Bariatric surgery at the obesity centre wuerzburg
At the operative centre (ZOM), there are 16 operation theaters, all of them equipped to the latest standards of technology. Through the specialties located at the ZOM, Thoraic-Surgery, Urology, Vascular-, pediatric- and of course visceral surgery, many different kinds of procedures are performed.
Principles of bariatric surgery
In bariatric surgery, there are two main principles of operation.
- Restrictive procedures
- The aim is to reduces the amount of food that can be eaten at one meal
- A faster onset and longer lasting feeling of satiety
- e.g. Swedish adjuastable gastric banding(SAGB)
- Only a fraction of the food is digested
- Resulting lower calorie uptake
- e.g: biliopancreatic diversion (BPD)
- Combined procedures
- Amount of food is significantly lower
- Absorption is reduced as well
- e.g. gastric bypass
The choice, which procedure is best for you, is made by your treating surgeon. It depends on your personal and medical history, your nutritional behavior, coexisting diseases and many other factors. Your doctor will explain the chosen strategy in a detailed way.
We would like to explain to you some of the procedures without listing them all.
The swedish adjustable gastric banding (SAGB) ist placed around the upper part of the stomach by minimal invasive surgery. It reduces its capacity so less food can be taken. Therefore, it is classified as a restrictive procedure. The speed of food passing this narrow can be adjusted by a sodium-chlorine injection into the so called port of the band. That leads to a feeling of satiety, that occurs faster and lasts longer...Read on
The gastric bypass (YRGB) is a combined, restrictive-malabsorbative procedure. The amount of food is reduced dramatically. In combination, the duodenum and aprox. 1.5 m of the small bowl is excluded from food passage and digestion. That leads to an decreased uptake of calories. The major part of the stomach is "locked" and stays in the body....Read on
Removing the greater part of the stomach results in an operation called sleeve gastrectomy. Not only the amount of food is decreased, even the hormones related to hunger or satiety are changing, because some of them are being produced in the part of the stomach removed.....Read on
At the obesity centre wuerzburg, the gastric ballon is seen as a bridging therapy for those super-obese patients, that have to reduce weight before any major surgery could be performed. The ballon can be placed during an endoscopy, an operation or general anesthesia is not necessary. In the stomach, the ballon is reducing the volume, so less food can be consumed. After 6 months, the ballon should be removed....Read on
I you like to learn more about the different procedures, please click on the corresponding image.