted through your mouth and down your throat to help you breathe during the operation. Your surgeon will make a small incision near your bellybutton
and insert a plastic tube called a port. Carbon dioxide gas will be
pumped into your abdomen through this port. The gas will inflate your abdomen, giving your surgeon more room to see and move the surgical tools. After your abdomen is inflated, a high-definition camera will
be inserted into this port. Your surgeon will make
additional port incisions for robotic instruments, as well as instruments used
by patient-side assistance. An assistant will insert
all of the robotic tools through these ports. Unlike standard laparoscopic instruments, these tools can rotate 360 degrees and have more flexibility
than the human wrist. Seated at a special console, your surgeon will operate the robotic
arms and the camera with joystick-like
controls and foot pedals. A computer will translate
the exact movements of your surgeon’s fingers into precise movements
of the surgical tools. At the same time, a
high-definition vision system will provide a magnified
three-dimensional stereoscopic view of the surgical area. Two common robotic bariatric
surgical procedures are adjustable gastric
banding and gastric bypass. If you are having an adjustable
gastric banding procedure, your surgeon will apply a restrictive band around your stomach to limit the amount of food your stomach can hold. Tubing will connect the band to a port just beneath the skin of your abdomen. Your surgeon will inject saline solution into the tubing to adjust
the band’s tightness as needed to hasten your weight
loss or reduce side affects. If you are having a
gastric bypass procedure, your surgeon will create a
small pouch in your stomach and separate the rest of your stomach and upper section of your small intestine. The lower section of your small intestine will be attached to the stomach pouch. Then your surgeon will
reattach the upper section of your small intestine
to a different part of your lower small
intestine, which will allow digestive juices from
your pancreas, liver, and gallbladder to help digest your food. At the end of your procedure,
the incision will be closed with stitches, staples, surgical glue, or closure tape dressings. After your procedure, your
breathing tube will be removed, and you will be taken to the
recovery area for monitoring. You will be given pain
medication as needed. You may continue to receive
antibiotics through your IV. Most patients are
released from the hospital one to two days after the procedure.

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