Understanding morbid obesity |
The treatment is surgical :
Morbid obesity is associated with an extremely limited life expectancy. No medical treatment or diet presents an alternative that controls at the same time hypertension, apnea syndrome, orthopedic complications, etc., related to excessive weight.
On the basis of a serious preoperative assessment and firm selection (psychological, dietary, gastrointestinal, etc.), the ring gastroplasty is deemed in our experience (more than 1000 cases) and in the literature as the method of choice for the surgical treatment of morbid obesity.
The long term follow-up (24 to 66 months) of 200 patients consecutively operated on shows confirmed positive responses for arterial hypertension (96%), sleep apnea syndromes (91%), diabetes (85% ), gastro-esophageal reflux (76%), orthopedic problems (74%) and cardio-respiratory insufficiency (74%).
Moreover, taking into account our experience in the medical and surgical treatment of 150 patients operated on in the department or sent by other teams mainly for complications after an alternative process, we currently offer the ring surgery as the treatment of choice for morbid obesity.
The obese person should however be selected according to his feeding behavior, his age and his BMI. We therefore would make a ring surgery to a young non- sweet-eater obese person, whose BMI varies between 40 and 46 and a Gastric Bypass surgery to an obese person aged over 40, sweet-eater, and why not with diabetes, including a BMI exceeding 47.
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