Rapid weight loss with gastric bypass in Iran

 

Rapid weight loss with gastric bypass surgery in Iran / Different gastric bypass surgery methods / Cost of gastric bypass surgery in Iran / The best specialized hospital for gastric bypass surgery / The best cosmetic and slimming surgeon in Iran

 

Today, many people have turned to slimming. The secret to a well-groomed and healthy body seems to be a healthy diet, resistance training, cardio and a good night's sleep. But the truth is that genetics have the biggest impact on this. Even if you do everything right, you may not have the style you want.

 

Most slimming procedures such as gastric sleeve and gastric bypass change the structure of your stomach. Therefore, you can not proceed with these slimming operations voluntarily and with a little extra weight. To be a good candidate for weight loss surgery, you must have a BMI (body mass index) greater than 35-40; It means to be obese. In addition to having chronic diseases caused by obesity such as high blood pressure, diabetes is one of the criteria that the gastroenterologist pays attention to.

 

1. Gastric bypass is the best slimming surgery

Roux-en-Y gastric bypass surgery has been performed for more than 50 years. Bypass is one of the most common types of slimming procedures and is very effective in treating obesity and obesity-related diseases. Gastric bypass surgery is not a simple procedure and causes permanent changes in the structure of the stomach and intestines, which is associated with risks.

 

Procedure of gastric bypass

The first step is to cut and shrink the stomach. In this method, most of the stomach volume is removed and a sac about the size of an egg remains on top of the stomach. This bag has a very low volume so the amount of food you consume will be very small.

In the second stage, the first part of the small intestine is cut and the rest of the intestine is attached to the new stomach sac to allow food to pass through. In fact, food bypasses a large part of the stomach and part of the intestine, or so-called bypass.

Eventually, stomach acids and digestive enzymes are bypassed from the stomach and the first part of the small intestine is mixed with the food eaten.

 

How does gastric bypass surgery cause weight loss?

Stomach bypass works in several different ways. Just like many weight loss procedures, the newly formed stomach sac is smaller and can hold less food. Less food means less calories. In addition to shrinking the stomach, food does not come into contact with the first part of the small intestine, which reduces the absorption of food in the intestine.

Most importantly, changing the way food passes through the gastrointestinal tract has a significant effect on reducing the feeling of hunger, increasing the feeling of satiety, and achieving and maintaining a healthy weight. The effect of this action on hormones, even before weight loss, leads to the improvement of adult diabetes.

It also helps patients with reflux (heartburn) and usually improves the symptoms of the disease quickly. In addition to choosing the right food, patients should avoid tobacco products and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.

 

Benefits of gastric bypass surgery:

Reliable and long-term weight loss

Effective in improving obesity-related disorders

 Standard and modified techniques

 

Complications of gastric bypass surgery:

It is technically more complex than gastric sleeve or gastric banding.

Excess gastric sleeve or gastric banding exposes a person to a lack of vitamins and minerals.

Slightly exposes the small intestine to obstruction and associated side effects.

There is a risk of stomach ulcers (especially in people who smoke, drink alcohol or take NSAIDs).

It can cause "dumping syndrome" which includes nausea after eating food (especially sweets) or drinks.

 

2. Rapid gastric sleeve slimming operation (laparoscopic gastric slimming operation)

Laparoscopic gastric sleeve, often referred to as "gastric sleeve", is performed by removing 80% of the stomach. In this operation, no change is made in the small intestine. This action causes significant weight loss and is suitable for those who have a BMI of at least 40.

 

Procedure of gastric sleeve operation

In sleeve surgery, a large part of the stomach is cut. The rest of the stomach is the same size and shape as a banana. During surgery, the stomach separates from the surrounding organs. About 75-80% of the stomach is removed and then the remaining part is connected with a medical punch.

 

How does gastric sleeve surgery cause weight loss?

The new small stomach holds less food and fluids, which helps reduce the amount of food and calories consumed. Stomach sleeve surgery affects metabolism by removing the part of the stomach that produces large amounts of the hunger hormone (ghrelin).

This surgery reduces hunger, increases the feeling of satiety, and allows the body to maintain a healthy weight as well as control blood sugar. The simple nature of this surgery makes it safe and without any possible side effects from small bowel surgery.

 

Benefits of gastric sleeve surgery:

It is technically simple and done faster.

It can be performed in certain patients with high-risk medical disorders.

It can be used as a first step in the treatment of obese patients.

It can be used as a bridge between gastric bypass or SADI-S operations.

It is effective for weight loss and improvement of obesity-related disorders.

 

Disadvantages of gastric sleeve surgery:

The action is irreversible.

It aggravates or initiates gastric reflux and heartburn.

Compared to bypass surgery, it has less effect on metabolism.

 

3. Stomach slimming operation or gastric balloon

Stomach balloon surgery can be considered the safest slimming operation, because it can be done without any incisions or surgery. Some people can even do this without general anesthesia. Stomach balloons are suitable for people with a BMI between 27 and 35. This operation is reversible and the balloon should be removed after 6 months to a year. If necessary, the operation can be repeated.

 

Procedure of gastric balloon operation

In gastric balloon slimming, a balloon is inserted into the stomach through the mouth with the help of a tube. The balloon is then filled with air or liquid. As a result, a huge volume of the stomach is filled by this balloon and the person feels more full.

 

How does gastric balloon surgery cause weight loss?

As mentioned above, the stomach balloon takes up a large volume of the stomach; That means there is less room for food. Eating less also means losing weight in the long run. Stomach balloon can lead to weight loss of 10 to 30 kg.

 

Benefits of gastric balloon slimming operation:

It is a simple operation and will be completed in a short time.

Special patients with medical disorders can also do it.

It is a good option for people who do not want to have surgery.

It costs less than other types of gastric bypass surgery.

If you regret the action, the balloon can be removed.

 

Disadvantages of gastric balloon slimming operation:

Causes severe nausea in the early hours after surgery.

The person does not experience much weight loss.It has less effect on the body's metabolism, resulting in long-term weight loss.

 

4. Adjustable gastric banding or gastric banding (AGB)

An adjustable stomach ring is a silicone device that sits on top of the stomach to limit the amount of food a person eats.

 

Procedure of gastric banding slimming operation

The ring is placed at the top of the stomach and tightens to form a small sac at the top of the ring. This operation is reversible and the ring can be removed at the discretion of the gastroenterologist.

 

How does gastric banding cause weight loss?

The feeling of satiety depends on the size of the opening between the sac and the rest of the stomach. The size of the opening can be adjusted by injecting fluids through a small subcutaneous port. Food normally passes through the stomach, but if the opening of the ring is smaller, the amount of food that can pass is limited. This method is 2% less successful in patients with type 2 diabetes and has little effect on metabolism. In this operation, the food consumed by the person is reduced and as a result, he loses weight.

 

Benefits of gastric banding:

It has the least amount of side effects shortly after surgery.

It does not make an incision in the stomach or intestines.

Patients can return home on the day of surgery.

The ring can be removed if necessary.

To a lesser extent, it exposes the patient to a deficiency of vitamins and minerals.

 

Disadvantages of gastric banding:

The loop may need several settings. You should also see a gastroenterologist on a monthly basis during the first year.

Weight loss will be followed by fatigue and constant tiredness.

There is a risk of ring movement (slipping) or damage to the stomach over time (erosion).

The ring needs an external implant to stay in the body.

Many patients who have had this surgery need reoperation.

It can lead to swallowing problems and esophageal enlargement.

 

5. Deviation of duodenal switch (BPD / DS) by abdominal procedure for slimming:

Bypass duodenal switch (BPD / DS for short) begins with the formation of a gastric sac that is tubular and similar to the gastric sleeve. This surgery is similar to gastric bypass. In this operation, a large part of the small intestine is bypassed.

 

Procedure for Bilepancreative Deviation or BPD / DS:

After creating a sleeve-like stomach (similar to a sleeve or banana), the first part of the small intestine separates from the stomach.

A portion of the small intestine then attaches to the outlet of the narrowed stomach, so when the patient eats, the food passes through the sleeve sac and enters the end of the small intestine.

 

How does BPD / DS diversion cause slimming?

A small stomach that looks like a banana allows patients to eat less. The flow of food bypasses about 75% of the small intestine, which is more than other slimming operations. This leads to a significant reduction in food absorption. Patients should take vitamins and mineral supplements after surgery. The BPD-DS method affects the intestinal hormones more than bypass and gastric sleeve in a way that reduces hunger, increases the feeling of satiety and improves the control of blood sugar. BPD-DS is the most effective approved metabolic surgery for the treatment of type 2 diabetes.

 

Benefits of bilepancreatic diversion (BPD / DS):

Brings the best results in eliminating obesity.

It has a greater effect on intestinal hormones and leads to less hunger and more satiety after eating.

It is the most effective way to treat type 2 diabetes.

 

Disadvantages of Bilepancreatic Deviation (BPD / DS):

It has more side effects than other slimming operations.

Increases the patient's malabsorption and deficiency of vitamins and micronutrients.

May cause or exacerbate reflux and heartburn.

It causes smoothness and frequent bowel movements.

Surgery is more complex and takes longer.

 

6. SADI bypass operation (duodenal anastomosis bypass - ileum with gastric sleeve or SADI-S):

SADI bypass is the latest method approved by the American Society for Metabolic Surgery and Obesity. Although this method is similar to BPD-DS, SADI-S is a simpler operation and requires less time to perform; Because during this surgery, only one intestinal connection is made.

 

How SADI-S bypass works:

This surgery is similar to gastric sleeve and creates a smaller tubular stomach.

After cutting the stomach, the first part of the small intestine is also divided.

The bowel ring is measured a few inches from the end and then attached to the stomach. This is the only intestinal connection that is done in this operation.

 

How does SADI-S bypass slimming operation cause slimming?

When the patient eats, food passes through this sac and enters directly into the last part of the small intestine. The food is then mixed with the digestive juice of the first part of the intestine. This helps absorb enough vitamins and minerals and maintains a healthy level of nutrients. This surgery will help you lose weight with less hunger and satiety, control your blood sugar and improve your diabetes.

 

Advantages of SADI-S Bypass operation:

It has a great effect on long-term weight loss and improving type 2 diabetes.

Compared to gastric bypass or BPD-DS, it is faster and easier to perform (requires only a bowel connection).

It is a good option for patients who have already had gastric sleeve and are looking to lose more weight.

 

Disadvantages of SADI-S bypass method:

Vitamins and minerals are not well absorbed by gastric sleeve or gastric banding.

It is a new practice and not much information is available about its long-term results.

May cause or exacerbate gastric reflux.

It makes the bowel movements smoother and more frequent.