Slimming surgery is recommended when your BMI or body mass index is between 35 and 40 or higher, or you suffer from obesity-related illnesses such as diabetes and heart disease.
Slimming is a weight loss process performed by surgeons on the gastrointestinal tract and helps very heavy people to lose weight. Unlike liposuction, which removes excess fat from the body, slimming surgery focuses on the amount of food consumed and absorbed.
This is done in two ways: first by limiting the amount of food you keep in your stomach and as a result you feel fuller, and second by shortening the small intestine and preventing the absorption of food molecules that are not consumed. The title of energy source will be converted to fat.
Slimming surgery is somewhat invasive and may be performed in conjunction with laparoscopy. This is more preferred because it is associated with less pain and speeds up the healing process. Depending on the patient’s needs and health conditions, open surgery may be performed. The patient should be careful about their lifestyle after this surgery, they may regain weight. Those with bulimia nervosa or depressed people are more likely to have this weight gain.
Weight loss surgery is suitable for the following people:
People with a BMI of 35 to 40 or more
People with a BMI of 35 to 40 or more and suffer from obesity-related diseases.
People with a BMI of 30 to 35 or more and suffer from obesity-related diseases.
There are a variety of surgical procedures for weight loss. Overweight and obesity are one of the most important problems of humanity today. Overweight and obesity, in addition to the aesthetic aspects, also affect the health of various organs of the body. Among the various ways to lose weight, using surgery is the fastest and easiest way to achieve weight loss.
Weight loss surgery is usually performed under general anesthesia and laparoscopy. Each of these methods has a different function and effect on your digestive system and body.
Weight loss surgery
There are generally four types of weight loss surgery:
1- Stomach bypass operation
In this operation, the surgeon creates a sac by clamping the upper abdomen, then the small intestine is cut and attached to the lower abdomen to create a smaller sac. As a result, you may not be able to eat as much as you used to and feel full sooner.
Connecting the lower part of the small intestine to the created small sac restricts the absorption of calories and reconnecting it to the upper and lower part of the small intestine will help digest food better.
In this type of surgery, the first part of your stomach is cut by the surgeon and the tube that takes the food to the stomach inserts the food directly into your small intestine instead of the stomach. This will eliminate the amount of food that is stored in the stomach, causing you to eat more and not be full.
Of course, in this method, in addition to not feeling hungry, the absorption of food is also impaired. Complications of this type of operation are poor nutrition or malnutrition, lack of absorption of vitamins and abnormal deficiency of vitamins B12 and D, as well as the possibility of dumping syndrome, which requires secondary surgery for hernia and gallbladder.
In this surgical procedure to lose weight, the initial part of the stomach is closed through an adjustable device. This will make your stomach eat less and reduce the feeling of hunger. This band can be adjusted through a skin device that is placed on the chest during the operation.
- Stomach sleeve operation
One of the new surgical methods for weight loss is the use of sleeve gastrostomy. In this method, most of the stomach is removed and the stomach becomes tubular. As a result, the amount of food it contains is reduced and the person eats less food. One of the weaknesses of this method is that the weight loss is reversible over time and is not permanent. This method can also affect the secretion of hormones and compounds produced by the stomach.
In this surgery, the doctor cuts 80% of the stomach and the remaining part, which looks like a banana, becomes so small that it cannot hold much food. As a result, you will eat less food.
- Adjustable gastric banding
In this operation, your doctor inserts an adjustable ring into your upper abdomen and creates a cavity. This is like tying a knot around the stomach. The rest of the abdomen remains below the ring. This ring is filled with salt water to adjust to the beginning of the abdominal cavity. So when your stomach shrinks, you eat less and you will not gain weight.
Weight loss surgery
4- Intestinal bypass surgery (biliary deviation)
In this method, gastric sleeve surgery is performed first. The duodenum (duodenum) and the last part of the small intestine are then divided and about three-quarters of the small intestine is cut. Now the upper part of the small intestine, which carries the enzymes of the pancreas and bile, connects to the last part. In this case, you will eat less food, your stomach cavity cannot hold more food. Because pancreatic and bile enzymes combine at the end of the small intestine, fewer calories will be absorbed by the body.
This method is the same as gastric bypass and it is a deviation created in the intestine. In this method of weight loss surgery, by removing the pancreas from the food absorption pathway, the amount of calories your body will receive will be drastically reduced.
In general, the best way to lose weight is to use a proper diet along with exercise. But in some special cases, if you do not have the strength and patience to do these things, you can use surgery to lose weight. All types of surgical procedures have their own advantages and disadvantages, and you choose the best surgical method for weight loss in consultation with your doctor.
Benefits of Slimming Surgery:
Improve mental health
Prevent excess weight from returning
Help with long-term weight loss
Improve the quality of life
Reduce the risk of obesity-related diseases
Complications of slimming surgery
Frequent appointments with the doctor
Need a proper diet
Possibility of need for reoperation
Possibility of inflammation, ulcers and hernia
Deficiency of vitamins and minerals
Success rate in surgeries:
For most patients, weight loss of up to 65% occurs, with more than 85% retaining 50% of the initial weight loss.