{"id":6555,"date":"2023-12-11T10:23:00","date_gmt":"2023-12-11T10:23:00","guid":{"rendered":"https:\/\/atlasklinika.com\/?p=6555"},"modified":"2025-05-27T07:50:19","modified_gmt":"2025-05-27T07:50:19","slug":"what-should-you-know-about-laparoscopic-bariatric-surgery","status":"publish","type":"post","link":"https:\/\/atlasklinika.com\/en\/what-should-you-know-about-laparoscopic-bariatric-surgery\/","title":{"rendered":"What should you know about Laparoscopic Bariatric Surgery?"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">What is the Body Mass Index (BMI)?<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">According to the World Health Organization, excessive body weight and obesity are terms defined as the <\/span><b>abnormal accumulation of fat posing a risk to a person&#8217;s health. <\/b><span style=\"font-weight: 400;\">The most commonly used assessment for these terms is the Body Mass Index (BMI), calculated as follows:<\/span><\/p>\n\n\n\n<p><b>BMI = body weight (kg) \/ square of height (m2)<\/b><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">The interpretation of the BMI calculation is as follows:<\/span><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><b>Index<\/b><\/td><td><strong>Classification <\/strong><\/td><\/tr><tr><td><span style=\"font-weight: 400;\">&lt;18.5<\/span><\/td><td>Underweight<\/td><\/tr><tr><td><span style=\"font-weight: 400;\">18.5 \u2013 24.9<\/span><\/td><td>Normal weight<\/td><\/tr><tr><td><span style=\"font-weight: 400;\">25 \u2013 29.9<\/span><\/td><td>Overweight<\/td><\/tr><tr><td><span style=\"font-weight: 400;\">30 \u2013 34.9<\/span><\/td><td>Obesity (Class I)<\/td><\/tr><tr><td><span style=\"font-weight: 400;\">35 \u2013 39.9<\/span><\/td><td>Obesity (Class II)<\/td><\/tr><tr><td><span style=\"font-weight: 400;\">&gt;40<\/span><\/td><td>Extreme obesity<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/atlasklinika.com\/wp-content\/uploads\/2025\/04\/Laparoskopska-barijatrijska-hirurgija-1-scaled-1.jpg\"><img decoding=\"async\" src=\"https:\/\/atlasklinika.com\/wp-content\/uploads\/2025\/04\/Laparoskopska-barijatrijska-hirurgija-1-scaled-1.jpg\" alt=\"\" class=\"wp-image-24137\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">It should be noted that this index should not be used and interpreted in the same way for individuals with pronounced muscle mass.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Causes of Obesity<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">The causes of obesity are numerous. It is now known that risk factors include:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><b>Genetics:<\/b><span style=\"font-weight: 400;\"> Some individuals may have an increased tendency to accumulate fat.<\/span><\/li>\n\n\n\n<li><b>Socioeconomic status:<\/b><span style=\"font-weight: 400;\"> This affects the ability to access healthy lifestyles (fiber-rich diet, fresh fruits and vegetables, physical activity).<\/span><\/li>\n\n\n\n<li><b>Psychological factors:<\/b><span style=\"font-weight: 400;\"> These manifest in various personality disorders related to emotional overeating, as well as well-known eating disorders.<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">The problem of obesity has grown to epidemic proportions in the past two decades. According to relevant data, approximately 4 million people worldwide die prematurely each year due to complications of obesity and associated diseases, with particular concern for this trend in children. From 1975 to 2016, the prevalence of obese children and adolescents aged 5 to 19 increased more than four times from 4% to 18% globally.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Risk Factors<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Excessive body weight and obesity are major risk factors for various chronic diseases, including <\/span><b>cardiovascular diseases<\/b><span style=\"font-weight: 400;\"> (heart attack, stroke),<\/span><b> diabetes<\/b><span style=\"font-weight: 400;\"> with all its known complications, dyslipidemia, and others.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Obesity can also lead to <\/span><b>musculoskeletal disorders<\/b><span style=\"font-weight: 400;\">, including osteoarthritis.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Furthermore, obesity is associated with <\/span><b>certain types of cancer, including endometrium, breast, ovaries, prostate, liver, gallbladder, kidneys, and colon.<\/b><span style=\"font-weight: 400;\"> The risk of these non-communicable diseases increases with an increase in the Body Mass Index (BMI) above 30 kg\/m2, with an additional increase in morbidly obese individuals with an index above 40 kg\/m2.<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/atlasklinika.com\/wp-content\/uploads\/2025\/04\/Laparoskopska-barijatrijska-hirurgija-3-scaled-1.jpg\"><img decoding=\"async\" src=\"https:\/\/atlasklinika.com\/wp-content\/uploads\/2025\/04\/Laparoskopska-barijatrijska-hirurgija-3-scaled-1.jpg\" alt=\"\" class=\"wp-image-24139\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Preventing Obesity<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Many causes of excessive body weight and obesity can be prevented. Although other factors are involved, the fundamental cause of obesity is the imbalance between calories consumed and calories expended. As global dietary habits have changed in recent decades, there has been an increased intake of high-fat and free sugar content foods. There has also been a trend of reduced physical activity due to changes in the nature of many types of work, increased availability of transportation, urbanization, and the adoption of sedentary work and leisure lifestyles.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Reducing the risk of overweight and obesity involves:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Reducing calorie intake from fats and simple sugars,<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Increasing the daily intake of fruits, vegetables, legumes, whole grains, and nuts, and<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Engaging in regular physical activity (recommended 60 minutes a day for children and 150 minutes a week for adults).<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">For infants, studies have shown that exclusive breastfeeding from birth to 6 months of age reduces the risk of obesity in the first years of life.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Who Are Candidates for Bariatric Surgery?<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Candidates for bariatric surgery are <\/span><b>patients with a Body Mass Index (BMI) above 35 kg\/m2 and the presence of diseases associated with obesity, as well as all patients with a Body Mass Index (BMI) above 40 kg\/m2.<\/b><span style=\"font-weight: 400;\">&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">In addition to stating the index, leading global bariatric surgery associations recommend initiating conservative treatment for obesity for a minimum of 6 months. These methods primarily involve optimizing diet and implementing a recommended physical activity plan. After the initial 6 months, the success of the applied methods is evaluated, and the patient is referred for further surgical treatment.<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/atlasklinika.com\/wp-content\/uploads\/2025\/04\/Laparoskopska-barijatrijska-hirurgija-2.jpg\"><img decoding=\"async\" src=\"https:\/\/atlasklinika.com\/wp-content\/uploads\/2025\/04\/Laparoskopska-barijatrijska-hirurgija-2.jpg\" alt=\"\" class=\"wp-image-24138\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">What is the Success Rate of Bariatric Surgery?<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">With decades of accumulated experience in bariatric surgery worldwide, it is clear that surgery performed by an experienced surgeon is the most effective way to treat this disease. Global data indicate that acceptable mortality after a successfully performed operation is around 0.1%, with an acceptable overall complication rate of about 3-4%.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">The success of bariatric surgery is not only measured by weight loss but also by improved control of diseases associated with obesity. Research indicates that surgery results in improved quality of life for patients, a significant extension of life expectancy, and a significant reduction in the need for medications in 90% of patients with diabetes mellitus. With the appropriate choice of the procedure, we can expect the cessation or reduction of medication for high blood pressure, high cholesterol, as well as significant relief from joint pain in patients with obesity.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">How to Prepare for Bariatric Surgery?<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Before surgery, proper preparation is necessary. Patients are advised to <\/span><b>quit smoking<\/b><span style=\"font-weight: 400;\"> at least one month before surgery and <\/span><b>adhere to a low-calorie diet plan.<\/b><span style=\"font-weight: 400;\">&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">It is mandatory to examine patients for the <\/span><b>presence of reflux disease and perform upper flexible endoscopy (gastroscopy) to exclude inflammatory processes in the lower esophagus and stomach.<\/b><span style=\"font-weight: 400;\"> All bariatric surgeries, except in very rare and exceptional situations, are performed in a minimally invasive manner (laparoscopic).<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">What Are the Advantages of Minimally Invasive Laparoscopic Surgery?<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Laparoscopy is an approach technique to the abdominal cavity through small incisions in the abdominal wall ranging from 5 to 12 mm. Through specially made working channels (ports), and with the help of elegant instruments and a camera with magnification of 5 to 10 times, we can access every part of the abdominal cavity and chest, adequately identify and resolve the problem. These small incisions, compared to traditional surgeries, provide the possibility of rapid recovery, reduce the risk of infection, allowing a return to regular activities in just a few days. The advantage of a camera with magnification reduces the possibility of error in experienced hands to a minimum and leads to the observation of the tiniest details during the procedure.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is the Body Mass Index (BMI)? According to the World Health Organization, excessive body weight and obesity are terms defined as the abnormal accumulation of fat posing a risk to a person&#8217;s health. The most commonly used assessment for these terms is the Body Mass Index (BMI), calculated as follows: BMI = body weight [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":5279,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[730],"tags":[],"class_list":["post-6555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/posts\/6555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/comments?post=6555"}],"version-history":[{"count":2,"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/posts\/6555\/revisions"}],"predecessor-version":[{"id":6591,"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/posts\/6555\/revisions\/6591"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/media\/5279"}],"wp:attachment":[{"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/media?parent=6555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/categories?post=6555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/atlasklinika.com\/en\/wp-json\/wp\/v2\/tags?post=6555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}