Bariatric surgery is a procedure that causes weight loss, limiting the amount of food that the stomach can hold. Bariatric procedures also often cause hormonal changes. For today, most operations that help to reduce weight are performed using minimally invasive methods (laparoscopic surgery).The most common procedures for bariatric surgery are biliopancreatic diversion with duodenal switch, sleeve gastrostomy, gastric bypass, and an adjustable gastric band. Each operation has some advantages and disadvantages.
Bariatric surgery allows,
you to solve the problem of excess weight very effectively. In addition to the external effect, patients have a general improvement in their health status. Chronic diseases and disorders of metabolic processes are cured at all or go into a lighter form. Bariatric surgery is recommended in the case when diet, exercise, and medication do not work. At the same time, the main indications for the operation to treat obesity are:
- Obesity II and III degree
- Diabetes that cannot be cured
- Complicated conditions of obesity (when there is a threat to the life of the patient).
An endocrinologist and a surgeon who professionally owns the technique of performing bariatric operations can recommend a surgical treatment for obesity. An endocrinologist gives a recommendation for a bariatric operation after a complex of diagnostics: measuring the body mass index, laboratory tests, sometimes an MRI of the head or a densitometer test. The endocrinologist must make sure that obesity is not a consequence of congenital hormonal disruption (in such cases, surgical treatment is not effective). After the conclusion of the endocrinologist, the surgeon estimates the situation. If necessary, he can appoint additional examinations.