Obesity is the number one scar that currently affects nearly 700 million people, according to World Health Organization statistics. In fact, the obesity epidemic is considered to be becoming more serious, with over 1.9 billion people overweight.
The degree of obesity is calculated according to the body mass index, dividing the weight into kilograms of height in square meters, expressed in meters. The overweight person has a body mass index of at least 25, and from the age of 30 he is already considered obese. In painful, the body mass index is greater than 40.
One of the most popular methods at the moment is a stomach reduction operation. However, such an operation is not an aesthetic mood and has clear indications, attracts the attention of specialists.
"I do barricular surgery only because of necessity, ie. the patient must have a real need not to want a bariatric surgery as an aesthetic whim. The indications for baritaric interventions are well established: In order to be a candidate for baritone surgery, the patient should have a specific body mass index of at least 30. From 30 to 35 we talk about first degree obesity and 30 for baseline. obesity surgery. Starting with Body Mass Index 30, obesity occurs only in the presence of concomitant diseases, i. E. in the presence of diabetes, hypertension, in the presence of joint diseases, lumbar pain, hernia or other diseases that obese. extension. If these concomitant illnesses are not present, baritone surgery starts with the 35 "body mass index, says the testimony of the surgeon-surgeon surgeon, Touda Tuka, one of the doctors in Romania, who helps obese patients recover their health.
Obesity, a risk factor for some diseases
It is also known that obesity is a risk factor for many diseases such as cardiovascular disease, diabetes, cancer, osteoarthritis and other serious conditions. Additionally, excessive weight slows metabolism, making many diets and weight loss regimens. Obese people can not move, so in many situations surgery is a solution, but only after a strict assessment.
– The patient has to prove or at least admit that throughout his experience he has tried many regimes, is a nutritionist, that he has no psychiatric problems, that he does not have narcotic or alcohol dependence. All this needs to be checked to be a good candidate and to have real success. If there are addictions, he is wrong. Every patient should know that after this baritone surgery he completely changes his lifestyle and diet. If they are accustomed to eating huge amounts of food at times, after a stomach operation they receive 5 meals a day, 60-80 milliliters, the surgeon adds.
The patient is assessed by a medical committee
Before a stomach ablation surgery, a person with obesity is assessed by a medical committee. So the opinion of the cardiologist, the gastroenterologist, the anesthetist, the surgeon, the psychiatrist and the endocrinologist is important. Any heart or metabolic problem should be corrected before surgery. Sleep apnea may also require oxygen treatment before surgery. In addition, patients should know that the diet will change drastically after surgery and that removal of several tens of kilos will take place within one year.
"We assume that the patient undergoing such an intervention is aware that he will change his life and eating habits. If you eat honey, for example, and you will not follow this diet, it will never lose weight as it wishes. We need to see what eating habits are: if he is a patient who can have 5 meals a day 60-80 milliliters, if he can give up eating various meals or snacks between meals, then he is a good candidate for this intervention . We are talking about a real scheme after bariatric surgery: on the first postoperative day we feed it with a syringe. In the long run, at 2, 3 months after the surgery, he will be able to eat normally. But quantitatively, they will never be able to eat the same again. During the operation, part of the stomach is interrupted when the hormone, called a greyhound, is secreted. So, first of all, patients will not be hungry, and second, if they want to eat more, they will not be able to eat more than 100 milliliters initially, "says Doctor Tuka.
After surgery, patients receive a strict diet, which consists of very small amounts of food. In addition, they are evaluated periodically and can take supplements with vitamins and minerals if they are not absorbed from the food. Weight loss occurs gradually, and patients are advised to avoid hypercaloric foods, sweets, alcohol, whatever temptation to bring them back to their original weight. Unfortunately, there are such cases if people who have undergone abdominal surgery do not follow the instructions of doctors.
"In Romania there is a tendency to return to old habits. And at 10 years, the proportion of patients who, regrettably, after having undergone baritone surgery recover their lost is 15-20%. So if patients return to the same eating habits, after 10 years, they regain their weight. And they lose this overweight after the stomach sleeve after a year, a year and a half. So there is a gradual, not sudden, weight loss. If patients do not change their habits, they can become fat again because the working stomach will gradually increase to the same size as before. There is also a re-release operation that is reduced again to reduce the stomach again, "added the surgeon.
The operation is not settled
In Romania, stomach reduction surgery is not covered by medical insurance. But its costs are much lower than those of subsequent treatment of obesity-related illnesses.
"Bariatric surgery and its effects have been shown to reduce cardiovascular risk, lower blood glucose levels and get closer to normal, lower gastroesophageal reflux, reduce obesity-related pain, and the risk of stroke. Also, the liver is regenerated, steatosis is no longer present as before the surgery, and excess weight disappears everywhere, including the visceral, abdominal area.
Patients are advised to start gradually moving when peacocks disappear. Physical activity speeds up metabolism and restores the tone so there is no need for a plastic surgery to remove excess skin. Bariatric surgery has been performed in the world for more than 40 years, and success, maintaining a normal weight loss after weight loss is 85% at 5 years.
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