Weight Loss Surgery
With today’s lifestyles, many people suffer from overweight and obesity-related complications. To understand that if one is underweight, healthy weight, overweight, or obese, he or she can calculate his or her BMI by dividing his weight (in kilograms) by his height (in meters squared).
For example, a person with a weight of 80 kg and a height of 165 cm have an approximate BMI of 29 (80/1.652=29.32). A person with a BMI index of ≥30 is considered obese. However, there is not much to worry about! People with 30 to 200 kilograms excess weight, can undergo weight loss surgeries.
- Severe obesity, that is BMI above 30.
- BMI above 35 with serious obesity-related problems, such as diabetes, severe joint pain, or sleep apnea that would improve with weight loss.
- BMI above 30 with specific conditions, including a combination of diseases like high blood pressure, high cholesterol, diabetes, and sleep apnea.
- Certain races (Southeastern Asians and Indians) that experience the effects of obesity at lower BMIs are eligible for weight loss surgery at a lower BMI (27.5).
Skillful and Experienced surgeons in Iran provide you with a wide range of weight loss surgeries with long-lasting results. These procedures can significantly reduce obesity-related complications, such as Coronary Heart Disease, High Blood Pressure, Metabolic Syndrome, and Obesity Hypoventilation Syndrome.
With guaranteed results, you will go through a quick procedure and see dramatic results.
The most common types of weight loss Surgery :
The gastric balloon or intragastric balloon is an inflatable medical device that is temporarily placed in the stomach to reduce weight. It is marketed to provide weight loss when diet and exercise have failed and surgery is not wanted or not recommended.
The procedure needs to be performed under anesthesia, but with no incision. After six months you will lose between 25 to 30 percent of your excess weight. It is noted that the balloon will be removed after 6 months. Since this method is easy to perform and safe and does not require any anatomical change, it is very popular.
The balloon limits the amount of food the stomach can hold and creates thereby an early feeling of fullness and satiety. Less intake of food will result in weight loss. After up to six months (or up to twelve months with some newer devices), the device is removed using endoscopy again. Longer stay of a balloon is not advised because of the danger of damage to the tissue wall and degradation of the balloon. The use of the balloon is complemented with counseling and nutritional support or advice.
Endoscopic placement of the balloon is temporary and reversible without surgical incisions. The (intra)gastric balloon for weight loss differs from the Sengstaken-Blakemore balloon used to stop the esophageal and gastric bleeding.
A laparoscopic adjustable gastric band, commonly called a lap-band, A band, or LAGB is an inflatable silicone device placed around the top portion of the stomach to treat obesity, intended to slow consumption of food and thus reduce the amount of food consumed.
The inflatable band is placed around the upper part of the stomach to create a smaller stomach pouch. This slows and limits the amount of food that can be consumed at one time, thus giving the opportunity for the sense of satiety to be met with the release of peptide YY (PYY). It does not decrease gastric emptying time.
The individual achieves sustained weight loss by choosing healthy food options, limiting food intake and volume, reducing appetite, and progress of food from the top portion of the stomach to the lower portion digestion. It should be noted that there is no malabsorption in this technique, and food will be digested normally.
In this technique, you will lose approximately 40 to 50 percent of your extra weight, and there is no need to cut out a part of the stomach or intestines.
Gastric plication is a procedure where with a special folding and stitching technique the volume of the stomach pouch is decreased into a smaller tube-like shape, in order to reduce the amount of food taken in. The main reasons the procedure is preferred is the fact that no resection is performed in the operation nor are there any foreign objects placed into the stomach.
Laparoscopic Gastric Plication Surgery, also called Laparoscopic Gastric Greater Curvature Plication or Gastric Imbrication refers to a restrictive procedure that aims to reduce the size of the stomach. By making large folds in the stomach’s lining, it shrinks the size of the stomach, and hence the patient feels full sooner. In this technique, the capacity of the stomach is reduced by about 80 percent, and you feel full after eating only a small portion of food.
The procedure is performed using a laparoscopic surgery under general anesthesia and takes between one to two hours, and you will lose up to 55 percent of your excess weight within 2 years after the surgery. It is noted that +30 BMI index is required for this technique.
Gastric bypass surgery refers to a surgical procedure in which the stomach is divided into a small upper pouch and a much larger lower “remnant” pouch and then the small intestine is rearranged to connect to both.
Surgeons have developed several different ways to reconnect the intestine, thus leading to several different gastric bypass (GBP) procedures. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food. Gastric Bypass helps you feel full sooner while eating and absorb fewer minerals.
In this technique, the surgeon divides the stomach and creates a small stomach pouch, and attaches it to the small intestine. This leads to weight loss in two different ways. First, since the stomach becomes smaller, it holds less food than before the surgery, so you feel full after eating a very small amount of food or liquid. Second, the body absorbs fewer calories.
The procedure can be performed both through laparoscopy and open surgery, through small incisions. Gastric bypass has the high rate of success. Within the first year after the surgery, patients lose up to 75 percent of their excess body weight. Gastric bypass is recommended if your BMI is above 35.