Bariatric surgery in Moscow
Bariatric surgery at the K+31 clinic. Treating obesity with gastric surgery. Description of services, prices. Sign up online or by phone.
About the service
According to WHO, in economically developed countries, 30% of people suffer from obesity. Against this background, chronic diseases are worsening. The functioning of internal organs deteriorates, which shortens the years of life that could be lived.
One solution to the problem of obesity is bariatric surgery, which involves a complex of operations on the stomach.
At the multidisciplinary clinic "K+31", doctors with 20 years of experience perform these operations using different methods. Surgeons periodically undergo advanced training courses, so they have the knowledge and skills to perform surgical interventions of varying complexity.
The clinic has its own laboratory and equipment from the world's leading manufacturers of medical equipment. This makes it possible to diagnose and perform gastric surgery for weight loss, ensuring safety and achieving the desired result for the patient.
- Body mass index above 35–40 kg/m2, other methods in these cases often give only a temporary effect.
- There are chronic diseases that progress against the background of obesity (type 2 diabetes mellitus, arterial hypertension, etc.).
- First months Active fat burning phase. ~10% of excess weight is lost per month.
- Bottom line The average result after surgery is 60-70% of excess body weight. The body adapts completely. The effect is permanent.
- 1.5 - 2 Years Your weight reaches a “plateau” and your new constant weight is established. Possible rollback in weight up to 5%.
- Additional Effect Diseases such as cardiovascular diseases, diabetes, osteoarthritis, etc. can weaken or disappear.
Taking care of patients, the clinic has created conditions that ensure diagnostic accuracy and safety of surgical interventions.
Methods of bariatric surgery at the K+31 clinic in Moscow
Adjustable gastric band
An adjustable gastric band is a type of bariatric surgery in which a special medical device (band) is placed around the top of the stomach. It creates a narrow narrowing (gastric hilum) between the upper and lower parts of the stomach.
An important feature of this method is the ability to adjust the degree of compression of the band after gastric reduction surgery. This is done using a special port (reservoir) that is located under the skin in the abdominal cavity and connected to a bandage. Through this port, fluid can be introduced or removed, which changes the degree of compression of the band and therefore its effectiveness in limiting the amount of food that can be consumed.
The main mechanism of action of adjustable gastric banding is as follows:
- Reducing the volume of the upper part of the stomach by applying a synthetic ring (band), which in turn reduces the capacity of the stomach and leads to rapid satiety after eating a small amount of food.
- Slows down the passage of food from the upper to the lower part of the stomach, which helps prolong the feeling of fullness.
- The bandage is a temporary measure and is installed strictly for a period of up to 1 year
Result
To achieve results, after surgery it is important not to miss doctor’s appointments to adjust the bandage, and it is also important to change your eating habits.
The mechanism of weight loss after bariatric surgery is based on several factors. The main one is restrictive. Reducing the stomach's volume during removal of part of it physically prevents you from eating much food, and satiety sets in faster.
The second mechanism is hormonal. The part of the organ that produces ghrelin, the hunger hormone, is excised. Its concentration in the blood drops, reducing appetite. As a result, new eating habits are formed.
Statistically, the result is a sustainable weight loss of 60-70% of excess weight. The cost of surgery at our center (specified in rubles) is offset by a significant improvement in health and quality of life.
Indications and contraindications for gastric resection
Bariatric surgery is prescribed to patients with severe obesity when conservative treatments have failed. The main indications for gastric resection include a body mass index (BMI) over 40 kg/m², or a BMI over 35 kg/m² in the presence of comorbidities such as type 2 diabetes, hypertension, or obstructive sleep apnea. The goal of bariatric surgery is not only weight loss but also the correction of metabolic disorders.
There are also absolute contraindications: active gastrointestinal diseases in the acute stage (peptic ulcer), cancer, severe mental disorders, and alcohol or drug addiction.
Advantages and disadvantages of gastric resection
Bariatric surgery offers an effective method for combating excess weight. The main advantages of resection are its high efficiency and stable results. Significant weight loss occurs due to the physical reduction of the stomach, which limits the amount of food consumed. The weight loss process begins naturally.
The irreversibility of the surgery guarantees long-term weight loss. The absence of implantation of foreign bodies in the body is also a significant advantage.
The main disadvantages include the inability to restore the stomach's original volume. The postoperative period requires lifelong adherence to a strict diet and the use of vitamin and mineral supplements to prevent deficiencies.
General information
Preparation for surgery
Quality preparation is the key to successful bariatric surgery. At our clinic, the process begins with an initial consultation, which is even available online. The patient undergoes a comprehensive examination:
- ECG
- Abdominal ultrasound
- Gastroscopy
A wide range of blood and urine tests is mandatory. These reports are provided by specialized specialists: a general practitioner, endocrinologist, and anesthesiologist. A nutritionist provides nutritional recommendations for the preoperative period. After all the results are received and the informed consent is signed, a date for the procedure is set.
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