Bariatric Surgery for morbidly obese patients, is a term reserved for surgery on morbidly obese patients, who have a Body Mass Index is >45. You can calculate your body mass index by dividing your weight (in kilogragms) by the square of your height (in metres); i.e. Weight/(height x height).
People with that ratio exceeding an absolute number of 45, are morbidly obese, and will probably need a bariatric surgical solution. Prof Wilson sometimes prefers to perform a whole body liposuction or extended abdominoplasty instead of bariatric Surgery, provided the excess fat is localized in well defined areas.
Bariatric surgery works by reducing the amount of food reaching your blood stream. This could be achieved either by
1-Making your stomach smaller, or by
2-Making your intestine unable to absorb the food.
Due to the high complications and unpredictable outcome of the second procedure, Dr. Wilson performs only the first procedure.
To achieve maximum results after a bariatric surgery you should incorporate a healthy lifestyle that includes a balanced diet and an exercise program into your life.
Patients with high body mass index are vulnerable to many risks including:
1-Higher incidence of heart trouble.
2-Higher incidence of diabetes.
3-Higher incidence of gall bladder stone.
4-Higher incidence of knee osteoarthritis. 5-Higher incidence of breast cancer (since fat cells activate more estrogen).
6-An overall higher mortality rate than the general population.
For all such reasons, Prof Wilson does not perform bariatric surgery only for cosmetic reasons, but to improve the general health of the patient.
Appropriate candidates should be in good physical and mental health and with reasonable expectations. Following the Bariatric Surgery for Morbidly Obese, you should know that it will take several months for you to lose the excess weight you gathered over the years, and that it will be almost 1 year before you reach a stable weight. Presence of other medical illnesses such as diabetes or heart disease makes this surgery more risky, and Dr. Wilson will review all of your surgical options at the time of your consultation.
During your consultation for Bariatric Surgery for Morbidly Obese, Prof Wilson will discuss its limitations and risks, and your needs and concerns. He will explain how to make your stomach smaller, so that you will feel satisfied after a small meal. He will advise you on the dietary regulation after the surgery so that you can get all your nutritional needs from a small meal. Dr. Wilson will also advise you on the follow up protocol. Depending on the quality of your skin tone and the contour of your body, he will discuss the possibility of carrying out a body lift after your weight stabilizes.
He will explain which surgical techniques are most appropriate for you and photographs will be taken.
You should come to the consultation prepared to discuss your medical history. Please provide full information about any medical conditions, drug allergies, medical treatments you have received including previous surgeries and current medications.
Immediately after surgery, the nursing staff restrict the patient to a clear liquid diet.
Then the dietitian puts the patient on a blended or pureed sugar-free diet for at least two weeks. Afterwards, the patient is unable to overeat because exceeding the capacity of the stomach causes nausea and vomiting.
Dr Wilson recommends a daily multivitamin pill for life to compensate for reduced absorption of essential nutrients, as well as a diet that is relatively high in protein and low in fats.
Although with modern techniques, the complications of surgery are markedly reduced, this still remains a major surgical procedure. Risks include dislodgement of the gastric band, anastomotic leakage, and failure to lose weight. A Dietitian carefully monitors the nutrition of patients who lose weight to avoid malnutritional problems.