Bariatric Surgery / Obesity

Porto • Clínica • Consultations and Surgeries

AddressRua da Venezuela, 139
4150-744 Porto, Portugal

GPS41.1571893, -8.6433279

Phones(+351) 225 432 321
(+351) 226 009 494

Fax(+351) 225 432 371

Emailgeral@clinicalusoespanhola.com

ScheduleMonday to Friday, from 9h to 21h

Lisboa • Consultations

AddressCampo Grande, 220 D 1º C
1700 - 094 Lisboa, Portugal
(Dr. Tallon Clinic)

GPS38.753766, -9.1502962

Phone(+351) 225 432 321

Emailgeral@clinicalusoespanhola.com

Contact us

1. GASTRIC BAND

Bariatric Surgery / Obesity is a type of restrictive Bariatric Surgery for weight loss. At Clínica Luso Espanhola we put the band laparoscopically. Performing small incisions, it injects a small video camera in the abdomen and some tweezers to put the band back together.

The surgery consists in placing a silicone band with an inflatable ring around the stomach to restrict food intake. Creates a small bag at the entrance of the stomach and a narrow passage for the food. This delays the emptying of food and cause a sensation of fullness. The band may be more or less inflated in order to create a greater or lesser difficulty the passage of food. To inflate the band, there is a small harbour under the skin where you can stick a needle and injecting saline.

The operating time is approx. 60-90 minutes. After 6:0 of recovery, the patient can usually go home.

Candidates for this surgery are all patients with body mass index greater than 40 or those who are over 35 and any associated pathology.

 

 

Changes that must be made before the surgery include:

  • Quit smoking.
  • Don’t drink alcohol.
  • Lose some weight.

After the band adjustable gastric banding, the patient must get used to eat solid foods again. For two weeks can only eat liquids.

It is important to chew carefully, also stop eating when you feel full. If exaggerates may have nausea and vomiting.
Should not eat and drink at the same time.

 

RISKS AND COMPLICATIONS:

  • Bleeding.
  • Infection.
  • Sliding of the band: the band leaves the site and causes persistent vomiting.
  • Migration to the interior of the stomach of the band.
  • Emptying of the band for escape of liquid.
  • Gastroesophageal reflux or GER: when the stomach contents up into the esophagus (the tube that carries food from mouth to stomach).
  • Frequent visits for adjustments of band or fills.
  • Some patients may not lose enough weight.

 

ADVANTAGES:

  • Reversible.
  • Adjustable.
  • Less invasive.
  • Less working time.
  • Can be done in ambulatory form.
  • Does not interfere with the absorption and therefore does not present deficiencies of vitamins.
  • Absence of dumping syndrome, which occurs when the stomach contents not digested is “dumped” into the small intestine too quickly, which causes abdominal cramps and nausea.
  • Improves the overweight, and diseases related to excess weight: 2 type diabetes, high cholesterol, sleep apnea, hypertension and asthma.

 

ADJUSTABLE GASTRIC BAND COST:

The gastric band cost around € 6000.

 

 

2. GASTRIC TUBE COST

(Gastric sleeve, Sleeve gastrectomy, gastrectomy in tube). Consists of removing up to 85% of the stomach. Should be done laparoscopically by a video camera that is inserted into the abdomen through a few small incisions and a special surgical forceps. Candidates for this surgery are all patients with body mass index greater than 40 or those that have more than 35 and any associated pathology.

Changes that must be made before the surgery include:

  • Quit smoking.
  • Don’t drink alcohol.
  • Lose some weight.

 

The surgery lasts approximately 2:0. Hospitalization in hospital lasts approximately 2 days although it may be necessary to remain longer. After surgery, you may feel some pain that can be treated with painkillers, but seldom stretches for more than 3 days.

During the first few weeks should eat only liquids to go used the stomach.

During the first year may reach up to 80% of losing excess weight. Usually, a normalization of cholesterol and blood pressure after a few months.

 

The most important complications are bleeding during surgery and the leakage of gastric contents by stomach suture failure.

In some rare cases there’s been an increase in weight after a few years for further enlargement of the stomach.

 

GASTRIC TUBE COST:

The cost of this surgery can exceed 8,000 euros.

 

 

3. GASTRIC BY-PASS

The gastric bypass procedure is a type of Bariatric Surgery or weight loss surgery.

Produces an improvement in mobility and quality of life. Thus, will reduce all diseases associated with obesity: Diabetes, hypertension, high cholesterol, etc.

Changes that must be made before the surgery include:

  • Quit smoking.
  • Don’t drink alcohol.
  • Lose some weight.

Is a complex procedure, under general anesthesia. The surgery time is 3 to approximately 4:0, followed by a relocation of 2 to 5 days in the hospital.

Performed laparoscopically, produces less scarring and allows you to recover more quickly than traditional open surgery. During the surgery, we form a small stomach pouch and a part of the small intestine is attached to this miniestômago. This connection is called anastomosis.

At Clínica Luso Espanhola we are in favour of holding of a by-pass with a single anastomosis, in order to avoid complications.

During the first year may reach up to 80% of losing excess weight.

As the food won’t go through the whole intestine, absorption of foods is greatly reduced.

Post-surgery treatments include a general diet plan and regular exercise. In some cases it may be necessary to take vitamin supplements.

 

4. GASTRIC PLICATION

LAPAROSCOPIC
It has been converted into a very attractive technique for patients and physicians due to several factors. This is a new form of surgical treatment of obesity that does not require cutting the digestive tract or introducing a band around the stomach.

 

 

THE SELF-INVOLVEMENT STOMACH CUT ARE:

  • Bad welding of anastomosis that gives way to fistula.
  • The bleeding caused by the Court.

In the case of these bands may perforate the stomach, especially if you tighten too much.

The gastroplicatura uses another principle by which reduces risks of erosion or fistula. It is also slightly more surgery than previous economic due to less time in surgery and prosthetic material free (band).

Similarly you can sew a garment, also the stomach can be sewn, decreasing its size. The stitches are given in gastric wall without the need for the cut. Even when the points are tied, the stomach is still “closed”.

The innermost layer called gastric mucosa is not exposed.

 

WEIGHT LOSS
The slimming of the patients who have the Gastroplicatura has been shown to be identical to that of patients who undergo vertical gastroplasty. Weight loss in Plication is bigger than produced by Gastric Band.

 

ADVANTAGES

  • Don’t cut yourself part of the stomach, thus avoiding the leakage or fistula.
  • The lack of cuts avoids the risk of bleeding.
  • The lack of prostheses (always a foreign body) avoids the risk of gastric perforation.
  • Absence of risk of vitamins or iron deficiencies caused by the loss of a part of the stomach.
  • The stomach can continue to be watched in case of illness through digestive endoscopy.
  • The surgery is more easily reversible than other techniques for not be crippling.
  • Needs no adjustments as in the case of the Gastric Band.
  • Sick time is quite short.
  • Physical activity can be resumed more quickly.
  • Mortality is less than in other gastric surgeries.
  • If it is not enough to treat the problem there is always the possibility of a more aggressive surgery later.

 

DISADVANTAGES

  • A procedure less tested.
  • There are still no long-term data maintenance of the weight lost.

 

Warning: Contains explicit images of a cirurgical intervention.

 

 

MEDICAL ARTICLES

Obesity Surgery, v. 16, p. 172-177, 2006.
Obesity Surgery, v. 17, p. 1340-1345, 2007 (Fusco et al.)

 

INTEREST LINKS

www.springerlink.com
www.ncbi.nlm.nih.gov
www.angeleshealth.com
www.facebook.com
www.skrekas.net
www.bmi-india.com
www.youtube.com
www.encolombia.com
weightloss.clevelandclinic.org
hospitaljerusalem.com

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