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 1250 cases) and in the literature as the method of choice for the surgical treatment of morbid obesity for patients under 35 years with a BMI below 42 and little sweets eaters. The sleeve gastrectomy is an excellent transaction for super-obese (BMI over 50), is an excellent operation for patients over 35 years with a BMI over 42 and some sweets eaters. It significantly improves diabetics.

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%).

The choice of surgical technique depends on the patient's age, his BMI and eating behavior.

Therefore, we preferred to make a ring to a non-obese young sweets eater with a BMI between 35 and

40; a Gastric By Pass in an obese over 40 years, sweet-eater, and why not diabetic, whose BMI exceeds 42, a

sleeve gastrectomy in super-obese or obese over 35 years not eating sugar with a BMI greater than 42.