Contents
In line with its mission, the Editorial Board of MedTvoiLokony makes every effort to provide reliable medical content supported by the latest scientific knowledge. The additional flag “Checked Content” indicates that the article has been reviewed by or written directly by a physician. This two-step verification: a medical journalist and a doctor allows us to provide the highest quality content in line with current medical knowledge.
Our commitment in this area has been appreciated, among others, by by the Association of Journalists for Health, which awarded the Editorial Board of MedTvoiLokony with the honorary title of the Great Educator.
Obesity is a problem that affects an increasing number of people around the world, although it affects mainly the inhabitants of civilized countries. Obesity can be caused by diseases, especially genetic diseases, and by an inappropriate lifestyle. Children and adolescents are also increasingly obese, which is caused, among others, by a sedentary lifestyle, irregular meals and, above all, highly processed food, which contains large amounts of sugar and unhealthy fats. For years, research has been conducted in the world on the treatment of obesity, both in adults and in children. It may not always be helpful to change your lifestyle or go on a proper diet. Sometimes even very restrictive diets may turn out to be insufficient, especially when the disease is caused by genetic factors. In many cases, the most effective way to fight obesity turns out to be bariatric surgery. What is it about? What is worth knowing about this procedure and who can undergo bariatria surgery
What is bariatric surgery?
Bariatric surgery is a method of fighting obesity. However, it is not commonly used, but only in extreme situations, when there is no other treatment option or previous treatment attempts have not brought the expected results. Bariatric surgery is a surgical method, so after it is performed, special precautions should be taken and work on full recovery and good shape.
There is a division into:
- restrictive surgeries (lacing and sleeve gastrectomy),
- shutdown operations.
What are the types of bariatric surgery?
There is not one bariatric surgery. Treatments of this type can be divided into different types, and the selection of the appropriate one for a given patient bariatric surgery depends on the specific case of the patient, detailed research and the decision of a qualified specialist. The most commonly used bariatric surgery include: laparoscopic gastric excision and laparoscopic sleeve gastrectomywhich is based on the excision of a part of the stomach located within the so-called greater curvature. In this way, the stomach is reduced by about 30 percent and the patient feels less hungry, mainly due to the fact that the level of the hunger hormone is also reduced. Laparoscopic gastric exclusion to operation consisting in dividing the organ into two parts. Thus, not only the volume of the stomach is reduced, but also the small intestine. In addition to the above methods, the so-called stomach balloon, electrical pulse generators as well bariatric bands.
What are the indications for a bariatric surgery?
Bariatric surgery it is the ultimate method, therefore it is not carried out on every person suffering from obesity. First of all, it should be emphasized that this type of procedure is performed only in adult patients and usually also in those who are under 65 years of age. Often bariatric surgery applies to people who suffer from obesity related to type 2 diabetes.
There are special cases when doctors decide to carry out bariatric surgery in minors. First of all, they are performed when there is certainty that after operation all medical recommendations will be fulfilled, and also when the minor is fully mature. This is especially true of her bone development. In addition, your doctor may decide to perform one operation also when obesity is greater than the 99,5 percentile, and previous attempts to treat obesity in other ways in specialized centers have not been successful.
The criterion qualifying for bariatric surgery is BMI ≥40 kg / m2 or BMI 35–40 kg / m2 with comorbid disease, the course of which may improve after surgery.
Contraindications for bariatric surgery
There are some contraindications to complete bariatric surgery. We have already mentioned some of them in the previous paragraph. Rather, this type of procedure is not performed on minors, and if it does, it is done only in special cases. In addition, it is worth emphasizing that an extremely important issue when it comes to bariatric operationsis to follow specific medical recommendations after the procedure. Operation this type is usually not carried out in people who suffer from various personality disorders and other psychological ailments, with the exception of depression caused by obesity. However, such a state of affairs must be ascertained by a qualified psychiatrist.
Precautions after bariatric surgery
Bariatric surgery it is not a procedure after which the body reaches a state in which there is no need to worry about anything anymore. It is quite the opposite. There are a number of recommendations, including those related to dietwhich must be strictly adhered to. In addition to the use prescribed by your doctor diet, the patient must also supplement with vitamins and microelements and undergo a medical check-up every year. Immediately after laparoscopic sleeve gastrectomy i laparoscopic gastric bypass surgery daily activity may take two weeks.