forever

Recently, obesity surgeries have sprung up, some of which have succeeded and often, and some have failed, which is rare, which made me carry my tools and go to the clinic of the most famous Saudi doctor in these surgeries, Dr. Walid Bukhari, who returned any failure in such operations to one of the workers, Either the incompetence of the doctor who performed it, or the negligence of the patient himself, pointing out the need to conduct such operations at the hands of specialized consultants and in advanced-level centers because they are very accurate and do not tolerate any diligence, and he said that unfortunately some people are taking advantage of such operations to achieve profits and fame.

There has been a lot of talk about obesity surgery or weight loss among supporters and opponents, have we talked about it?

This surgery started its idea since the beginning of surgery, as weight reduction is an obsession of many people around the world, and doctors tried to find several methods but it failed, until doctors thought about reducing the size of the stomach, so the idea of ​​reducing the intestine came in the beginning, and in the era of the eighties Actual experiments began in this regard, but they were all in complete failure, and in the early 1980s, the stomach was stapled using titanium staplers to reduce the size of the stomach by making a hole in it, and then stapled and lengthened the esophagus, and thus the pins trapped it on one side and the food descended from the esophagus into a very small stomach The end of it is a nylon net because the stomach is expanding and the nylon net prevents its expansion, and in that period the stapling was done with the regular surgery that consists of opening the abdomen, but today it is done only laparoscopically, and it is now performed in most hospitals in the Great Kingdom.

But it is said that failure usually accompanies such operations?

Failure and success are in the hands of God Almighty, then it goes back to the surgeon''s own technique, and of course the patient’s response and discipline or neglect of the prepared nutritional program, and the extent of his conviction with the operation or not, and what is said about the pain that the patient feels as a result of pins is not correct, but I see that the operation is somewhat offensive What Because it changes the nature of the stomach almost completely, and returning it to its natural shape requires a major operation, hence the idea of ​​packing the stomach.

Is it possible that fatal medical errors occur in such operations?

Of course, if it is performed by a junior or unqualified doctor, unfortunately some people exploit such operations to achieve fame and more profits, and I believe that the lack of adequate control has a role in that, and I advise any patient who wishes to perform such operations to choose the appropriate place as well as the appropriate doctor.

What is the difference between stapling and packing? Is packing the stomach a continuation of stapling or a start from a new point?

Gastric banding appeared at the beginning of the eighties, and it is a somewhat different process except that it does the same thing in reducing the size of the stomach, but it is safer because it depends on packing the stomach with an inert silicon belt that is used in the heart valves, in the joints, in the jaw, and in multiple parts of the body.

Does the treating person feel the presence of this belt in his stomach?

Absolutely he does not feel anything, even if God forbid he takes a blow on his stomach, he does not feel the belt, but rather exercises his life very naturally, and is not different from any ordinary person, so what is important is his discipline and commitment to the food program prepared for him.

Will the belt remain in the abdomen of the treated person for life?

Yes, there is no harm from it, as it is connected to a tube under the abdominal muscles, and the patient is initially injected every month with an injection with a solution of water and salt to tighten the belt or ring, and for a period of three months only, and if the person wants to stop his weight loss at a certain limit, then we will stop the process of narrowing the ring However, provided that the food program prepared for it is implemented accurately.

How long does the operation take and the recovery period? When does the patient start to get better?

The process usually does not take more than an hour, and the patient remains in the hospital from one to two days at most, and then begins to feel better after that, and the recovery period may extend to a week at most, and the difficulty may only be in the patient''s commitment to drinking fluids for a month and a half Since the operation, with the aim of gradually dealing with the stomach in its new condition.

Does he eat any food he wants after that?

Yes, but provided that he moves away, at least at the beginning, from sugars, sweets, mangoes, sugar cane, dates and some things that we will give him a list of, because if he returns to his previous normal eating, the ring will be removed and return to his previous weight, but the presence of the ring already makes the person feel full from a small amount Very food, and we have an integrated program for these operations supervised by a number of dietitians, endocrinologists and a good surgeon, and the head of the team is the surgeon who specializes in obesity operations, and studies and curves for weight loss are also conducted within the program and the patient must understand this program perfectly if he wants to guarantee Weight loss surgery success.

Do not such processes affect the functions of the body?

On the contrary, such processes increase the efficiency of work in the body''s functions and raise them to the better, but the person feels refreshed, energetic and energetic, while he eats normally, so we only prevent him from sugars Because sugar is a known danger even to ordinary people, we compensate the person with using saccharin, which is a suitable substitute for sugar.

What do you think of native treatment methods for obesity, such as fingerprinting, liposuction, and others?

As for the fingerprint, I do not think it deserves all the hype, as its costs are high and its success rate is very few, and it is not parallel with the exaggeration of sums, then its success is primarily due to the patient’s determination, and I advise avoiding it as its results are not permanent, and then the Ministry of Health issued a statement about it. It confirms that it is of no use and warns citizens of it, as for liposuction, it is not to eliminate obesity as it is to beautify and treat deformities in the human body, such as if there is excess fat in the buttocks or in the back or in the abdomen and others, as well as the grease The removal may revert once the person returns to the same eating habits.

If the sick or obese person suffers from diseases such as diabetes, hypertension, and cholesterol, which are usually diseases resulting from weight gain, will the process of eliminating obesity go through these diseases? Are such operations authorized by the US Food and Drug Administration?

Yes, all experiments have proven that losing 30 kg or more of fat and excess weight leads to these diseases irreversibly, even if the disease was capable of the sick person, which made the Food and Drug Administration and the various medical authorities authorize these operations, recognize them and even encourage them.

How much is the approximate cost of such operations, and we mean packaging operations?

In America, the cost is $ 25,000, while in the Kingdom the cost ranges from 15,000 to 30,000 riyals, depending on the capabilities of the medical center and the existing doctors.

When did you enter this field?

I actually started in 1994, and before that I was working on studies and research about these operations, and we actually tried it in some animals and it succeeded, and we performed it on humans for the first time and it took us about nine hours and it did not work, unfortunately, and ended with opening the abdomen of that patient, then I avoided such operations. Until Dr. Abdul-Rahman Ashi and Dr. Fawzi Anani went to the University of Hoy in Belgium, and took a training course with Professor Belashev, then we returned to the Kingdom and we gradually resumed conducting such operations, and at first I refused to work with them without the presence of our supervisor, so they attracted us Prof. Dr. Seif is from Brussels and he spent a week with us performing seven operations, two of which I was his assistant and the remaining five that I performed myself under his supervision, after which we moved forward.

How many operations have you performed until today to package the stomach? What was the success rate?

By the grace of God, more than ten thousand packing operations have been performed so far, all of which, praise be to God, have been successful, and each of these patients has an integrated file on his condition and the communication between us is constantly continuing, and I know the condition of each one of them, and I feel great pleasure and I feel people''s satisfaction with these operations. The most thing I search for is the supplication of people to obtain the pleasure of God Almighty.

What about the balloon method?

These operations are the simplest, and it is especially for people with simple weights, and it depends on placing a balloon in the stomach that is ed endoscopically but through the mouth, so that it fills the stomach and the total amount of what the person eats becomes very little, because the stomach is almost full, which leads to weight reduction, and also must Whoever abides by the patient with all instructions and accurately if he wants success.

Why do you give it to people whose weight can be reduced by regular exercises without resorting to operations?

It is not surgery in the strict sense, because it is performed orally, and it is concerned with craftsmen or those who require appearance to be in a decent form, as some companies abroad warn the employee or the official or threaten him with dismissal if they notice that he is overweight in order to preserve the general appearance, and by virtue of his limited time And his inability to exercise sometimes this method was the most appropriate solution.

What is the most important thing to avoid?

The most important thing is dinner, so it must be left permanently and the body accustomed not to eating it or even eating after six, and if a person is forced to do not eat more than a bowl of yogurt, soup, apple, salad, etc., the important thing is to leave sweets, fat and things that are forbidden from them.

Is the balloon less harmful to a person?

Yes, but it is also the least successful one, as its success rate does not exceed 60% only. Because many patients cannot change their bad eating habits, such as eating sweets and drinking soft drinks, and it is necessary to exercise, but the majority are lazy and do not like to exercise. We are a people who loves to ride a car even to the mosque or to the grocery store despite the proximity of the distance.

How many operations do you currently perform per month to lose weight?

As I said, so far I have performed nearly ten thousand different weight loss surgeries in various countries of the world and all of them, praise be to God, have been successful. Currently, I have been performing between 15 to 20 various weight loss surgeries per month, and I have at least 100 waiting cases on a permanent basis.

Are there operations other than stapling, packing and balloon to reduce weight?

As I mentioned earlier, there was a method that preceded all of them, but it is very difficult because it is a more offensive process and causes a lot of problems, and is used only in hopeless cases for people with ve