WHICH SURGERY TO WHICH PATIENT

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WHICH SURGERY TO WHICH PATIENT

Patient's BMI Concomitant diseases of the patient Patient's current general condition Presence of diabetes, (how many years, if any, treatment, response to treatment) The possibility of the patient to adapt to the method to be applied Patient's thinking (high risk + definitive outcome or low risk + possible weight gain) Maximum result, minimum risk

WHICH SURGERY TO WHICH PATIENT


The same surgical strategy for each patient is doomed to failure. Therefore, each patient is evaluated on his / her own and a patient-specific treatment strategy is determined.

OBESITY SURGERY OPTIONS

Restrictive Surgery

  • Intragastric Balloon
  • Intragastric Botox Injection
  • Gastric Plication

Malabsorptive Surgery

  • Biliopancreatic Diversion

Mixt Surgery

  • Sleeve Gastrectomy
  • Gastric Bypass
  • Sleeve Gastrectomy + Transit Bipartition
  • Biliopancreatic Diversion + Duodenal Switch
  • Ileal interposition

 

Methods containing only restriction in patients with indications for surgery are no longer preferred due to the high long-term failure rates. Malabsorptive surgery is not preferred because it has vital complications in the long term. Nowadays, mixed surgeries are preferred most frequently. These surgeries have some restrictive effect, some malabsorptive effect and some metabolic effects. According to the above order, malabsoptif and metabolic effects increase as it goes down from the top.

WHICH SURGERY TO WHICH PATIENT

 


The same surgical strategy for each patient is doomed to fail in the adventure that begins with the patient's admission. Therefore, each patient is evaluated on his / her own and a patient-specific treatment strategy is determined. Therefore, the patient's metabolic picture should be revealed with the examinations and examinations after the pre-evaluation speech made with the patient's application.

Features that I consider when determining which surgery to perform

  • Patient's BMI
  • Concomitant diseases of the patient
  • Patient's current general condition
  • Presence of diabetes, (how many years, if any, treatment, response to treatment)
  • The possibility of the patient to adapt to the method to be applied
  • Patient's thinking (high risk + definitive outcome or low risk + possible weight gain)
  • Maximum result, minimum risk