Mr Ayoubi explains the advantages of using Macrolane
Bariatric surgery is suitable if:
You are morbidly obese (have a BMI of over 40)
You have a BMI of between 30 – 40 and suffer from a condition that poses a serious health risk (including diabetes, heart disease or high blood pressure) and
You have tried to lose weight in the conventional way, through diet and exercise, but have failed to lose a significant amount of weight.
The Benefits of Bariatric Surgery are:
- Significant weight loss
- A long term change in attitude towards healthy eating
- Improved health and mobility
- Improved mental wellbeing
- Boost to self-esteem and self confidence
Individuals considering Bariatric surgery must ensure that their expectations are fully discussed in the consultation with Dr Ayham Al Ayoubi, as the surgery is not suitable for everyone.
- Roux-en-Y This type of gastric bypass surgery is the most common method of gastric bypass. This works by decreasing the amount of food you can eat at one sitting and reducing absorption of nutrients. The surgeon cuts across the top of your stomach, sealing it off from the rest of your stomach. The resulting pouch is about the size of a walnut and can hold only about an ounce of food. Normally, your stomach can hold about 3 pints of food. Then, the surgeon cuts the small intestine and sews part of it directly onto the pouch. Food then goes into this small pouch of stomach and then directly into the small intestine sewn to it. Food bypasses most of your stomach and the first section of your small intestine, and instead enters directly into the middle part of your small intestine.
- Biliopancreatic diversion with duodenal switch. This is generally used for people who have a body mass index greater than 50.In this complex, multipart procedure, about 80 percent of the stomach is removed. The valve that releases food to the small intestine (the pyloric valve) remains, along with a limited portion of the small intestine that normally connects to the stomach (duodenum). The surgery bypasses the majority of the intestine by connecting the end portion of the intestine to the duodenum near the stomach (duodenal switch and biliopancreatic diversion). This surgery limits how much you can eat and reduces the absorption of nutrients
- Laparoscopic adjustable gastric banding (LAGB). In this weight-loss surgery, the surgeon positions an inflatable band around the uppermost part of the stomach. When the band is inflated, it compresses the stomach. This separates the stomach into two parts, with a very small upper pouch that communicates with the rest of the stomach through a channel created by the band. The small upper pouch limits the amount of food you can eat. The band can be adjusted so that it restricts more or less food. Because of its relative simplicity, LAGB is one of more common weight-loss surgeries. However, it may lead to less weight loss than other types of gastric banding
- Vertical banded gastroplasty. This procedure is also known as stomach stapling, it involves dividing the stomach into two parts, restricting how much food can be eaten. The upper pouch is small and empties into the lower pouch — the rest of your stomach. Partly because it generally doesn’t lead to adequate long-term weight loss, this weight-loss surgery isn’t as popular as other types.
- Sleeve gastrectomy. A sleeve gastrectomy is the most recent type of weight-loss surgery. The sleeve gastrostomy is actually the first part of the surgical process for a biliopancreatic diversion with duodenal switch. However, the sleeve gastrectomy portion of surgery may be all that’s needed to lose sufficient weight — in some cases the second part, biliopancreatic diversion, isn’t needed. With this procedure, the structure of your stomach is changed to be shaped like a tube, which restricts the amount of calories your body absorbs.
During the procedure, your surgeon will place an adjustable band around your stomach to create two compartments, keeping a narrow opening between the top and bottom so that food can pass through it slowly. There is a limited space left for food so it should quickly create the sensation of fullness. Once the food passes through the opening into the lower part of the stomach, it then makes its way through the rest of the digestive system.
After the procedure, your band may be adjusted depending on how much weight you are losing, and how quickly you are losing it. Fluid is usually injected into the band to tighten it, and this is known as a band fill.
During the consultation at the London Medical and Aesthetic clinic, your suitability will be determined from the long-term side effects of bariatric surgery such as possible need for reoperation, gallbladder disease, and malabsorption.”Improvement in cardiovascular risk factors, and a reduction in mortality of 23% from 40%.