How is the operation
Laparoscopic surgery is performed and addresses digestive organs. The laparoscope is like a thin telescope with a light source. It used to light large structures inside the abdomen. The laparoscope is inserted into the abdomen through a small incision in the skin that allows the introduction of a 10 mm trocar incisions .By other similar other instruments are inserted laparoscopic surgery. The method is minimally invasive, pain after surgery is minimal and the patient recovers quickly.
What patients can call the bariatric surgery?
Such surgery is considered for patients with a BMI of over 35 for that diet and exercise have not had any result that shows obesity associated comorbidities such as diabetes, cardiovascular disease, respiratory problems apnnea dip, osteoarticular diseases hepatic steatosis etc.
What patients can call the bariatric surgery? Is surgery a solution for all patients with high BMI?
Recommendation for surgery (surgical indication) is regulated by the criteria endorsed by international professional organizations (IFSO, sages, EAES) as follows:
Patients with BMI over 40 kg / sqm or BMI below 35 kg / sqm with comorbidities (illness) associated;
Documented history of obesity over 5 years;
Failure of Conservative treatment (diet and sport).
Losing weight will come quick or slow?
After bariatric surgery does not remove fat, so, of course weight loss will occur over time at a rate of weight loss is more pronounced, it is true, in the first 3 months after surgery! The average weight loss is spread over 10-12 months!
For women: at what time after surgery patients can consider to conceive?
For moms are preferably not induce malabsorptive bariatric surgery (if stools loss of useful substances the body!) Ie decrease stomach or gastric band and is optimal task occur after the patient has stabilized, ie after 12 months!
How long will the patient stay in the hospital after surgery? How long is the recovery?
Because interventions are about minimally invasive laparoscopic average length of stay is 3 days, but of course that healing is completed with discharge from the hospital! The patient is obliged to follow a strict diet in the next 3-4 weeks after surgery healing time required stitches interioare.Ulterior up to 3 months will gradually diversify diet (food diversification process somewhat similar babies!) Following some recommendations aimed at creating a indispensable for maintaining healthy lifestyles therapeutic success for life!
What you need to know before the first consultation? How long is the surgery?
The patient must be aware that the adage fat and beautiful does not work today, so if BMI exceeds 30 kg / sqm measures should be taken at once with weight status control!
The operations of bariatric surgery is recommended not last more than 3 hours for very long operations may involve complications postoperatorii.Din This could resort to surgery seriate.De example if a patient all too fat, diabetic gastric bypass indication and anticipate all too long a duration of surgery to reduce the risk to make initial operator is recommended surgery such as gastric sleeve shorter (reducing stomach) and after 1 year, turned in gastric sleeve surgery gastric bypass.
Exercise, medication, diet change is needed after surgery?
The results are expressed as a percentage weight loss operations! For example, if a patient has excess weight 50 kg to 1 year after stomach reduction surgery expect to lose 70%, ie 35 kg absoluta.Sigur worth the difference to 100% weight loss is achieved by personal contribution and changed eating habits and physical activity more consistent (adjusted weight) are essential for therapeutic success.
There was a program before surgery? (eg psychiatric evaluation, diet, exercise)
Each patient preoperative evaluation through an individualized plan after consultation objective is to initial.Scopul bariatric surgical anesthetic risk, safety is paramount therapeutic approach (ie if you have a choice between two types of interventions we choose safer operation at the expense of more effective).
To reduce risk and that bariatric surgery be possible in some patients requiring a strict program of preoperative diet.
When referring to patients with psychiatric illnesses associated with obesity they represent a relative contraindication in this patient, do some weight loss surgery (gastric sleeve), but it is mandatory that the patient be compensated in terms of underlying disease!
The surgery can be done to children? Is there an age limit?
Obesity in children is a matter of national safety I dare to say that life expectancy is strongly influenced by the presence of obesity in early childhood. So after 2005 are recommended to perform bariatric surgeries in children!