A person who will undergo bariatric obasity surgery should not forget that the human organism is a physiological dysfunction due to environmental, genetic and endocrinological reasons, and it is an important health problem with clearly defined health consequences.
Obesity is a complex condition that results from a combination of factors, including genetic, environmental and behavioral factors. Type 2 diabetes is characterized by excessive accumulation of body fat, which can lead to adverse health consequences such as heart disease, stroke, and certain cancers.
Environmental factors such as a sedentary lifestyle, poor dietary habits, and easy access to high-calorie, nutrient-poor foods play an important role in the development of obesity. Genetic factors also contribute to obesity, as certain genes affect a person’s metabolism and appetite, making it difficult for them to maintain a healthy weight.
Also, hormonal imbalances and endocrine disorders such as hypothyroidism or Cushing’s syndrome can lead to weight gain and obesity. These conditions affect the body’s metabolism and energy balance, leading to an imbalance between calorie intake and energy expenditure.
Obesity is an important health problem worldwide with a significant impact on individual health and health systems. It is associated with an increased risk of numerous chronic diseases and reduces life expectancy. In addition, obesity places a significant burden on health systems as it requires costly medical interventions and treatment.
Prevention and treatment of obesity includes a multidisciplinary approach that includes lifestyle changes such as regular exercise, healthy eating habits and behavioral therapy. In some cases, bariatric surgery may be recommended for individuals with extreme obesity who do not respond to traditional weight loss methods. However, it is important to note that bariatric surgery is not a quick fix and requires constant lifestyle changes and medical follow-up to achieve long-term success.
Bariatric Surgery
Bariatric surgery, also known as weight loss surgery, is a procedure performed on individuals who are overweight or obese. This surgery is often considered a last resort when traditional weight loss methods such as diet and exercise have not been successful. Bariatric surgery works by reducing the size of the stomach, limiting the amount of food an individual can consume, and in some cases altering the digestive system’s ability to absorb nutrients.
Various bariatric surgical procedures are available, and which procedure to use depends on the person’s medical history, body mass index (BMI), and other factors.
BMI (body mass index): Patient’s weight (kg) x Patient’s weight / Patient’s height (cm)
It is calculated with the formula
Class 1: BMI 30 to <35.
Class 2: BMI 35 to <40.
Class 3: BMI 40 or higher.
Non-surgical methods are generally used in people who are overweight or have Class I obesity. However, surgery is often recommended in patients with Class 2 and above obesity. In some cases, surgery may also be recommended for those with Class 1 obesity, but the decision will be made by the doctor based on the patient’s particular situation.
Gastric Balloon procedure
The Gastric Balloon procedure is a non-surgical weight loss solution that is quick and easy. The whole process can be completed in just one day and takes only 5-10 minutes to perform. During the procedure, a balloon filled with 500cc liquid is placed in the stomach to create a feeling of satiety and the patient is encouraged to eat less. This can result in significant weight loss, making it a popular option for people who have trouble losing weight using traditional methods.
The procedure is performed under full anesthesia and the patient’s stomach is examined using an endoscope to ensure there are no problems before the balloon is placed. One of the advantages of this procedure is that no prior examination is required, so it is a suitable option for those with a busy schedule.
After the procedure, patients can return to their normal activities, including eating and drinking, within an hour. While there may be mild discomfort such as cramping, abdominal pain or nausea, this usually clears up within a few days. It has a low complication rate, making it a safe and effective procedure for most.
In fact, the Gastric Balloon procedure is so safe that patients can travel by plane on the same day as the procedure. This makes it an attractive option for those who need to travel for work or other commitments but still want weight loss treatment. Overall, the Gastric Balloon is a great option for people looking for a non-surgical weight loss solution that is both quick and convenient.
Tube Stomach Surgery (Sleeve Gastrectomy)
Laparoscopic surgery is a minimally invasive surgical procedure that offers several advantages over traditional open surgery. There are two main approaches to laparoscopic surgery, each with its own advantages.
The first approach involves making 3-5 small incisions in the abdomen of the patient where the surgeon is performing the procedure. This method is effective and safe, and typically results in less scarring and shorter recovery time for the patient.
The second approach is called scarless sleeve gastrectomy surgery, which involves making a single incision from the navel (belly button). This technique is a more recent innovation in laparoscopic surgery and offers a less invasive option for patients. The procedure is done through a single port and there is no visible scar.
Both laparoscopic techniques are widely used in weight loss surgery as they offer a safe and effective way to achieve significant weight loss with minimal risk and complications. Your surgeon will help determine the most appropriate technique for your particular situation, based on your personal needs and medical history.
Gastric Bypass Surgery (Roux-en-Y):
Gastric bypass surgery, which includes Roux-en-Y gastric bypass and mini gastric bypass, is a type of bariatric surgery that has been shown to be highly effective for weight loss and improving weight-related health conditions such as type 2 diabetes and high blood pressure.
During the Roux-en-Y gastric bypass procedure, the surgeon separates the upper part of the stomach from the rest of the stomach, creating a small gastric pouch. The small intestine is then divided and redirected to the new gastric sac, bypassing the larger part of the stomach and reducing the amount of calories and nutrients the body can absorb.
The mini gastric bypass procedure is similar to the Roux-en-Y gastric bypass but involves a smaller stomach pouch and a shorter length of bypassed small intestine. This approach may result in shorter operative time and faster recovery, but may not be as effective as Roux-en-Y gastric bypass for long-term weight loss.
Both procedures are typically performed using laparoscopic techniques, which result in less scarring and a faster recovery time for the patient. However, as with any surgical procedure, there are potential risks and complications that should be carefully evaluated and discussed with your surgeon. Gastric bypass surgery can be an effective option for patients struggling with obesity and weight-related health issues, but it’s important to undergo a thorough evaluation and consultation with a qualified surgeon to determine if it’s the right choice for you.
Biliopancreatic Diversion with Duodenal Switch:
This procedure involves removing most of the stomach and rerouting the small intestine to reduce the amount of calories and nutrients absorbed by the body. This procedure is usually recommended for people with a BMI greater than 50 or those with significant obesity-related health issues. The procedure is done laparoscopically with small incisions made in the abdomen and the laparoscope is used to guide the surgeon.
Bariatric surgeries, which are commonly used to lose weight, are now performed using laparoscopic techniques. After surgery, patients are encouraged to walk the same day to speed recovery and reduce the risk of complications. They can start drinking water the next day and a feeding program is developed by the care team.
In the first month after surgery, patients need to follow a special diet plan that includes a liquid diet for the first few weeks, followed by a puree-weighted diet, followed by a gradual solid food diet. A one-month adjustment period is essential to help the patient adjust to their new eating habits and lifestyle.
Before the operation, a comprehensive check-up is performed to evaluate the general health status of the patient. This includes blood tests done under anesthesia, abdominal ultrasound, and gastric endoscopy. The patient is also evaluated by a team of healthcare professionals consisting of cardiologists, psychiatrists, internists, general surgeons, anesthesiologists, and dietitians to make sure they are healthy enough to undergo surgery.
Common risks include bleeding, infection, blood clots, and anesthesia-related complications. After surgery, individuals need to make significant lifestyle changes, including a modified diet, regular exercise, and ongoing medical follow-up.
Under normal conditions, patients can return to their normal daily activities 7-10 days after surgery. After the first month, they are free to do all kinds of physical activities and sports. However, regular follow-up visits and blood tests are necessary to maintain the patient’s long-term success and health.
In our clinic, we provide online follow-up care to ensure that our patients receive the necessary support and follow-up after surgery. Overall, bariatric surgery can be a life-changing procedure for those struggling with obesity and other weight-related health issues, and with proper care and attention, patients can achieve significant and sustainable weight loss.
In conclusion, bariatric surgery can be an effective tool for individuals struggling with severe obesity. It can lead to significant weight loss, improved quality of life and reduced health risks. However, it is crucial to carefully consider the benefits and risks of each procedure and commit to making lifestyle changes after surgery to ensure long-term success. Common risks include bleeding, infection, blood clots, and anesthesia-related complications. After surgery, individuals need to make significant lifestyle changes, including a modified diet, regular exercise, and ongoing medical follow-up.
Under normal conditions, patients can return to their normal daily activities 7-10 days after surgery. After the first month, they are free to do all kinds of physical activities and sports. However, regular follow-up visits and blood tests are necessary to maintain the patient’s long-term success and health.
In our clinic, we provide online follow-up care to ensure that our patients receive the necessary support and follow-up after surgery. Overall, bariatric surgery can be a life-changing procedure for those struggling with obesity and other weight-related health issues, and with proper care and attention, patients can achieve significant and sustainable weight loss.
In conclusion, bariatric surgery can be an effective tool for individuals struggling with severe obesity. It can lead to significant weight loss, improved quality of life and reduced health risks. However, it is crucial to carefully consider the benefits and risks of each procedure and commit to making lifestyle changes after surgery to ensure long-term success.