Bariatric Surgery


Each patient must be assessed individually. Ultimately, the most appropriate treatment for the patient depends on various selection criteria carefully examined by specialists in obesity.

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Gastric sleeve

Obesity surgery or Bariatric surgery

Against overweight, obesity surgery is considered a really effective treatment

However, it must be kept in mind, that surgery is a way to lose weight, you are the main player in this weight loss and the durability and effectiveness will depend on the following elements:

Several elements are fundamental to carry out your project

  • A sincere desire to lose a lot of weight.
  • Have done well followed diets, which have been failures
  • Be ready to completely change your eating habits.
  • Be ready to resume more regular physical activity
  • Agree to follow up with a nutritionist of your choice.

Obesity is increasing and problems are changing.

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The main complications are:

  • Diabetes
  • Hypertension
  • Cholesterol
  • Cardiovascular disorders
  • Sleep Apnea

Not to mention the mechanical complications due to weight pressure on the joints, breathing, sleep apnea that is common during obesity.

Obesity is affecting more and more young people.

The most common cancer risks in obese people and in men are:

  • Esophagus
  • Thyroid
  • Colon
  • Kidney

In women , the risks of cancer are:

  • Breast cancer
  • Uterus cancer.

Obesity surgery is an effective treatment currently against obesity. This surgery significantly reduces the risk of death, it should also be known that obesity starts from a BMI of 30 .

There are two families in obesity surgery:

  • Restrictive surgery, namely, a reduction of the stomach.
    • Sleeve
    • Gastric plication
    • Gastric Band
  • Malabsorptive surgery, ie, a deviation from the digestive system.
    • Mini bypass
    • Classic Bypass

Regarding the gastric balloon , it is proposed to make possible surgery when there is significant obesity and you have to lose weight in order to access the stomach. Its effect is transient.

Am I concerned about obesity surgery?

Obesity is defined as an excess of fat mass, quantified by the body mass index (BMI in French or BMI for Body Mass Index in English).

How to calculate my BMI or BMI?

It is obtained by dividing your weight by your height squared: IMC (or BMI) = your weight (in kg) / [your height x your height] (in meter). Example: If you measure 1 meter 65 and weigh 80 kg, the calculation is 80 divided by (1.65 × 1.65) ie 80 / 2.72 which makes a BMI (BMI) at 29.4. Free quote

When the body mass index is between 30 and 34, we talk about moderate obesity

When the body mass index is between 35 and 39, it is called severe obesity

When the mass index is greater than or equal to 40, we speak of morbid obesity.

Selection criteria for being a candidate for surgery for obesity.

  • Age between 18 and 60 years old (for teenagers contact us)
  • Obesity stable for more than 5 years
  • Failures of other supported at least for a year
  • Severe somatic complications.
  • Motivated and knowledgeable patients.
  • No dependence on alcohol and drugs.
  • Absence of endocrine pathology.

The surgical solution can only be considered if all these criteria are met.

What are the techniques used for obesity surgery?

There are several techniques used in obesity surgery such as gastric banding, Sleeve and gastric plication can be recommended for obesity surgery in Tunisia. Each patient must be assessed individually. Ultimately, the most appropriate treatment for the patient depends on various selection criteria carefully examined by specialists in obesity.

Surgery for obesity or bariatric surgery is not a “small” operation, without risks or complications. It is aimed at obese people in whom the classic treatments, diets, medical follow-up, have been failures. Usually, it happens very simply, hospitalization is brief, recovery of activity fast.

It has no “miracle” effect, replacing your will. On the contrary, it requires, in order to be a lasting success, your active, attentive, prolonged collaboration, for which medical and psychological support in particular is often indispensable. In this way, the success rate, a significant and lasting loss of weight being observed in 70 to 80% of the operated ones.

After the treatment of obesity reconstructive surgery?

As a result of significant weight loss and diet, gastric band, bypass or sleeve. It will be necessary to consider removing the excess of skin which will be to you like a too big garment. This excess skin will be removed by a specialist in the reconstruction of the body, especially in the body lift.

The body lift is an operation that removes excess skin and fat from the middle third of the body in one operation and with only one scar belt. We can better visualize this intervention by imagining that we remove a strip of skin 15 to 40 cm high all around the body like pants that go back.

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