numerous and differ from person to person
Dr. Al-Bishri Consultant General Surgery
Many who suffer from obesity are eager to ask about everything new in the world of medicine or fitness In order to reduce their weight to normal rates. In this regard, companies and medical bodies are also competing to conduct a lot of research and studies that are known to increase the amount of fat in the human body, and for most people it results from excessive eating and drinking, especially foods that depend on large calories, and few people are caused by the inability of the body To eliminate or burn excess energy in the body, but the rare few have acquired obesity as a result of an increase in the secretion of certain hormones in their bodies. To learn more about the subject, we conducted this interview with Dr. Saleh Al-Bishri, a consultant in laparoscopic and obesity surgery.
What are the factors that lead to obesity?
At the outset, it should be mentioned that there is an unpleasant phenomenon that abounds in our society, which is excessive eating and irregularity, and the introduction of food to food, and this is the main reason for weight gain in everyone, and women in particular. This is because they do not do housework and leave these jobs that require a large movement to burn food energy to others, and this is what makes women more obese than men and overweight. Certainly, as we knew it at the beginning of our conversation, it is an increase in body mass and fat deposits under the skin, in the abdominal cavity, limbs, etc., and thus it is an increase in the burden on all active body organs such as the heart, pancreas and arteries. Where it causes a rise in blood pressure, heart and arteries, and has a significant impact on heart function, and may cause diabetes and shortness of breath. It also has a great effect on the joints, forming gallstones, and returning stomach contents to the esophagus. What causes chronic inflammation in the esophagus, accompanied by pain that may extend to the throat and throat, not to mention its psychological impact, especially in women.
What are the right ways to prevent obesity?
I always say that prevention is better than cure. Many doctors, treatment centers specializing in obesity and nutritionists have used a lot of therapeutic and nutritional programs represented in different diets, taking medicines that reduce appetite and prevent the absorption of fat, and many sports programs .. It has met a lot of success and failure, and all this is due to the person’s ability and will to To lose weight. There are many treatment methods, such as surgery, and when talking about the role of surgery as a treatment for obesity, we must know that the patient has many methods of treatment before resorting to the surgeon, such as the diet, whether by a nutritionist or what is published in medical journals.
The patient''s cooperation with the doctor aids in the treatment
However, many patients have a lot of experience with dieting and the success is not theirs. Because there are so many questions that must be answered before embarking on any diet program. Should a person eat this amount of food?
A person should return to the instinct that God d man, and the saying of the Messenger, may God’s prayers and peace be upon him, “The son of Adam filled a bowl of evil from his stomach.” And Omar’s saying (We are a people who do not eat until we are hungry, and if we eat we are not satisfied). So a person needs to pause with the self and not give the soul its pleasures, even if that is by excessive eating.
But I would like to say to everyone who wants to strive to lose weight through surgery, he must know that the available surgical means are auxiliary factors, and if the patient is not cooperating with the doctor and has a good background through asking and reading about weight maintenance after losing weight, then his fate Return to the previous weight, even after years.
Most weight loss procedures performed
What are the surgical methods used to lose weight?
The doctor''s role comes in choosing the appropriate surgical procedure for the patient according to the body mass and the type of food that the patient is used to eating. There are many weight loss procedures available, starting from simple balloon procedures and ending with bowel anastomosis.
As well as the stomach perforation, which is a band around the stomach from the upper part with a tube to under the skin to control the narrowing of the belt from time to time. This procedure is good for people with low body mass.
As for the longitudinal sternum (sleeve gastrectomy), it is useful in many patients with moderate mass, and may be used as a primary treatment before bowel anastomosis.
Intestinal anastomosis and gastric reduction are among the processes by which the length of the intestine can be controlled for absorption, thus its effect on weight loss is good, but it is accompanied by some long-term complications It is therefore recommended for those who work this process to follow up with the treating doctor. And surgeries of all kinds have their benefits, and they are accompanied by some complications, which are reduced by continuous follow-up.
