Weight Loss Surgery with the Adjustable Gastric Band

by Sewell, Robert; Rohrbough, Linda

• ISBN13: 9781600940026
• ISBN10: 1600940021
• Edition: 1st
• Format: Paperback
• Copyright: 2008-03-04
• Publisher: Da Capo Press

Summary

If you are one of the 40 million Americans overweight to the point of recommended surgical intervention, the Adjustable Gastric Band (AGB or "the band") may be the safest, most effective weight-loss method for you.Unlike conventional weight-loss surgery, which can lead to serious medical complications and nutritional deficiencies, the AGB is a minimally invasive procedure that leaves the digestive system completely intact.Weight Loss Surgery with the Adjustable Gastric Bandprovides a comprehensive weight management program, whether you're considering or preparing for the procedure or already living with the band. Expert laparoscopic surgeon Dr. Robert Sewell and "patient-expert" Linda Rohrbough evaluate all the promises, hype, and misinformation about this popular surgical solution-including preparation, the procedure itself, and the required post-op lifestyle changes. Drawing from interviews with dozens of AGB patients, you'll hear of the particular challenges with the band, success stories, and even the medical "miracles" (such as remission of type 2 diabetes)-alongside expert insight from nutrition, exercise, and psychology authorities.Weight Loss Surgery with the Adjustable Gastric Bandis the essential guide to help you commit to a healthy regime and affect the lifestyle changes to lose weight and manage your hunger-for the rest of your life.

Author Biography

Robert W. Sewell, M.D., F.A.C.S., is an award-winning laparoscopic surgeon and is the current president of the American Society of General Surgeons. He has taught laparoscopic techniques all over the world, and he has treated more than 300 AGB patients. Dr. Sewell lives and practices outside Dallas, Texas. Linda Rohrbough is a best-selling author thrice honored by the Computer Press Association for her writing about the computer industry. A patient of Dr. Sewell’s, she has lost 136 pounds since receiving a Lap-band in 2004. She lives outside Raleigh, North Carolina.

Table of Contents

Preface	p. ix
Introduction-How We Got Here	p. xi
Obesity in Our Culture	p. 1
Obesity-The Great American Health Problem	p. 3
Why Dieting and Exercise Don't Work	p. 11
Causes and Treatments of Obesity	p. 19
How the Digestive System Functions	p. 21
The Digestive System	p. 22
Summary	p. 28
Bariatric Surgery-Past and Present	p. 29
Obesity as a Disease	p. 30
Drugs Used to Treat Obesity	p. 31
Surgical Treatments	p. 32
The Problem with Any Surgical "Solution"	p. 43
The Adjustable Gastric Band (AGB) is not Gastric Bypass	p. 45
How the AGB Functions	p. 47
Overview of the AGB's Function	p. 47
Is the Adjustable Gastric Band Really Bariatric Surgery?	p. 56
Using the AGB as a Behavior Modification Tool	p. 58
Summary	p. 59
Who Is a Candidate for the AGB?	p. 61
Coming to a Crossroads-Treating Obesity as a Disease	p. 61
The Initial Evaluation	p. 64
The Surgical Assessment	p. 65
Potential Road Blocks	p. 66
The Psychological Assessment	p. 71
The Dietitian's Assessment	p. 75
The Exercise Physiologist's Assessment	p. 77
Conclusion	p. 81
What Does a Comprehensive AGB Program Look Like?	p. 83
Do I Really Need a Weight Management Program?	p. 84
Nutritional Support	p. 88
An Exercise Program	p. 90
Changing How You Think	p. 91
Summary of a Comprehensive Program	p. 94
Medical Management of the AGB	p. 95
What to Expect before Surgery	p. 97
Pre-op Testing	p. 97
The Pre-op Diet	p. 99
Just before Surgery	p. 102
The Day of Surgery	p. 106
Anesthesia	p. 110
What to Expect after Surgery	p. 113
Immediately after Surger	p. 113
The Hospital Stay	p. 115
Going Home	p. 120
Medication Needs	p. 122
Returning to Normal Activity	p. 124
Conclusion	p. 127
Adjustments (Fills) and Eating Strategies	p. 129
The First Few Weeks Post-op	p. 129
Ten Rules for Eating with the Adjustable Gastric Band	p. 131
How Adjustments (or Fills) Are Accomplished	p. 131
How Much Fill Do You Need?	p. 134
Can You Lose Your "Sweet Spot"?	p. 137
Eating Strategies	p. 138
Choosing Foods for Success	p. 143
Taking in Fluids	p. 147
Conclusion	p. 149
The Health Benefits of the AGB and Weight Loss	p. 151
Factors That Influence the Improvement of Your Health	p. 151
Improvement in Diabetes	p. 152
Improvement in Hypertension (The Silent Killer)	p. 157
Improvement in Sleep Apnea (The Thief in the Night)	p. 159
Improvement in the Painful Load	p. 161
Improvement in Gastroesophageal Reflux Disease (GERD)	p. 165
Obesity Is Misunderstood	p. 167
Managing Potential Complications	p. 169
Introduction	p. 169
Intraoperative Complications	p. 170
Postoperative Complications	p. 171
Problems following an Adjustment (Fill)	p. 172
Problems with the Port	p. 173
Delayed Problems with the Band	p. 174
Options If the Band Slips	p. 177
Band Erosion	p. 178
Band Intolerance	p. 181
Poor Weight-loss Results	p. 183
Living with the AGB	p. 185
The Emotional and Social Time Line	p. 187
Your Psycho-Social Environment	p. 191
Re-establishing Your Circle of Friends	p. 193
Give Yourself Support	p. 196
Change Your Daily Activities	p. 198
The Lifestyle Change	p. 199
Transformation of Habits	p. 202
Getting Your Body in Motion	p. 203
What's for Dinner?	p. 207
Eating Out	p. 210
Obesity Is Expensive; Thinner Is Cheaper	p. 215
Your Image	p. 217
Skin Care following Weight-Loss Surgery	p. 221
What Is Skin and What Does It Do?	p. 222
The Effect of Obesity on Your Skin	p. 224
The Effect of Weight Loss on Your Skin	p. 226
Minimizing the Damage	p. 230
Skin-care Products	p. 231
Plastic Surgery following Weight Loss	p. 233
Choosing a Plastic Surgeon	p. 234
When Should I Start Plastic Surgery?	p. 235
Be Prepared for Scars	p. 236
What to Lift and What to Leave	p. 236
The Procedures	p. 237
Minimizing the Scars	p. 243
Liposuction	p. 244
Surgical Risks	p. 245
Recovery	p. 246
Medical Necessity and Insurance	p. 246
Conclusion	p. 247
Living with Someone Who Has an AGB	p. 249
Family Stress	p. 250
Providing Support as a Spouse	p. 251
The Enabler	p. 254
The Band Couple	p. 256
The Physical Changes	p. 258
Conclusion	p. 260
Resources	p. 261
Body Mass Index (BMI) Information	p. 262
Glossary	p. 265
Acknowledgments	p. 281
Index	p. 283
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