Q. What are the different types of bariatric surgery procedures available?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

There are several different types of bariatric surgery procedures available, each with its unique approach to helping individuals achieve weight loss. The choice of procedure depends on various factors, including a patient's medical history, body mass index (BMI), and individual health goals. Here are some of the most common types of bariatric surgery procedures:

1. Gastric Bypass (Roux-en-Y): Gastric bypass is one of the oldest and most commonly performed bariatric surgeries. It involves creating a small stomach pouch and rerouting a portion of the small intestine to it. This restricts the amount of food that can be consumed and reduces calorie absorption. It also changes the way the body processes food, affecting hormones related to hunger and fullness.

2. Sleeve Gastrectomy: In this procedure, approximately 80% of the stomach is removed, leaving a narrow, banana-shaped stomach. It reduces the stomach's capacity, limiting the amount of food that can be eaten in one sitting. It also reduces the production of hunger-inducing hormones.

3. Adjustable Gastric Banding (Lap-Band): This surgery involves placing an adjustable band around the upper part of the stomach, creating a small pouch. The band can be tightened or loosened as needed to control food intake. Unlike some other procedures, it is reversible and does not involve removing or rerouting parts of the stomach or intestine.

4. Biliopancreatic Diversion with Duodenal Switch (BPD/DS): This is a more complex and less common procedure. It involves removing a portion of the stomach and rerouting the small intestine to limit calorie absorption. It typically results in significant weight loss but requires close monitoring and nutritional supplementation.

5. Gastric Balloon: A gastric balloon is a non-surgical option where an inflatable balloon is temporarily placed in the stomach and inflated to take up space. This reduces the stomach's capacity and promotes a feeling of fullness. It is usually removed after six months.

6. Mini-Gastric Bypass: This is a simplified version of the traditional gastric bypass procedure. It involves creating a smaller stomach pouch and rerouting a portion of the small intestine. It can lead to significant weight loss but is less commonly performed.

7. Gastric Plication: In this procedure, the stomach is folded inward and stitched to reduce its size. It restricts food intake and can be reversible.

8. Vertical Banded Gastroplasty (VBG): This procedure involves using a band and staples to create a small stomach pouch, limiting food intake. It has become less common due to potential complications.

The choice of bariatric surgery depends on factors like a patient's BMI, medical history, and personal preferences, as well as the surgeon's expertise. It's important for individuals considering bariatric surgery to consult with a healthcare provider or a bariatric surgeon to determine the most suitable procedure for their specific situation and goals. Each procedure has its own set of risks, benefits, and long-term outcomes, which should be discussed thoroughly before making a decision.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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