Weight Loss Surgeries

Types of obesity surgeries:

There are four main types of obesity surgeries:

Reducing the size that receives food in the stomach and thereby reducing the number of calories gained and is losing weight and these operations are 
 
-Vertical banded gastroplasty (old) & Butterfly Gastroplasty (new)
-Lap band
-Sleeve Gastrectomy

Reduce the proportion of absorption of food and therefore patient only get the benefits of observed food, and these operations are

-Gastric bypass
-Bile and pancreatic conversion

Control satiety center in stomchby planting tray needles in the satiety center of the stomach

Inserting an external element into the stomach through the mouth speculum that inserts a balloon so effects the feeling of stomach fullness and reduces food consumption

obesity surgery

How to choose the most suitable type of obesity surgery ?

  1. First - its absolutely wrong to just choose a specific type of obesity surgery for a patient without following appropriate methodologies and approaches for such choice, as choosing specific type for a patient might be very beneficial, while choosing it for another patient might be catastrophic.
  2. Second-a patient should not choose the type of obesity surgery, that he/she shall perform unless it’s compatible and applicable to their case.
  3. Third - this choice depends on the desired outcome of the surgery besides losing weight depending on :    
    - The patient gender
    - Situation of blood pressure, diabetes, and heart condition
    - The existence of infertility or period disturbance (for women)
    - The presence of psychiatric illness associated with obesity or not
    - Form and distribution of body fat
  4. Eating behaviour: Does the patient eat in large portions frequently or eat mainly consume high calories
    - Does the patient drink alcoholic beverages?
    - Patient capability to follow-up after performing the surgery

Obesity Surgeries

How do obesity surgeries are performed?
what is the duration of the surgery?
what is the duration of the convalescence after surgery?

*  All types of surgeries are performed surgical endoscopic through three or four holes next to the stomach.
*  If the patient cannot afford the expenses of the endoscope surgery, then the surgery is performed by abdominal wound and is it being performed in a cosmetic manner and by using cosmetic creams after surgery it reduces the impact of surgery. Six months later after the operation a laser session work in an attempt to hide the wound landmarks significantly.

Obesity Surgeries revolution

Obesity surgeries revolution

* Surgeries are performed now via endoscope through only one hole in the navel.
* Some surgeries can now be performed through the endoscope which is inserted from the mouth and therefore there is no scars in the belly at all .

Surgery Duration

Duration of surgery and convalescence

All you need is a one day surgery in the hospital and three days of convalescence after surgery.

Excess Skin

Regarding slouch & excess skin after weight loss resulted by the surgery

Exercising, via certain types of sports after each surgery shall avoid the occurrence slouching.

non comliance

In the case of non-compliance and the occurrence of exercising, patient shall:

* Use cosmetics cream for slouching recovery
* Cosmetic injections
* Laser
* Performing plastic Surgery to modify the tummy, arms and legs and breasts.

Gastric Balloon

Gastric Balloon

It is not considered to be obesity surgery. The balloon is placed through the mouth speculum and does not allow to be kept inside the stomach for more than six months. Lead to vomiting violently and possible cause corrosion in the wall of the stomach in some cases. Allow in losing about twenty kg and after extracting the balloon100% of the lost weight is regained within 3 months from balloon extraction It was used 30 years ago and have been cancelled, then some modifications have been applied and replay again and it is expected that it will be cancelled again

Butterfly Gastroplasty

Laparoscopic Butterfly Gastroplasty

One of the latest types of obesity surgeries, it was first conducted in 2005 and has been successfully performed to several thousand cases so far.
In which the stomach is being modified to the shape of butterfly
In which it separates of the central hormone of ghrelin that leads to a sense of fullness after eating less portions of food
After eating little portions of food stomach sends extensive signals to the satiety center of the brain, followed by superior feeling of satiety .
Do not lead Waller reflux or continuous vomiting because of the butterfly shape characteristic, and overcoming the form of the tube that exists in most longitudinal obesity operations
There is no eradication of any parts of the stomach and does not convert the natural course and does not interfere in the normal physiology of the body .
No external elements shall be inserted into the body .
Lead to the rapid healing of high blood pressure and diabetes and infertility, and the descent of weight to a normal status ailments .
Performed arthroscopic surgery during a quarter of an hour

Gastric Bypass

Gastric Bypass

1. 90% of the stomach is separated and left inside the abdomen without passing them food after being disconnected from the oesophagus completely.
2. Rerouting 160 cm of the bowel where there is no absorption.
3. The body loose the vitamins high absorption as normal way, and so the patient needs to be redemptive lifelong treatment.
4. Bouts of diarrhea occur in some cases.
5. Performed via arthroscopic surgery at the time of an hour.
6. Reflux of the lost weight is regained by 10% of the patients.
7. Suitable for those dealing with alcohol or sugars, but still face the negative effects
8. Absolute change the body’s natural physiology takes place.

Laparoscopic Adjustable Gastric Banding

Laparoscopic Adjustable Gastric Banding

Laparoscopic adjustable gastric banding (LAGB) is one of the least invasive operations available for obesity. It is done with a few tiny abdominal cuts (1 cm), instead of with one large cut. The surgeon puts instruments through the cuts. One of those instruments is a laparoscope, a tool with a tiny camera. The surgeon uses these tools to place a band around the top portion of the stomach, leaving a very small pouch available for food. The small pouch means that you feel full after eating only small amounts of food. This will help you lose weight. As its name suggests, the procedure can be adjusted and even reversed.

Laparoscopic Biliopancreatic Diversion

Laparoscopic Biliopancreatic Diversion

A biliopancreatic diversion changes the normal process of digestion by making the stomach smaller. It allows food to bypass part of the small intestine so that you absorb fewer calories. Because of the risks, this surgery is for people who are more than severely obese and who haven't been able to lose weight any other way. Super obesity means that you have a BMI (body mass index) of 50 or higher.

Laparoscopic Vertical Banded Gastroplasty

Laparoscopic Vertical Banded Gastroplasty

 Vertical Banded Gastroplasty (VGB), serve only to restrict and decrease food intake and do not interfere with the normal digestive process.

In this procedure the upper stomach near the esophagus is stapled vertically to create a small pouch along the inner curve of the stomach. The outlet from the pouch to the rest of the stomach is restricted by a band made of special material. The band delays the emptying of food from the pouch, causing a feeling of fullness.

Sleeve Gastrectomy

Sleeve Gastrectomy

1. 75% of the stomach is eradicated and dumped outside the patient's abdomen .
2. Patient lose all the benefits of what was excreted in the excised part .
3. The only operation of obesity surgery that is irreversible because the actual eradication for most stomach .
4. The reflux of the excess weight lost by 25% .
5. Consuming sugars and alcoholic beverages completely spoil it .
6. Performed via arthroscopic in half an hour



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