Global endoscopic and obesity surgeon Dr. Walid Bukhari to 3 million obese people in the Kingdom ... and we are ranked third in its global spread Dialogue: Tawfiq Muhammad Nasrallah confirmed the global endoscopic surgeon Prof. Dr. Walid Bukhari, consultant of advanced endoscopy and obesity surgery, head of the Prince Sultan Center for Advanced Endoscopic Surgery at King Fahd General Hospital In Jeddah, there are about three million obese patients in the Kingdom, indicating that it is a global problem, and that the Kingdom ranks third in the world in obesity.
In his interview with "Al-Yamamah" at his clinic at King Faisal Specialist Hospital in Jeddah, Dr. Walid Bukhari said that the absolute luxury of life and the negative aspects that resulted from it behind the incidence of obesity, explaining that obesity surgeries have developed clearly in recent times, and that obesity genes have become known and defined Where it will become possible for the child to be born protected from obesity and not afflicted with it throughout his life, and Dr. Walid Bukhari enumerated the types of surgeries to treat obesity, so to the text of the dialogue:
First of all, we would like to introduce Al Yamamah magazine readers to your personal card.
Dr. Walid Lotfi Yahya Bukhari, Senior Consultant in Advanced Laparoscopic and Bariatric Surgery, President of the Prince Sultan Center for Advanced Laparoscopic Surgery at King Fahd General Hospital in Jeddah, and a member of more than eighteen international societies for laparoscopic and general surgery, including the International Society of Surgeons, the American Society of Surgeons, and the German Society of Surgeons, And the European Association of Laparoscopic Surgeons, and I am a collaborating consultant with King Faisal Specialist Hospital in both Jeddah and Riyadh.
Food .. and sports
Before talking about your specialization in advanced laparoscopic surgery and obesity surgery, we ask you about the best ways to lose weight apart from surgery?
The best way to lose weight is to regulate food, which is called the regulation of energy expenditure in the human body by introducing exercise as an integral part of a person’s life and not giving in to the whims and desires of the soul to overeat and its quality.
Stomach storage operations, stomach stapling, gastric balloon, gastric bypass, gastric sleeve, and liposuction What are the best types of these surgeries that you recommend for obese patient?
These operations are all performed to lose weight in one way or another, and the aim of them is plastic surgery and the search for healthy perfection, and always those who go to these surgeries are those with obesity in its various forms, types and degrees, starting from simple obesity and ending with severe morbid obesity.
When is obesity morbidity?
If the mass factor of the human volume exceeds forty percent of the total weight 04 percent of the total weight, and this definition is easy to explain. If we take the height of a person in meters, take its square and divide it by the weight, it gives us the body mass index if the increase is more than 04-53 with or without the presence of other diseases such as diabetes or Pressure Here, a person is obese, which has very, very serious complications.
Fat Society
How prevalent is obesity in Saudi society?
In a recent statistic conducted by a Saudi doctor in Riyadh, whose name does not bring me to mind, and I believe that Dr. Mufreh has proven that we have three million obese patients in the Kingdom, and this number is very huge.
What is the reason behind the huge number of obesity cases in the Kingdom?
The reason is the absolute luxury of life and the negative aspects that resulted from it, including the presence of food of all kinds and its different forms and strange flavors that were not present in our life, and if you want to know this, go to Tahlia Street in Jeddah and look at the types of restaurants and what they offer from the foods and flavors that drool over them, then increase the luxury with The availability of capabilities, excessive eating, and the availability of technology such as the computer, with which everyone has spent long time without practicing any kind of movement, even eating has become on the computer, while in the past my grandfather and grandfather used to walk a day for at least ten kilometers. If he ate a whole camel, he would burn it, as well. The types of food were limited and may be confined to the Bukhari rice, the rice with lentils (Madwoos), which is usually cooked with the rains, and dried fish, Kabsa, Jarish, and Makboos.
This means that obesity has become a global problem?
Obesity is definitely a global problem.
So how do we rank in the Kingdom globally in terms of the prevalence of obesity cases?
We are the third country in the world after Kuwait and America in terms of the percentage of obesity, and this is a very dangerous indicator. As for the first country in the world in terms of obesity, I do not remember whether it is Kuwait or America, but we come after them, and for you to know that America annually spends three billion dollars annually on surgeries Obesity, and this number was published in the Economist nine months ago, or three thousand million dollars that America spends annually on obesity surgeries only as an attempt to treat the citizens of the country that is considered the country of obesity and to provide an amount (57 billion dollars) seventy five thousand million dollars to treat obesity complications over ten Years.
What are the complications of obesity?
Blood elevations, arterial clots, hardening of the arteries, and blockage of the heart arteries that require treatment of open heart surgeries, colon, stomach and breast cancers, prostate in men, various joint diseases, joint changes due to obesity, and cartilage slips in all their forms and types in the spine, neck, back and lower back And endocrine diseases, diabetes and its complications in the eyes, kidneys, liver, and extremities, complications of the thyroid gland and the introduction of the human into the mean cycle, which is the weakness of the thyroid gland due to excess obesity until it stops, in addition to the psychological treatment of depression in which quail enters and the various psychological diseases that range from different depression To the evolving depression, and to avoid all these diseases caused by obesity, America annually spends three billion dollars, or about twelve thousand million riyals, on obesity surgeries annually.
How much do we pay in the Kingdom for obesity surgeries?
What we pay is much less, because as a surgeon, I work a thousand obesity surgeries a year, and you have three million obese patients in the Kingdom. You need at least a thousand surgeons like Walid Bukhari, and you do not have this number and therefore we are considered poor people who are capable in this field.
If you work in a year, a thousand operations, how many operations have you performed so far?
Enormous numbers that I cannot remember.
But a newspaper published on your tongue, that you performed ten thousand operations?
If you are talking about obesity operations, I have performed many more than ten thousand operations, praise be to God and in all their forms. As for general operations, you can take the average. If I say that I work in a year between one thousand and three hundred to one thousand and five hundred cases and now I have been practicing surgery for twenty-five years You have to calculate to find out how many operations have you performed, and in order to make it easier for you, multiply twenty-five years in a thousand operations that you performed each year, meaning that I performed at least twenty-five thousand operations.
Women are more
The types of patients who come to your clinic for obesity surgery the most?
From women to one to five women.
From any age group?
From 61 to 60 years old.
What is the latest knowledge of modern obesity surgery and treatment?
Research is still being carried out now to reduce surgical injury after obesity surgeries have evolved from opening the abdomen to the use of endoscopic surgeries and searching for magic pills that a person can use and lose weight. There are studies that are now being carried out by (Hammer Smith) University Hospital, which is the search for an enzyme secreted by The pancreas in the case of acute pancreatitis and it is called Pcyy35 and this enzyme is extracted from patients who have acute pancreatitis, which was observed to have severe weight loss, so this enzyme was extracted from them and given to some obese patients and found that there is a tremendous response to their weight loss in addition to severe loss of appetite without There are side effects through intravenous needles, but this is still in the research phase.
So what good tidings do you give to an obese patient?
The good news is the development of genetics, where the genes of obesity have become known and defined, and it is now possible, in theory, to destroy these genes in newborns so that the newborn is born cured of obesity That is, he does not become obese throughout his life, God willing, by using certain viruses or certain drugs that destroy the obesity genes.
Slimming drugs that are taken after or during meals rich in fat, such as zinc, what is your stance on them?
It is good if it is an aid to the will, but there is no substitute for exercise and diet, and there is no substitute for regulating the timing, quality and method of food. These pills, like the stomach belt, stomach stapling, and gastric sleeve gastrectomy help and support the will process, but the difference is that if a person uses them alone, the maximum A limit of twelve to fourteen kilograms per year, according to studies conducted medically and published in scientific journals, as it is a pill with limited success.
We go back to obesity surgeries, so what are the cases that work for them and the cases that do not work for them?
The stomach packing process, we used to do it for all patients without limitation, but as a result of experience, science, and the development of the science of obesity surgery, we knew that obesity has different surgeries due to the different causes of obesity. Sports And suddenly, for one reason or another, his practice of sport decreased, so he needs support for his will, so this process is therefore supportive of the will and not a substitute for it. We conduct it for such people and whom we choose carefully.
How do you choose them accurately?
I mean that we choose such patients with obesity for such kind of operations so that their obesity is not hereditary, nor that it is from childhood, nor that they are people who eat sweets and are people who have confidence in themselves and have strong will, but they need a little Help, if all of these conditions are met, we make sizing operations.
So there are sections and types of obesity operations that differ from one person to another according to the type, size and history of obesity he has?
Certainly, obesity operations are divided into two parts, scaling operations, which are narrowing the size of the stomach, and scaling operations with reduced absorption in which we reduce the absorption of nutrients that lead to obesity and thus reduce the number of calories inside the body and reduce the weight, in the scaling operations we are smaller in which the size of the stomach cannot be received except A specific amount of food such as stomach stapling, gastric packing, and sleeve gastrectomy (LAP.GASTRIC). In this type of operation we reduce the size of the stomach, and just as stapling has several types, as well as packing the stomach several types.
What about gastric balloon operations and how long is the maximum period for the balloon to remain inflated inside the stomach?
The balloon is
