Dr. Abdelkareem El-Gerem
Kafr El-Sheikh Center, New Fighters Area., , Kafr El Sheikh
Professor of General Surgery and Laparoscopy
Bariatric surgery is a surgical intervention aimed at treating morbid obesity that cannot be managed through diet and exercise. It involves techniques such as gastric sleeve surgery or gastric bypass, where the size of the stomach or the path of food in the digestive system is altered to reduce food absorption or the amount of food that can be consumed.
Gastric sleeve surgery is a procedure in which a large portion of the stomach (about 75-80%) is removed, making the stomach smaller and tubular in shape. This results in a reduced capacity for food intake and promotes a sense of fullness more quickly. Gastric sleeve surgery also lowers levels of hunger-inducing hormones.
Benefits of Gastric Sleeve Surgery:
Gastric bypass surgery, also known as Roux-en-Y gastric bypass, involves creating a direct connection between the upper part of the stomach and the small intestine, bypassing a portion of both the stomach and small intestine. This results in reduced food absorption, as food passes directly from the stomach to the small intestine.
Benefits of Gastric Bypass:
Other criteria: The patient should be in overall good health and willing to make long-term lifestyle changes post-surgery.
Bariatric surgery offers not only weight loss but also significant health benefits:
Bariatric surgery is performed using advanced techniques such as laparoscopic surgery, which reduces pain and speeds up recovery. Most procedures are done under general or local anesthesia. After the surgery, patients may experience mild discomfort or pain, but it is usually manageable with pain relievers.
Post-surgery pain: The pain typically lasts for 2 to 3 days, with the need for pain medication gradually decreasing.
Like any surgery, bariatric surgery comes with some risks, including:
The recovery time depends on the type of surgery and the patient's condition, but typically, it takes about 1 to 2 weeks for the patient to return to light daily activities. For exercises or strenuous physical activities, it is recommended to wait 4 to 6 weeks before resuming.
Returning to normal activities: Most patients can return to their normal life within a month after surgery.
Weight regain is possible in some cases, especially if patients do not adhere to necessary lifestyle changes. Behavioral therapy, healthy eating, and regular exercise are crucial for maintaining tangible results.
Long-term success rate: With adherence to the doctor's instructions, many patients experience sustained weight loss and improvements in their health.
It is preferred not to perform bariatric surgery during pregnancy, and it is advisable to wait until after childbirth. For chronic diseases, the condition should be well-controlled before undergoing surgery. Consulting with a doctor is necessary to determine if the patient's health allows for safe surgery.
Pregnancy: It is recommended to wait until weight stabilizes post-pregnancy before considering surgery. Chronic diseases: If the patient has a chronic condition such as diabetes or heart disease, the doctor may recommend a thorough evaluation to ensure the body can handle the surgery safely.
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