Obese and Reduction of Stomach Surgery

February 12, 2009 on 10:59 pm | In obesity BMI, weight loss surgery | No Comments

Reduction of stomach may cause dental problems and alcoholism 
in later years.

Some patients who underwent stomach surgery to reduce the present, after five years or more, a considerable new weight gain. Moreover, other disturbances are also being observed in the same period after the operation, including alcoholism, anorexia, bulimia, bruxism, excessive increase of dental caries and brittle.

The information is being collected and interpreted by a group of multidisciplinary study of the  Clinic Hospital(CH), Faculty of Medicine, USP. The objective of the study, still in progress, is to demonstrate that only the surgery, which is made in the hospital for nine years, not just for the success of treatment used for the drastic reduction of the weight.

According to psychologists, a group of patients operated by the technical Fobi-Capella between five and nine years ago, 13% returned to a state of morbid obesity with a body mass index (BMI) over 40. The BMI is obtained dividing the weight of the person by height squared. In total, 64.15% again be obese with a BMI greater than 30.

After surgery, it is expected that the patient weight the desired quantity and then ten kilos weight again. But among the 53 patients studied, 58.5% gained more than ten kilos, 39.6% more than twenty kilograms and 13.2% fattened more than thirty pounds. Only 7.84% of the patients had ideal weight or emagreceram too (in cases of bulimia and anorexia).

“It is gross and results have not yet been made statistical studies. The data were not correlated with the organic matters and integrity of surgery. But it is nevertheless a warning to patients and doctors: the surgery should not be understood as a formula magic, “is said

 
According to the doctor and coordinator of the group, the study aims to show that the operation is not the end of treatment. “These patients may replace a compulsion for another. The secret to success is monitoring,” he explains.

For Marlene, the case of alcoholism, observed in 18% of those 53 patients studied, is one of the examples of the exchange of compulsion. People are beginning to enjoy the social benefits of weight loss - unlike the previous condition, in which they do not fell outside the home - passing thus to drink excessively.
Some patients who underwent stomach surgery to reduce the present, after five years or more, a considerable new weight gain. Moreover, other disturbances are also being observed in the same period after the operation, including alcoholism, anorexia, bulimia, bruxism, excessive increase of dental caries and brittle.

Fundamentals of obesity surgery

February 11, 2009 on 12:54 am | In obesity BMI, weight loss surgery | No Comments

Obesity is a serious illness, it lasts chronic and progressive, today it is very hard to cure. But surgeons can aspire to a person who is obese

 


An obese person can be cured and that is normal weight or close to normal, but this does not mean that obesity has been cured. The only way of survive from obesity is to change for lifestyle, both in eating habits and physical activity. When an obese reaches the level of health threatening obesity there is a problem of very difficult solution, It normally has already demonstrated the failure  of controlled medical treatments.

In morbid obesity,


the real possibilities of an effective treatment (a significant loss of weight)  and sustainable in the medium or long term  (maintenance of weight lost at 5 years or more)  are less than 3%. 

 

97% of obese morbid continue morbid despite being obese medical dietary treatment- (weight loss surgerydiet, medications, physical exercise psychological reinforcement, etc.).

After medical treatment dietary well-done it is possible that morbid obesity get a significant weight loss

but the rule is that it will eventually produce the recovery of weight and lost some kilos more (rebound effect).


For a morbid obesity a significant loss of weight is difficult but possible, what is truly extraordinary maintain in the medium or long term that weight loss. In the best case a few get a notable reduction of weight, weight recovered and almost certainly exceed, not being able to maintain proper eating habits and exercise (new lifestyle - healthy lifestyle).

Benefits of obesity surgery

February 10, 2009 on 5:36 pm | In aestetic plastic operation surgery, diet tips, obesity BMI, ocular surgery | No Comments

In addition to the low weight, usually are corrected all the pathologies aggregate arising from obesity, such as gastroesophageal reflux disease, sleep apnea, hypertension, dyslipidemia, fatty liver, hyperinsulinemia, diabetes, osteo problems. In most cases it is possible to suspend pharmacological treatments for controlling these diseases.

Contrary to what was suspected, not obese have an increased rate of mental illness than the general population, we have also seen that many of the mental symptoms such as anxiety and real obsession with food, some lesser degrees of depression, which are common in the morbid obese, are improved when they lose weight quickly. It seems that the best therapy in these cases is to restore self-esteem, returning to a proper weight.

Gastric band obesity surgery

February 10, 2009 on 1:04 am | In obesity BMI, weight loss surgery | No Comments

Gastric banding is to encircle the upper stomach with a kind of belt that divides the stomach in an upper small, just 15cc and leaves a small step to the rest of the stomach. This banda or ring is a device that allows more or less inflate the cuff so as to control the size of step. This fills the first upper stomach with what the patient is satisfied with little food.

The fact that it must ingest solid foods or liquids papillas pass easily through communication and not provoke feelings of satiety with little food.

The results are quite satisfactory if the patient has been well selected and meets the necessary instructions to their success. It requires the support of our team.

This we do laparoscopic surgery, is rather more simple and less risky that the bypass.

Oral Problems :Obesisty and Reduction of Stomach Surgery

February 10, 2009 on 12:58 am | In obesity BMI, weight loss surgery | No Comments

The data about dental disorders are unprecedented and show that half of the patients returned to the doctor with any complaint. About 80% was with the teeth brittle and had a 60% increase in the number of caries. These problems were observed both in patients from the Unified Health System (SUS) as of private health plans, which shows that the situation is somewhat related to socioeconomic class of patients

According to the dentists , the exact reasons for these problems are still being studied. “But this may be related to a problem in the absorption of nutrients already observed; refluxes with gastro-esophageal, with a drying mouth, the result of medication administered with or vomiting.”

The stomach-reduction surgery is one of the main themes of 32 of Gastric, an event with the participation of nearly a thousand medical specialists in surgery of the digestive tract. In the event, which began in the second (4th) and vai until Friday (8), the Convention , in Sao Paulo, there will be conferences, round tables and transmission of live surgeries.

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