1) What are the health risks of being overweight?The main health risks (comorbidities) associated with overweight are:
- Cardiovascular problems (Hypertension)
- Syndrome of obstructive sleep apnea
- Knees, hips and spine Arthrosis
- Higher risks of cancer
2) From your expertise, what is the most effective weight loss surgery?The two surgical procedures we recommend are gastric bypass and sleeve gastrectomy. The choice as to which individual operation to recommend depends on the specific patient profile (eating behaviors, amount of overweight and comorbidities). Despite the fact that gastric-band remains very popular in some countries, we do not perform this operation because poor outcomes have been known of for at least ten years. On the other hand, we have a lot of experience transforming failed gastric bands into gastric bypasses or sleeve gastrectomies.
3) What are the main benefits of obesity surgery?Obesity surgeries can lead to up to 75% of excess weight loss. Long-term outcome depends mainly on patient’s behavior after the surgery. The main medical benefit is the disappearance or massive improvement of most of the comorbidities.
4) What are the possible complications of overweight surgery?Obesity surgery is a major operation and might lead to rare but serious complications such as pulmonary embolism, gastrointestinal leaks. Management of these complications might involve medical or surgical treatments. However these complications should be compared/balanced to the life threatening risks of ongoing obesity.
5) What type of patient is eligible for obesity surgical treatments?When we look into obesity surgery, there are very strict criteria to evaluate if a patient is suitable for this category of surgical intervention:
a. BMI ≥ than 35 kg/m2
b. Repeated failure of conservative weight loss treatments
c. A multidisciplinary evaluation performed by a team of dedicated specialists