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Qu’est-ce que la chirurgie bariatrique ?

La perte de poids ou chirurgie bariatrique est une intervention visant à réduire le volume de l'estomac et à accélérer le mouvement des aliments le long du tractus gastro-intestinal, réduisant ainsi la quantité de nourriture que vous consommez. L'intervention chirurgicale est la seule méthode de perte de poids qui donne un résultat garanti à long terme.

À qui profite l’opération bariatrique ?

L'opération est nécessaire pour les personnes en surpoids ayant un indice de masse corporelle (IMC) supérieur à 40 kg/m² . 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.

La chirurgie de l'obésité est également prescrite aux personnes souffrant de maladies concomitantes - hypertension, diabète sucré, lésions articulaires. Dans ce cas, l'opération est réalisée avec un IMC de 30-35 kg/m² .

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.

Quels sont les types d’opérations de perte de poids ?

Gastrectomie à manches

Lors de l'intervention chirurgicale, 80 % de l'estomac est retiré. Les chirurgiens forment un tube de 2 à 2,5 cm de diamètre. Ainsi, le volume de l’estomac et la quantité de nourriture absorbée sont réduits.



Pontage gastrique

Au cours de cette opération, les chirurgiens forment une poche gastrique d'un volume de 15 à 30 ml . 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.



Anneau gastrique

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.



Ballon gastrique

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.



Agrafage du ventre

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.

Quelles sont les contre-indications ?

La chirurgie bariatrique n’est pas pratiquée chez les adolescents et les personnes dépendantes à l’alcool ou aux drogues. D'autres contre-indications incluent :

Quelle est la préparation préopératoire à la chirurgie de l’obésité ?

Avant l'opération, vous devez respecter certaines règles et suivre les recommandations du médecin. Les plus importants d’entre eux sont :

Pour en savoir plus sur le programme préchirurgical, cliquez ici .

Quel est le processus d’un traitement de perte de poids ?

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 environ 3 heures .

L' hospitalisation est nécessaire. Habituellement, le patient reste à l'hôpital pendant 2-3 jours :

Quels sont les risques pendant l’opération ?

L'opération bariatrique est une intervention chirurgicale sérieuse, elle comporte donc certains risques :

Cependant, l’opération est peu invasive et le taux de réussite de l’opération de perte de poids est de 98 % .

Quelle est la durée de la période de récupération après une opération bariatrique ?

En savoir plus sur la rééducation après la procédure d'obésité ici .

Combien de temps après une opération de perte de poids peut-on tomber enceinte ?

Si vous envisagez une grossesse, reportez-la d' au moins 18 mois après l'intervention. C’est le moment où votre poids diminue, la grossesse sera donc un gros fardeau pour le corps.

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.).

À quels résultats peut-on s’attendre après une chirurgie de l’obésité ?

Pendant un an après l'opération , une personne perd jusqu'à 60 à 70 % 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.

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.

Avez-vous besoin de prendre des suppléments de vitamines ou de minéraux ?

Oui, vous devez généralement prendre des vitamines et des minéraux . 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.

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