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International Conference on Bariatric and Metabolic Surgery, will be organized around the theme “Developing the Innovations in Bariatric and Metabolic Surgery”
Bariatric Metabolic 2019 is comprised of keynote and speakers sessions on latest cutting edge research designed to offer comprehensive global discussions that address current issues in Bariatric Metabolic 2019
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Obesity is an accumulation of excess mass in the adipose tissue. Obesity is a disease of caloric imbalance that results from an excess intake of calories above their consumption by the body. Obesity causes include Diet, some bad habits like high calories diets especially in the night, or skipping a healthy breakfast and replace it by junk fast food, all of that increase the body fat. Pregnancy, Lack of sleep causes disturbances in the body hormones, and increase the appetite. Drug medication leads the body to gain more weight, the drugs include steroids and beta blockers, antipsychotic medications and antidepressants drugs. Some of the Medical complications in obesity include stroke, poor wound healing, Sleep apnea, Cancer.
- Track 1-1Type 2 diabetes
- Track 1-2Osteoarthritis
- Track 1-3High cholesterol and triglycerides
- Track 1-4Cancer
- Track 1-5Gall Bladder disease
Bariatric describes the scientific remedy of great overweight—that is, weight problems. Bariatric surgery is only hired when other techniques of weight reduction had been tried and failed. Though stapling the stomach can also appear excessive, we now understand that weight problems greatly increases the danger of coronary heart sickness, diabetes, cancer, and stroke, so belly surgical treatment would not just assist humans to look and feel better—it is an ability lifesaver. The discipline encompasses weight-reduction plan, workout and behavioral therapy processes to weight loss, as well as pharmacotherapy and surgery.
Etiology of obesity includes: The etiological factors of obesity include: Family lifestyle, apart from the genetic factors that run in a family, it also because of their lifestyle and the food they eat. We can notice that some countries such as the USA, have more obese people than others countries like Japan and this is because of the culture and the Genetic factors that affect the amount of body fat we store and where to store, Medical Conditions. The body to store more fat and gain weight like Crushing Syndrome. Some disease lows the metabolic rate in the body and low the amount of burned calories every day such as the hypothyroidism. And some diseases lead the patients with paraplegia. Psychosocial, Increase caloric intake More sedentary Television Emphasis on academics.
Obesity is a Multifactorial disease of excess fat storage genetic basis Which is associated with multiple serious medical problems and bariatric surgery is the best and most effective treatment for obesity and meta-analytically proved to be more effective than pharmacotherapy and diet.
- Track 4-1Sleeve Gastrectomy
- Track 4-2Laparoscopic Adjustable Gastric Banding
- Track 4-3Malabsorptive
- Track 4-4Duodenal Switch/Biliopancreatic Diversion
- Track 4-5Restrictive and Malabsorptive
- Track 4-6Roux-en-Y Gastric Bypass
Bariatric surgery is the best proven and the most popularly used method to treat obese people. Bariatric surgery is contraindicated during severe cardiac disease, psychiatric illness, and severe coagulopathy. Bariatric surgery and its effective methods play a major role in the regulation of hunger and satiety as well as the resolution of conditions that occur due to obesity. Currently, laparoscopic procedures are widely used than open procedures. The approach applied depends on several factors, including surgeon experience as well as the patient’s surgical and medical history.
- Track 5-1Roux-en-Y gastric bypass
- Track 5-2Laparoscopic adjustable gastric banding (LAGB)
- Track 5-3Biliopancreatic diversion (BPD)
- Track 5-4Duodenal Switch (DS)
- Track 5-5Vertical Banded Gastroplasty (VBG)
Bariatric surgical operation is a technique accomplished on obese people so one can assist them to obtain fast weight reduction. Bariatric= (Barros) heaviness/large/pressure is defined as a person weight in kilograms divided by the square of his height in meters (kg/m2).Body mass index (BMI) is a simple index of weight-for-height that is commonly used to classify overweight and obesity in adults.
Weight that is higher than what is considered as a healthy weight for a given height is described as overweight or obese. Body Mass Index, or BMI, is used as a screening tool for overweight or obesity. It is the field of medicine encompassing the study of obesity, its causes, prevention, and treatment.
BMI does not measure body fat directly, but research has shown that BMI is moderately correlated with more direct measures of body fat obtained from skinfold thickness measurements, bioelectrical impedance, underwater weighing, dual energy x-ray absorptiometry (DXA) and other methods.
- Track 6-1Morbid obesity.
- Track 6-2Waist-to-hip ratio Waist: Hip ratio
Bariatric surgical operation is a technique accomplished on obese people so one can assist them to obtain fast weight reduction. The risks associated with bariatric surgical procedure fall into two fundamental categories: the ones related to confined food intake and speedy weight reduction and those associated with the surgical operation itself. Accordingly, side consequences may be categorized as Immediate postoperative complications or death. The submit-operative headaches encompass contamination of the wound, inner bleeding or the development of blood clots. The instantaneous complications of the bariatric surgical procedure can bring about a patient’s loss of life. Pulmonary embolism, intense bleeding, most important infection, stroke, or heart attack are all conditions that put the affected person’s existence at serious risk. Factors that boost the hazard of death due to post-operative headaches include age, male gender, excessive blood stress, accelerated chance for pulmonary embolism and a body mass index of fifty or above. After the bariatric surgical operation, dietary supplementation is required indefinitely to address deficiencies in iron, nutrition D and different fat-soluble vitamins A, E, and K (maximum commonplace after RYGB), vitamin B12, folate, calcium, and different micronutrients. Recommended supplementation consists of Multivitamin with minerals, Vitamin D, Vitamin 12.the gastrointestinal collection can be used to analyze an anastomotic leak. Post surgery changes, As nicely as recognizing and addressing any postoperative complications, patients must be prepared to make other changes.
- Track 7-1Gallstones
- Track 7-2Malnutrition post surgery
- Track 7-3Dumping Syndrome
- Track 7-4Acid reflux.
- Track 7-5Anesthesia-related risks.
- Track 7-6Chronic nausea and vomiting
- Track 7-7Dilation of esophagus.
- Track 7-8Inability to eat certain foods.
- Track 7-9Weight gain or failure to lose weight
When diet and exercise are not appropriate in the Morbid obese cases the option of Bariatric surgery is applied. A person with a BMI greater than 35 is done with the surgery or a person with major medical complications of obesity. When multiple failed weight loss attempts are seen the patient is prescribed to undergo with a Bariatric surgery. No research compare the generally used indications for the bariatric surgical procedure. Consensus pointers recommend that the surgical remedy of weight problems must be reserved for patients with a Body-mass index (BMI) >40 kg/m(2) or with BMI >35 kg/m(2) and 1 or more great comorbid situations, while less invasive strategies of weight loss have failed and the affected person is at high chance for obesity-associated morbidity and mortality.
Metabolic surgery: Metabolic surgical patients have a more balanced male/female ratio, showed the higher incidence of type 2 diabetes, hypertension, dyslipidemia, higher cardiovascular risk and established cardiovascular disease at onset. Metabolic Surgery is defined as a set of gastrointestinal operations used with intent to treat diabetes and metabolic dysfunctions. Surgery to treat T2DM in patients with BMI above 35 should be considered “metabolic/diabetes surgery” not “bariatric surgery’’.Treatment of metabolic derangements with alterations of the gut anatomy.Emphasis off weight loss and on the improvement of metabolic conditions resulting from these interventions, particularly the remission of diabetes.
\r\n Post Surgical diet and exercise: Diet after surgery after your bariatric surgery, diet and exercise routines are essential for success. These two measures will help keep the weight off. A post- bariatric diet involves both portion control and the avoidance of certain foods. If you deviate from the post-bariatric diet, you risk vomiting, pain, or other side effects. It is very important to follow the bariatric diet after your surgery. In the bariatric diet, liquids are not consumed during mealtimes but are sipped throughout the day, in between meals making exercise part of a lifestyle change will help to keep your weight down, and will cause you to feel much better.
Bariatric surgical operation can result in massive weight loss and tremendous metabolic upgrades. Therefore, clinicians ought to be prepared to taper remedies for persistent metabolic diseases. For patients with kind 2 diabetes, early and dramatic enhancements in glucose homeostasis require anticipatory control. This includes insulin dose discounts, discontinuation of positive oral sellers, and near tracks. Antihypertensive medicines should be adjusted to keep away from hypotension. Even after postoperative upgrades in dyslipidemia, some patients will preserve to fulfill standards for statin therapy. While many weight problems-related sicknesses will improve, clinicians ought to also be organized to manipulate postoperative scientific and dietary complications.
In comparison, publish-gastric bypass hypoglycemia is an unprecedented problem of malabsorptive methods, resulting in insulin-mediated hypoglycemia after carbohydrate-containing meals. Rapid weight loss may increase the danger of cholelithiasis, which can be mitigated via ursodiol. After malabsorptive techniques, enteric hyperoxaluria and other elements can also bring about nephrolithiasis, which may be addressed with hydration, nutritional interventions, and calcium.
Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided after bariatric surgery because of the risk of gastric and marginal ulcer development. In many bariatric centers, proton pump inhibitor therapy is prescribed postoperatively, as evidence from cohort studies suggests that it may decrease ulcer risk. Endocrinologists and primary care providers should be prepared to adjust the dose of any medication that is dosed based on weight (e.g., levothyroxine), and to consider potential effects of malabsorption on a patient’s usual oral medications.In some cases, patients may need increased dosages of a drug to receive the same effect. In addition, some non-steroidal, anti-inflammatory drugs (Aspirin and NSAIDs) can cause ulcers or stomach irritation in patients who have undergone gastric bypass.