Stomach Reduction refers to operation that is used for the treatment of morbid obesity. It is a confusing concept, introduced by the non-specialized press, which can refer to any obesity operation in which the size of the stomach is reduced. However, as the operation that has been most frequently done during.
Stomach Reduction refers to operation that is used for the treatment of morbid obesity. It is a confusing concept, introduced by the non-specialized press, which can refer to any obesity operation in which the size of the stomach is reduced. However, as the operation that has been most frequently done for years is the Gastric Bypass, by default stomach reduction is associated with gastric bypass.
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From the point of view of the operation of obesity operations, there are three types of stomach reduction or operations for the control of obesity:
1- RESTRICTIVE OPERATIONS: Where only a reduction in the size of the patient’s stomach is sought. Here they would be the Gastric Tube or Gastric Sleeve, the Gastric Plication and the Gastric Band.
They are the most physiological or less artificial operations. The nutritional problems after the operation are exceptional, and are easily corrected when the patient eats correctly.
They should be used in young patients, pending future pregnancies, with intestinal pathologies, with other diseases that increase the risk of the operation, in elderly patients … In the event that this technique fails, it can be transformed into other surgical techniques for obesity. The passage from the gastric tube to the SADIS type bypass could be the most appropriate at present.
Weight loss is less. The result is more variable depending on the patient. Over the years the stomach can be dilated if the operation is not well designed, or if the patient voluntarily forces, decreasing its therapeutic efficacy and being able to recover part or all of the lost weight.
2- MIXED OPERATIONS: Where a restrictive part is performed, reducing the size of the stomach, and a malabsorptive part, deriving or partially modifying the small bowel loops:
Here are the classic Roux-en-Y gastric bypass and the SADIS type bypass.
The Gastric Bypass, especially, is the most contrasted operation and on those that have more experience in the long term. Currently it is still the operation over which all the others are compared. It is a very balanced technique, with more strength than a pure restrictive operation, and where the malabsorptive part helps the patient to control weight loss, and it is exceptional that it causes remarkable problems of nutrient deficit. The SADIS Bypass technique has been known for about 5 years, although it is already done in five continents, with excellent results. Spain is only practiced by three teams, in Madrid Hospital Clinic (Dr. Sanchez-Pernaute), in Barcelona Hospital Valle de Hebron (Dr. Vilallonga) and in Valencia Hospital 9 de October (Dr. JV Ferrer); This is a much more physiological operation than the classic “Roux-en-Y-Gastric Bypass,” which is more effective and has fewer long-term adverse effects. They are more effective operations to cure metabolic diseases, especially diabetes. They should be used in patients with very high obesity, BMI> 45-50 and also in patients with Diabetes Mellitus
Its technical realization is more complex, being necessary a greater specialization and experience of the surgeon and the team. This is especially important for the SADIS type bypass. The patient should take vitamins for life, but usually does not pass two or three tablets a day. This operation can also expand the stomach and the first section of the small intestine connected to the stomach, decreasing its therapeutic efficacy and being able to recover part or all of the lost weight.