Top surgical procedures for weight loss

02 Jun 2016
POSTED BY Alvin Thomas

Obesity has become a significant national health issue, and morbid obesity is closely linked with a myriad of serious health conditions that severely undermine the health of seriously overweight patients. These include heart disease, diabetes and chronic pain which, when added to the burden of weight, can make daily life very stressful.

It is a frustrating cycle for morbidly obese people who want to shed the burden they carry each day but can’t because exercise and eating habits seem difficult, if not impossible, to change. However, there is hope for the morbidly obese who have had difficulty losing weight through traditional diet and exercise: weight loss surgery, according to one Oman-based doctor.

Dr Szabolcs I Papp, Sr, Consultant Laparoscopic and Bariatric Surgeon, Aster Al Raffah Hospital in Ghubra, says: “Bariatric surgery, when performed correctly, can help obese patients manage these conditions.”

Immediately after surgery, life will not be easy but you would begin to notice a significant improvement, says Dr Papp. Everything you’ll need to succeed is in one place: pre-surgical counselling, diet and exercise instruction (the success Mantra), state-of-the-art surgical and post-surgical facilities, peer support, and resources to help you maintain your healthier lifestyle.

“Our outcomes, including weight and complication rates, are very good and we attribute our success to the outstanding care of patients before, during and after surgery.

“Most patients are extremely pleased with their weight-loss results. They feel as though they have gained new lives,” says Dr Papp.

A variety of surgical options are available to patients at Aster, including gastric bypass and sleeve gastrectomy.

Laparoscopic sleeve gastrectomy

Laparoscopic sleeve gastrectomy is a weight-loss procedure that is usually performed by keyhole surgery and is a permanent, irreversible surgical treatment with very effective results. Patients can lose 60 per cent of excess weight in one year with a special diet. Patients lose their appetite and, along with limiting their food intake, can start shedding vast amounts of weight.

Who is the ideal candidate for sleeve gastrectomy?

  • Not extremely obese patients with BMI over 55
  • Mild diabetics undergoing oral anti-diabetic treatment
  • No sweet eaters
  • No patients with reflux disease

Roux Y gastric bypass

This is a weight-loss surgical procedure for the treatment of morbid obesity. A small stomach pouch (25 cc) is created to limit food intake and a Y-shaped part of the small intestine is attached to the pouch, which leads to the artificial malabsorption of nutrients, thereby reducing calorie intake.

Usually performed as keyhole surgery, this is one of the most effective types of bariatric surgical procedure. Patients can lose 70-75 per cent of excess weight in one year.

Who is the ideal candidate for gastric bypass surgery?

  • Patients with very high BMI
  • Sweet eaters
  • Patients with low commitment
  • Patients with unstable diabetes
  • Patients with reflux disease

After the surgery, which is performed as a keyhole procedure, patients spend three to four days in hospital on a special diet, which should be followed for one month.

Mini gastric bypass (loop gastric bypass)

In the first part of this MGBP surgery, the stomach is divided and a small tube is created from the stomach as a pouch. This means a restriction on food intake and a very small amount of food can be taken at any one time.

“If excess weight is limiting your life, weight loss surgery may be right for you. Healthy isn’t a goal. It’s a way of living, and today is the chance to change yourself for the better.” says Dr Papp.

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