Intragastric Balloon

Intragastric Balloon   |   Gastric Banding   |   Bypass Surgery

balloon.pngThe Intragastric balloon is inserted in the stomach by the endoscope. The procedure takes about 20minutes to be performed.

Indication for the gastric balloon:
For patients with BMI between 30 and 34 ( or at least 10-15kg over ideal body weight) who are willing during the first 6 months after insertion of the gastric balloon to stay on diet, and even after removal of the balloon they have to keep on diet. If they don’t change their eating habits the weight loss they have gained in the first 6 months will be regained in short time.
The first week you will be on a liquid diet with instructions to drink plenty of fluids. After the first week you can begin a solid diet.

During the first 6 months you should stay in contact with your physician to monitor your progress.
You will receive education and training on nutrition and the lifestyle changes you must make to have long term success.

Weight loss Surgery

According to the guidelines, patients are eligible for surgery if they have failed attempts at
non-surgical weight loss and have a BMI >35 with co-morbidity or a BMI >40 with or without
co-morbidity.

Surgery for morbid obesity is increasing worldwide due to

  • The current knowledge of the significant health risks of morbid obesity
  • The relatively low risks of complications of the surgical procedures, especially the laparoscopic operations, as most of them are performed laparoscopically.
  • The ineffectiveness of current non-surgical approaches to produce sustained weight loss (diet, sport, drugs)

Surgery should be considered as a method for alleviating of a debilitating, chronic disease.

Who is considered to be a candidate for an anti-obesity operation?
Patient with body mass index of 40 or greater, or for someone with a BMI of 35 or higher if the patient is suffering from a disease caused or deteriorated by the obesity.

The patients are required to have had all other attempts of non-surgical methods to lose weight
More important, however, is the commitment of patient to demonstrate serious motivation and a clear understanding of the extensive dietary, exercise and medical guidelines that must be followed for the remainder of their lives after having weight loss surgery.

Bariatric surgical procedures work in 1 of 2 ways: by restricting a patient’s ability to eat (restrictive procedures) or by interfering with ingested nutrient absorption (malabsorptive procedures). Many of these procedures can be performed by a laparoscopic approach, which has been shown to reduce operative morbidity.

balloon.pngWhat are the routine tests before weight loss surgery?
An accurate assessment of your health is needed before surgery. The best way to avoid complications is to never have them in the first place. Any abnormality discovered in tests may need correction before, during or after surgery.
Certain basic tests are done prior to surgery: a Complete Blood Count (CBC), Urinalysis, and a chemistry, often a Glucose Test is done to evaluate for diabetes, which is very common in overweight persons.
Thyroid and liver function tests
X-ray and an electrocardiogram with exception of very young patients.
Gallbladder ultrasound to look for gallstones.
Other tests, such as pulmonary function testing, echocardiogram, gastrointestinal evaluation, cardiology evaluation, or psychiatric evaluation, may be requested when indicated.

How long is the hospital stay?
In the normal situation 1-2 days for gastric banding or 3-7 days for gastric bypass.

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