Bariatric surgery is not the solution for all cases of obesity – 11/07/18 – SOROCABA E REGIÃO

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07/11/18 | Bariatric surgery should only be performed by people who have a recurring health problem related to obesity – DISCLOSURE "/>

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The fight against obesity is not limited to the aesthetic issue, but also to health, and in this case even a surgical intervention may be necessary. But in which clinical areas is surgery indicated? Can all overweight people use the procedure? Who explains about this is the gastroenterologist Rafael Beltrami, applied integrated medicine, who also speaks contraindications.

The specialist, who also performs bariatric surgeries, explains that to undergo this procedure there are some indications, having for principal being the overweight, with the body mbad index (BMI) greater than or equal to 40 35, there are other problems related to obesity, such as diabetes, asthma and lung problems. The age range varies between 15 and 60 years, including, as a prerequisite, not being able to lose weight normally. The physician observes, however, that in the pre-surgical evaluation, the contraindications are severe pulmonary problems, cirrhosis, liver cirrhosis, heart problems and renal failure.

Beltrami: the obese must be evaluated by a multidisciplinary team – ACQUIS PERSONNEL

Beltrami also points out that there are variations of surgical techniques. Among these, he cites the de-absorbing techniques that allow the patient to eat, however, hinder the absorption of nutrients and thus lead the obese to weight loss. They are usually very successful in weight loss, which can reach 40% of the initial weight, however, they need a more rigid control with regard to nutritional disorders, mineral elements and vitamins. Such techniques have become increasingly popular because of the quality of life that they bring to the patient. He points out that these operations are known as "intestinal deviation" because they divert a lot of the way food has to pbad, thus making a circuit smaller and providing lower nutrient absorption.

In the meantime, the physician observes that in order to be operated on in bariatric surgery, each patient must also be prepared through a multidisciplinary team composed of a nutritionist, a medical doctor, and a physician. a psychologist and a cardiologist, and that the postoperative adaptation is variable. multidisciplinary team, especially the psychologist, as well as the maintenance of physical activities.

Beltrami however emphasizes that the quality of life of patients undergoing the bariatric procedure is indisputable, even highlighting the improvement in self-esteem. But the expert also warns that bariatric surgery is only indicated for patients who have a recurring health problem of obesity and is contraindicated when it comes to only an aesthetic question.

Children are also affected