At the beginning of the new millennium, due to widespread changes in human lifestyle and sedentary lifestyle, overweight and obesity have become one of the most solve problems of human life. Slimming surgery is one of the most popular weight loss methods. But many people do not know enough about these surgical procedures. That is why people get confused when they decide to have weight loss surgery.
In this article, we will introduce the types of weight-loss surgeries. Then we will review some essential points when choosing slimming surgery.
Types of weight loss surgeries
Today, one of the biggest problems of machine life is weight gain and various diseases related to obesity. What’s worse is the words that I can spell I often mistype, instead of exercising and dieting or choosing a healthy lifestyle. Cosmetic procedures and fitness create a lot of problems for the body. Many of them are reversible after a while and will get even worse than before. Due to the lack of vitamins, a person’s body will suffer from severe malnutrition, depression, gastroesophageal reflux disease, and heartburn.
Different Types of weight loss surgeries
1- Roux-en-Y gastric bypass slimming operation
This procedure is a type of gastric bypass and is even the most common type. This type of surgery is usually irreversible, in which the specialist cuts the upper part of the stomach, and the rest of the stomach is closed, which means that you do not eat much in one meal, and even the amount of food absorption is too low. The rest is the size of a walnut and holds only 28 grams of the food. However, a normal stomach can keep much more. The surgeon then removes the small intestine and attaches it directly to the same small sac. The food then goes to this small sac and then to the small intestine to which it is attached. Food bypasses most of the stomach and the first part of the small intestine and instead enters directly into the middle part of the small intestine.
2-gastric bypass slimming operation by blu pancreatic diversion method by duodenal switch
This surgery is another type of gastric bypass surgery that removes about 80% of the stomach in this complicated and multi-part procedure. In this operation, the tube that releases food into the small intestine would include only a limited portion of the small intestine and attached to the stomach. In this surgery, the surgeon will bypass most of the gastrointestinal tract by connecting the intestine to the duodenum to the stomach. This surgery severely limits the amount of food you eat and also reduces food absorption. Although this surgery is beneficial, it has many risks, including malnutrition and vitamin deficiency. This surgery is for people with a BMI above 50.
3. Adjustable laparoscopic abdominal banding slimming operation
In this surgery, the surgeon places an inflatable bandage around the highest part of the abdomen. When the doctor inflates this band, it compresses the stomach just like a belt that folds pants. That divides the stomach into two parts. One part is in the form of a small envelope and is connected to other parts of the stomach by a channel created by a bandage. The small portion limits the amount of food a person eats. This band is adjustable, so you determine the extent of the food restriction. Due to the simplicity of this operation, it is one of the most common weight-loss surgeries. With this method, you may experience less weight loss than other methods and have to readjust the band periodically.
4 – gastrectomy or sleeve slimming operation
That is a new method of weight loss surgery. Sleeve gastrectomy is the first part of gastric bypass surgery by the duodenal switch. However, a sleeve gastrectomy can be all that is needed to lose weight. With sleeve gastrectomy surgery, the stomach structure changes to a tubular state. That limits the number of calories the body receives. Which of these methods is appropriate for a qualified person depends on the individual’s circumstances. The surgeon must consider many factors, including BMI, eating habits, health problems, any surgery you have had in the past, and the risks of each of these procedures. “It is not yet clear to us what the complications of weight loss surgery are for patients, and this is a critical gap,” said Dr. Anita Kirkolas, head of the Department of Obesity and General Surgery at Pittsburgh Medical University. So the year after surgery, most people lose weight, and their diabetes problem shows up again after gaining weight. In this study, they considered only these two indicators and didn’t consider other cases. That means that issues and complications can have different variations and intensities.
New research has shown that weight loss surgeries that cause a drastic weight change and improve type 2 diabetes in people gradually lose their effect, and the person gains weight again, followed by the return of diabetes weight. It returns to its place. The first year a person undergoes a sleeve gastrectomy, they lose 77% of their body weight but lose weight within five years. Surgery to lose weight, in the long run, can not cure this disease. After the operation, the person becomes overweight, and the main reason is the enlargement of the stomach, which means eating more. Appetite returns, then the patient can eat more and eat more. Weight loss surgery can not change a person’s behavior. That means if the person does not change his habits, she/he will regain the lost weight. For the study, researchers looked at data from 450 surgeries performed from 2006 to 2013. A few years after surgery, most of these people regained the weight they had lost during surgery.
During a sleeve gastrectomy, surgeons remove most of the stomach. This reduction in stomach size limits the amount of food a person can eat. Elimination of most parts of the stomach causes changes in intestinal hormones, decreased appetite, and low blood sugar.
5. Gastric plication slimming surgery
In this procedure, the surgeon would fold the stomach layers on top of each other to narrow the stomach space. So the stomach shrinks, and the person can not eat much food. Those with a BMI between 35 and 40 can use this procedure.
6- Intestinal bypass surgery (duodenal displacement)
In this method, after gastric sleeve surgery, the duodenum (duodenum) and the last part of the small intestine are divided, and about three-quarters of the small intestine is cut. Then, the surgeon connects the upper part of the small intestine to the last section. That carries the enzymes of the pancreas and bile. In this case, you eat less food because the stomach cavity can not hold more food. The enzymes in the pancreas and bile combine at the end of the small intestine. Therefore your body absorbs fewer calories.
7. Lipomatic body sculpting
That is a complicated way to get rid of localized body fat. The specialists will remove these fats from the body without pain and bleeding. The purpose of this operation is to reduce the size. It is also more accurate than the liposuction method.
Liposuction is a cosmetic surgery that removes excess fat and deforms certain areas of the body. Liposuction is a procedure using a small steel tube (cannula).
9- Abdominoplasty (abdominal cosmetic surgery)
In this operation, the doctors remove excess fat and skin from the abdomen. Then the muscles of the stomach are tightened and smoothed. Those who have lost the skin elasticity or their abdominal skin has become loose after childbirth can use this operation.
Four things you need to know before going under the razor
1- A person may experience sagging skin after any rapid weight loss. Younger people and those who exercise are less likely to develop this condition.
2- The results of bonding and balloon procedures are temporary. Therefore you should use methods such as gastric bypass and sleeve to get long-term consequences.
3- The bonding and balloon methods are useful to lose 15 to 30 kilos quickly.
4-It is better to perform exercises after surgery regularly and take vitamin supplements under a doctor’s supervision. In some cases, you may need a plastic surgeon.
Which BMI should surgery?
Body mass index is standard for adults if it is between 18.5 and 25. Between 25 and 30 are overweight, between 30 and 35 are first-degree obesity, between 35 and 40 are second-degree obesity. From 40, obesity is severe or excessive, that people with this BMI should eventually undergo surgery. People with a body mass index between 35 and 40 can also have obesity surgery. The Food and Drug Administration of the United States has also recommended 30 to 35 banding or gastric banding methods for body mass index.
It is better to change your lifestyle after the surgery,
People with obesity suffer from various complications and diseases. They have a much higher risk of diabetes, high blood fats, high blood pressure, stroke, heart attack. These patient’s treatment is complicated through diet and exercise with or without medication. Moreover, the treatment results are more disappointing in the long run, with a recurrence rate of up to 90% for non-surgical treatment of obesity.
Which weight loss surgery is best for you?
It is complicated to select the type of obesity surgery based on BMI. It depends on several factors, including diet and comorbidities. For example, those with gastroesophageal reflux disease are not suitable for sleeve surgery. Patients with a history of familial gastric cancer should not have bypass surgery because it separates the two parts of the stomach. Then we will no longer have access to the endoscope to examine the stomach. It removes 75 to 80 percent of the stomach size. Also, that reduces the risk of stomach cancer by 75 to 80 percent. At the same time, the doctor can examine the rest of the stomach with an endoscope. Besides, sleeve surgery is not suitable for those accustomed to eating small things, eating a lot, and can not control themselves. Because after the operation, with this amount of food, the stomach will eat again, and the person will gain weight. Of course, the patient’s choice is also pivotal in this regard.
Frequently Asked Questions
Lipomatous can be used to eliminate fat in which part of the body?
Using this method, you can remove the fat accumulated on the sides, buttocks, abdomen, arms, legs, and chin and create a beautiful appearance in these parts.
What is the duration of lipomatous?
Using this method is very beneficial in eliminating excess fat. But its shelf life depends entirely on the person. After lipomas surgery, the person should have a proper diet and also increase physical activity so that the fat does not return.
When can I exercise after weight loss surgery?
After the operation, you can walk to the hospital with rest. Of course not more. The important thing after most weight loss surgeries is to move slowly and avoid too much movement. It is better to avoid strenuous exercise for at least a month. You have to avoid competitive sports and activities. Do not lift heavyweights. If you are a swimmer or you like to swim, be sure not to enter the water until the wound is closed and completely healed.
Do I have to have a special diet before the operation?
Yes, it is better to get ready for surgery. For this purpose, the slimming surgeon will give you a specific diet plan that you must follow from 2 to 3 weeks before the operation. Why should you follow this diet? For two reasons. The first is to reduce the liver size and the second is to reduce the amount of pre-operative body fat. If the diet is well followed, your action will be safer.
Can I not take some of my medications after surgery?
With weight loss, many of the problems that plague you with obesity are eliminated or reduced. For example, you may have high blood pressure or heart problems before having type 2 diabetes, which can be partially relieved by having surgery. You can set aside some of your assets. Of course, it is better to talk about this with your slimming surgeon and doctor.
Do I have to follow a special diet or exercise after losing weight?
Yes! Some people think that they should starve themselves when it comes to diet. But the case of patients who have undergone weight loss surgery is different. After the operation, the person’s appetite decreases so much that he loses weight quickly by eating a small amount of food. That means that you can not eat whatever you want whenever you want or crave. Because first, you get full quickly, and your desire for food decreases. You can also exercise after the operation. Of course, you should talk about this with your slimming surgeon, and if he wants to do a specific exercise, you should do it.
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