Millions of people are overweight. In the majority of cases, this has an immense impact on health.
In addition to numerous diseases such as type 2 diabetes, high blood pressure and cardiovascular diseases, which occur as a result of obesity, one’s own well-being is often severely restricted.
If the traditional weight loss methods for severely obese people did not result well, and the patient can no longer lose weight on their own, a weight-loss surgery may be considered.
We advise you personally or by telephone regarding weight-loss surgery, always in consultation with our partner surgeon.
The treatment takes place after detailed information and various examinations by our specialists.
You may start your new life with detailed nutritional advice – and we will stay by your side. Step by step, to the desired success.
There are several ways to reduce the size of the stomach. Which one suits the counselee the best depends on the individual circumstances and is discussed and determined in advance with the surgeon.
In bariatric surgery, a distinction is made between restrictive and malabsorptive surgical procedures.
The aim of the restrictive procedures is to limit the absorption capacity of the stomach. Through the subsequent reduction in food intake, the weight decreases steadily.
In the malabsorptive surgical technique, the digestive passages are shortened, which leads to less utilization of the food – with the same food intake.
Gastric sleeve operation
Gastric sleeve surgery is a restrictive procedure. The surgeon removes a large part of the stomach, which creates a smaller, tubular stomach. The capacity of the new stomach is limited to around 100-150 ml, while a normal stomach has a volume of around two to three liters. Due to the small capacity of the new stomach, the patient can eat less and consequently reduces weight. Sleeve gastrectomy has become one of the standard operations in bariatric surgery in recent years. Due to the fact that the anatomy of the gastrointestinal tract remains, sleeve stomach reduction has several advantages over other operations and is suitable for a first operation.
Gastric bypass surgery is another very common operation. It is a restrictive malabsorptive operation, which for many years and still today is the most frequently performed operation for the treatment of obesity. With gastric bypass, or “Roux-en-Y gastric bypass”, as it was named after its developer Dr. César Roux is called, the stomach is made smaller and the length of the intestine shortened. Through an incision a few inches below the entrance to the stomach, most of the stomach is separated from the remaining gastric pouch. The small intestine is divided into two parts, with the lower part being closed to the stomach pouch. The lower part is then reattached to the upper part, where the food in the small intestine combines with the digestive juices of the bile and liver.
The transit bipartition according to Santoro (dt: “intestinal division”) is a new procedure for the treatment of type 2 diabetes. In addition to a standard sleeve stomach formation, a connection is established between the lower small intestine and the lower part of the stomach. Because some of the food goes the normal route, there is a considerable reduction in the symptoms of malabsorption.
The single anastomosis duodeno-ileal bypass with sleeve gastrectomy, or SADI-S for short, is also a new procedure that supplements the sleeve gastrectomy with a malabsorptive component.
This procedure is suitable as a second step in the case of severe obesity, if the sleeve gastrectomy has not yet brought the desired success.
The gastric band
Another restrictive procedure is the gastric band. By implanting the gastric band, the volume of the stomach is restricted by narrowing the opening to the remaining stomach and digestive tract. The gastric band is a kind of tube made of silicone and can be filled with liquid from the inside and thus stretched. The inner diameter of the tube changes with the filling status of the tube and it can control the passage from the forestomach into the remaining stomach from the outside. The gastric band shows a relatively high level of therapy failure, which is why we do not offer this procedure.
The gastric balloon
The gastric balloon is an endoscopic-interventional method and is therefore non-surgical. The gastric balloon is inserted orally into the stomach and filled with a sterile saline solution. The balloon takes up space in the stomach and the feeling of satiety is reached faster when eating food. The gastric balloon is removed after about six months. The gastric balloon is mainly used to prepare for surgery, in patients who have a particularly high risk of surgery due to their extreme obesity. We do not recommend this method of therapy as the risk of weight gain after removing the balloon is too great.
We do not leave you alone!
We offer psychological counseling for our weight-loss surgery customers.