the stomach is not a magic solution .. but!
Dr. Sami Al-Asari, consultant general surgery and colorectal surgery, robot and laparoscopy, pelvic disorders and obesity confirmed to the “citizen” that obesity surgery is not the magic solution to reach the ideal weight and must be accompanied by diet and exercise as an auxiliary aspect to descending to the ideal weight after performing gagging operations.
He explained that this surgery is not for the beauty of the patient''s external appearance, but rather aims to reduce diseases caused by obesity, such as joint diseases, diabetes, pressure, and others.
He stressed that the lack of weight before obesity operations is caused by the president is to follow the wrong diet or lack of sufficient intention to follow the correct systems.
He continued that with regard to not losing weight after the operation, it has several reasons, including that the process did not take place in the right way, continuing to eat weight stabilizers such as chocolate, sweets, soda water, medicines such as depression drugs, birth control pills, insulin, etc., the presence of genetic genes that prevent weight loss, lack of adherence to the diet and sports schedule.
He explained that hair loss after the operation is common due to a lack of protein, stressing that there are no operations without complications with varying proportions, but the patient must balance them with his need for them.
And Al-Asari indicated that the average body mass of (35-40) with the presence of comorbidities such as diabetes and stress is called morbid obesity, and it is one of the reliable indicators in performing surgical operations.
Also, the patients must be presented before the operation and evaluated by the endocrinologist and nutritionist so that any other causes of obesity are treated and no surgical intervention that causes the multiplication of mental illnesses is performed.
As for the side of the infusion of the stomach after its quantization, it is present at a rate of 1 -3% and does not depend solely on surgical instruments, but it may be affected by the type of operation such as gagging or diversion of the pathway and its reasons may be the presence of other diseases accompanying the patient such as sugar and taking cortisone medications and others.
He added: eating vitamins and proteins is important for the first two years after the operations so that the patient can eat them in sufficient quantity for his new body mass rate, indicating that there are several other surgeries that have begun to spread, such as crunching and stomach artery catheters, etc. However, its benefit has not been proven scientifically until now in addition to the patient not reaching the ideal weight In addition to the accompanying complications.
And on how to lose weight after gagging the stomach, he said: It is usually by reducing the amount of food entering the body where the stomach becomes small as the stomach of the child, so the patient should not rely on 3 main meals only, but he must drink every hour to avoid dehydration and eat two or three spoons every three to four Hours.
And about the reasons that may lead to the failure of the process of gagging the stomach between it and usually it is either not stapling the head of the stomach completely or stapling the angle of the stomach incorrectly or using tools for stapling imitations made.
He added: The most common side effect that appears after the gastrectomy is bleeding, which is the first risk after the operation on the first day, followed by smuggling from the stapling area and strokes, whether in the chest or in the legs. There are minor symptoms such as nausea and vomiting, where they fade with time.
Al-Asari added that a distinction must be made between gastric sleeve and gastric bypass. The quantization is aimed at reducing the amount of food and has nothing to do with absorption. As for diversion, the goal is to reduce the absorption of food in the intestine.
He pointed out that the King Fahd Specialist Hospital in Tabuk is one of the advanced centers in the treatment of obesity where it meets all the safety conditions for conducting obesity operations, and there is a distinct clinic visited by the patient and he is evaluated by the consultant of surgery, psychiatry and glands and on the same day he visits the clinic of health education and nutrition and conducts analyzes and examinations and is given One appointment for radiology, which reduces the number of patient visits to the hospital because patients are busy with their work.
And about the number of quantization operations that he performs in a week, he explained that he performs 3 to 5 cases per week depending on the availability of operations time and may exceed that in some weeks.
