Good looks with good health!
Why not have it all?
If your excess weight begins to be a great source of stress and everyday-life trouble, and if your efforts with diet and therapy have not led to substantial results, then you should consider a consultation with our bariatric surgeon Dr.Savvas Hirides.
Who is a suitable candidate for bariatric surgery?
Candidates should meet appropriate BMI values with or without comorbidity history, lack of substance abuse and lack of uncontrolled psychiatric condition. All candidates for bariatric operation should stop smoking.
What to expect from laparoscopic adjustable gastric banding (LAGB)
Laparoscopic adjustable gastric band gained worldwide acceptance as the safest bariatric procedure. The principle is placement of a silicone band around the upper portion of the stomach in order to separate it from the lower compartment. When you eat, food accumulates in the upper comparment leading to its distention, which in turn gives a feeling of satiety and fullness, strong enough to prevent you from increasing the amount of daily caloric intake. When restriction is not satisfying enough, Dr. Hirides may need to introduce saline into the band through its subcutaneous port in order to narrow the opening of the band.
Gastric banding is an effective operation that addresses both the loss of excess weight as well as resolution of comorbidities. These results largely rely on correct adjustments as well as on your own behavior and lifestyle modifications. Many patients with bands may require some kind of reoperation later on in their course either for repositioning the band or removal of it.
What to expect from sleeve gastrectomy (SLG)
Laparoscopic sleeve gastrectomy is nowadays the most popular bariatric operation around the world. It resulted as a simplification of an older bypass procedure which included sleeve as the first phase of the operation. During sleeve gastrectomy, the left part of the stomach responsible for secretion of appetite-stimulating hormone Ghrelin, is removed and the stomach is transformed to a long tube capable to store no more than 100 – 150 cc of ingested food. Sleeve has also been found to promote gastric emptying and exert hormonal effects to the gut and gut microbes. Patient is expected to lose appetite, but also receive a strong satiety stimulus from significantly less quantity of food.
What to expect during your consultation
- During your consultation Dr. Hirides will go through your personal health history in detail, specifically asking for previous operations, any medications you may receive, allergies, smoking and alcohol-substance abuse habits. He will also ask you for any serious heart or pulmonary conditions as well as for your family history. He will calculate your body mass index (BMI) and based on it plus any comorbidities you may have, he will decide whether you can be a possible candidate for bariatric surgery.
- Dr.Hirides will then go through the history of your obesity problem. He will ask you when it started, how does it interfere with everyday life and how it affects your personality and social life. He will introduce you to the most often performed bariatric techniques and explain benefits and disadvantages for each one of them. Then he will try to tailor the most suitable procedure for you based on your starting BMI, eating habits, your ability to resist sweets and other factors according to international guidelines. After that he will perform a full physical examination to exclude any other possible pathology and he will inform you accordingly.
- If you are eligible for a bariatric procedure, Dr. Hirides will prompt you to schedule your sessions with the rest of the multidisciplinary bariatric team (dietician, psychologist and anesthetist), and undergo thorough endoscopic, imaging and laboratory investigations.