Weight Loss Surgery Options – Surgery to Lose Weight: who can undergo surgery?

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Weight Loss Surgery Options Surgery to lose weight: who can undergo surgery?

Weight Loss Surgery Options

Weight Loss Surgery Options.Bariatric surgery, that is, surgical treatment aimed at drastic weight reduction, is an option chosen every year by hundreds of serious obesity subjects who want to radically change their lifestyle.Weight Loss Surgery Options This is not a choice dictated simply by aesthetic reasons, but above all on good health: obesity involves serious risks and shortened life expectancy of at least 10 years. Surgery is a viable route and is the only therapy that allows today to lose most of the overweight with low risk of bankruptcy, ie to recover lost weight. However, bariatric surgery is not suitable for everyone: patients who apply for such a course should be evaluated in a multidisciplinary manner (surgeon, dietitian, and psychologist) and the patient must be eligible for this team of experts dedicated. We talk to Dr. Giuseppe Marinari, Head of Bariatric Surgery at Humanitas.


What are the surgical interventions that you can undergo?


“The possible and validated interventions at the international level are four,” says Dr. Mariners -: gastric bandage, sleeve gastrectomy, gastric bypass and biliopancreatic diversion.Weight Loss Surgery Options Indicatively we can say that the first two are simpler and the last 2 are a bit more complex. In Humanitas, we can play them all, but usually the second and third (Sleeve and gastric bypass) are the most talked about. ”


Who can undergo surgery?


Weight Loss Surgery Options.”Patients aged 18 to 65 with third degree obesity, ie with a body mass index above 40, or with second degree obesity, that is, with a body mass index greater than 35 but with one or more related pathologies Overweight: diabetes, hypertension, dyslipidemia, nighttime apnea, severe and documented orthopedic pathologies that need weight loss. ” The body mass index also referred to as BMI, is calculated by dividing the weight in kg by the square of the stature expressed in meters.Weight Loss Surgery Options


“Beyond the physical characteristics, a patient evaluation must be made that takes into account the dietetic and psychological aspects of the diet,” continues Dr. Marinari.


What is Evaluation?


“It is necessary to frame the general health of the subject by looking for possible obesity complications, in particular, the presence and severity of metabolic, cardiac or respiratory complications.Weight Loss Surgery Options. The evaluation must also determine whether the patient has at least done a serious (if not more than one) well-conducted diet trial: it is crucial.Weight Loss Surgery Options. It is also necessary to investigate its relationship with food, possible psychological disturbances and the patient’s ability/willingness to collaborate. If it is considered appropriate, the most appropriate surgical procedure is evaluated. ”


How many patients who apply for surgery are not considered fit?


“About half. Every year in Humanitas we carry out 800 bariatric surgery interventions, but the assessments we make are at least twice as good.Weight Loss Surgery Options. Some of these are housed within the hospital, part of our clinics in various Italian cities. It is possible that the evaluation fails for psychological reasons or for the absence of previous dietary trials or because the risk/benefit assessment is best understood not to work, but it also happens that the patient himself has to retire after listening What does the intervention and the risks associated with it involve? ”


What are the risks?


“In 97% of the interventions, there are no problems.Weight Loss Surgery Options In the remaining 3%, there are complications, the same ones that can happen after any surgery: in 2% of cases, there is postoperative bleeding, in the 5-6 per thousand there are infections. Mortality is 1.7 per thousand, but in our Humanitas group, it is much lower. ”


What are the benefits?


“The surgery option today is really the only one available to those who must lose a lot of weight – explains Dr. Marinari. – The advantage is that the weight you lose usually is not recovered, because, for example, gastrectomy and gastric bypass reduce hunger and therefore lead to less spontaneous eating.Weight Loss Surgery Options. If we take one hundred people with BMI equal to or greater than 40 who follow a slimming diet, they are physical activity and are followed by psychological support, on average only 10 of them can lose 10% of their body weight and maintain the result for five years. The other 90 can not or will lose a lot more pounds but then resume them. In the case of bariatric surgery, the numbers are overturned: the overwhelming majority obtains a lasting result because a slimming result is also brought about by a fundamental change in lifestyle than others Minds would not be so easy to get.Weight Loss Surgery Options. In addition to weight loss, there is also the disappearance of most associated diseases (diabetes, hypertension, nighttime apnea, dyslipidemia): in practice, the risk of death for cardiovascular disease is reduced by 50%, as well as the risk of illness Some forms of tumor linked to excess fat. “Other Benefits Offer Humanitas Hospital Facility, Dr. Marinari: “We are a high volume center (more than 800 interventions per year) and the only one in Italy where these surgical interventions are made in fast track, ie a well-defined ERAS (Enhanced recovery after surgery) protocol: thanks For this postoperative recovery is quick and optimal, and it is possible to safely rescue workers after only two nights of hospitalization. ”



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