Choosing bariatric surgery

Choosing bariatric surgery

Anti-obesity surgery and especially laparoscopic surgery when performed by specialized and experienced surgeons is extremely safe. The modern therapeutic arsenal includes various simple as well as more complex surgical techniques. Each of these specific advantages but also the corresponding disadvantages. Most prospective patients have their safety first, this should not be the only criterion for choosing major surgery. The patient’s ability to comply with the information resulting from the procedure and the expected effectiveness of the document should be considered.

For this reason, the choice of bariatric surgery should be made under the guidance of a qualified surgeon, after being informed about the changes that the surgery will bring to the patient’s life and discussing all possible solutions.

Choosing bariatric surgery – How do I choose?

The debt of the specialist surgeon is the appropriate choice of bariatric surgery, the one that will give the best result with the least risk.

The choice is usually made by filling in a special questionnaire and after a detailed discussion with the surgeon.

Then the surgeon, after taking a detailed history of the patient, including the patient’s eating habits and preferences, plans a series of tests that are necessary to proceed with bariatric surgery safely and effectively.

The basic selection criteria for the operation are the following:​

• • BMI (Body Mass Index)
  • Concomitant diseases:
    Gastroesophageal reflux
    Type II diabetes
    Dyslipidemia
  • Eating habits:
    Eating sweets
    Volume consumption
  • Age
  • Gender

The surgeon collects and evaluates all this information about the patient and then recommends the appropriate operation.​

A key factor for success is the individualization of treatment.

What types of bariatric procedures are available?

The most common types of bariatric surgery in recent years are:

• sleeve gastrectomy,
• gastric bypass (RYGB),
• mini gastric bypass and
• biliopancreatic diversion (BRD-DS).

All these techniques are performed as minimally invasive procedures, known as laparoscopic surgery. This type of surgery is done with small incisions, a small camera, and small tools.

Your specialist surgeon can tell you more about which of these techniques might be best for you. Many people find second opinions helpful when making an important surgical decision.

Choosing bariatric surgery – How do I avoid the wrong operation?

…some golden rules to avoid mistakes…

• Choose the appropriate operation in collaboration with a specialist surgeon and an organized team.
• The operation done by your friend or relative does not necessarily have the same results for you and vice versa.
• Avoid surgeons who do only one procedure (usually the easiest one).
• The bariatric surgeon must have full training, be able to perform all types of operations, and have experience in each operation separately.
• So he will suggest the right operation for you and not the right operation for him.
• Talk to your doctor in detail about the diet after the operation.
• Investigate first whether it can match your personality, daily habits, and lifestyle.
• No obesity intervention offers maximum results if it is not complemented by proper nutritional guidance
• Accept, if recommended by the surgeon, a pre-operative evaluation by a specialist psychologist.

The diagnosis before surgery of conditions such as bulimia or emotional polyphagia (emotional eating disorder) will help a lot in the correct treatment of your problem.

• Discuss in detail the risks of each operation so that you have full and informed consent for your operation.
• Inform and be informed together with the people in your immediate environment.

You need their participation and support at every stage of the bariatric surgery process.

• The mature decision after your detailed information about the advantages and disadvantages of each method ensures the best results for each obesity operation.

It is important to have reasonable goals about what bariatric surgery can achieve. Some people who undergo bariatric surgery have weight loss that does not meet their goals. For this reason, the right choice of bariatric surgery is of great importance. Even if you don’t lose all your excess weight, medical issues like diabetes, sleep apnea, and high blood pressure will improve. You may be able to reduce the amount of medication you need to take.