• Obesity Treatment Abroad

     

Obesity is dangerous to health. It is associated with hypertension, diabetes mellitus, and cancer. Serious consequences of severe obesity are well documented and include cardiac dysfunction, respiratory problems, digestive diseases, and endocrine disorders as well as obstetric, orthopedic, and dermatologic complications.

Cancer mortality rates are increased in severely obese females; e.g. endometrium (5.4 times), gallbladder (3.6 times), uterine cervix (2.4 times), ovary (1.6 times), breast (1.5 times). Cancer mortality rates are increased in severely obese males, too; e.g. colorectum (1.7 times), and prostate (1.3 times).

Statistically significant improvements have been observed in both diabetes and hypertension, with >10 percent weight loss, and in cardiovascular conditions, with 5 percent weight loss.

Obesity Treatment Diagram

You can click into the diagram to see another obesity treatment procedures.

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NON-OPERATIVE TREATMENT

Published scientific reports document that non-operative methods alone have not been effective in achieving a medically significant long term weight loss in severely obese adults. It has been shown that the majority of patients regain all the weight lost over the next five years. The use of anorectic medications appears to have an unacceptably high association with cardiac disease with potentially life threatening sequelae. Dietary weight loss attempts often cause depression, anxiety, irritability, weakness and preoccupation with food.

SURGICAL TREATMENT

Surgical treatment is the only proven method of achieving long term weight control for the obese. It involves reducing the size of the gastric reservoir, with or without a degree of associated malabsorption. This reduces caloric intake and ensures that the patient practices behavior modification by eating small amounts slowly, and chews each mouthful well.

Weight reduction surgery has been reported to improve several conditions such as diabetes, sleep apnea, hypertension, and improved heart function and cholesterol level. Other benefits observed in some patients after surgical treatment include improved mobility and stamina. Many patients note a better self esteem, interpersonal effectiveness, and an enhanced quality of life. They are able to explore social and vocational activities formerly inaccessible to them. Marital satisfaction increases.

GENERAL CONSIDERATIONS AFTER BARIATRIC SURGERY

Bariatric surgery has an emotional, as well as a physiological, impact on the individual. Many who have undergone the surgery suffer from depression in the following months. This is a result of a change in the role food plays in their emotional well-being. Strict limitations on the diet can place great emotional strain on the patient. Energy levels in the period following the surgery will be low. This is due again to the restriction of food intake, but the negative change in emotional state will also have an impact here. It may take as long as three months for emotional levels to rebound.

Muscular weakness in the months following surgery is common. This is caused by a number of factors, including a restriction on protein intake, a resulting loss in muscle mass and decline in energy levels. The weakness may result in balance problems, difficulty climbing stairs or lifting heavy objects, and increased fatigue following simple physical tasks. Many of these issues will pass over time as food intake gradually increases. However, the first months following the surgery can be very difficult, an issue not often mentioned by physicians suggesting the surgery. The benefits and risks of this surgery are well established; however, the psychological effects are not well understood, and potential patients should ensure a strong support system before agreeing to the procedure. It is important for patients to start changing their outlook on food and diets before surgery to avoid the shock after.

DIETARY INSTRUCTIONS

If you comply with all advices given on your diet, you should have no problems with the healing process.  The following 6 rules are very important eating habits:

  • Only eat small quantities. The capacity of the stomach has changed. Also the amount of food intake has to change. Nevertheless it is not always easy to stop eating at the right time. What do we mean, if we say small quantities? For example one slice of bread for breakfast or 2 potatoes and a small piece of fish for lunch.
  • Chew well and swallow food only completely mashed. You need more time for chewing and also not all food is possible to chew well. Unsuitable food are products which are usually not easy to chew.
  • Never eat and drink at the same time. The reduced capacity of the stomach will no longer permit to take in both: liquid and food at the same time. The usual amount of beverage, 2-3 litre liquid per day, are desirable. It is better to drink between or before meals.
  • Do not lay down or rest after eating. A horizontal position reflux is more likely. The food also remains longer in the pre-stomach and leads to a very uncomfortable accumulation of mucus.
  • Eat five times a day. This is important, because if you only eat 2-3 times a day, it is not possible to have a great variety of food. Consequently, as you can only eat small amounts, you do not get enough proteins, minerals and vitamins. In addition, when eating 5 times daily, it is less likely that you are overpowered by sudden hunger attacks where you probably forget the new eating habits.
  • Watch for beverages rich in calories. In our experience, many people take in a lot of their calories with drinks. Consider this before drinking high calorie liquids. Sweet soft drinks, tea or coffee with milk and sugar, hot chocolate, fruit juices and alcohol are all high in calories. The type of suitable liquids should be varied and include tea or coffee (black, no sugar), diluted fruit or vegetable juice, light drinks, low fat variants of milk, mineral water without gas.

Success of surgical treatment must begin with realistic goals and progress through the best possible use of well designed and tested operations. These have been worked out over the last thirty years, and are now standardized, clearly defined procedures, with well recognized and documented outcome results.

Weight loss usually reaches a maximum between 18 and 24 months postoperatively. Mean percent excess weight loss at five years ranges from 48 to 74 %.

Surgery can be expensive and we want to ensure your costs don’t escalate. There are no hidden extras. Basic price includes: a consultation, medical examination, necessary laboratory tests, the procedure, anaesthetics, hospitalisation, proper medication, medical insurance, aftercare, and 1 year guarantee. Full Package price includes: the same as basic + air-fare from European airports with direct flights to Prague, waiting at the airport, a representative looking after you, all taxi among the Prague airport / accommodation / clinic, and an accommodation for up to 7 nights.

Best wishes on your efforts to achieve a healthier lifestyle!

•  OBESITY TREATMENT TECHNIQUES