INTERVIEW: should lose weight at any price?

More and more women are desperate to lose weight. After plans and certain operations, many of them are moving towards the installation of a gastric band. These monies time, the news has reported a negative image of this technique can be very dangerous. To provide an update tibia gold on this issue, we interviewed Dr. Renaud Guichard, digestive surgeon.

e-health: How effective is this technique of laying a gastric band to lose weight?

Dr Renaud Guichard: Let’s be clear, this technique is effective but risky. We must therefore know in advance the factual evidence to balance the need to lose weight with the means chosen and sometimes vital risks involved. Start with the need to lose weight.

It is now well established that obesity leads directly or indirectly to health problems. Among the most frequent, there is heart failure, hypertension, diabetes, syndrome sleep apnea (transient cessation of breathing at night), joint problems, phlebitis and pulmonary embolism. So much so that U.S. insurance companies, more than we faced this problem, had to prepare lists of medical risk by weight (adjusted for premiums). The result is a simple classification based on body mass index (BMI).
According to official U.S. recommendations, a person should try to lose weight to improve health and reduce risks from a BMI of 25 if she has two pathologies linked to excess weight (eg diabetes and hypertension), and whatever the conditions associated with a BMI of 30. Beyond BMI of 40, it is called obesity “morbid” because there is a short-term risk to life associated with overweight.

Now about this technique of gastroplasty by inflatable ring, which is known and practiced for ten years. It is to change the shape and arrangement of the stomach to create a zone of strangulation making difficult the escape of food. Two successive gastric pockets instead of one are well trained. The first, low volume fills very quickly during the ingestion of food, but does not drain very slowly to the next pocket. This results in an inability to eat too much or too quickly, the risk of pain and vomiting.
We now understand very easily why the total calorie intake is lower. The interest of the inflatable ring is multiple:

* You can ask by laparoscopy,

* Tightening of the stomach can be adjusted from outside by a housing located under the skin,

* And most importantly, this technique is reversible, we can remove the ring. Indeed, the ancient techniques based on the principle of change of gastric volume does not allow such flexibility, they are neither flexible nor reversible.

e-health: Should we be desperate to lose weight?

Dr Renaud Guichard: Certainly not! Recall that the techniques gastroplasties have always been reserved for large obese. The main reason is that any abdominal surgery in obese patients is risky in terms of respiratory and cardiovascular systems, and also requires a trained team, an environment of intensive resuscitation. The arrival of the ring gave a false sense of ease and safety, due to its introduction by laparoscopy and its reversibility. Although laparoscopy assaults less body than laparotomy (open abdominal wall), major complications, although less frequent, remain. Furthermore,cheap tibia gold, specifically, the technique poses an inflatable silicone ring around the stomach has its own complications: slippage, distension of the stomach above the ring, perforation of the stomach, passage of the ring in the stomach, removal of the case, infection of the housing, ring unsupported, acid reflux into the esophagus, etc..

In total, about one in three reoperation must be done within days or months after posing for various reasons, not counting a possible ablation ring provided after stabilization of weight loss.