Best Bariatric Surgeon In Canada
Indications for Bariatric Surgery:-
When the patient’s BMI reaches 40 or more and meets one of the following conditions:
- Have taken a proper diet and exercise plan (with or without adjuvant medication) but failed.
- There are obesity-related comorbidities such as high blood pressure, impaired glucose tolerance, diabetes, hyperlipidemia, and obstructive sleep apnea.
At this time best bariatric surgery in canada should be considered as an option for treatment. Physician and patient discussions about surgical options should include long-term side effects, such as the possibility of reoperation, gallbladder disease, and malabsorption. “
“Patients should be sent to a medical center with surgeons who have extensive experience in bariatric surgery.”
In 2011, the International Diabetes Federation issued a statement stating: “In some cases, when a person’s BMI is between 30-35, surgery is appropriate.” When deciding whether an extremely obese patient is suitable for a best bariatric surgeon in canada, psychological Screening is very important; psychological screening is also very important for success in losing weight after surgery. Patients with a BMI of over 40 are five times more likely to get depression than the average person, and half of the candidates for weight loss surgery in canada have depression.
Types Of Bariatric Surgery:-
According to the method of bariatric surgery in canada, bariatric surgery can be divided into three categories. Since 2009, most industrialized countries have adopted laparoscopic procedures as the standard procedure for open surgery in accordance with the Standard of care in the United States. The future trend is to achieve better results through endoscopes.
Surgical methods that mainly cause malabsorption of nutrients
In the method of malabsorption of nutrients caused by surgery, although there is a reduction in the size of the stomach, this method is mainly to cause the patient to form a physiological condition of malabsorption of nutrients and achieve the effect of weight loss.
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Biliopancreatic diversion (BPD):-
The biliary pancreatic shunt is a complicated surgical method. Because of the problem of malnutrition, the most primitive surgical methods are rarely used to perform biliary-pancreatic shunt, and replaced by modified operations, that is, a best bariatric surgeon in canada use of duodenal switch (duodenal switch) as a restrictive operation ( BPD/DS). The method is that part of the stomach will be removed to create a smaller stomach (but the patient can eat and drink freely because the stomach does not have any restrictors), and then the distal small intestine will bypass the duodenum and jejunum and connect to the stomach pouch. About 2% of patients have severe malabsorption and nutritional deficiencies and need to restore normal absorption. Because the problem of malabsorption caused by the biliary and pancreatic shunt is too serious, patients undergoing this operation must be supplemented with higher amounts of vitamins and minerals after the operation. If there is no supplement of these nutrients, the patient will be at risk of developing some defective diseases (for example anemia, osteoporosis).
In any bariatric surgery that causes rapid weight loss, gallstones are the most common complication, so some doctors will also remove the gallbladder during the cholangiopancreatic shunt operation to prevent gallstones. Some doctors are more inclined to prescribe drugs to reduce the risk of gallstones after surgery. Compared with other bariatric surgeries, surgeons rarely perform biliary-pancreatic shunts, partly because patients with biliary-pancreatic shunts need long-term follow-up and monitoring of nutritional intake after surgery.
Mainly restrictive surgical methods:-
This surgical method is mainly to limit the volume of the stomach and produce early satiety to reduce food intake. At the same time, the limited surgical method can preserve the continuity of the lower gastrointestinal tract and minimize the risk of metabolic complications.
Vertical gastric banding plasty:-
This method is also called the Mason procedure or stomach stapling. The method is to permanently staple a part of the stomach in order to create a smaller stomach pouch, which will become a new stomach.
Adjustable gastric banding (Lap-Band):-
Silicone tape can also be used to limit the volume of the stomach. By creating a stoma under the skin that can increase or decrease the amount of saline, the size of the silicone tape can be controlled. This operation can be performed through laparoscopic surgery. The best bariatric surgeon in canada principle of its ability to lose weight is due to the smaller stomach pouch and narrow entrance, which will limit nutrient intake. It is currently considered to be one of the safest methods, with a mortality rate of only 0.05%.
Gastric sleeve resection:-
Sleeve gastrectomy (SG) is a surgical method that removes most of the stomach along the greater curvature of the stomach, reducing the volume of the stomach to about 15% of its original size, and then the excised opening is connected ( Usually, surgical staples, sutures, or both are used) to make the stomach into a tube shape. Some people say it is in the shape of a sleeve, which is like a banana. This surgical method will permanently reduce the size of the stomach. Laparoscopic surgery can be used, and it is irreversible.
This combined method greatly reduces the risk of surgery for certain patients, and most patients are expected to lose 30-50% of their body weight within 6-12 months after weight loss surgery in canada. The weight-loss period of the second stage will vary according to the weight loss, usually 6-18 months.
This method involves inserting an uninflated balloon into the abdomen and then expanding the balloon to reduce the amount of space in the abdomen. The balloon can stay in the stomach for up to 6 months, and on average it will drop to a body mass index (BMI) of 5-9 within half a year. Intragastric balloon surgery is approved in many countries. Intragastric balloon surgery may be performed earlier than other bariatric surgeries to help patients reach an appropriate weight for some bariatric surgeries.
Intragastric balloon angioplasty has three costs: pre-surgery costs (such as professional consultation fees, laboratory work, and tests), surgery costs (such as surgeons, surgical assistants, anesthesia, and hospitalization), and post-surgery costs (such as: as return trips), vitamins and nutritional supplements).
Benefits Of Bariatric Surgery
Our patients have been able to lose up to 70 – 85% of their excess weight. Those thinking about surgery should talk to our Doctor about what their personal expectations should be for loss of excess weight. In addition to this, co-morbidities such as diabetes, high blood pressure, sleep apnoea, infertility, thyroid etc… are often reduced or completely cured.
How Bariatric Surgery is more Successful
Gastric bypass surgery:-
The most common gastric bypass surgery is Roux-en-Y gastric bypass (RYGB). The method is that an anastomotic device is used to create a small stomach pouch, then the gastric pouch is attached to the distal small intestine and then reconnected. The upper part of the small intestine forms a Y-shaped structure. The frequency of gastric bypass surgery execution in the best bariatric surgeon in canada market is about 50% lower than before. An important factor in the success of any bariatric surgery is the strict adherence to a healthy diet after the operation.
After the operation, some people will not be able to tolerate malabsorption and dumping syndrome. In these patients, the operation is considered irreversible in the early stages, but in some cases, there are cases where gastric bypass bariatric surgery in canada is partially reversible.
Cost of Bariatric Surgery
The cost of bariatric surgery varies from patient to patient depending on lot of factors like the type of surgery chosen, associated co-morbidities, multi-port or single port, the stay at hospital (room rent, duration) etc.
We offer Bariatric Surgery at Reasonable costs and also under all Medical Insurances. To know about if bariatric surgery covered under insurance policy please visit policy page.