Requirements for weight loss surgery, it is appropriate to mention that this condition, when very serious, Morbid Obesity, which has the highest body mass indexes (BMI) (greater than 40) and to other life-threatening pathologies. As you know, the higher the degree of obesity can bring consequences that are more serious for the body and even in the worst cases, can cause death.
What Are The Requirements For Weight Loss Surgery In Mexico
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When this pathology reaches the highest body mass index, in which people can weigh up to 45 kilograms more than what is considered normal, the possibility of treating it under traditional methods is reduced, such as nutritional diets, physical activities, drugs, among others, so it creates the need to find another effective option. Thus the alternative of Gastrointestinal Surgery or Bariatric Surgery arises, through which it is sought to reduce the size of the stomach through a surgical process on the digestive tube, decreasing its capacity of the gastric volume, modifying the appetite, so that the person cannot Ingest the same amount of food, which previously consumed.
This surgery allows people with severe or morbid obesity to lose that excess weight in short periods of time and, along with it, manage to correct the consequent health problems, such as sleep apnea, high blood pressure, breathing difficulties, infertility, depression, diabetes, among others. Inclusively, bariatric surgery can prevent heart attacks, thus prolonging life.
Now, like any surgical intervention, Bariatric Surgery carries with it some necessary measures to be successful. Therefore, it is essential that people who operate through this method, come to a thorough assessment by a multidisciplinary team that includes a nutritionist, in order to optimize their eating habits, and implement constant routines of physical exercises and continue medical checks periodically.
What is the next step?
In addition, it is possible that by losing weight in a considerable and accelerated way, the so-called “flaps”, that is to say, large folds of the excess skin, resulting from the reduction of kilograms, For this reason, a plastic surgeon a year later, in order to cut excess skin and improve the appearance of the body through the known Post bariatric Surgeries. Rather, it is the most effective surgical treatment par excellence, to treat this great problem represented by obesity, in favor of improving health more than beauty.
Types of Bariatric Surgery
When opting for Bariatric Surgery knowing that it acts on the digestive system to lose weight massively, it is essential to know about its typology and the different techniques used, to indicate each case of obesity towards the most appropriate surgical procedure and thus achieve the desired results. Whatever the modality of intervention, it that it is carried out through specialized practices, such as laparoscopy, which to examine the abdominal cavity through small incisions with the use of small video cameras, which allows a quick healing, less pain and therefore, a recovery in a short time. Currently, there are several types of Bariatric Surgery, which under the conditions of these three techniques:
- Restrictive: reduces the capacity of the stomach.
- Mixed: it fulfills both functions of the previous techniques.
Within these techniques, the different types of bariatric surgery are located, whose main ones are:
It is the surgery par excellence and the most frequent, since it combines the two techniques (restrictive), which supposes not only the reduction of the stomach but also the alteration of the small intestine, thus decreasing the absorption of calories. On the one hand, the stomach is reconstructed, leaving only a portion when a small pouch or reservoir is created at the upper level of the stomach (where it connects the esophagus), which will become the new stomach separated from the other. It directly to the small intestine, so it
The behavior of the patient after surgery also greatly influences the achievements of the Gastric Bypass. So it is determined that the amount of excess weight and overweight that is lost, can reach up to 75% after one year if they follow the recommendations of the treating doctors.
Vertical Laparoscopic Sleeve Mastectomy is a procedure in which a portion of the stomach. This surgical methodology uses the restrictive technique because its objective is to limit the amount of food that accesses the stomach. To explain the main mechanisms by which Laparoscopic Gastric Sleeve works, it is very important to talk about a hormone called GREENE. This hormone in a specific part of the stomach (funds) and its main function is to send a warning signal to the brain that “is hungry” or “is empty.”
Patients operated by this technique lose weight mainly for two reasons. The first is because your stomach is now smaller, less than 30% of the size you had before the surgery, this causes that when eating they fill up faster and with less food. The second reason is precisely the loss of hunger and eating anxiety caused by the decrease in Gherkin by cutting the gastric funds. Patients eat because they know they should eat, not because they are hungry or anxious to eat.
Adjustable Gastric Band
This surgical methodology uses the restrictive technique because its objective is to limit the amount of food that accesses the stomach. For this purpose, it uses an adjustable band or rings that around the entrance of said organ, in function of creating a bag in the smaller stomach that restricts, largely, the entry of food.
In this way, not only the amount of food but also the speed with which they pass through the stomach, which is why the patient will eat small portions of food and feel quickly satisfied by the pressure in the bag. This surgery is reversible, if for some reason the band, the stomach returns to its initial form, however, this surgery is currently in disuse.
It is an intervention that is not considered exactly surgical, but rather, endoscopic. It is simpler than other surgeries and involves introducing a malleable and soft silicone balloon into the stomach, in order to fill a large part of it to limit the passage of food to it. This balloon into the body through a bariatric surgery of a restrictive type that, being inside the stomach reaches to inflate around 700 ccs. This sphere has a valve that closes automatically, also has special properties in terms of its material, which prevent stomach acid deteriorate.
Like the previous ones, this procedure causes a feeling of early satiety despite eating little food, due to the large space occupied within the gastric concavity.
As its name suggests, this type of surgery mainly focuses on the alteration of the small intestines, specifically in the area of the duodenum. When the Body Mass Index (BMI) exceeds 50 and there are severe associated diseases, this method is the most indicated which implies one of the surgeries with major permanent changes in the digestive system. The duodenal switch counteracts most of the stomach, through a tube-shaped bag that connects to the esophagus, while at the same time connecting to the duodenum once the small intestine, then reconnecting the rest of it.
From this, it this surgical intervention is a model since it seeks to limit the number of calories and nutrients by inhibiting its absorption, redoing a part of the digestive system. In the same way, it is an irreversible surgery, because it involves a long and complicated procedure that involves hours in order to reconstruct the organs involved, altering its natural state definitively. That is why, the duodenal switch, is characterized by providing excellent results with considerable weight loss, but even more so with the durability of this achievement over time.
What are the requirements for bariatric surgery?
In order to undergo Bariatric Surgery, the candidate in the diversity of aspects that involve him, to determine if his physical or psychological state, allows him to opt for this type of intervention. These are the requirements that this surgery demands:
- Body Mass Index equal to or greater than 40
- If the BMI is 35, it must have at least one associated disease that determines obesity as morbid (diabetes, hypertension, among others)
- Age between 13 and 65 years
- Obesity for at least five years
- Responsibility in the re-education of eating habits and commitment to establish routines of physical activity periodically
- Economic capacity to pay the expenses of the surgery, since after the surgery nutritional supplements are needed for life, as well as following with an adequate diet
- Final approval of the attending physician
It is essential to understand that the success of the surgery depends not only on what by the surgeon but also on the changes that in improving eating habits and exercise. Each surgery is individualized, that is, each human being has different conditions that into account to choose the technique and the most appropriate type of bariatric surgery.
What are the risks of Bariatric Surgery?
Like any surgical intervention, Bariatric Surgery has risks or complications. The risks are similar to those that arise in other surgeries and these complications vary according to the technique and type of bariatric surgery used. It that 10% of patients suffer these complications or side effects as a whole:
- Threw up
- Difficulty to swallow
- Dehiscence or opening of the sutures
- Abdominal pain
- Bloating or abdominal swelling
- Nutritional insufficiency
- Spleen injury
- Dumping syndrome (rapid emptying of stomach contents)
- Difficulties in the lungs
- Stenosis (narrowing) of the stomach and intestine bond
- In the worst and smallest cases, death
It should be emphasized that there are no guarantees in any surgical procedure, because in some interventions, despite their low degree of difficulty, unexpected problems arise that alter the results. If you go to your appointments with the multidisciplinary medical team and the patient fully follows the recommendations, there are no long-term complications.
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