Bariatric Surgery – Weight loss surgeries
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Treating obesity with the help of surgery, bariatric surgery, is a rapidly growing surgical field. One reason is that the number of obese people is continuously growing. The other reason is that traditional treatments such as diets and medicines are unsuccessful in many cases. Surgeries provide more efficient solutions. The two most commonly used methods are gastric sleeve and gastric bypass surgeries. These are laparoscopic surgeries, carried out by equipment led to the gastric, through little cuts. The adaptation of gastric band is becoming marginalized as patients regularly gain back their weight and there is a high risk of complications.
Over time, other health conditions related to obesity can improve. We can mention type 2 diabetes, high blood pressure, high blood lipid levels, infertility or joint abrasion. On the whole, patients who underwent surgery live a longer, healthier life.
The surgical treatment of obesity – bariatric surgery – is getting more and more popular.
ABOUT GASTRIC SLEEVE SURGERY
Gastric sleeve is created by removing the external part of the gastric. We remove the two thirds of the gastric on the side of the greater curvature, thus forming gastric sleeve of 150-180 ml. The remaining part of the gastric will be untouched, it will be still connected to the esophagus and the small intestine.
After the surgery there is limited space left for food intake. Additional advantage of the procedure is that it reduces the production of ghrelin gut hormone. Ghrelin is the only material inside the human body which can cause hunger. By removing that specific part of the gastric during the procedure, the level of ghrelin seriously decreases, thus decreasing hunger. In the first 24 months after surgery, patients will lose 60-80% of their extra weight. Surgery can be carried out safely by a laparoscope, through five little cuts on the skin.
ABOUT GASTRIC BYPASS
Gastric bypass is one of the most common surgical interventions to treat pathological obesity. The surgery reduces both the volume of the gastric and nutrient absorption.
During the intervention, the surgeon executes the bypass with the help of special surgical devices. During normal digestion, food enters the gastric and then the small intestine where most calories and nutrients are absorbed. Then, it gets to the colon and excreta gets discharged. During bypass surgery, we form a little sack on the top of the gastric. This new, smaller gastric pouch directly connects to the middle part of the small intestine, avoiding the upper parts.
18-24 months after surgery, patients will expectedly lose 60-80% of their extra body weight.
PREPARATION – THE PROCESS OF BYPASS SURGERY
It takes approximately 30-40 minutes. The medical specialist calculates the patient’s BMI, gives detailed information about the surgery and the further steps of the preparation.
To measure the patient’s health status, the following examinations are necessary: lab test, ECG, ECHO cardiogram, abdominal ultrasound, chest x ray, gastroscopy, dietitian, psychological and anaesthesia consultation.
2-4 weeks before surgery, the patient must follow a diet that shrinks the liver in size. That will prepare the body for surgery.
THE DAY BEFORE SURGERY
The day before surgery the patient will get an anticoagulant injection to avoid surgical risks. The patient can get the injection at home or in clinical environment.
WHO WILL HELP ME?
Dr. Zolt Baranyai Zsolt helps pathologically obese people to gain back their self-confidence and healthy body shape to live their life to the fullest again.
He has great practice and tens of thousands of hours spent in the operating room behind his back. He uses his expertise in bariatric surgery for the sake of his patients.
He is an active organizing member and speaker of several world class medical congresses and professional trainings. With almost 50 medical publications, he is one of the leading figures of surgical interventions in Hungary.
The surgery turned out to be the best decision of my life! Dr. Baranyai is the coolest doctor I have ever met! He does not only have a good approach and great knowledge, but his humanity also contributes to the success!