Bariatric surgery Bariatric surgery - a safe and effective treatment for severe obesity. Operations affected by:

  • metabolic and hormonal processes, which play an important role in the feeling of satiety and hunger;
  • eliminate the disease or improve the condition of a person at ailments caused severe obesity.

Bariatric surgery - a recognized medical approach for losing weight, as well as for disposal of diseases provoked by obesity. However, not everyone can qualify for their conduct. There are certain criteria to be met by a person to be a candidate for bariatric surgery.

  1. BMI> 40 - clinically severe obesity. Or a BMI of 35-40, associated with a significant risk of diseases caused by being overweight - type 2 diabetes, high blood pressure, sleep apnea, high cholesterol. Body mass index is calculated based on height and weight of the person.
  2. Not endocrine causes of obesity.
  3. Acceptable operational risk.
  4. Understanding the method of treatment and the risks associated with it.
  5. No problems with drugs and alcohol.
  6. The lack of psychological disorders.
  7. Unsuccessful attempts of weight loss with the help of a doctor (diet, other options).

Indications for young people

Rates of obesity among young people is high. weight loss surgery is sometimes used to treat young people with extreme obesity. Applicants must meet the following criteria:

  • BMI> 40 - extreme obesity.
  • Girls are usually between the ages of 13 and older for boys 15 and older.
  • The existence of serious health problems caused by obesity - type 2 diabetes or sleep apnea, which can be improved by surgery for weight loss.

Benefits of Bariatric Surgery

Within 2-3 years after a similar operation a person loses 10 to 35% of total body weight, depending on the selected procedure. Associated obesity illness - diabetes, high blood pressure, sleep apnea and other often go into remission, a person recovers. Most people reduce the amount of drugs taken, or stop taking them completely.

potential risks

Studies show that some patients after bariatric surgery have unsatisfactory weight loss or recovery occurs much of the body weight, from which they escaped. Such actions, as frequent snacking calorie foods or lack of exercise contribute to inadequate weight loss. Technical problems after the operation - separation of joints, can also lead to inadequate weight loss. There are other potential complications.

Bariatric surgery - is a serious decision. Answers to these questions can help patients to understand whether this method is suitable for them:

  1. How likely is it that will be able to lose weight and keep it off in the long run by using other methods?
  2. How well a person is aware of the operation and its consequences?
  3. What are the risks and benefits of this type of surgery? Whether the patient is ready to lose weight and improve your health?
  4. He understands people like a life change after surgery? (Eg, patients will have to get used to chew food and can not eat large meals).
  5. Are people aware of the restrictions in the selection of food and the possibility of failure? Does he seek to maintain a healthy diet and physical activity?

Obesity Treatment in Israel

Israel clinics provide comprehensive treatment, which includes all of the tests, a complete examination, including from the point of view of psychology and nutrition. It applies a multidisciplinary approach involving different areas - not just surgery, but also changes in the patient's outlook on his health, lifestyle, attitude to food. This is the key to success. This process begins before the operation and continuing thereafter.

The peculiarity of the treatment of obesity in Israel - offer all types of bariatric surgeries that are performed in the United States and Europe. Distinguish 5 types of surgery. For each patient selected the best option of surgical treatment of obesity.

The most frequently used operations:

  1. Adjustable gastric banding.
  2. Sleeve Gastrectomy.
  3. Gastric bypass (RNYGB).
  4. Biliopancreatic bypass (BPD) with switch off of the duodenum (BPD / DS).
  5. Neuromodulation.

All operations combine one or two mechanisms, or both. The first is aimed at limiting the amount of food that passes through the stomach. Decreases as the rate of absorption of food. The second mechanism - to reduce the absorption of nutrients, to a greater extent it is connected with fats, which contain a greater number of calories as compared with carbohydrates and proteins.

Gastric banding for the treatment of obesity in Israel

The first and most simple operation - an adjustable gastric banding - acting on the first mechanism - restricts the amount of food. Fits gastric band or ring made of silicone. It is possible to control the inner diameter of this ring to adjust the passage of food through the stomach - reduce the amount of food the patient can consume at one time. The use of an adjustable gastric band approved by the FDA for patients with a BMI> 30 with co-morbidities associated with obesity - heart disease or diabetes.

Sleeve gastrectomy in the treatment of obesity in Israel

The second operation - Sleeve Gastrectomy - reduces body volume. In a healthy human stomach can hold approximately one liter or 1,000 ml during its cutting operation until 100 ml. That is, instead of one large portion of people will be able to eat 50-100 grams of food and feel satiety. This operation also works through the restriction. But there is a hormonal effect - it reduces appetite. Therefore, the weight loss by this operation easier.

Gastric bypass surgery for the treatment of obesity in Israel

Third step - gastric bypass (RNYGB) . The stomach is divided into two separate small organ. Creates one functioning stomach through which food passes. Gizzard remains inside, but it is separated. This reduces the functional volume of the stomach, people can eat small amounts of food. Another effect - reducing the absorption of nutrients. Generated bypassing a part of the digestive tract, reduced absorption.

BPD / DS for the treatment of obesity in Israel

The fourth step - Biliopancreatic bypass (BPD) with switch off of the duodenum (BPD / DS). It has two different versions. If both operations says two effects. Firstly, the reduced volume of the stomach, and secondly, limited nutrient absorption. This operation is the most radical and most effective for the treatment of obesity. Thanks to her, the greatest number of people shed excess weight. This type of surgery provides a long lasting result, for life. A person can eat a sufficient amount of food and stay thin.

Abdominal and laparoscopic approaches to the treatment of obesity in Israel

Using the procedure of using the cavity as the laparoscopic approach. Despite the fact that the minimally invasive approach has become increasingly popular, abdominal surgery is still applied in practice. The approach is based on several factors - the experience of the surgeon, medical history and health of the patient.

  1. Open or abdominal surgery involves a large incision, which provides the surgeon access to the abdominal cavity. cut length can be from 7.64 to 15 or more centimeters.
  2. During laparoscopic surgery in the abdominal cavity of a small camera is introduced, which allows you to view the operation of the monitor. Camera and instruments are inserted through small incisions in the abdominal wall. Their number is determined by the type of surgery and the surgeon's experience. Some procedures can be performed through a single incision, including while others include six or more small incisions.

Basically, bariatric surgery performed using laparoscopic approach. It requires a smaller incision causes less tissue damage, reduces hospitalization process causes fewer problems, especially hernias after surgery.

However, not all patients may use this approach. For patients with extreme obesity (more than 158.55 kg, with earlier surgery on the stomach or severe concomitant diseases - heart disease, or lung), may require open surgery.

Non-metabolic metabolic and bariatric surgery in Israel

Operations of this group of helping patients to lose weight by changing the gastrointestinal tract. This is a vertical sleeve gastrectomy, gastric bypass (RNYGB), Biliopancreatic bypass (BPD) with switch off of the duodenum (BPD / DS).

Changes to the digestive tract changes the patient's physiological response to fat loss. After surgery varies method of producing hormones intestine. As a result, patients after such surgery is not necessary to fight hunger, which will undoubtedly be useful for weight loss.

Numerous studies have examined hormone levels before and after the treatment. Some of these hormones:

  1. Ghrelin, the primary function of which is to stimulate the appetite.
  2. Glucagon-like peptide 1 (GLP-1) enhances the feeling of satiety and slows gastric emptying.
  3. Peptide YY - suppresses appetite and increases the efficiency of digestion and absorption of nutrients.

Non-metabolic bariatric surgery provides significant weight loss without changing physiology. This laparoscopic adjustable gastric banding (LapBand® and the Realize Band®) or neyromudulyatsiya (VBLOC®). With a bandage and diet oreksigennye hormones increase, anorectics - reduced.

From the moment the decision on the form of the operation, the patient has passed all the necessary tests, hospitalization takes 2-5 days, in most cases 2-3 days. Already during his stay in hospital the man gets to his feet, can walk, drink, it starts to recover. It is important to refrain from physical activity for 1-2 weeks. After a month, the patient is completely back to a healthy, normal life, including physical activity.

Possible side effects of bariatric surgery

Side effects can include bleeding, risk of infection, anastomotic leakage, diarrhea, blood clots in the legs.

Later undesirable consequences:

  1. Poor absorption of nutrients, especially in patients who do not take prescribed vitamins and minerals. In some cases, if people do not solve this problem quickly, there is irreversible damage to the nervous system. We are talking about diseases such as pellagra (due to lack of vitamin B3), beriberi (due to a lack of vitamin B1), degeneration (due to protein deficiency).
  2. Other problems include late - a stricture (narrowing of the area, where he joined the intestine) and herniation (bulging of the body due to muscle weakness). After bariatric surgery point out two types of hernias - and postoperative internal.

After bariatric surgery

After the operation in Israel must be a minimum of 2 weeks of stay in the country. This time, when there are possible complications after surgery. Doctors can identify complications and start during treatment.

The man who will come for a month in Israel even before the operation could relax and see the country, to visit the resorts - the Dead and Red seas. Then pass surgery, get well and come home a different person with a new outlook on life, focused on a healthy lifestyle.

The percentage of success is variable in different operations, but everywhere it is more than 90%. For the most radical and effective surgical intervention it is 99%, for medium-size and effectiveness - 95%.

It is important to bear in mind that bariatric surgery is not an easy way out. This treatment option - tools that use patients to lose weight. Operation - a resource that helps to reduce weight and maintain it. Correction of lifestyle that encompasses behavior, diet, physical activity and psychological changes - are needed to maintain a healthy quality of life. Long-term weight loss is based on a person's desire and effort to change their lifestyle through a proactive approach.