Physician of Medical
Sciences, surgeon of the Middle for Endosurgery and Lithotripsy, president of
the Society of Bariatric Surgeons, Yuri Yashkov, speaks of well-established
radical strategies of weight reduction.
It’s instantly
price noting that there’s merely no common methodology that might be equally
acceptable for all sufferers. There’s all kinds of methods – from
pretty easy to complicated, mixed.
So, all
operations might be divided into three sorts: limiting the quantity of the abdomen;
shunting operations, which assist to scale back the absorption of meals within the
intestinal tract; mixed complicated operations, together with a lower within the
quantity of the abdomen, and limiting the absorption of meals.
Let’s begin with
the only method – an endoscopic set up of an intragastric balloon.
Throughout this operation, a specifically designed adjustable balloon is put in in
the human abdomen utilizing an endoscope. Having its personal weight of 500-600 grams,
it limits the quantity of the abdomen, and therefore the quantity of meals acquired.
The balloon is about for 4-6 months. A wager is made that an individual throughout this time will develop the behavior of limiting diet. Then, even after the elimination of the balloon, the tendency to scale back weight will proceed.
Consequently, utilizing a balloon, you may lose a 3rd of the surplus weight. Set up, together with the price of the cylinder, in addition to elimination, will value a mean of two thousand {dollars}.
With the tactic
of bandaging, the abdomen is split into two components utilizing a particular silicone
machine – a bandage. The result’s an hourglass abdomen. Its higher half turns into
very small. As quickly as the primary portion of meals enters this higher half, a
particular person experiences a sense of fullness. Now he eats up a small quantity of meals
and on account of this, he’s shedding weight.
The operation is
carried out not by way of a big surgical incision, however by way of 4–5 small
punctures. This can be a laparoscopic method finished by finest bariatric surgeons in Los
Angeles.
Bandaging is a
mild operation, and after simply actually a couple of days later you may go to work.
Its benefit can also be that it’s physiological: meals passes by way of all
sections of the digestive tract, absorption will not be disturbed.
The anticipated consequence
from the operation is the lack of two-thirds of the surplus weight. The
operation includes a lifelong impact. However there’s a sure chance that
over time, the system could require elimination – in any case, inside is one thing
alien to the physique. That is the minus: not all sufferers can psychologically
settle for the thought of implanting a overseas physique.
This operation will not be efficient sufficient in individuals with chubby (weighing greater than 150 kg). However on this case, there is no such thing as a assure that the operation will give them a lifelong consequence.
One other methodology of
gastric-restriction surgical procedure – vertical gastroplasty – can also be finished utilizing
laparoscopic method by way of 5 punctures on the stomach wall. Though this
method is far more difficult than open, it’s higher tolerated by
sufferers, contributes to quicker rehabilitation and the result’s quicker.
With the assistance of staplers, the abdomen is split into two components: within the higher half, we get a small cylindrical tube. The mechanism of motion of the operation is identical as with bandaging – a lower within the quantity of meals taken. This methodology can also be thought of physiological, and saturation happens with the primary servings of meals. After surgical procedure, sufferers are discharged on the 3-4th day, and one other week or two they’re really helpful residence regimens. There’s nearly no overseas materials apart from a small polypropylene tape. The result’s a mean lack of two-thirds of extra weight. The draw back is that some sorts of meals trigger some discomfort: meat, bread, pasta, some sorts of greens, fruits by way of a slim gap don’t cross very properly. Due to this fact, it’s vital to watch the circumstances for consuming: meat is healthier to eat within the type of cutlets, bread within the type of well-fried crackers, not a crumb, of fruits, bananas and strawberries are preferable. Generally, you may eat these meals that cross properly by way of the slim opening of the abdomen.
