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 Gastroplasty in Paris
 Gastric Balloon in Paris

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 Indications
 Why 3 procedures
 Choice of procedure

Before surgery 
 Surgical consultation
 Multi disciplinary assessment

Procedures 
 Gastroplasty
 Gastric bypass
 Sleeve gastrectomy
 Comparative table
 Intra gastric balloon

After surgery 
 Dietetic principles
 Physical training
 Pregnancy
 Plastic surgery

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Advantages and disadvantages

The bypass is a complex procedure, with an avearge 6 days hospitalization..

The bypass leads to a very important loss of weight.
About 5 kgs per month, during the first 6 months, then weight loss from 2 to 4 kgs per month. It is rather indicated for BMI higher than 45. According to the scientific data, the bypass makes lose - on average - 70% of weight excess after 1 year.

Denutrition and vitamin deficiencies are possible.
An oral supplementation in vitamins and oligo elements is necessary.

The bypass is not an easily reversible procedure.
The re-establishment of the digestive tract is a very complex procedure.

Food comfort is better than with gastroplasty.
Vomiting is rare.

Food practices must be modified:
3 meals and possibly 2 collations.

Sweetened nibbling is rather badly supported.
Because of the '' dumping syndrom '', which is regarded as a benefit by the operated patients.

A regular follow-up by a multi disciplinary team is important.
4 Blood tests are necessary the first year, then 2 blood tests per year, to seek a vitamin deficit.



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