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  1. Treatment of obesity

Treatment of obesity

Morbid obesity is a growing epidemic in twenty-first century. An elevated body mass index (BMI) is associated with premature death and increased risk for heart disease, hypertension, diabetes, hypercholesterolemia, sleep apnea, osteoarthritis, and gallbladder disease. Medical therapy for morbid obesity often is not adequate, and surgical intervention is required.

Surgery has proven to be the only effective long-term treatment for morbid obesity. Patients are eligible for surgical intervention if their BMI is > 40 kilograms per height in meters squared (kg/m2), or if they have a BMI of 35 kg/m2 with significant comorbidities and have failed medical intervention.

Bariatric surgery has evolved with the advent of laparoscopy and mechanical staplers. Currently, weight-loss procedures can be devided into restrictive and malabsorptive procedures. Restrictive weight-loss procedures include gastric banding, sleeve gastrectomy, gastric plication and intragastric balloon(BIB).

Malabsorptive procedures include the Roux-en-Y gastric bypass and the biliopancreatic diversion. The treatmentmethod is chosen individually taking account patient specific parameters like age, patient overall health status, body mass index, co-morbiditys, patient eating haubits and lifestyle.

Bariatric operations and prodecures

  • gastric bypass operation (lap. gastric bypass)
  • gastric lap. “sleeve resection” (lap. gastric sleeve)
  • gastric banding (lap. gastric banding)
  • gastric plication (lap. gastric plication)
 

Gastric bypass

Gastric Bypass is a surgical procedure used in the treatment of obesity. Obesity is a serious, chronic disease that is growing worldwide concern affecting the healt of millions of peole. Obesity is defined as an exessively high amount of body fat in relation to learn body mass resulting from caloric intake that exeeds energy usage. […]

Gastric “sleeve” resection

Laparoscopic Sleeve Gastrectomy Sleeve gastrectomy has evolved as a bariatric procedure over the last two decades. It was introduced as the restrictive component of the biliopancreatic diversioon. Subsequently after 10 years, laparoscopic s leeve gastrectomy was used as a bridging procedure in super-morbidly obese patients, usually followed by a definite procedure as laparoscopic Roux-en-Y gastric […]

Gastric band operation

A gastric band operation is a type of weight loss surgery. The capacity of the stomach is reduced using an adjustable band so that only small meal can be eaten. A gastric band operation can help you to lose your overweight. It works by reducing the capacity of your stomach, which means, that you eat […]

Gastric plication

Gastric plication is a new bariatric procedure. Laparoscopic greater curvature plication(LGCP) has gained popularity within the last 2 years because it is a restrictive procedure that reduces gastric volume without the need for stomach resection. LGCP was first described by Wilkinson in 1981. LGCP successfully reduces gastric volume by plication of the greater curvature without […]

Gastric balloon

We insert two types of gastric balloons: 1. Water inflated intragastric balloon inserted for at least 6 months (Allergan) 2. Water inflated intragastric adjustable balloon inserted for at least 1 year (Spatz) Intragastric fluid-filled balloon Intragastric fluid-filled balloon or BioEnterics Intragastriline Balloon (BIB) is an endoscopic treatment method of obesity. It helps people to lose […]

Treatment of obesity

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