what's the safest weight loss surgery
|what's the safest weight loss surgery|
Obesity is recommended for obese people with some characteristics. Also called 'obesity' surgery, it adjusts the anatomy of the digestive system. It causes a decrease in the amount of food consumed, and/or absorption of food by the body, thus significantly reducing weight. Obesity surgery allows for mechanical assistance and metabolism to facilitate reduction of the amount of food consumed, and/or absorption of food by the body. Obesity surgery is flourishing now (involving more than 30,000 people in 2011 compared to only 15,000 in 2006). It is not harmless interference and must be very framed and well thought out.
Obesity surgery is a surgical technique used in some cases of obesity. A technique dedicated to obesity whose lives are threatened by their condition and which have failed all treatments. It consists of a gastric band (called a stomach) that reduces the size of the stomach, or the digestive tract to bypass the absorption of nutrients. In general, significant weight loss was observed following this type of intervention.
A heavy operation that requires long follow-up after surgery and changing eating habits.
There are two main types of surgical techniques: pure restrictive techniques and mixed techniques called restriction and malabsorptive.
Pure restrictive techniques
Pure restrictive techniques are longitudinal gastrectomy or gastrectomy sleeve, as well as an adjustable stomach band. These methods reduce the size of the stomach. The technique of the gastric ring is to put a ring on the stomach to reduce its size and control the amount of food it absorbs. It can be kept for life or removed after a few years. Digestion does not get upset, but side effects like vomiting are relatively common. Longitudinal gastrectomy is a more complex and irreversible process
Restrictive and malabsorptive techniques
Mixed techniques reduce the size of the stomach and reduce the absorption of food by the body. This is basically gastric bypass technique, also called gastric bypass, which is created the bridge between the esophagus and intestines, which reduces absorption of food. It is possible to have deficiencies, and any food gap leads to digestive disorders immediately.
Obesity surgery allows:
Weight loss in a sustainable way.
To reduce diseases related to obesity, such as high blood pressure and diabetes.
To improve self-awareness, mobility, physical activity, sexuality, and relationships with other obesity surgery alone can not lose weight and stabilize over time. The obesity surgery will achieve effective results if some indispensable tips are noted
Adjust his dietary habits.
increase physical activity
Followed regularly by the doctor throughout his life
The decision to conduct this non-trivial surgery is taken during a multidisciplinary meeting. Obesity surgery allows permanent weight loss but also to reduce obesity-related diseases such arterial hypertension and diabetes
Many contraindications should be respected that do not allow all people who wish to have surgery
A severe eating disorder such as unresolved anorexia is an absolute sign
A psychiatrist or psychiatrist should be consulted before this procedure is done
The presence of mental or cognitive diseases is an anti-intervention signal
The surgical procedure follows the need for regular monitoring throughout life
Some people are unable to continue this observation so they can not benefit from this surgery.
Such persons who drink or use licit and illicit psychotropic substances cannot be subject to this process.
Persons who have not received medical care or monitoring of the plan do not fall under this specific intervention;
Life-threatening diseases such as advanced cancer, severe heart disease, etc.
Among contraindications, allergies to local anesthetic, psychiatric disorders, dementia, not fasting
It is essential to ensure that women who want to work as they are not pregnant. In fact, pregnancy is contraindicated in obesity surgery.
In women during periods of genital activity, it is, therefore, necessary to perform a beta-Hg plasma test 48 hours before the procedure.
Some of these contraindications may be temporary: it is then necessary to consider re-evaluating surgical indicators after improvement and disappearance of contraindications.
Such as any surgery, and the risk of deaths related to obesity surgery is not zero. This risk is low, less than or equal to 1%. By comparison, the mortality rate is almost:
0.1 to 0.5% after removal of the gallbladder.
2% after the ca
Obesity surgeries such as gastric band, bypass, or sleeve can cause complications that occur most often in the months following intervention but may also appear in the following years. Some complications can occur, such as a gas blockage or an outpatient accident, regardless of the type of intervention. Other complications such as vitamin deficiency occur frequently.
Other complications depend on the type of intervention undertaken.
All interventions for obesity surgeries can cause more or less weight recovery over the long term that sometimes requires re-intervention.
The stomach ring
The onset of acute stomach obstruction and infection are the most common complications. Gastric band erosion, sliding or dislocation of the ring, abnormal housing and catheterization, esophageal reflux or gastroesophageal reflux and esophageal reflux and/or reservoir are complications that may appear later. Stretching is one of the most common complications and a problem of the gastric band because it can lead to slipping of the ring and perforation of the stomach.
It results from the excessive tightening of the loop and inadequate nutrition because it is very important and messy.
Restrictive techniques, such as the gastric band, lead mainly to non-ingestion such as iron.
Fistula associated with leaking digestive fluid in the staple line may appear quickly and lead to deep abscess or peritonitis.
These major complications require rapid re-intervention that can prolong the recovery period.
Bleeding on the main line leading to bleeding along the gastrointestinal tract, gastric stenosis, stomach gastric reflux, or gastrointestinal enlargement are complications that can also be observed.
Pulmonary embolism, fistula, hemorrhage, abdominal wall infection and biliary disease are complications that can be observed after bypass.
Bowel obstruction may occur after years of the procedure.
After the stomach Pepsi, the risk to the patient without supplements are deficiencies in iron, folic acid, vitamin B1, vitamin B12, vitamin B6, calcium, and zinc. Iron deficiency occurs
Nausea and vomiting occur in more than 50% of patients with a restrictive procedure such as gastric band
dumping syndrome causes discomfort after meals. It appears after ingestion of large amounts of sugars or fat. These discomforts are similar to those caused by hypoglycemia without presenting biological signs and may be accompanied by headaches, redness of the face, irregular heartbeat, sweating, vomiting, diarrhea, and sometimes even unconsciousness.
Nutrition deficiency may appear in vitamins, minerals or iron. The most common deficiencies relate to iron, vitamin D and folic acid (vitamin B9) but also vitamin B1, calcium, vitamin D and zinc.
The most severe deficiencies mainly related to iron, calcium, vitamin B 12 and vitamin D. Anemia is the most common complication caused by iron deficiency, folate, and vitamin B12.
Vitamin B1 deficiency that can occur after obesity surgery can lead to severe neurological disorders such as Wernick Get syndrome (temporal temporal dislocation, eye movement paralysis, recent amnesia, neuritis in the lower extremities ...).
Eat vitamin (Vit D, Vit B12 ...) Iron and calcium often advised after surgery to treat obesity, especially during malabsorptive surgery. Follow-up regularly, 4 times a year after intervention then 1-2 times a year throughout the individual's life makes it possible to verify the lack of undernutrition by performing regular biological tests.
Who to consult?
A person who is overweight and who wants to look at surgery should talk to their doctor and/or a specialist in obesity such as an endocrinologist, nutritionist, gastrointestinal or gastrointestinal surgeon, nutritionist, psychiatrist or doctor. psychological. This professional will direct you to a multidisciplinary team specializing in obesity surgery.
It is necessary to consult, on the advice of a physician or obesity specialist, professional of a multidisciplinary team specializing in obesity surgery. This consultation then determines whether or not you have surgery.
If you are concerned about the surgical procedure, before deciding on the possibility of surgery, the person concerned will receive additional information, make an assessment of his health and receive the readiness for the procedure. The multidisciplinary team will propose the most appropriate intervention for the medical situation, according to needs and risk factors.
If you are not concerned and surgery is not possible, the multidisciplinary team explains the causes and suggests another support
Obesity surgery helps to lose weight and control associated diseases such as diabetes or high blood pressure. But its consequences are too restrictive and must be taken into account before resorting to the process. The medical follow-up to life is essential, lifestyle (diet, physical activity) must be completely changed. Obesity surgery in BMI cases is greater than 40 (or more than 35 and is associated with complications such as diabetes or hypertension).
of children and adolescents in its recommendations, Haas did not recommend the surgery of obesity in children and adolescents, except in very severe cases. In the face of the increasing use of this type of surgery by non-referral health professionals, identifies rare cases where surgery can be considered obese.
Obesity is defined as an abnormal and excessive accumulation of fat in the body that can have adverse health effects. In children, the BMI should be interpreted according to age and sex. The curves of the tarpaulins in France have been determined, including the thresholds by which a child or adolescent is considered overweight or obese.
Short-term and long-term complications similar to those observed in adults: heart, respiratory system, and metabolism. It is stated that overweight can cause a particular impact on a child's or adolescent's life: early or late adulthood, amplification of bone complications from bone growth, consequences Psychological with regard to the building of the image and body in adolescence.
The treatment recommended by Haas includes nutritional education, recommendations on physical activity and psychological support. It must be multidisciplinary and regularly monitored by the World Health Organization (the Centre for specialized obesity) for at least two years.
According to Haas, obesity surgery should be seen only as a last resort in individuals under the age of 18. The Union states that this is a dense intervention, with daily difficulties even in the long term and that it alone cannot achieve weight stability over time. Medical monitoring of life and changes in eating habits is essential.
In the case of a child according to Haas, no surgery should be considered for obesity in a child under 13 years of age. Surgery to treat obesity is not recommended for children under 13 years of age. The following cases should also be considered: non-compensatory or non-dependent psychiatric disorders, obesity with severe mental retardation, pregnancy, breastfeeding and the pregnancy project within two years.
In the case of a teenager, only the failure of multidisciplinary care should lead to the use of surgeries to treat obesity in teenagers. In addition to this standard, four conditions must be met: not less than 15 years of age, and have reached a stage of rigorous growth (13 years of age for boys, 15 years for girls, and adulthood in phase IV). On the Tanner scale, the BMI has achieved 15 mg/m2 with severe co-morbidity or 40 mg/m2 with the poor quality of life and is sufficiently mature to understand the constraints and consequences of a response.
The first step consists of pursuing multidisciplinary care: the use of surgery can be discussed in the absence of improvement after one year of care.
Step 2: Assess the possibility of obesity surgery by professionals who have followed teenagers. Phase III is the stage of preparation of intervention for at least one year. Professionals then validate the use of surgery and determine the technique to use. Finally, the last step is to follow the adolescent after the process at least every three months within civil society organizations.
The complications of obesity in teenagers are still not well understood, but Haas considers that they are similar to those observed in adults: the consequences of surgery, digestive disorders, nutritional disorders and psychological disorders.
And Haas determines that any argument currently allows for the benefit of one or other of the three existing techniques (the band is intended for modification, longitudinal gastric removal, bypass).
These interventions must be practiced in all cases by specialized teams and expertise attached to civil society organizations with the competence of children and the delivery of the three techniques
What to eat after the procedure
After the intervention, it is necessary to eat non-solid foods, including the start with liquids and then insert them as mashed potatoes. Solid foods will be eaten gradually. In order to avoid unpleasant effects, such as vomiting or pain, it is necessary to follow dietary advice.
Eat small amounts with each meal and chew slowly. Sit and dine in peace. Stop eating and stop eating once you have a digestive problem or if the feeling of hunger disappears. Do not drink while eating but hydrates between meals. Eat balanced and varied to avoid undernourishment and increase weight loss opportunities. Consume enough protein such as meat, fish, eggs and dairy products
Foods To Avoid
avoid cakes, sweets, sauces and fried foods, fat fats also to avoid overweight
Drink to avoid
Avoid the diabetic drinks and soft drinks.