I lost a hundred pounds or how to deal with excess weight – surgeon Sergey Vizgalov says why obesity is dangerous

The guest of “Evening Grodno” is the famous surgeon Sergei Vizgalov. He spent many years at the Grodno Regional Hospital and then held the position of Chief Surgeon in the Grodno area. Now the specialist works in one of the best clinics in Moscow and helps patients to effectively fight obesity.

Do you suffer from heartburn? This can be a sign of a serious illness.

In 1997, Sergei graduated from the Grodno Medical Institute, worked at Mogilev, then returned to Grodno and worked for many years at the BSMP. He admits that he chose the surgery, because the result of your work is immediately visible.

“During these years, I developed as a surgeon, a wonderful person helped me in this – my mentor Viktor Pavlovich Strapko. “I am grateful to him for that,” said Sergey Vizgalov.

After the BSMP there was work at the regional hospital and the position of chief surgeon of the area. This allowed the development and study of endoscopic and bariatric surgery (treatment of obesity).

– I traveled to the neighborhoods, consulted difficult patients, took them to Grodno and, if necessary, performed on-site surgeries. Over the years of work in the regional clinic, we have actively developed and applied a number of minimally invasive technologies in abdominal surgery. One of the directions was the operation of the hernia of the esophageal opening of the diaphragm. We performed laparoscopically (the operation is made through small holes, not from a traumatic incision) and performed operations for this pathology. If left untreated, the disease can lead to esophageal cancer.

Every fourth person on the planet over the age of 40 suffers from a septal hernia. The first symptoms are frequent heartburn, bitterness in the mouth and belching. In order to detect the disease in time, middle-aged people with symptoms need to visit a doctor and be examined.

More people die of obesity than starvation

The World Health Organization is concerned about the problem of obesity. Fast food, soda, sedentary lifestyle have led to the fact that more than two billion people on the planet are overweight and obese. In Russia, for example, one in three people is overweight.

“The problem is not that the person is obese. Obesity leads to serious pathologies: type 2 diabetes, heart attack, bone and joint diseases and cancer. A person is ashamed of his weight, afraid to go out and communicate. Women can not get pregnant, and this is a social problem, says the surgeon. – In the world, 600 thousand surgeries are performed annually for morbid obesity – they are the most common among the operations on the abdominal organs.

In Europe, more than one million people die each year from diseases caused by obesity. Thus, type 2 diabetes in 85% of cases occurs precisely because of being overweight. Everyone knows about the insidious nature of diabetes: it is fraught with stroke, blindness, kidney disease, limb amputation and other life-threatening complications.

According to Sergei Vizgalov, now overweight patients do not pay much attention. For a long time they can enroll in an endocrinologist for type 2 diabetes, be treated with insulin, but it is not always effective and the disease progresses slowly.

– I had a patient taking one hundred units of insulin a day. Only the operation helped her get rid of the need to take insulin, says Sergei.

How to deal with excess weight

We can deceive ourselves as much as we like, they say, I want to lose weight, go to the gym or start jogging tomorrow and give up hamburgers and pizza. In fact, only 5-10% of those who decide to change can lose weight on their own and maintain their weight.

Under the influence of diet and medication, you can lose weight in six months. Further, the energy consumption per kilogram of body weight decreases, the weight stops and after the set starts again. Bariatric surgery guarantees weight loss and maintenance for a period of 10 to 16 years, the surgeon is sure. We eat more than our body can use.

You do not need a huge plate to satisfy your hunger.

What is this surgery? Surgeons perform longitudinal resection of the stomach and gastric bypass. Longitudinal resection guarantees loss of up to 60% of excess weight, escape – up to 70%.

– We all know that when we eat we want to get enough food and eat until we are full. This is how it happens: the stomach fills up, pressure appears on the walls and a signal enters the brain that the person is full. “During the resection, the volume of the stomach decreases for the patient and a small amount of food is enough for satiety,” explains Sergei Vizgalov. – The second mechanism of this operation is the removal of a part of the stomach that produces an hormone that increases appetite, and then you do not want to eat.

After shunting, the digestive processes change. Food enters the ileum immediately, the absorption of carbohydrates and fats is reduced. Such surgeries are especially suitable for patients with obesity and concomitant type 2 diabetes, as well as for those who have high blood cholesterol levels.

Who can and who can not have surgery

It all depends on the body mass index. It can be calculated by knowing your height and weight (there are many electronic calculators on the Internet). A number from 25 to 30 is overweight, from 30 to 35 is grade I obesity, from 35 to 40 is grade II, over 40 is grade III. If over 50 – overweight. According to statistics, obese people live 20 years less.

Men, measure your waist! If it is over 94 cm at the height of the navel, then it is time to lose weight. You do not have to go to the gym, you can swim, ride a bike and walk.

Doctors call obesity the silent killer. In Russia alone, one and a half million people die each year from cardiovascular disease caused by obesity. It is a whole city! says the doctor. – The operation can be done if the body mass index is 35-40. Recently in Russia, bariatric surgery has been included in the national clinical guidelines for the treatment of type 2 diabetes. That is, the operation leads to remission of the disease in 70-95% of cases.

He lost 100 kilos

Parents need to understand what their children are being fed. We are required to eat high-calorie food: breads, chips, fast food. Yes, it brings pleasure, but it does not lead to anything good. A 40-year-old man weighing 230 kilos approached us. He lost interest in life, changed careers, had family problems and decided to have surgery. It was difficult for him to walk, his joints ached, he suffered from shortness of breath, – remembers Sergey Vizgalov. – Now his life has changed, we communicate. Of course, he knows how to eat and why eating too much is bad.

Are you overweight? Help at “SM-Clinic”!

The main group of patients are women aged 35-45 years. But there are also teenagers. Representatives of different professions turn to for help – managers, employees, leaders come. This problem affects all sections of the population.

In Moscow, there is a medical company “SM-Clinic”, in which he opened a bariatric surgery center two years ago. Certified surgeons perform more than 500 surgeries per year.

“The clinic has the most modern equipment to minimize the risk of complications and provide patients with a 100% guarantee,” says Sergey Vizgalov. “People come to us from all over the country and abroad, they trust us. We do from a routine blood test to an MRI. There are six operating rooms, single and double, and a diagnostic center.

The preparation process for the operation is as follows: a person makes an appointment, comes for a consultation, has an examination and undergoes a comprehensive examination by specialists. Contraindications include exacerbation of peptic ulcer, oncology, pregnancy and severe, non-compensatory pathology.

Patients spend an average of three days in the clinic and return to normal life. The operation is performed laparoscopically, the pain syndrome is minimal, the recovery period is as short as possible.

Life after surgery

After the operation, the ward is monitored by the surgeon for life.

“It is important for us in the first year after the operation for the person to follow our recommendations, because the metabolic processes change. Once every three months, he comes to the reception, does tests and we monitor his condition. A year later, the patient is observed twice, – says Sergey Vizgalov.

After surgery, it is recommended that you do not eat coarse foods, but return to a full diet after two months. The menu is dominated by protein and fruit, you should eat in small portions five times a day.

How to book an appointment

“SM-Clinic”, Moscow, Senezhskaya street, 1/9

Surgeon of the highest category Sergey Aleksandrovich Vizgalov

Tel. Viber +7 (495) 137-78-35

WhatsApp + 375-29-839-12-78

E-mail: sergey_vizgalov@mail.ru

Instagram: @ sergey.vizgalov90

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