For all those who would like to lose weight dramatically and drastically, it may be advisable to undergo surgical operations, but the little-proven studies are not enough to recommend this option every time and to each patient. Criteria must be defined beforehand.
Slimming at all costs
Is surgery against overweight tempting you as you feel the need to lose weight quickly? You probably already know that you have many other choices before you go to the act. For example, you can try to lose weight naturally, by exercising and by eating a healthy diet.
The surgical method is becoming more and more in vogue, but is it good for our health?
An Update on Weight Loss Surgery
Surgery is mainly recommended for people with morbid obesity, that is to say with an excess weight of more than 45 kilos. To enter this category, a person must have a BMI of 40 or more (BMI “normal” is between 18 and 25).
Bariatric surgery (with gastric banding) is generally considered the last treatment option for diabetics with a BMI of 35. Whatever happens, whether diabetic or not, this practice is often advised for large obese.
This question raises questions: this is why medical authorities have difficulty in defining precise conditions to justify such an approach.
Two surgical techniques
There are two main types of surgical techniques:
- Pure restrictive techniques:
laying a gastric band, longitudinal gastrectomy or vertical gastrectomy. These techniques reduce the size of the stomach and facilitate the decrease of food consumed.
- Mixed techniques called restrictive and “malabsorptive”:
Pose of a gastric bypass (also called gastric bypass) and biliopancreatic derivation. These techniques reduce the size of the stomach (restriction technique) and reduce the assimilation of food by the body (malabsorptive technique).
– Gastric Band
Practised under laparoscopy, it is a painless operation and very fast.
It consists of placing a silicone ring around the stomach to reduce its capacity and volume and thus decrease the amount of food ingested.
- This reversible technique seems very effective because the loss of fat mass can go up to 50% of the excess of total weight.
- The ring will drastically slow down the passage of food without disrupting digestion.
- The installation of the ring is a common operation and simple to practice, it is still taken care of by the Social Security.
- The difficult passage of food can cause vomiting.
- It is possible that the ring will move and cause gastric upsurges.
– Sleeve gastric: radical and effective.
This technique allows the stomach to be transformed into a tube. Using a stapling technique along with its entire length, the stomach is stretched and thus reduces the production of a hormone called ghrelin that regulates appetite.
- You do not feel like you are depriving yourself.
- You lose more weight than with a gastric band.
- There is no implantation of foreign bodies.
- Reimbursement by Social Security is possible.
- The operation is irreversible.
- Staples can break or tear and create complications.
– Gastric bypass:
The stomach is short-circuited by making a passage between the intestine and the oesophagus. This technique significantly reduces the amount of food consumed and reduces its reabsorption.
- It is currently the most effective technique, but it is proposed only for extreme cases.
- You will lose between 75% to 80% of your excess weight over just over a year.
- Deficiencies appear but can be compensated by the regular intake of vitamins.
- If you do not follow your recommended diet, there is a high risk of vomiting.
– Abdominal lipectomy:
This involves removing excess fat surgically. It is mainly practised in the abdomen when the abdomen is too bulky and causes serious discomfort.
– Lipoaspiration :
From a small incision, a foam cannula is inserted, and tunnels are made of the skin from all sides, sucking the fat using a powerful vacuum cleaner.
– The jejunoileal shunt:
This operation involves connecting the beginning of the intestine to the last part of the small intestine called the ileum. Most of the intestine is therefore short-circuited, and the food is weakly digested. Slimming is fast, about 5 to 6 pounds per month for 3 months then 3 kg per month.
Why opt for weight loss surgery: the fundamental reasons
The main reasons to opt for weight loss surgery are to recover your health, increase your lifespan and improve your quality of life.
Here are the facts:
- Morbid obesity is a chronic disease with many associated diseases.
- In the long run, the plans do not work.
- Medical expert associations agree that BARIATRIC SURGERY produces long-term weight loss.
- Health Care expert agree that BARIATRIC SURGERY can improve most of the diseases associated with obesity, including sleep apnea, high blood pressure, type 2 diabetes, high cholesterol and urinary stress incontinence.
- Medical experts’ associations agree that BARIATRIC SURGERY can reduce premature death.