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Digestive surgery
Sommaire digestive Surgery
Indications for digestive surgery for obesity
Contra-indications
Main procedures
Preoperative exams
Unfolding of the operation and immediate follow-up
Postoperative diet
Risks of the operation
Postoperative follow-up
Results of the surgery
Who are the superobese patients and what type of operation can we propose t
Sweet-eating and bariatric surgery
Are adolescents candidates to bariatric surgery
How to choose a bariatric operation
Gastric bypass
Gastric bypass (2)
Gastric bypass (3)
"Low BMI" Obesity surgery: is it worthwhile?
Robotic and bariatric surgery
The farewell party before obesity surgery
Weight gain in spouses
Sleeve gastrectomy (1)
The sleeve gastrectomy (2nd part)
Biliopancreatic bypass and duodenal switch
Biliopancreatic bypass and duodenal switch (2)
Biliopancreatic bypass and duodenal switch (3)
Digestive surgery

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Digestive surgery

Unfolding of the operation and immediate follow-up
The operation lasts about 45 mm. If it is performed through laparoscopy, immediate cares are supposed simpler : there is no major scar, thus avoiding the risk of hematoma, abscess. Patients suffer less pain and recover earlier. Later on, there is no risk for wound hernia.
Laparoscopy is a surgical approach that has become a reference for many operations over the time: cholecystectomy, appendicectomy, removal of ovarian cysts etc. The surgeon proceeds with long and small instruments laid out through trocars within the abdominal wall, formerly distended by gas. He is assisted by a camera connected to a video monitor.
>> Immediate postoperative cares
The procedure is always performed under general anesthesia. Postoperative pain is cured by usual pain-killers as soon as the patient wakes up.

Patient stands up in the evening on Day 0. The food-intake will resume the day after, initially with liquid and semi-liquid food. Hospital stay varies from 2 to 4 days, depending on the health care and reimboursement system in each country.
A Doppler test, and possibly an upper GI X-ray are performed. Two or three weeks are necessary for full recovery. If the patient has been operated on through a laparotomy, the time for recovery is a little longer. Then a normal life, without restriction (for instance in performing sport), is authorized. Yet a fatigue can occur, due to the weight-loss if it is too rapid.

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