Among the citizens of Ukraine, the problem of obesity is becoming more and more urgent, it has acquired the status of an independent disease. Obesity is dangerous because it causes the development of many other diseases: hypertension, diabetes mellitus, atherosclerosis and deforming arthrosis.
Excess weight in 97% of cases is caused by excessive food intake, low energy consumption of the body, metabolic disorders, and only in 3% obesity is endocrine in nature.
It is impossible to solve such a serious problem alone, especially with the help of self-medication, since the prognosis of such therapy can be very deplorable. Obesity treatment in Kiev should be carried out only under the supervision of an experienced specialist who will select an acceptable method. Qualified help in the fight against obesity can be obtained at the “Certus’’ clinic.
Obesity is not only medical, but also social in nature. According to the WHO, the number of obese people has tripled from 1975 to 2016. The problem is typical not only for developed countries, but also for countries where the level of income is considered to be medium and low. In 2016, 650 million adults worldwide were obese. The total number of cases of overweight is 3 times more.The number of overweight children under the age of 5 is 41 million,the number of children and adolescents from 5 to 19 years old – 340 million cases. Among the general population over 18 years old, overweight was found in 39% of men and 40% of women; obesity – in 11% of men, 15% of women.
In the initial stages of obesity, the problem can be solved by conservative treatment methods. With an advanced degree, therapeutic methods are ineffective, since they allow you to get rid of 10% of body weight on average. At the same time, it is practically impossible to maintain the weight that was reduced with conservative therapy for a long time. Obesity surgery provides an opportunity to get rid of obesity and reduces the probability of a relapse of the disease.
Bariatric surgery and techniques
Bariatrics is a branch of medicine that deals with the treatment of excess weight. The American Society of Nutritionists classifies obesity as a fairly common and chronic metabolic disease, which is characterized by excessive and progressive formation of adipose tissue, which can be accompanied by complications and relapses after the course of therapy is completed. The main diagnostic sign of such a pathology is represented by overweight.
Currently,the feature of invasive intervention in the treatment of obesity is a conditional division into such processes as the intragastic balloon placement (IGB) and operations:
- Restrictive surgery with a decrease in the volume of the stomach.
- Bypass surgery with an intestinal absorption decrease.
- Combined surgery with a restrictive and shunting component.
There are several key theses according to which obesity surgery is gaining popularity – the total number of surgeries to get rid of obesity is actively increasing. First of all, there is a significant increase in the number of patients with morbid obesity. Second, a change in the general concept of diet therapy used until recently. Conservative treatment methods show poor long-term performance. The emergence of highly effective minimally invasive surgery has become an extremely important factor. An important role is also played by the increased attention to the problem of obesity on the part of the media, the public and organizations.
Intragastic balloon placement
The operation to placement an intragastric balloon (IGB) can significantly reduce weight in a number of cases. It is advisable to assign the installation:
- patients with a body mass index (BMI) in the range of 30-40 kg / m2;
- young patients with a BMI> 25 kg / m2 with rapid weight gain;
- patients with a BMI> 40 kg / m2 in order to prepare for subsequent surgical treatment.
Morbid obesity and overgrowth require the most complex and sophisticated surgical methods of therapy. It is permissible to placement IGB, if necessary, to reduce the risk of a more complex type of bariatric surgery.
Restrictive surgery is a guided gastric banding that significantly reduces resection( sleeve gastrectomy). This option can be recommended in the following cases:
- for patients with a BMI> 35 kg / m2, if concomitant pathologies are identified and there is no effect from non-operative therapy;
- for patients with morbid obesity, as well as having a BMI of 39 kg / m2 or more;
- for patients under 30 years old, with a BMI of more than 30 kg / m2, with the presence of rapidly progressive obesity.
The laparoscopic installation of the system requires four punctures, thereby minimizing the probability of injury and discomfort. The advantages of the method also include the absence of an effect on blood supply and gastric innervation, the body weight decreases to normal physiological parameters. The diameter of the constriction created in the postoperative period is precisely regulated, and the intervention process itself belongs to the category of reversible procedures that do not require too long hospital stay and prolonged rehabilitation.
One type of surgery is mini bypass, which is often used in the treatment of type II diabetes. After the operation, food moves around the duodenum. The patient is uncomfortable with a large amount of food or “unhealthy” food. This leads to smaller portions and weight loss. The operation is low-traumatic.It is performed by the laparoscopic method.
Biliopancreatic bypass can reduce patient weight to 60-70%, but not only due to the removal of a part of the small intestine. The procedure separates the bile and secretions of the pancreas and the food clot.
All obesity treatments have their own indications. The specialists of the “Certus” clinic will conduct a complete patients examination.
The operations are carried out by the experienced surgeons of the clinic using high-tech medical equipment. Patients easily tolerate the treatment of obesity, recover quickly, and get rid of excess weight and concomitant diseases within the established period under the supervision of a doctor.
With this type of surgeries, parts of organs are not removed, but the anatomy of the gastrointestinal tract changes.
|Body mass index BMI:||Classification:|
|Less than 16||Severe underweight|
|16 – 18,5||Underweight|
|18,5 – 25||Normal body weight|
|25 – 30||Overweight (preobesity)|
|30 – 35||Obesity 1st degree|
|35 – 40||Obesity 2nd degree|
|Over 40||Obesity 3rd degree|
Intragastric balloon placement (manipulation cost)
The price of intragastric balloon
Do I have to undergo examinations or tests before the operation?
You can undergo an examination before the operation in our clinic, or at the place of residence.
You need to pass the following examinations:
1. General blood and urine tests.
2. Blood test for sugar.
3. Blood type and Rh factor.
4. Coagulogram (blood coagulation).
5. Biochemical blood test.
6. Blood test for the Australian antigen, hepatitis “C”, HIV.
7. The reaction of Wasserman.
9. The conclusion of the therapist.
10. Fluorogram or roentgenogram.
11. Ultrasound of the abdomen.
13. For women – a certificate from a gynecologist.
The cost of the examination in our clinic is 200 €
What is included in the cost of the operation, are there any additional costs?
The cost of the operation includes: the intervention itself, consumables, anesthesia, a day of hospital stay (all necessary medications, meals), subsequent dressings and examinations.
No additional costs.
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