At Friedrichshafen Clinic in Germany, an interdisciplinary team of endocrinologists, orthopaedic specialists, nutrition specialists, psychologists and surgeons is responsible for treatment of morbid. Each patient receives individual multidisciplinary care with an integrated, especially adjusted pre and post-treatment programme.
Dr. Stefan Tange, a specialist in general surgical procedures and diagnostic radiology, leads the adiposity section which includes bariatric surgery. Dr. Tange is extremely competent, extraordinarily experienced and very successful. Almost all weight loss operation procedures performed at our clinic in Germany are done by means of minimally invasive techniques.
The WHO declared obesity or adiposity as a chronic disease in 1997. It is a dangerous condition associated with many supplementary health risks such as high blood pressure, cardiovascular disease and diabetes. Obesity results from incorrect eating habits and can be influenced by genetics. Our adiposity section at Friedrichshafen Clinic in Germany specialises in bariatric surgery.
Bariatric Surgery is needed when a person"s weight is more than 100 kg. In this case, if the patient"s weight index is 30 or just slightly exceeds this figure, it is recommended to install a gastric balloon.
With this kind of obesity treatment, a special balloon is introduced into the stomach using an endoscope. It stays in the patient"s body for about 6 months. After this period the balloon is removed from the stomach in the same manner with the help of the endoscope. Weight reduction occurs, as the balloon occupies most of the stomach space, and the patient"s appetite is reduced.
Admissions usually take place on Wednesdays and operations, including bariatric procedures, usually take place on Thursdays.
Bariatric surgery patients are usually discharged the following Monday.
Bariatric surgery patients who have sleeve gastrectomies or gastric bypasses and plastic surgery patients are usually discharged the following Thursday.
Our surgical unit at Friedrichshafen Clinic, Germany has years of bariatric surgery experience. We use the latest surgical methods and state-of-the-art equipment.
In the case of patients who are unable to keep their body mass down despite intensive non-surgical measures, adiposity/weight loss surgery sometimes represents the only alternative for weight loss.
Surgical treatment of obesity, in most cases, involves cutting the stomach. Here you are find the main types of surgery for obesity:
If start using sweet or fatty foods after the operation, it can cause weakness, nausea and other discomforts. Therefore, after the treatment of obesity is recommended to take mineral components. It should be noted that after gastric bypass most of diabetics experience decreasing sugar levels in blood to normal.
In a laparotomy procedure, a long incision is made in the belly.
In laparoscopic procedures, a small incision is made in the belly and a small video camera is inserted into the abdominal cavity. The surgeon then performs the procedure with the assistance of the images provided by the laparoscope. The small surgical instruments are inserted through small incisions and the abdomen is inflated with carbon dioxide so that the surgeon can see what he is doing.
There are several advantages to this method, which is used by the bariatric surgery section of our clinic in Germany. They include:
Conservative measures are usually unsuccessful in the treatment of morbid obesity. Bariatric surgery provides a better alternative. It is divided into restrictive, malabsorptive and combined restrictive/malabsorptive procedures, and procedures that affect the motility.
Stomach bands are implanted laparoscopically. They can be individually adapted to suit the patient’s requirements. This is an effective method of bariatric surgery in the case of most morbidly obese patients. Weight losses of 40–60% of the excess weight can be expected. It is effective up to a BMI of 50%. Patients with a BMI higher than 50% usually do not show good long-term results. Only patients who are highly compliant qualify for this type of bariatric surgery because it is possible to cheat the effects of the band by consuming sugar-rich food and drinks.
Patients with a BMI over 50% are advised to have a gastric bypass, which usually results in the permanent loss of 75% of the excess weight over a period of two years. This method of bariatric surgery is the preferred over restrictive methods. The surgeons at our clinic in Germany have performed this procedure many times.
For patients with a BMI over 55–60, the most advisable form of weight loss operations is biliopancreatic diversion with duodenal switch (BPD-DS) which results in the highest degree of weight loss among all forms of bariatric surgery. An average of 85–95% of the excess body mass is usually lost within a few years of the operation, and long-term studies indicate that patients are able to maintain their weight more than 20 years after the operation.
Intragastric stimulation (gastric pacemaker) is the least invasive method of bariatric surgery, but it also results in the poorest results - 30 % over two years. It is not advisable to perform this type of bariatric surgery where the BMI is over 40–45. It is also relatively expensive because the battery has to be replaced every 4 years.
The next stage of obesity treatment is rehabilitation. During the first 6 months, body weight has decreased dramatically. Then, the rate slows down. As the surgery statistics in Friedrichshafen Clinic advices, bariatric surgical procedure provides the final result in an average of one and a half years. During this period, the patient obtains a correct pattern of behavior.
At first, you must strictly adhere to the rules during a meal. A little extra food can lead to vomiting or cause a blockage of the stomach. The duration of ingestion after the obesity treatment is to be at least 30 minutes. However, grade III obesity patients will not be able to get rid of the problem, if they only follow the instructions of the doctor without having an operation.
After surgical treatment of obesity in Friedrichshafen patient should be under the supervision of a specialist the whole rest of his/her life:
As to the other aspects of rehabilitation, it is necessary to avoid excessive loads shortly after the treatment of obesity. If the patient with obesity has the problems with joints, it is recommended to go to the swimming pool soon after the operation, but only under the supervision of and with the permission of your doctor. Among other types of loads, cycling, jogging, and aerobics are allowed after the treatment of obesity.
Please feel free to contact the Friedrichshafen Clinic if you have any questions regarding bariatric procedures or treatment abroad.
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