Gastric Bypass Case Study

Gastric bypass surgery has been on the rise over the last past few years. The Gastric Lap band, Gastric Sleeve and Gastric roux y bypass are all types of surgical procedures that offer the option to treat severe obesity, by reducing intake or the absorption of access calories. Gastric bypass is the most popular procedure because it results in greater weight loss and less weight regain. It also performs best in terms of resolving obesity-related diseases, such as diabetes, high cholesterol and high blood pressure. However, gastric banding is a reversible procedure that causes fewer long-term metabolic problems. Bariatric surgery is considered for patients who are unable to achieve a five percent decrease in weight with diet and lifestyle modifications (Lee, H. 2014) The Scenario with Mr. C is much like the patients I see in Pre- op (Gastric Bypass patients) on a weekly basis. Mr. C. has been over weight since childhood, and has gained about 100 pounds within the last 2–3 years. Mr. C Risk Factors that are stated in the scenario are:
100 pounds weight gain in the last 2–3 years. See below for details…
High blood pressure (HTN) 172/96 (Resistance HTN secondary to Obesity)
It is believed that the airway of the obese individual becomes obstructed by large tonsils, enlarged tongue and increased fat in the neck, all pressing on the airway when the pharyngeal (throat) muscles are relaxed with sleep. Frequent nighttime awakening can cause morning headaches, constant fatigue, listlessness and moodiness. Patients are known to fall asleep anywhere. Poor sleep, tends to cause people to eat more. There seems to be a relationship between hunger and satiety hormones and sleep deprivation, though the exact nature of this relationship is unclear. All this cause is from hormones imbalance that control the patients eating habits that lead to more weight gain, elevated blood pressure, and glucose