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In the past, obesity was considered a sign of health. But today, the misconception has been going on for many years, and medical science has identified many diseases associated with obesity and overweight. Of course, there are different treatments for it. Obesity and overweight are directly and indirectly linked to many diseases such as hypertension, osteoarthritis, respiratory disorders, and stroke./ Gastric bypass in iran

Do you believe that you can lose weight at any age and weight?

There are several ways to lose weight but you need to go to a specialist to get the desired result first to find the cause of your overweight. Overweight has many causes and you cannot begin treatment until you find the main cause.

Here’s a brief overview of the causes of obesity, followed by a thorough examination of one of the slimming surgical procedures, gastric bypass.

A global problem called: obesity

The imbalance between energy intake and energy consumable results in excess fat, body fat, and obesity. In the United States, 300,000 people die each year from obesity-related illnesses. So if you are overweight, take it seriously so it does not become a dangerous form of obesity.

Types of obesity

Android (Male Obesity): Fat accumulated around the abdomen, which is more common in men, called Android obesity.

Gynoid (female obesity): Fat accumulated in the hip and thigh area, which is more common in women, is called gynoid obesity.

Causes of Obesity

Genetics: Genetic factors account for 30% of the causes of obesity
Secondary factors: such as hypothyroidism and hypothalamus disorders
Eating Disorders or Bad Eating Habits: Get High-Calorie, Low-Mobility Foods
Nervous obesity rooted in stress and internal stress
Drug side effects such as continued use contraceptives and corticosteroids

Obesity Treatments

Considering the causes of obesity in different people, different treatment modalities can also be considered. There are usually four types of treatment for obesity:

Diet control along with exercise: Proper weight loss under the supervision ofa nutritionist is one of the effective ways to treat obesity. Many of us start eliminating important meals, such as breakfast, to begin our diet, which is a major mistake. Not eating breakfast can lead to a decrease in blood sugar, aggression, an inability to act throughout the day and overeating in the next meals. The most scientific diet is one that has all the nutrients needed for the body along with exercise.

Medication: Unfortunately, many overweight people use unscientific methods, such as hormonal drugs that cause the thyroid gland, as well as laxative or diuretic drugs to treat their obesity. Keep in mind that these drugs are not approved by doctors because of side effects such as excessive metabolism, dehydration, lack of nutrients, and malnutrition.

Use slimming equipment such as slimming belts, different creams, slimming earrings, etc. that are not all medically approved.

Slimming Surgery: Slimming surgeries such as ballooning, stomach ringing, bypass and slinging are usually, the latest method for physicians to treat obesity. Slimming surgery is one way to treat you when you are on a regular diet and exercise routine and not getting the ideal weight and as well as having other indications for surgery.

What is a gastric bypass?

Bypass you will lose a large part of your stomach volume and 75% of your weight. By attaching the upper part of the stomach to the small intestine and removing a large part of the stomach, you will feel fuller sooner and with a smaller volume of food. This procedure is less likely to return than other weight-loss surgeries./ Gastric bypass in iran

Types of Bypass Surgery

Mini bypass:

In this method, the small intestine is not removed and only the upper part of the stomach is removed by Stapler and the stomach is small. This procedure is actually a combination of classic and slide bypass and is performed through laparoscopic under general anesthesia. Although it is newer than the classical method, if the patient has large reflux after surgery, he/she will again undergo classic surgery. In mini-bypass surgery, a two-night hospital stay and a one-week rest at home are recommended by your doctor.

Classic Bypass:

In the classic method, two surgeries are performed simultaneously on the patient. In the first surgery the stomach divided into two parts. Neither of these two parts is separated but is divided into two parts by sewing, and the smaller portion, which usually accounts for 5% to 5% of the previous gastric volume, has the function of keeping food and the larger the portion still secreted by enzymes. In the second surgery, the intestine is attached to the small portion of the stomach to absorb and digest the food that is in the stomach, and in addition to the much smaller volume of food coming into the stomach, the bile and pancreas they also enter the intestine by redirecting without entering the new stomach.

Are you a bypass candidate?

People have high body mass (35) with diabetes and high blood pressure is good candidates for bypass but at the first stage. These people can do this surgery if they follow different diets and do not get the desired results. So your doctor will definitely not recommend the first way to treat obesity bypass surgery./ Gastric bypass in iran

Calculate your body mass index (BMI)

The first step in determining whether you have gastric bypass surgery is to know your body mass index (BMI). This is the indicator to determine the amount of fat in your body. Now calculate this index in a simple way:

Height per meter in exponent 2 / Weight in kg = Body Mass Index (BMI)

According to the following figure, make the necessary comparisons to find out the status of excess fat in your body:

If the index is between 18.5 and 25, you have a normal weight
If the index is between 25 and 30, you are overweight
If the index is between 30 and 40, you are obese
If the index is above 40, you have overweight or dangerous obesity. People who weigh more than 45kg are usually in this category.

Get ready for surgery

Lose weight. The more you can lose weight before surgery, the less risk you will have during surgery.
It is imperative that specialist physicians perform various tests and consultations such as blood, heart and lung.
Preparative psychology and nutrition counseling helps you understand your expectations of surgery and the challenges that follow.
Avoid taking medications such as aspirin ten days before surgery and tell your doctor of any medications you take to give you advice on how to use or stop each.
Start eating the day before surgery. Avoid eating any foods the day before surgery. It is unacceptable to eat liquids such as coffee, meat juice, and muscle.
Change your lifestyle. Control cigarettes, alcohol, and binge eating habits.
Use the experience of the people who performed the surgery.
Most importantly keep in mind that after surgery, you can never eat as before, and you usually have to go on with a certain style of regular foods for the rest of your life.

Start of surgery

Bypass surgery is performed under general anesthesia for two to three hours, depending on the degree of obesity and the type of operation, requiring a hospital stay of 3-5 days (in patients undergoing laparoscopic surgery, the number of hospitalizations is less). Walking in the early postoperative days can help you speed up recovery, so try to start walking slowly despite the pain. After discharge from the hospital, it is usually recommended that the patient rest for two weeks at home without doing heavy workouts. Postpone exercise and heavy work for up to two to three months.

Return time also varies from 1 to 2 weeks depending on the type of work, the type of surgery and your general health status.

Benefits of gastric bypass:

Possibility to relapse and return less overweight than other methods of obesity surgery.
The rate of weight loss in the first 18 months after this procedure is higher than in other ways.
If you have type 2 diabetes, this surgery can help reduce or cut this type of diabetes.
Observe significant effects of weight loss in the year following surgery such as increased metabolism, increased testosterone secretion increased satisfaction, energy and confidence.

Bypass and its complications

Bleeding
Infection
Food leakage from inside and to surgical site
Tight stomach-intestinal junction
stomach reflex
nausea and vomiting
Vitamin A deficiency due to loss of part of the stomach volume
Bloating and diarrhea
Gallstone
Postponing pregnancy time

Note that even if you have bypassed surgical indications, you may be prevented from surgery for the following reasons:

If you are over 60 years old.
Unless you are completely anesthetized for various reasons.
If you are suffering from diseases like cancer or uncontrolled depression and taking medications related to them.
Walking, mobility and exercise are impossible.

The cost of surgery and insurance coverage

The cost of bypass varies according to the degree of obesity and the type of operation but considers a numerical figure of between $ 1100 and $ 1300 for this surgery. Remember, the cost of this surgery in Iran is cheaper than in other countries like Turkey or European countries. The average price in Turkey is about $ 14,000. If you have all the indications of surgery, that is, your body mass is between 35 and 40, and you have diabetes and hypertension, depending on the type of surgery and, of course, the type of hospital (private or public, hotel room and hotel services), and the insurance rate is from 50% to 100%. It covers the cost./ Gastric bypass in iran

I want to become pregnant.

Overweight is always associated with many risks in pregnancy. If you are overweight and trying to get pregnant, you may have experienced things like abortion, gestational diabetes, preeclampsia, and other complications. Perhaps one of the factors driving you to lose weight in pregnancy. So, if you have opted for bypass surgery as per your doctor’s advice and for weight loss and pregnancy, read the following.

Note: In some weight loss surgeries, such as gastric bonding, which is not associated with gastric volume removal, your doctor may remove the gastric ring during pregnancy and you can use the gastric ring again after delivery.

It is best not to get pregnant until 18 months after surgery. However, this time can vary from 12 to 18 months depending on how much you overweight and the weight you lose.

Considering the need for analgesia and bleeding after childbirth the possibility of complications such as gastric ulcer in the surgical stomach, it is strongly recommended to limit their use after childbirth.

Don’t forget to take multivitamins. Your stomach is losing a lot of weight than before, and due to post-operative diets, your stomach is not able to get any high volume of food. In addition to reducing gastric volume and so reducing food volume, changes in the anatomy of the gastrointestinal tract will impair the absorption of vitamins such as iron and calcium. So the need for regular use multivitamins during pregnancy is very clear.

Starting a new life after surgery

Congratulations on your new life. Yes, you entered a new phase of your life. With all the benefits of this new start, remember that keeping up with the new situation is one of the challenges you face, and we are confident that you will be fully aware of and receiving all nutrition, exercise and psychological counseling for weight loss surgery. You did.

Your first experience after surgery is a quick situation after eating a small amount of food. This situation is definitely physically due to the removal of part of your stomach during surgery. But mental stress is one of the most important challenges facing you. You may have had different eating habits, such as binge eating and smallpox, and now eating a very small amount of different foods (2 to 3 tablespoons) will feel full and sometimes heavy in the chest, but a desire for former eating habits may trigger It will create a false sense of hunger in you. So we insist on avoiding extra food, and even if you still feel hungry after eating 3 tablespoons, stop eating./ Gastric bypass in iran

Consider the following tips for weight loss surgery:

Having a comprehensive diet and exercise plan, under the supervision of a physician for the postoperative period
Drinking smooth liquids (pulp-free juices) in the early days after surgery (two weeks) and preparing the liquids for four weeks, soft from the fourth week for six weeks and then solid from the sixth week on
Do not consume water or food. Consider a time interval between 30 to 45 minutes between eating liquids and solid foods.
Include protein-rich foods in your daily diet.
Cook the food very slowly and start with small morsels
Avoid junk food
Avoid high calorie and carbohydrate foods
Say goodbye to all kinds of carbonated drinks
Do not eat spicy and spicy foods for at least two months after surgery.
Drink 1.5 liters of water daily
Avoid high-sugar foods
Do not use liquids too hot or too cold.
Don’t forget to eat multivitamins. Of course, on the advice of a physician
Walking daily helps your blood circulation and will make you happier and more confident.