I have 32 years and 1.63cm (my record until now) 130 kg … I did not mention that cases of obesity in the family … Not sufar by any other disease and obesity is present in my life at the age of 5 years. Then, I had a banala operation amigdalita and after the covalescenta I started to eat chaotic, uncontrolled and in conclusion I started “I umflu” … Being increased by grandparents, they have left me to eat in the hope that he will come a day when everything will be fine .. In this idea, we made and sports (handball, swimming), but gave no results … After three years, I was at a endocrinolog I crezand any “flaw” hormonala nature … Her doctor told me that before making analyses for potential dereglari hormonal trying to discipline a food .. And we succeeded slabesc more than 25 kg … Now two years, but I moved from my home town and I gave birth … After birth, we started gaining weight and so I reached kilogramele the above … The start and back pain, feet, fatigue … The lack of ambition, I decided to try my luck with a gastric surgery sleeve …

What I would like to ask me, sir doctor, is:
If you opt for an operation type gastric sleeve … what risks exist in the case of a future tasks?
May I want to ask what “operation ireversibila” (versus gastric sleeve pass by?)
What are the optimal time and conditions for a harmonious loss of weight?
The regime will be essential food for the rest of life?

Thank you for your time …

Answer:
I try to answer the rand and how I can express all your questions
Gastric sleeve is part of the group processes restrictive surgery bariatrica (ie surgery to treat obesity). The restrictive (gastric ring, gastric sleeve, vertical banded gastroplastia) done to limit the intake of food, that is restricting food intake. A man who has such a process can not eat much at a dinner for the stomach or has suffered a series of transformations after the surgery (difeite transformations based on process, binenteles). The restrictive and malabsorbtive (gastric by-pass link, diversia biliopancreatica) have a combined mechanism of action so restrictive as well as the food scurtcircuitare by a thin segment of intestine. In this way, the man will eat less and food and will suffer as a process of digestion and absorption. From here, and the need to add food supplements to these patients, especially vitamins, throughout life.
Turning punctual questions.

1. Gastric sleeve and the task. There are several studies that show that women with gastric ring or gastric by-pass tasks can lead to good end, without problems, but obviously that task should be monitored and gynecologist doctor informed that the procedure. Alimentatia mother is enough for the future of the child to develop normally, including a method and malabsorbtiv not only restrictive, as is gastric by-pass-ROM. We found a study on the sleeve, I do not think there yet, but I see no impediment, given that only a restrictive process. There is a recommendation that says as well as the task is not to produce in the first year of making the procedure.

2. Operatie ireversibila means a procedure to amend the definitive anatomy, so there is no possibility to restore them in the future. For example, after removing the ring perigastric human anatomy is again the initial one. Indepartare procedure is not very complicated and therefore not very riscanta. in the case of gastric sleeve to leave a portion of the stomach, actually a lot of it and as such is the final anatomiei amendment, the procedure being ireversibila. The gastric by-pass things are different. Here, after the surgery, result in a small stomach (which determine restrictia food) and which coase directly to intestinmul thin, but not the rest of stomach but leave it out of the digestive transit. I mean, it remains unused. Secretiile gastric they are produced by duoden to remove jejun. The scheme surgery can lamuri better than words and find one on this site. Operation is reversibila in the sense that it may be through a new operation, very simply is not right to reconecteze stoamacul large digestive system and in transit to deconecteze so thin intestinul the stomach and small intestinul thin sewing everything from thin intestine ( so-called anastomaza jejuno-jejunala). In this way anatomy returned to normal.

3. Regarding the time and optimal conditions for a harmonious loss of weight I think, in what will look, you have a serious weight problem (over 60 kg in addition to the normal weight), a long time and I do not think will resolve without surgery. You have 32 years of May and you want to have children. I think gastric sleeve is a good solution for you (May should know more about the behaviour of your food) and I think should be done about.

4. Regime food after gastric sleeve is not drastically. Acidulate drinks should be avoided and excess sweets. Otherwise this operation disciplineaza as you might say, in the sense that you forteaza to eat small quantities of laimnete every meal. But of all the food actually. We have many patients who eat, about their all, and what are normoponderali now or are about to become.

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