FAQ - Frecuently Ansked Questions -

WHY I MUST FIGHT THE OVERWEIGHT?

The people with clinically severe obesity are in great medical risk as far as discapability or premature death. In fact, four hundred thousand Americans die prematurely every year by complications related to the obesity, or by Co-morbosities. At the beginning of the list of co-morbosities related to the obesity are the incipiente diabetes in adults and high pressure. The high pressure caused by a clinically severe obesity can contibute to cardiac attacks, congestive cardiac insufficiency and strokes. The preoccupations of the health such as sleep apnea, asthma, pain in the lumbar zone urinary incontinence and severe acid reflux results from an increased weight.

A loss of important weight can often facilitate these conditions or revert them completely.

WHEN IS DUE TO USE THE OBESITY TREATMENT SURGERY?

The clinically severe obesity or morbid is a chronic and progressive condition that is very difficult to treat. The surgery in order to promote a loss of weight by means of the restriction of the food ingestion and the interruption of the digestive processes is an option for patients with clinically severe obesity who have not been successful with other weight loss treatments.

The desirable patients for a weight loss surgery often have an index of corporal mass, or IMC of 40 or more. A IMC of 40 are translated in 45.3 kilograms (100 pounds) by on the ideal corporal weight for the men and 36,2 kilograms (80 pounds) by on the ideal corporal weight for the women.

The surgery for loss of weight can also be an option for the people with a IMC of 35 or more than they suffer health problems elated to the risky obesity for its life such as diabetes, cardiac diseases related to the obesity or severe sleep apnea. Nevertheless, as it is certain for other treatments for the obesity, the successful results depend on a great extent of knowledge, personal motivation and behavior.

THE LIFE AFTER THE SURGERY

Because the lost of weight surgery changes the digestive process, the nutritional complements throughout the life are essential to prevent the undernourishment. The patients must daily take multivitamins, in addition of supplements from B12, iron and calcium. The surgeon can give you a complete and detailed list, generally through an equipment of nutricional support.

PERSONAL RESPONSIBILITY

The studies demonstrate that the patients who commit themselves to eat a healthy diet, to take the necessary supplements, to have a work for the routine blood drawn up and to incorporate a program of exercises in their lifestyle entail to the best results in the long term.

The surgery gives the patients the physical tool to help them with a successful weight lost.

This commitment will also guarantee a maintenance of weight in the long term.

The lack of exercise, eaten badly, small meals at an inconvenient time, to eat carbohydrates process and to drink carbonated drinks are between the common causes for not maintain the weight loss.

You will need to manage the food consumption and to make exercises the rest of your life.

GASTRIC BY PASS

In order to carry out the GASTRIC BYPASS, a small stomach stock is created (approximately of the size of the person thumb ) using a surgical probe.

The small stomach stock limits the food ingestion allowing that only one small amount of food is ingested simultaneously. Later, the thin intestine is divided to approximately 61 cm from the stomach.

One end of thin intestine is elevated and adhered to the stock stomach (gastroyeyunostomy)

The other end of the thin intestine, still connected to the surplus of the now nonfunctional stomach, is reconected to intestinal tract (yeyunostomy).

Since gastric bypass implies, after surgical procedure, that the food now directly past great part of the stomach and the first part of the thin intestine.

Aside from restricting the food ingestion, bypass gastric reduces the absorption of nutrients.

DERIVATION BILIOPANCREATIC WITH DUODENAL INTERCHANGE

In order to make the Biliopancreatic Derivation with Duodenal interchange, a stomach sleeve (or narrow tube) with a surgical probe is created from the stomach to pylorus of the stomach

The beginning of the thin intestine, called "duodenum", is left connected the new stomach sleeve. The duodenum later is divided and go to the digestive tract just before the place where the bile and pancreatic juice enter to the digestive tract. The inferior end of the thin intestine soon is connected at the beginning of the duodenum downwards from pilorum.

The other end is reconectede to the thin intestine several feet under the digestive tract.

After the surgery, the food go through the stomach sleeve and where was the inferior portion of the thin intestine. The food is turned aside of the initial part of the intestine, ¨biliopancreatic¨.

This disposition limits in moderate form the food ingestion while it reduces of selective and important way nutrients absorcion.

BENEFITS

• Loss of important weight

• Improvement of the diabetes type II

• Smaller blood pressure.

• Lightening in the sleep apnea

• Lightening in the acid tide

• Pain diminution in articulations, improved mobility.

• Better animate states and self-esteem.

RISKS

The surgery for loss of weight as any main surgery has risks of which must be found out. These can include:

• An internal infection from the escape of digestive juice within the corporal cavity.

• Hurt infections on the incision place.

• Hernias: weakening of the abdominal wall

• Disease development on biliary vesicle and/or kidney stones due the fast lost of weight.

• Blood clots: they can cause serious condition called lung embolism.

• Vitaminic deficiency: they can be anticipateibled using daily ingestion of vitamins supplements Is possible that will be necessary periodic laboratory tests.

• Like with any surgical procedure, the death risk exists.