Archive for the ‘Bariatric Surgery’ Category

Effectiveness of Bariatric Surgery to Treat Morbid Obesity

Monday, August 30th, 2010

effectiveness of bariatric surgery to treat morbid obesitySuch interventions are currently considered as a very effective method for the treatment of morbid obesity, reaching 72% success rate (after two years of operation the patients have lost an average of 50% of their excess weight). But … Is it advisable for anyone?.

Bariatric surgery involves reducing, using various techniques (mainly gastroplasty, the gastric bypass and adjustable band), the capacity of the stomach. It is not plastic surgery, as it pertains to the field of General and Gastroenterological Surgery, and are always aggressive interventions with the body that should only be performed in extreme cases where previous treatments have failed less invasive.

Morbidly obese 1-2% of the population whose Body Mass Index (remember that BMI is obtained by dividing weight in kilos between height in meters squared) greater than 40. (more…)

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Bariatric Surgery: Very Effective, But With Some Risk

Monday, August 9th, 2010

bariatric surgery: very effective, but with some riskWhen obesity is morbid, statistics are inconclusive: the most reasonable solution is surgery, despite the undoubted risks involved. Because in these conditions, undergo surgery can be a much greater risk than done.

First, we must clarify that we are talking about morbid obesity, ie, when the Body Mass Index (BMI = weight in kilos divided by the square of height in meters) exceeds the value of 40, or 35 but was accompanied by other diseases such as diabetes, heart or respiratory failure, or spinal injuries or joints. One hundred Spanish have it. It is not, therefore, operated by aesthetic reasons, but only by medical decision, and seeking better health.

There are three types of bariatric surgery: restrictive, which reduces the stomach capacity, the malabsorptive, which prevents it from being absorbed from ingested, and mixed, which is a combination of the above. The surgeon will choose the most appropriate to the characteristics of the patient. (more…)

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Bariatric Surgery -part 3-

Thursday, July 29th, 2010

bariatric surgeryAfter Bariatric Surgery

The recovery, after Bariatric Surgery, in the case of the gastric band and the tube is fast. The patient can go out three days in a week-10 days, return to your normal life. The practice of any physical exercise or sports should be delayed until 20 days after surgery. The bypass rejoins normal activity on the 30th.

For both techniques, the patient is changing, gradually, your diet: liquid 2-3 weeks, going on a diet finely ground, crushed coarse and reaches the normal diet in 20-30 days, depending on the type of technique .

Diet, Lifestyle and Weight Loss

When our patients have reached the stage of solid foods, it is time that diets designed by nutritionists customized to each individual. These diets are tailored to the needs of each patient, depending on their degree of obesity, changes in weight, and program implementation. Although dietary guidelines must be observed, the patient undergoes little or no hunger if you have had a restrictive or mixed technique. (more…)

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Bariatric Surgery -part 2-

Monday, July 26th, 2010

bariatric surgeryWhat 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. (more…)

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Bariatric Surgery -part 1-

Thursday, July 22nd, 2010

bariatric surgery

What is Bariatric Surgery?

The part of the surgery that deals with the surgical treatment of obesity.

Types of Bariatric Surgery

The techniques used in bariatric surgery are based on two principles:

• FOOD RESTRICTION: by reducing the stomach capacity, the patient eats less food, since it is satisfied earlier. The ball, band, tube gastrectomy and gastric bypass use this principle. Even if the balloon should be considered more invasive technique such as surgery.

• FOOD MALABSORPTION: by making the food no longer go through certain sections of stomach and intestine, is looking for decreased absorption of ingested food. Gastric bypass, the duodenal and biliopancreatic diversion are techniques that combine the principle restrictive and malabsorption of food components. (more…)

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