Metabolic and Weight loss Surgery

 

Obesity (overweight) and a seditary lifestyle are some of the major problems for medicine in modern times.

Obesity surgery is a stable solution in morbid obesity, it is guided by a multidisciplinary team.

The multidisciplinary team a consists of:

 

-An endocrinologist

-A psychologist

-A dietician

-A health instructor

-A surgical team

 

Patients are guided through the program with the ultimate goal of reaching a healthy lifestyle and an ideal weight. A designated group of the patients under program guidance who need surgery to accomplish this goal are offered one of three procedures, the procedure offered is tailor-fit to their specific obesity dynamics:

 

The gastric sleeve: this is a purely restrictive and hormonal procedure, with narrowing of the stomach and taking away the portion that secretes Ghreline (the hunger hormone)

 

The gastric bypass: this is a combination of a restrictive procedure (reducing the stomach to a small pouch) and malabsorbtion (reconstructing small bowel so as to bypass a portion of it)

 

The mini gastric bypass: a less extensive adaptation of the gastric bypass

 

Classification Surgery: Major

​

Anesthesia: General (Full intubation and sedation)

 

Minimal invasive laparoscopic procedure: Yes

 

Expected hospital stay: Short stay (2 days) hospitalisation or longer

 

Complications and preventive measures

All surgery under general or regional anesthesia carries systemic risks  such as deep venous thrombosis, lungembolus, cardiovascular complications: These risks are minimised through preoperative screening procedures and prophylactic(preventing) measures (anticoagulation agents, antibiotics on indication)

 

Specific complications due to this surgery:

​

-Deep Vein Thrombosis or Lung emboli due to morbid obesity(low chance, less than 10%)

-Cardiovascular complications due to morbid obesity(low chance, less than 10%)

-Anastomotic op stapler leak (low chance, less than 10%)

-Wound infection (low chance, less than 10%)

​

​