Morbid obesity is a degree of obesity associated with multiple comorbidities (associated diseases). Among the most frequent are associated with diabetes II, arterial hypertension, sleep apnea, dyslipidemia, fatty liver, spine and lower limbs alterations leading to different degrees of disability. In addition, there is the psychological and social component and disorders in the work and family spheres.
It is known that the success rate of the usual treatments is barely 5% in this degree of obesity. The appearance and further development of Bariatric Surgery has confirmed the excellent results by assuring at least an 80% decrease in excess body weight and a resolution of more than 95% of the associated diseases.
In experienced hands the pre and post-surgical process carries the same risks as abdominal surgery in general. In a well-prepared patient, the hospital stay is only a few days, and the return to work may occur within two weeks of discharge.
We know that what leads a patient to this degree of obesity depends on multiple factors: genetic, family, environmental, psychological, etc. Therefore, the process of pre- and post-surgical follow-up is of utmost importance.
Our role as bariatric clinicians is of fundamental importance to reduce preoperative risks, to coordinate the whole process, to help the surgical team to reach the preoperative goal.
In the postoperative follow-up we focus on possible vitamin deficiencies, treatment of hypoglycemia, diet plans, analyze bone mass, monitoring body composition, prevent weight regain and strengthen future goals and objectives.
Our team has gained extensive experience in this process, we have more than 20 years of study and dedication to the treatment of this disease.