FAQ


Is there any risks of rejection ?
There is no rejection strictly speaking of the ring. They are materials studied by the laboratories and approvals scientifically. However, there are always risks specific to the foreign body itself (gastric erosions, disconnection of the catheter of the ring compared to the case, dilation of the gastric pocket).

Can one fall pregnant with a gastric ring or a by-pass ?
No surgery against obesity counters indicates a pregnancy.
With the ring, it is however recommended to loosen the ring when the pregnancy is confirmed.
With a by-pass, the vitamin supplementation is all the more of topicality.
The doctors obstetricians will have to be warned and to have observations on the gastric by-pass or the ring of gastroplastie.

How much kilos can be lost with the gastric ring or the by-pass ?
The gastric ring helps to lose approximately 50 to 60% of the overweight over one year if the instructions are respected (with being known : to eliminate compulsive nibbling in particular “sweetened” and to be well followed on the nutritional, surgical and possibly psychological leve.).
The gastric by-pass helps to lose approximately 70 to 80% of the excess of weight on 12 to 18 months, also under nutritional follow-up in particular the first year, in order to avoid any deficiency.

Are they dangerous ?
Any surgery (whatever it is) can be potentially dangerous (risk zero does not exist).
The operation of the ring or gastroplastie is a surgery “less at the risk” that the gastric by-pass because it is a less heavy surgery and less “technique”.
The frequency and the rates of complications will be provided to you during the consultation.

It is a general anaesthesia ?
Yes. All the techniques of bariatric surgery (gastric by-pass or ring of gastroplastie) are practised under coelioscopy (small centimetric incisions) and require obligatorily a general anaesthesia.

Should I consult a practitionar attending before undertaking a by-pass or a ring of gastroplastie ?
Not obligatorily.
Only the rate of refunding of your consultation will be less if you to consult the specialist directly.
owever, your attending practitionar will be always informed of your file and it will be integral part of the looking after team (surgeon, nutritionnist, psychologist….).

Could I make make sport with a ring or a by-pass ?
There is none against indication with some sport that it is. It is even recommended thereafter within the framework of the hygiéno-dietetic rules. It should simply be known that the case of the ring of gastroplastie will be always palpable in under costal left and especially in the event of important slimming .

Which duration of hospitalization ?
Approximately 3 days for a gastroplastie or sleeve gastrectomy.
Approximately 7 days for a by-pass.

Which duration for the stop of work ?
Not obligatory with the ring.
The resumption of work can be very fast.
Approximately 10 to 15 days with a by-pass according to your trade .

Which follow-up ?
It conditions the result and the absence of complication.
The follow-up after gastroplastie must be in one month to adjust the diameter of tightening and every 3 months the first year (period of maximum slimming).
A monthly follow-up is recommended the first year for a by-pass .

There are risks of rejection of the material established at the time of a digestive surgery of obesity.
There is no phenomenon of rejection related to a particular intolerance of the established material, although it is about a prosthesis including a plastic, which can be silicone.
The risks of the intervention related to the establishment of foreign material are however quite real: erosion of the stomach or displacement of the prosthesis (in the case of the flexible gastric ring) compared to the body of the stomach involving a slip.

The digestive surgery of modern obesity is always practised by coelioscopy.
Although in theory all the interventions can be practised by this way initially, known as mini-invasive because it does not impose large scars and that its continuations are reduced compared to a laparotomy (opening of the abdomen), only the gastroplastie with flexible ring is practised very regularly by this method.

One cannot have babies after the surgery.
The gastroplastie, or any surgery of obesity, does not contra-indicate a pregnancy, and in the immense majority of the cases, this one will be held without any particular incident. A monitoring of the course of the pregnancy is however essential, the doctor obstetrician having to have information which relates to the preliminary surgery.

The sports activities are very limited after a surgery.
There is no counter-indication with the sport after the surgery, once spent the period of convalescence. The fast phase of slimming can however decrease the physical form, and in the case of the flexible ring, the presence of the subcutaneous case can be a transitory embarrassment at the time of certain movements.

There are aesthetic problems after the surgery.
The surgery of obesity often involves very important losses of weight, with for result a lubricating cast iron and the presence of major cutaneous folds, especially on the level of the abdomen, thighs, arms and centres. These anomalies can be the subject of a correction by a surgeon plastics technician.

The operation presents immediate operational risks.
There are always risks, for two reasons:
- The gastroplastie addresses to a population subjects “at the risks” because it is more fragile.
- Any operation under general anaesthesia involves risks. This element is thus determining in the choice of a patient who wishes a surgery.

An operated patient must be under medical supervision of long duration.
The surgery of morbid obesity involves a medical supervision with the long course. There is thus on behalf of the patient an obligation to be subjected to regular visits, and possibly of the radiological or biological examinations.

One can take again weight in spite of a surgery of obesity.
The possibility of a resumption of weight after the surgery is always possible, and this for three reasons:
1. A technical failure: a deterioration or a failure of the established material, a medical complication of the surgical assembly carried out which would oblige with a shrinking of the prosthesis.
2. Dietetic errors: the most current operations (restrictive) do not prevent the errors of mode, in particular the repeated consumption (nibbling) of food sweetened or salted very energy.
3. A spontaneous resumption in the long run of the weight is practically constant in all the studies having carried on various types of surgery beyond 5 years. It is the role of the medical accompaniment which to limit to the maximum this resumption of weight .

There is a limiting age for the surgery.
The bariatric surgery is not indicated in theory in the minors, nor at the old subjects of more than 60 years.

The digestive surgery of obesity relates to only the stomach.
If in France the very large majority of the interventions relates to the stomach (they are the gastroplasties), abroad, in the United States especially, the operations relate to at the same time the stomach and the small intestine, while creating shorts-circuit digestive.

The stomach of obese is larger than the normal.
There is no correlation between the size of the stomach and the overweight.

The surgery of obesity exempts of any dietetic monitoring.
No type of intervention can be prevailed of final results, and moreover of the many dietetic errors can be made by a patient who does not subscribe to healthy rules of food hygiene.

The modes hypocaloric can involve food deficiencies.
If they are unbalanced, too intensive or too rapids, certain modes can be accompanied by deficiencies, out of protein or certain trace elements for example.

The surgery of obesity never involves food deficiencies.
Certain interventions with short-circuit require a very brought closer monitoring because they generate deficiencies potentially serious (out of iron, calcium, etc). The simplest interventions, like the flexible ring, can also involve deficiencies if there is a technical complication causing of the important vomiting.

Obesity prevailing on the hips is less serious than obesity prevailing on the trunk.
Although it is often considered to be most unaesthetic, the obesity of the bottom of the body (known as gynoïde because it more often concerns the women) is less serious than “male” obesity (androïde), that of the belly, which involves medical complications on the long term.

A normal meal makes consume calories.
Digestion involves an energy expenditure considerable, but certainly weak compared to the basal metabolism and the expenditure generated by the physical efforts.

The two-thirds of the daily energy expenditure do not depend on any physical activity.
It is about the metabolism known as basal, which ensures the strict survival of the organization.

The diurétiques ones and the hormone thyroid are drugs of obesity.
The diurétiques ones relieve only the hydrous overload and the thyroid hormones that a deficit related to a dysfunction of thyroid gland. Although these drugs were largely used in obesity, they do not produce any result and are even dangerous in this indication.

The anti-diabetics are drugs of obesity.
These drugs act on the diabetes which is complications of obesity, but do not treat obesity itself.

The intra-gastric balloon is a validated treatment of obesity.
Although a new generation of balloon brings a higher safety and a better effectiveness than the models tested and given up in the Eighties, there is no yet evidence for an unquestionable effectiveness of this type of treatment in obesity.