CLINICAL OBESITY
WHAT IS
CLINICAL OBESITY
Obesity is a medical condition defined as an increase in body fat to a degree that negatively affects health and well-being. It concerns the balance of calories our body consumes daily in relation to those received through food. Poor nutrition, lack of exercise, and modern lifestyle are primary causes of this imbalance; however, genetic predisposition (genes) is also significantly involved in the onset of obesity.
The most accepted classification of obesity to date is based on the body mass index (BMI). This index corresponds to the quotient of an individual’s weight (in kg) divided by their height (in m) squared [kg/m2]. Normally, the BMI is 18-25. Individuals with a BMI > 25 are overweight, while those above 30 are considered obese. When the BMI exceeds 35, we have morbid or clinically severe obesity, and when it exceeds 50, we have super obesity, which is associated with the most complications.
According to international guidelines, indications for surgical treatment of obesity are as follows:
- Patients with a BMI > 40
- Patients with a BMI > 35 when at least one serious comorbidity is present:
TYPE II DIABETES
HYPERLIPIDEMIA
CARDIOMYOPATHY
HYPERTENSION
HYPOVENTILATION SYNDROME
SLEEP APNEA
OSTEOARTHRITIS
IDEAL CANDIDATE
The surgical field of clinical obesity concerns patients (male or female) suffering from excessive weight and severe obesity who have not managed to achieve and maintain sustainable weight loss through conventional methods such as diet, exercise, and medication.
The purpose of these procedures is to offer long-term solutions for obesity management, improving patients’ overall health and reducing risks associated with severe obesity.
THE DOCTOR ADVISES
Dieting in clinically severe obesity is very difficult to implement and almost always ineffective. Although some weight is lost initially, the body quickly “lowers” its rates because the brain signals the body to store fatty tissue even with minimal calorie intake. The patient becomes discouraged and usually eats reactively much more.
Additionally, all studies have shown that long-term weight loss is minimal in cases of patients with clinically severe obesity who try to solve their problem only with diet and exercise.
Without exaggeration, there is no human system or organ that is not affected by obesity, especially in its extreme form.
Surgical treatment based on specific indications is the only way for long-term effective management of clinically severe obesity. Effective is considered not only the loss of appropriate weight but also its maintenance at satisfactory levels over time, the improvement or complete cure of diseases accompanying obesity, and of course, the improvement of the patient’s quality of life.
The patient’s decision to undergo surgery should be made consciously and after careful consideration. The procedure is not an easy solution: it should be accompanied by a radical change in lifestyle regarding nutrition, exercise, and the patient’s psychology.
THE PROCEDURE
CONSULTATION
SURGERY
RECOVERY
The success of the surgery begins with a personalized consultation process:
Medical History Assessment: We examine your medical history, body mass index (BMI), and coexisting conditions such as type 2 diabetes or hypertension.
Option Information: Available procedures, such as gastric sleeve, gastric bypass, or other methods tailored to your needs, will be explained to you.
Guidance: Together, we develop a comprehensive treatment plan that includes pre- and post-operative nutrition and required lifestyle changes.
The surgical procedure is performed using the most modern and effective methods:
Minimally Invasive Technique: In most cases, the procedure is done laparoscopically, offering faster recovery and less pain.
Duration and Process: The surgery usually lasts 1-2 hours and is performed under general anesthesia.
Post-operative care is as important as the procedure itself:
Immediate Care: After the surgery, you remain in the hospital for monitoring for 1-2 days, where we check your progress.
Gradual Return to Daily Life: Within a few weeks, you can return to your activities, with the necessary adjustments to diet and exercise.
ΠΡΙΝ
& ΜΕΤΑ
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FAQs
What are the most common procedures for treating obesity?
The most widespread procedures include:
Sleeve gastrectomy: Reduction of the stomach into a tube shape.
Gastric bypass: Reduction of the stomach and alteration of the intestinal route to limit calories.
Gastric band: Placement of a band around the stomach to reduce its capacity.
How safe are these procedures?
They are completely safe, provided they are performed by experienced surgeons.
Can the weight I lost after surgery return?
Surgical intervention is a tool, not a “magic solution”. Long-term success depends on the patient’s commitment to a healthy lifestyle.
Should I follow a special diet before surgery?
Yes, a low-calorie or liquid diet is usually recommended before surgery to reduce the size of the liver and facilitate the procedure.
How much weight can I lose after surgery?
Weight loss varies depending on the procedure and the patient’s adherence to post-operative instructions. Typically, patients lose 50-70% of their excess weight within 12-18 months. Success depends on adopting a healthy lifestyle.
Η Κλινική
