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L'intervention chirurgicale est la seule méthode de perte de poids qui donne un résultat garanti à long terme.</p></div><h2> À qui profite l’opération bariatrique ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> L'opération est nécessaire pour les personnes en surpoids ayant un indice de masse corporelle (IMC) <a href=\"#patients/who-is-a-candidate-for-bariatric-surgery\">supérieur à 40 kg/m²</a> . Pour calculer votre IMC, vous devez diviser par deux votre poids en kilogrammes par votre taille en mètres. Par exemple, votre poids est de 150 kg et votre taille est de 1,7 m — IMC = 150 / 1,72 = 51,9 kg/m².</p><p> La chirurgie de l'obésité est également prescrite <a href=\"https://www.ncbi.nlm.nih.gov/books/NBK513285/\">aux personnes souffrant de maladies concomitantes</a> - hypertension, diabète sucré, lésions articulaires. Dans ce cas, l'opération est réalisée avec un IMC de <a href=\"#patients/who-is-a-candidate-for-bariatric-surgery\">30-35 kg/m²</a> .</p><p> Après avoir calculé votre indice de masse corporelle, consultez un chirurgien. Seul un médecin peut décider si vous avez besoin de cette intervention, choisir la méthode de chirurgie bariatrique la plus efficace dans votre cas particulier, répondre à toutes vos questions et prédire les résultats après l'opération.</p></div><h2> Quels sont les types d’opérations de perte de poids ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> <a href=\"//en.bookimed.com/clinics/procedure=sleeve-resection/\"><strong>Gastrectomie à manches</strong></a></p><p> Lors de l'intervention chirurgicale, <a href=\"#tests-procedures/sleeve-gastrectomy/about/pac-20385183\">80 % de l'estomac</a> est retiré. Les chirurgiens forment un tube <a href=\"https://www.webmd.com/diet/obesity/ss/slideshow-weight-loss-surgery\">de 2 à 2,5 cm</a> de diamètre. Ainsi, le volume de l’estomac et la quantité de nourriture absorbée sont réduits.</p><ul><li> la procédure dure <a href=\"#tests-procedures/sleeve-gastrectomy/about/pac-20385183\">1 à 2 heures</a></li><li> un patient perd <a href=\"#tests-procedures/sleeve-gastrectomy/about/pac-20385183\">60%</a> de son poids</li><li> la durée d'hospitalisation est de <a href=\"#tests-procedures/sleeve-gastrectomy/about/pac-20385183\">1 à 2 jours</a> .</li></ul><br /><br /><p> <a href=\"//en.bookimed.com/clinics/procedure=roux-en-y-gastric-bypass/\"><strong>Pontage gastrique</strong></a></p><p> Au cours de cette opération, les chirurgiens forment une poche gastrique d'un volume de <a href=\"https://en.wikipedia.org/wiki/Gastric_bypass_surgery\">15 à 30 ml</a> . La nourriture de la poche arrive directement dans l’intestin grêle. En conséquence, les patients ressentent une sensation de satiété même lorsqu’ils prennent une petite quantité de nourriture.</p><ul><li> la durée du manchon gastrique est <a href=\"#tests-procedures/gastric-bypass-surgery/about/pac-20385189\">de 1,5 à 2 heures</a></li><li> un patient perd <a href=\"#tests-procedures/gastric-bypass-surgery/about/pac-20385189\">60 à 70 %</a> de son excès de poids</li><li> l'hospitalisation dure <a href=\"https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery\">2-3 jours</a> .</li></ul><br /><br /><p> <a href=\"//en.bookimed.com/clinics/procedure=adjustable-gastric-band/\"><strong>Anneau gastrique</strong></a></p><p> Dans ce cas, les médecins bariatriques placent la partie supérieure de l’estomac dans un brassard en silicone ou un anneau gastrique. Il rétrécit la cavité gastrique et régule la vitesse de déplacement des aliments à travers celle-ci.</p><ul><li> l'opération dure <a href=\"https://www.medicalnewstoday.com/articles/298313#how_is_gastric_band_surgery_performed\">de 30 minutes à 1 heure</a></li><li> un patient perd <a href=\"https://www.webmd.com/diet/obesity/gastric-banding-surgery-for-weight-loss#1\">35 à 45 %</a> de son poids</li><li> un séjour à l'hôpital n'est généralement <a href=\"https://www.medicalnewstoday.com/articles/298313#how_is_gastric_band_surgery_performed\">pas nécessaire</a> .</li></ul><br /><br /><p> <a href=\"//en.bookimed.com/clinics/procedure=gastric-balloon/\"><strong>Ballon gastrique</strong></a></p><p> Pendant l’intervention, les chirurgiens placent un ballon de silicone vide dans l’estomac. Ensuite, les spécialistes remplissent un ballon avec du sérum physiologique jusqu'au volume requis. L’opération permet de simuler une sensation de plénitude dans l’estomac.</p><ul><li> la fixation du ballon dure <a href=\"#tests-procedures/intragastric-balloon/about/pac-20394435\">30 minutes</a></li><li> <a href=\"#tests-procedures/intragastric-balloon/about/pac-20394435\">30 à 47 %</a> correspond à une perte de poids excessive après l'intervention</li><li> l'hospitalisation <a href=\"#tests-procedures/intragastric-balloon/about/pac-20394435\">n'est pas nécessaire</a> .</li></ul><br /><br /><p> <a href=\"//en.bookimed.com/clinics/procedure=stomach-stapling/\"><strong>Agrafage du ventre</strong></a></p><p> Au cours de cette intervention chirurgicale, les spécialistes du métabolisme diminuent le volume de l'estomac et forment un tube gastrique de plus petit diamètre. Une partie de l'estomac n'est pas retirée et la paroi gastrique est cousue avec une suture à plusieurs rangs.</p><ul><li> la durée de l'intervention chirurgicale est de <a href=\"https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#1\">1 à 1,5 heures</a></li><li> <a href=\"https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#2\">60%</a> de la perte de poids après l'intervention</li><li> le séjour à l'hôpital est de <a href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/gastric-restrictive-surgery\">2 à 3 jours</a> .</li></ul></div><h2> Quelles sont les contre-indications ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> La chirurgie bariatrique n’est pas pratiquée chez les adolescents et les personnes dépendantes à l’alcool ou aux drogues. D'autres <a href=\"https://www.ncbi.nlm.nih.gov/books/NBK513285/\">contre-indications</a> incluent :</p><ul><li> indice de masse corporelle inférieur à 30</li><li> grossesse</li><li> La maladie de Cushing</li><li> troubles de la thyroïde</li><li> ulcère gastroduodénal ou œsophagien</li><li> maladie inflammatoire de l'intestin</li><li> maladie de l'artère coronaire</li><li> maladies pulmonaires</li><li> traitement actif du cancer</li><li> maladie mentale (psychose, dépression sévère).</li></ul></div><h2> Quelle est la préparation préopératoire à la chirurgie de l’obésité ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Avant l'opération, vous devez respecter certaines règles et suivre les recommandations du médecin. Les plus importants d’entre eux sont :</p><ul><li> Régime préopératoire — un régime à court terme (2 à 6 semaines) avant la chirurgie réduira votre indice de masse corporelle et réduira le risque de complications. Le régime préopératoire comprend généralement des aliments riches en protéines et pauvres en glucides, ainsi que beaucoup d'eau.</li></ul><ul><li> Arrêter de fumer — au moins 6 semaines avant de subir une anesthésie générale, car fumer avant l'intervention augmente le risque de complications postopératoires (crise cardiaque, accident vasculaire cérébral, thromboembolie, infection, pneumonie et décès).</li></ul><ul><li> L'activité physique — pendant la période préopératoire améliore le bien-être, le tonus général, la capacité pulmonaire et cardiaque. En plus de vos activités quotidiennes (travail, courses et ménage), essayez le vélo, la marche ou la natation au moins une demi-heure par jour. Plus vous serez en bonne santé avant l’opération, plus la récupération après l’opération sera rapide.</li></ul><p> Pour en savoir plus sur le programme préchirurgical, cliquez <a href=\"https://www.upmc.com/services/bariatrics/surgery-process/presurgical-program\">ici</a> .</p></div><h2> Quel est le processus d’un traitement de perte de poids ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Le plan opératoire dépend principalement de la méthode de chirurgie de l’obésité. Chacun d'eux diffère par la technique de performance. Généralement, la procédure dure <a href=\"https://columbiasurgery.org/weight-loss/post-operative-care\">environ 3 heures</a> .</p><p> L' <a href=\"https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery\">hospitalisation</a> est nécessaire. Habituellement, le patient reste à l'hôpital pendant <a href=\"https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery\">2-3 jours</a> :</p><ul><li> 1er jour — l'opération</li><li> 2ème jour — séjour en unité de soins intensifs</li><li> 3ème jour — séjour au service d'hospitalisation</li><li> 4ème jour — sortie de l'hôpital.</li></ul></div><h2> Quels sont les risques pendant l’opération ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> L'opération bariatrique est une intervention chirurgicale sérieuse, elle comporte donc <a href=\"https://www.upmc.com/services/bariatrics/candidate/risks-and-complications\">certains risques</a> :</p><ul><li> saignement</li><li> infections des plaies</li><li> occlusion intestinale ou intestinale</li><li> hernies internes</li><li> vomissement</li><li> ulcères</li><li> hypoglycémie.</li></ul><p> Cependant, l’opération est peu invasive et <a href=\"https://bookmyscans.com/blog/gastric-bypass-success-stories/\">le taux de réussite de l’opération de perte de poids est de 98 %</a> .</p></div><h2> Quelle est la durée de la période de récupération après une opération bariatrique ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><ul><li> Dans les 2 premiers jours suivant l'opération, le patient ne peut consommer que des liquides.</li><li> Le troisième jour après la procédure, la personne prend de la nourriture en petites portions 5 à 6 fois par jour. Petit à petit, le patient développe de nouvelles habitudes nutritionnelles.</li><li> La sortie du lit est autorisée le deuxième jour après la chirurgie bariatrique. Progressivement, l'activité physique augmente et, petit à petit, le patient revient au mode de vie habituel.</li><li> Dans deux semaines, une personne peut retourner au travail si l'activité n'est pas associée à un effort physique intense.</li><li> Les efforts physiques intenses sont interdits pendant deux mois.</li><li> Ensuite, l'activité physique s'impose : marcher au moins trois kilomètres par jour, nager, faire du vélo ou de l'aérobic permettront de surmonter les difficultés de la période de récupération et de retrouver plus rapidement un mode de vie à part entière.</li></ul><p> En savoir plus sur la rééducation après la procédure d'obésité <a href=\"https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery\">ici</a> .</p></div><h2> Combien de temps après une opération de perte de poids peut-on tomber enceinte ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Si vous envisagez une grossesse, reportez-la d' <a href=\"https://www.tommys.org/pregnancy-information/im-pregnant/weight-management/pregnant-after-weight-loss-surgery\">au moins 18 mois</a> après l'intervention. C’est le moment où votre poids diminue, la grossesse sera donc un gros fardeau pour le corps.</p><p> Après cette période, la grossesse est généralement plus sûre qu’avant l’opération, tant pour la mère que pour le bébé. Vous devez informer votre gynécologue du type d'intervention que vous avez subi et s'il y a eu des complications après l'intervention (caillots sanguins, transfusion sanguine, etc.).</p></div><h2> À quels résultats peut-on s’attendre après une chirurgie de l’obésité ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> <a href=\"https://www.webmd.com/diet/obesity/features/weight-loss-surgery-what-to-expect-the-first-year#1\">Pendant un an après l'opération</a> , une personne perd jusqu'à <a href=\"https://www.webmd.com/diet/obesity/features/weight-loss-surgery-what-to-expect-the-first-year#1\">60 à 70 %</a> de son excès de poids. Dans de rares cas, cela prend environ un an et demi. Il est important que la perte de poids soit irréversible si le patient suit toutes les recommandations du médecin : le poids disparaîtra et ne reviendra pas. C’est un avantage majeur du traitement chirurgical du surpoids.</p><p> En outre, après l'opération chirurgicale de perte de poids, les patients constatent également une régression ou l'élimination d'autres maladies associées à l'obésité : diabète sucré de type 2, hypertension (pression artérielle élevée), pathologie cardiaque, hyperlipidémie (cholestérol élevé), arthrite, infertilité.</p></div><h2> Avez-vous besoin de prendre des suppléments de vitamines ou de minéraux ?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Oui, vous devez généralement prendre <a href=\"https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/should-i-take-vitamins-and-supplements-after-weight-loss-surgery\">des vitamines et des minéraux</a> . Les suppléments fournissent au patient les nutriments essentiels nécessaires au maintien d’une bonne santé. Le régime alimentaire qui doit être suivi après la chirurgie ne fournit pas toujours toute la gamme de nutriments.</p></div>"}}},"articles":[{"id":"fr:how-much-does-the-obesity-treatment-cost","name":"Combien coûte le traitement de l’obésité ?","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/_images_without_dir/5bf44445e2e55.jpeg"},"author":{"first_name":"Veronika","last_name":"Kazina","avatar":"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/62fcd8ac5e1e2_b.jpeg"}},{"id":"fr:bariatric-surgery-frequently-asked-questions","name":"Top 12 des questions fréquemment posées sur la chirurgie bariatrique","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/_images_without_dir/5bf444291adfd.jpeg"},"author":{"first_name":"Ana","last_name":"Hurevska","avatar":"https://img.bookimed.com/admin/5d246bfb06e00_b.jpeg"}},{"id":"fr:weight-loss-surgery-in-dubai","name":"Chirurgie bariatrique à Dubaï : tendances et 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