Questions for a special surgeon, a bariatrist

Diet, fitness, psychotherapy – these methods are excellent for dropping extra pounds. But here’s the trouble – for a person suffering from obesity at a serious stage, they are useless. The only way to get rid of unnecessary weight is to have a special surgeon –  a bariatrist. He will help to lose weight in the most radical ways.

When are the surgeries contraindicated?

In the event of an exacerbation of gastrointestinal diseases. For example, in case of stomach ulcer. The doctor will refuse to perform the operation if the patient suffers from alcoholism or drug addiction. Or if there are irreversible changes on the part of vital organs.

How do I prepare for surgery?

Doctors are insisting: before the operation, a person suffering from severe obesity, you need to lose 10-15 kg in any way: with the help of diets, medicines or an intragastric tank. If you succeed, it means that the chances of success of the operation are increased. A special situation – when the patient has a heart condition or respiratory failure, such a person will need a preoperative, rather lengthy preparation.

How long do the surgeries last? Are there scars left?

Simple operations last about an hour, complex operations last up to 3-4 hours. Most of the operations are performed laparoscopically, and there will be several unnoticeable punctures in the abdomen.

How soon after surgery can we get to work?

As a rule, the patient returns to normal life after 15-20 days. With a laparoscopic stomach bandage unit, the patient is expected to be hospitalized for 1 day after the operation and 2-5 days of outpatient treatment.

Is it difficult to get used to the new diet?

First of all, you will have to eat in a new way a few days before the operation, refuse from spicy, salty, acidic dishes, sweet carbonated beverages. In the first three days after the surgery, you need the most gentle diet – heat-treated, turned into puree food. Next it is necessary to start the mechanism of new eating habits. Therefore, 3-4 weeks after the operation is recommended again gentle diet, but with a well-established system of combination of proteins, fats, carbohydrates during the day. After 2-3 months after the surgery, the brain tries to return the eating habits that have developed over the years. The doctor (or coacher) will help to resist temptation and further form a rational diet.

Are there any issues after surgery?

Choose a clinic where such surgery is routine, then complications occur no more often than in 5% of cases. It is very important to make sure the legitimacy and proper organization of the bariatric center. The bariatric should be certified. The clinic should be equipped with sufficient laboratory and instrumentation equipment. You should be led not only by a bariatrist, but also by a therapist or endocrinologist.

When is an operation considered successful?

If the patient has lost at least half their weight and has been able to retain the result for 5 years or more. But the surgery is not a panacea. A person has to work on his or her own – to change his or her way of life, to get fit, to change his or her attitude to food, to get rid of food addiction.

Can obesity return?

Unfortunately, it happens. Especially if the patient does not follow the rules set out in the leaflet – it is given to the patient by the doctor after surgery. The probability of weight gain is higher after simple surgeries (bandaging, longitudinal resection of the stomach), lower – after complex (gastro- and billiopancreatic bypassing). But at the same time, the last and side effects are greater. If the operation did not help or the weight loss was followed by the return of the lost kilograms, the next stage of surgical treatment is possible.

Excess weight will go away. And what will allow a person to make a new figure not amorphous, but slim and tightened?

Of course, we need to develop an aesthetic rehabilitation program. Laser correction technologies, physiotherapeutic and cosmetological care are very helpful in this process. Lifting programs allow you to support your skin when you lose weight.

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