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A few days ago, death went to the house of the Sultan of Tarab, the great Lebanese artist George Wassouf, to leave his son and his nickname “Wadih”; And this, a few hours after the family announced that the late young man had been transferred to a hospital in the Lebanese capital, Beirut, in a critical condition, following the gastric sleeve operation he had undergone. over a week ago.
Despite news of the surgery’s success at the time, Wadih suffered an internal bleeding that cost him his life, which opened the door, once again, to talk about the dangers of sleeve gastrectomy and d other surgeries that result in weight loss.
What is a “gastrectomy”? Sleeve gastrectomy is a surgical medical option that some may resort to in order to lose weight after facing failure following diets that help them with this. Thanks to this procedure, the size of the stomach is reduced so that it becomes smaller, and therefore the daily consumption of food is less, which encourages a person to lose weight, and this process also stimulates certain hormonal changes which will stimulate weight loss. The operation is performed using an endoscope and inserting small tools through incisions made by the specialist surgeon in the upper part of the abdomen. With this procedure, 80% of the stomach will be removed, so that the size and shape of the stomach becomes close to the size and shape of a banana. The operation can help control certain types of chronic diseases and reduce their risk, such as “gastric reflux, heart disease, high blood pressure, hyperlipidemia, diabetes and stroke”.
However, as with any surgery, there are risks associated with sleeve gastrectomy. This includes “serious bleeding, infections, allergic reactions of the body to the anesthetic that was used during the operation, blood clots, complications reaching lung or respiratory problems, leakage from the wound site into the stomach (which requires repeated surgery and may be continuous (leakage may lead to fistula formation or recurrent intra-abdominal infection), inability to tolerate food intake, damage to nearby organs during operation.
According to what was mentioned by one of the specialized medical sites, in general, gastric sleeve surgery can be a suitable option for those whose body mass index is 40 or more, which is called “extreme obesity”; Or if the BMI is between 35 and 39.9, which corresponds to the rate of obesity, and there is a serious weight-related health problem, such as type 2 diabetes mellitus, high blood pressure or severe sleep apnea.
Some cases may require certain types of bariatric surgery if the BMI is between 30 and 34 and there are serious weight-related health issues.
There are other long-term risks of sleeve gastrectomy, including “digestive problems such as obstruction, hernia, gastroesophageal reflux disease, low blood sugar, negative impact on nutrition, vomiting and vomiting”.
Therefore, after performing the sleeve gastrectomy, the patient’s medical specialist recommends that he follow a specific diet or take vitamins, since there is a possibility that the patient may develop nutritional problems after the procedure. For this reason, the patient may need to take vitamins and nutritional supplements for life.
“Wadih Wassouf” was not the first victim of slimming and gastric sleeve surgery, he was predeceased by the late artist Souad Nasr in 2007, who fell into a coma for a year after undergoing liposuction that decided to practice after gaining weight. , but this caused several complications. After this coma, Souad Nasr woke up for 5 minutes to give her last wishes to her family. Moreover, one of these operations nearly ended the life of Kuwaiti media, Fajr Al-Saeed, who suffered a severe hemorrhage and cardiac muscle arrest, which caused her to remain in intensive care for a whole month, after trying to do some slimming operations, but it led to the opposite result without achieving its primary objective.
In this context, obesity nutrition expert Dr. Asmaa Al-Dahdouh said: One of the biggest and ugliest damage to the gastric sleeve is the removal of part of the stomach. , which is the severed and largest part of the stomach, leaving only a quarter of the stomach, then three quarters of the gastric acid, enzymes, mineral salts, etc. have been lost, the biggest loss after The process is that the food is not digested, it goes directly into the intestines, and therefore heartburn occurs because the stomach acid which is secreted for food n was not consumed.
Confirming in a special statement to Al-Bawaba News, that after the operation, the person enters a spiral of vitamins for life because the removed part has gotten rid of all the natural vitamins that enter the body, in addition of vitamin D, as well as the absorption of fat, which was supplemented by its absorption in the intestine, which leads the patient to osteoporosis and other health problems.
And she continued: ‘The damage is more difficult than trying to lose weight safely, ‘exercise and diet regulation’, and that’s what’s dealt with post-surgery, so there’s no has no benefit to the operation.
Emphasizing in his speech, the operation is only performed by people who are obese, a serious chronic disease such as diabetes, pressure or heart disease, and unless the height of the weight exceeds 35 kilos. Among the bad effects of the operation, which exceed 15%, there is relaxation in abdominal operations as a result of surgery and removal of part of the stomach, and there are people who have undergone gallbladder surgery after a 12% sleeve gastrectomy, because as a result of increased stomach acid and bile enzymes, stones form, which leads to extraction of the gallbladder biliary.
She explained that the alternatives to operations are to give several options to lose weight safely, starting with the injection system, eating food in the palm of your hand throughout the day, drinking lots of water before eating, in addition to movement and sports activity, and avoiding foods that lead to satiety, and gradually avoiding sugars and wheat. Emphasize the usefulness and introduction of an appropriate amount of protein.
For his part, Dr. Muhammad Ezz Al-Arab, Professor of Internal Medicine and Hepatology at the National Institute of Liver and Infectious Diseases, said: Gastric sleeve surgery is necessary if the body mass index severely obese people is more than 40, the weight in kilograms divided by the square of the height in meters, if it is more than 40, obesity is practiced whether it is a sleeve or a change of way, and if the rate is between 35 and 40, it is practiced for people who suffer from circulatory problems, fatty liver disease in large part, and heart problems because they are at risk. As for those under 35, it is not preferable to make a sleeve.
He confirmed in a special statement to Al-Bawaba News that any surgery has risks, starting with the risks of anesthesia, complications may arise and the operation is performed, and there are risks after the operation. , as reflux at the end of the esophagus following a herniation of the diaphragm.
He pointed out that cosmetic operations such as liposuction, which are more cosmetic than slimming, are performed using a surgical endoscope or local suction operation, especially at the waistline, and this does not lead to weight loss, and after that it returns as it was, and the fat is redistributed in the places where the suction was performed, and there is mesotherapy where the fat is injected It is localized in the abdomen or buttocks and in the long term it returns to the way it was. Before carrying out any intervention, it is necessary to consult a doctor with many doctors. The main condition of the operation is to regulate the diet in the long term, because the stomach expands even after the operation.
Emphasizing that the alternative solutions are the 70% calorie diet, because diets are different from one person to another depending on their activity and organic diseases, so the cause must be tackled.
He warned against taking drugs that help in losing weight except through a doctor, as well as herbal and other herbal medicines, as they seriously harm human life.
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