Bariatric surgery, also called gastroplasty, is a stomach reduction surgery that is indicated for weight reduction in cases of morbid obesity associated with complications, such as diabetes and hypertension, for example.
There are different methods to perform this surgery and it can be performed in people over the age of 18 who cannot lose weight with other treatments.After surgery, it is necessary to follow a strict diet and exercise regularly, to promote weight loss and the proper functioning of the body.
- The price of bariatric surgery can range from R$20.
- 000 to R$40.
- 000.
- The value of which varies depending on the type of surgery.
- The location chosen.
- And the surgeon.
This surgery can also be performed by the SUS, but it is a long and complicated process, as usually only the most severe cases of morbid obesity associated with health complications are approved. In addition, it is also necessary to show that other weight loss treatments, with medical and nutritionist follow-up, have not worked.
Bariatric surgery can be performed in cases of morbid obesity, when BMI is greater than 40 kg/m2 or when BMI is greater than 35 kg/m2 and there are diseases such as diabetes, sleep apnea, hypertension, dyslipidemia, severe uncontrolled cardiovascular diseases.asthma, osteoarthritis, herniated disk, gastroesophageal reflux with surgical indication, c cholecystopathy, recurrent acute pancreatitis, hepatic steatosis, urinary stress incontinence in women, infertility, erectile dysfunction, polycystic ovary syndrome, varicose veins and hemorrhoid disease, intracranial idptic stigma.
However, only patients who have not obtained results with clinical and nutritional treatment for at least two years can undergo surgery.
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The main types of bariatric surgery are
This is the surgery indicated as the first option, since it is not invasive, consists of a splint placed around the stomach, to reduce space and cause a feeling of fullness more quickly. Surgery is usually faster, carries fewer risks, and allows for faster recovery.
As there are no changes in the stomach, the gastric band can be removed after the person has managed to lose weight, without causing a permanent change. For example, people who use this type of surgery should also be followed by a nutritionist to maintain their diet after removing the ring, so as not to regain weight.
It is a type of invasive surgery, commonly used in people with morbid obesity, in which part of the stomach is removed, reducing the space available for food. In this technique, the absorption of nutrients is not affected, but the person must follow a diet with the nutritionist, because the stomach can expand again.
Because it is a surgery in which part of the stomach is removed, the risks are greater, as well as a slower recovery, which can take up to 6 months. However, this type of surgery has a longer lasting result, especially in those who have difficulty dieting.
This is a gastrectomy-like procedure, but in this surgery, your doctor makes small spots inside your stomach to reduce your size, rather than cutting it. This means that there is less room for food, which leads to the ingestion of a smaller amount of food, which facilitates weight loss. After weight loss, the dots can be removed and the person has all the space of the stomach again.
This surgery is primarily indicated for those who cannot lose weight with exercise and diet, but who may maintain a balanced diet.
It is generally used in high-obesity patients who have used other, less invasive techniques in vain. This technique helps to lose weight quickly because it greatly reduces the size of the stomach, but it is an irreversible method.
In most cases, biliopancreatic bypass is indicated for people who are unable to diet and have morbid obesity, even after trying other bariatric surgeries. In this type of surgery, the doctor removes part of the stomach and intestine, thus reducing the absorption of nutrients, even if the person eats normally.
People who have undergone a biliopancreatic shunt should generally use a nutritional supplement to ensure that there is no shortage of vitamins and minerals important to the body’s functioning.
Watch the video below and see where bariatric surgery is recommended
The postoperative bariatric surgery requires dietary care, based on a liquid diet, which can then be replaced by a pasty diet, and can be replaced by a normal solid food just 30 days after the operation. In addition, it is necessary to take the dietary supplements prescribed by the doctor to avoid problems due to nutrient deficiencies, such as anemia and hair loss for example.
Learn more about bariatric surgery recovery.
Women who wish to become pregnant after the operation should wait about 18 months before starting conception attempts, as accelerated weight loss can affect the baby’s growth.