Bariatric surgery

Gastric bypass surgery at the Clínica

Gastric bypass surgery is a treatment made up of a number of different surgical techniques whose principal objective is to reduce the digestive system's capacity to ingest or absorb food by inducing metabolic changes in the body.

The Clínica Universidad de Navarra is a centre of excellence in surgery for obesity, with certifications granted by the International Federation for the Surgery of Obesity (IFSO), the most prestigious institution in the world for this speciality.

Additionally, the Clínica has been accredited as a leading European centre of excellence in the treatment of obesity by the European Association for the Study of Obesity (EASO).

We have an Obesity Area, specialised in this disease, with the most advanced technology for carrying out both diagnostic tests in a very short space of time and gastric bypass surgery itself.

Our surgeons and anaesthetists have more than 15 years' experience in the handling of the different surgical, laparoscopic and anaesthetic techniques used in gastric bypass surgery.

The story of an obese patient underwent bariatric surgery. [Video only available in Spanish]

Patients who undergo the operation are generally satisfied by the many health benefits it offers and the improvements in their quality of life".

In less than 48 hours, the Clínica Universidad de Navarra carries out, in the majority of cases, a complete patient evaluation.

Protocol for Obesity Surgery
Firstly, the patient is evaluated by specialists in the General Surgery Department who, in agreement with the protocol of our centre, carry out the patient evaluation and organise the tests and studies for each relevant speciality.

Also, they do a body fat measurement with a Bod-Pod [SP] machine and an indirect calorimetry, which allows us to know the individual energy expenditure for each patient.

Additionally, if the specialist considers it to be appropriate, they will also carry out other diagnostic tests including:

  • Sleep study
  • Cardiological tests (electrocardiogram and a stress test)
  • Respiratory function test
  • Bone densitometry

Currently, there are various surgical techniques that we can carry out, there isn't just 'ideal' technique for weight loss. Surgery is not expected to treat the cause of obesity; instead it modifies the functioning of the digestive system to achieve the aforementioned objectives.

The choice between the various types of surgery depends on the clinical characteristics of the patient, possible associated diseases, as well as their eating habits and psychological profile.

Ultimately, it will be the specialised surgeon who, along with specialists from Endocrinology and Nutrition, establishes which approach to use whilst taking into account the efficiency, advantages, and disadvantages of the different techniques:

The Obesity Area team comprises of anaesthetists specialised in obese patients for gastric bypass and metabolic surgery.

An obese patient has a higher anaesthetic risk, in that they could suffer from associated complications such as heart disease and breathing problems. The anaesthetic affects the patient as much pre-operation as during and post procedure.

A lower induction of anaesthetic is used for obese patients along with metabolism boosting drugs (for faster expulsion) to reduce overall surgery time. This benefits the patient as they then spends less time under the effects of anaesthetic, and, furthermore, can carry out respiratory physiotherapy exercises immediately after the operation.

These exercises, which are done in the recovery room, minimise the risks of suffering post-operation respiratory or thrombotic problems that can arise as a result of the surgical procedure.

Although very few patients actually require it, in some cases patients would like the one or more of the different aesthetic treatments to aid physical recovery that the Clínica Universidad de Navarra offers.

Abdominoplasty
A surgical operation that is used on certain patients who want to remove excess skin and fat from the mid-section and underneath the abdomen, and furthermore, reinforce the musculature of the abdominal wall.

In the majority of cases the results of the surgery remain, provided that you maintain a balanced diet and do regular exercise.

Liposuction
Treatment aimed at removing fat accumulations situated in specific parts of the body, characterised by their resistance to dieting.

Through this technique you can suck out fat concentrated in distinct zones of the body like the hips, thighs, knees, ankles, arms, abdomen, face etc.

Arm and Thigh Lifting
A procedure used for stretching the arm and thigh skin to reduce their flaccidity.

Breast Elevation or Mastopexy
With this technique the breasts are raised and given more form. It can be performed in isolation or by inserting prosthesis. The operation lasts two hours and is carried out under general anaesthetic.

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