What kind of bariatric surgery is indicated for treating my obesity?
The best technique for interventional obesity is one that adapts to the excess weight of the patient, their food profile, psychological profile and their fears and lifestyle.
In general, depending on the degree of obesity, our team recommends:
* BMI 30-35 -> Intragastric balloon
* BMI 35-40 -> Balloons, Band or gastrectomy tubular pipe according to age, the food profile of the patient and whether or not severe comorbidities such as diabetes
* BMI 40-50/55 laparoscopic adjustable gastric banding or tubular gastrectomy
* BMI> 55-60 tubular gastrectomy or gastric bypass
* Special cases: male with BMI 45-50 with T2DM (diabetes). This patient will probably benefit much more from a tubular gastrectomy or bypass it in a band. You have to individualize their test HOMA insulin resistance, if your pancreatic function is maintained (peptide C) and when years ago suffering from T2DM.
Our team does not perform malabsorptive techniques, because we consider as in the rest of Europe – who are at high risk techniques and must be made in exceptional cases (especially elementary rescue techniques failed.)
Before Bariatric Surgery
To submit any of the bariatric techniques, the patient should keep fasting for eight hours before surgery. In all interventions the surgeon deemed appropriate to conduct a study and a complete preoperative radiological studies of the upper digestive tract, and for the study to rule out metabolic disease preoperatively.
How do these techniques?
It is used laparoscopic surgery and general anesthesia. The operation usually takes no more than an hour in the case of the band, 90 minutes gastrectomy tube (or sleeve, or tube or sleevegastrectomy) and 120 minutes, the gastric bypass, all of them laparoscopically. The patient gets up 6-8 hours after surgery, drinking at 6 h of the band and at 24 h and bypass tube and go home within 24 hours for the band and in 2-3 days and bypass tube.
Source: www.intraobes.com/cirugia_bariatrica/cirugia_bariatrica.html#Que_es_la_banda_gastrica
image source: www.piyavate.com/images/laparoscopic-bariatric-weight-loss-md.jpg
Tags: Bariatric Surgery, Before Bariatric Surgery, Obesity, What kind of bariatric surgery is indicated for treating my obesity?, tubular gastrectomy