Adipositas or Obesity
- How is pathological obesity defined?
- Gastric Banding
- When is the surgical procedure of gastric banding suitable for me?
- Special Questions
What is the definition of pathologic obesity?
For the calculation of overweight the Body-Mass-Index (BMI) is used, which puts body weight in relation to body height.
| Weight-classs | BMI (kg/mē) | Example body height 180 cm |
|---|---|---|
| Standard weight | 20 24,9 | 70 kg |
| Overweight | 25 29,9 | 90 kg |
| Adipositas I. | 30 34,9 | 105 kg |
| Adipositas II. | 35 39,9 | 120 kg |
| Adipositas III. | > 40 | > 130 kg |
Gastric Banding
The surgical use of a silicone band which is put around the stomach (gastric banding) serves to reduce the intake of food. The surgery has no influence on the anatomy of the stomach.
The patient himself is highly responsible for the success or failure of this operative therapy. Gastric Banding offers a great opportunity for a lasting weight reduction, if certain rules are observed.
The silicone band is inserted through five small (1 2 cm long) skin incisions, and put around the inlet of the stomach, by which the intake of food is highly restricted. Thus, a small pouch with a capacity of 20 ml is created, leaving the rest of the stomach fully functioning.
When is the surgical procedure of gastric banding suitable for me?
The following criteria have to be fullfilled for a gastric banding:
- Your BMI is at least 40 kg/mē or between 35-40 when suffering from diabetes or high blood pressure.
- You are at least 18 and not older than 60 years.
- You have been in medical therapy because of your obesity for at least five years.
- You have not been successfull to reduce your overweight permanently by alternative, non-surgical methods.
- You are not suffering from other diseases that cause your obesity.
- You are willing and able to change your eating habits drastically and permanently.
More infromation is available with the self-help-group that meets once a month. - We need a consent of your health insurance that they agree to pay for your surgery.
Special Questions
- Before surgery a gastroscopy is done to make sure you are not suffering from a diaphragmatic hernia.
- You will stay in hospital for 5-7 days.
- During your stay in hospital you will be introduced to a nutrition plan that is especially prepared for you and balanced for your needs.
Instructions for patients with gastric banding will be given in written form on the day of your leave. - The aim is to loose 3 4 kg a month, altogether the patient should loose 60 % of his /her overweight.
