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Bariatric Surgery

Surgical Procedure Alternatives for Obesity Treatment

Gastric Sleeve

The Gastric Sleeve Surgery also known as Sleeve Gastrectomy is a Bariatric Procedure that removes 75-80 % of the stomach. It is now the most commonly performed Bariatric Procedure worldwide.

Gastric Bypass

Gastric Bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.

Intragastric Balloon Placement

Intragastric Balloon Placement is a weight-lost procedure that involves placing a saline-filled silicone balloon in patient’s stomach. This helps to lose weight by limiting how much she/he can eat and making the person feel fuller faster.  

 

Bariatric Surgery Criteria/Requirements

  1. Having a BMI (Body Mass Index) of 30 or higher
  2. Having Coexisting Diseases such as Type 2 Diabetes, High Blood Pressure, Sleep apnea or Mobility problems.
  3. Being between the ages of 18-65.
  4. Attempted a structured dietary weight loss program without success.
  5. Stop smoking and drinking alcohol at least one month before the surgery.
  6. Discontinue blood thinners a week before the surgery in consultation with your Doctor (In some cases, alternative treatment methods are offered by the Physician. Please consult your Cardiologist).  

 

Benefits of Bariatric Surgery - Besides Helping You Lose Weight

Bariatric Surgery can be life-changing for those who want to lose weight. But Did you know that there are so many more health benefits to its besides just taking that weight off?

  • Long-term Remission for Type 2 Diabetes
  • The procedure is highly effective for obese patients to remain free of insulin and other related medications for at least three years after surgery.
  • Improved Cardiovascular Health
  • Weight loss surgery decreases a person’s risk of coronary heart disease, stroke and peripheral heart diseases. Blood pressure and cholesterol levels can return to normal, or near after surgery, reducing these risks and improving overall well-being.
  • Relief of Depression
  • Many obese people feel depressed because of poor body image and social stigma. These situation leads them to social isolation and depression. Losing this excess weight can improve emotional health in these patients.
  • Eliminate Obstructive Sleep Apnea
  • Achieving and sustaining a normal weight range often allows people with sleep apnea to stop using a CPAP Machine at bedtime.  About 80 to 85 % of patients experience remission of their sleep apnea one year after surgery.
  • Joint Pain Relief
  • The significant and sustained weight loss that occurs after bariatric surgery relieves the stress on joints and often allows people to stop using pain medications and enjoy much more mobility.
  • Improve Fertility
  • The risk of miscarriage may decline after bariatric surgery and can improve menstrual cycles in women who don’t ovulate.
  • Alleviate Other Medical Conditions
  • Weight-loss surgery can also relieve metabolic syndrome, pregnancy complications, gallbladder disease and more.

 

Pre-operative Preparations

  -Stop Smoking and Taking Alcohol at Least a Week Before the Operation Day.

  -Cardiology Consultation

  -Pulmonary Consultation

  -Psychiatric Consultation

  -Dietitian Consultation

  -Internal Medicine Consultation

 -Covid-19 Test (For the patient coming from abroad or from other cities, along with a recent covid-19 test, they can be prepared and go for the surgery performance on the same day).  

 

Post-operative follow-up

After the operation, 3 days of hospitalization will be required. Patient can be discharged on the 3rd day.

Medication to be used after discharge: Analgesic (4 days), Clexane 0.4x1 (10 days), gastroprotective (1 month) and protein-containing food.

 

Diet and Eating Habits After Surgery

It is very important to follow the recommended dietary guidelines after undergoing Bariatric Surgery. These guidelines were carefully designed by your healthcare providers, with the goal of limiting the amount of calories you consume, while providing balanced meals that help to prevent nutrient deficiencies and preserve muscle tissue.

Work closely with your Doctor/Dietician after Bariatric Surgery to make the best dietary choices. Staying diligent about your diet after weight loss surgery can help you make the lasting changes you’ll need to really reach your weight loss goals and keep the weight off for good.

Last Update: 03/05/2021