Bariatric Surgery

An alternative approach to weight reduction is obesity surgery. Bariatric surgery can be offered to carefully selected patients if it is to be performed at centers with significant experience that offer a multidisciplinary approach to patient selection and postoperative management. There is a separate chapter on surgery for obesity (see Chapter 35, "Obesity"). Results of bariatric surgery suggest improvement in NASH is associated with the intended weight loss. Significant variability in the operative techniques from center to center can make generalizations difficult. Most commonly used is a reduction of gastric volume coupled with a Roux-en-Y small bowel bypass. Jejunal-ileal bypasses were abandoned several decades ago because the presence of a blind loop seems to have precipitated significant liver disease. Exacerbation of liver disease has not been the experience with currently employed surgical techniques such as gastric banding with Roux-en-Y small bowel bypass (Luyckx et al, 1999). Liver biopsies obtained at the time of surgery should be considered in all patients undergoing bariatric surgery because of the significant prevalence of unsuspected liver disease related to prior NASH in this population.

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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