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! People with 30 to 200 kilograms excess weight, can undergo weight loss surgeries. 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.
Generally, weight loss surgery is recommended for people with one of the following conditions:
- 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).
Depending on the patient’s condition, the surgeon chooses the most suitable method among the various weight loss surgeries to achieve the most optimal result. Some of the techniques limit the amount of food you can take, some affect how you digest food, and some make changes to your stomach or small intestine, or both. The 6 most common weight loss surgeries (also called “bariatric surgery”) are explained fully as follows.
The most common types of weight loss Surgery:
1- Gastric Balloon
Gastric balloon helps you temporarily feel full sooner while eating. In this technique, your surgeon will place an inflatable balloon inside your stomach using an endoscope. It restricts the amount of food you can eat. 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.
2- Gastric Band
Gastric Band, also called Adjustable Gastric Band or simply the band, helps you satisfy hunger with eating just a small amount of food. In this technique, an inflatable band is placed around the upper part of the stomach, which creates a small stomach pouch above the band. 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.
3- Gastric Plication
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.
4- Gastric Sleeve
Gastric sleeve, also known as sleeve gastrectomy, is a common weight loss surgery that helps you feel less hungry and full sooner while eating. In this method, the size of the stomach is reduced through surgery, and the stomach will be like a narrow tube. The new much smaller stomach does not stretch while eating, and produces less of the hunger hormone, known as ghrelin. The rate of success in this method is pretty high, and people lose an average of 60 to 65 percent of their excess body weight during the first two years after the surgery.
5- Gastric Bypass
Gastric Bypass helps you feel full sooner while eating and absorb less 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 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.
6- Mini Bypass
Mini Gastric Bypass works in two ways. First, it restricts the amount of food that can be eaten, and second, it alters gut hormones involving in appetite control. In this method, the stomach is divided, and most of it is no longer attached to the esophagus and will no longer receive food. Your new stomach is much smaller and shaped like a small tube. Also, intestine is bypassed, causing the body to absorb fewer calories and minerals. It is recommended for people with +35 BMI index.
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