Who is suitable for gastric bypass surgery?

Expert answers

What chronic diseases can bariatric surgery help solve, who are the clearest candidates for such surgery and what does life look like the day after?

Everything you need to know about one of the most common surgeries available

Iris Cole

08/04/2022

Friday, 08 April 2022, 07:24 Updated: 07:39

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In recent years, bariatric surgery has become almost a matter of routine - a lot of people choose it to lose weight, and to avoid the medical complications that come with severe obesity.

Dr. Shai Maron Eldar, director of the Center for the Treatment of Obesity in the Surgical Division of Ichilov Hospital, was a guest on the "Specialist Clinic" podcast to explain existing types of surgeries and who they are suitable for.

"Today there are actually three surgeries that are the most popular," explained Dr. Maron Eldar, "The mini-bypass is the most popular surgery, it is also called gastric bypass at one launch.

Another surgery that is very common, and was more common until a few years ago, is the gastric sleeve.

"And the third operation, which is actually the oldest operation, is the full bypass operation, which we are still doing in specific cases that are suitable for it."

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When is it suitable for bariatric surgery?

Surgeries of this type are not suitable for every person who is not happy with his weight.

"There are very clear indications for bariatric surgery," explained Dr. Maron Eldar.

Once this number is greater than 40 - there is an indication for surgery, even if there are no comorbidities.

In BMI over 35, the indication exists if there are already comorbidities for obesity: fatty liver, diabetes, hypertension, excess cholesterol, burnout of the joints, knee pain, sleep apnea and more and more. "It should be noted, added Dr. Maron Eldar , That "few people with a BMI over 40 who are completely healthy".

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And diabetes is an important issue when it comes to bariatric surgery.

"Today, because these surgeries are so effective in diabetes, diabetics whose disease is difficult to balance, and have difficulty reaching balanced sugar levels with medication, already at a BMI of 30 will allow them to undergo bariatric surgery, because these surgeries are so effective and so helpful in balancing "Type 2 diabetes," said Dr. Maron Eldar. The

surgeries are suitable from the age of 18 to the age of 65. "Be careful of the ends of the ages.

I also operate on 14- and 15-year-olds, but much more carefully, individually, choosing tweezers, even in old age the choice is much more rigorous, he explained.

What are the complications of such surgeries?

Before we get to the side effects, Dr. Maron Eldar asked that "in the balance between risk versus chance, those who already meet the criteria for surgery, we as doctors believe that the chance of surgery - cure him of diseases, improve his quality of life and prolong his life - higher than risk of surgery.

This is the bottom line.

"It is true that on the way to these surgeries there are complications that can be serious and life-threatening complications, although they are marginal, in very low percentages, these are very safe surgeries, but I can never guarantee someone that the surgery will go without complications and without side effects."

After sexual bypass surgery, for example, the patient will have a smaller stomach, and he will be satisfied after much smaller doses, about 20 percent of what he was used to eating before.

"The patient also eats much less, and also what he eats - he absorbs less," explained Dr. Maron Eldar. Of malabsorption usually causes flatulence, very unpleasant and smelly, and sometimes also diarrhea, often those that do not harm the lifestyle, but more exits than usual.

"Most patients really enjoy the surgery."

Woman standing on weight (Photo: Screenshot, Alessando Vincenzi)

And what about life after surgery?

"It is important to know one very basic thing - surgery is a very powerful tool to lose weight to or close to normal body weight. Surgery will bring the patient to normal body weight, but in order to maintain this result over time, and I emphasize this to my patients, the role passes to them in stage "The effect of the surgery sometimes fades as time goes by from the surgery, and those who do not adhere to habits, rules, new life - eat right, exercise - may slowly see the weight creeping back," Dr. Maron Eldar clarified.

"Surgery will always probably help," he added, but made it clear that the body is a sophisticated machine, and will slowly strive to return to the weight it was comfortable with. Of a healthy lifestyle.

Iris Cole interviews Dr. Shai Maron Eldar on bariatric surgery (Walla system!)

What makes people choose such surgery?

Dr. Maron Adler made it clear that the people who come for the surgery are usually people who have tried to lose weight dozens of times in other ways, and have not succeeded. And they do not leave the room, "he said," it changes lives.

For someone whose whole life weighs 40-50 kilos above the normal weight, and such people who suddenly lose normal body weight - it changes lives.

They are willing to sign up for almost any side effect, the main thing being to get rid of the excess weight and be a healthier person. "

He added that most patients very much enjoy the surgery, live a great and better life than they had before." There are some too, but it does not represent.

The representative is a happy, leaner, healthier person, with few side effects that he lives with in peace. "

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Tags

• Surgery

• Stomach shortening

• Bariatric surgery