Bariatric/Weight-Loss Surgery

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Bariatric/Weight-Loss Surgery


Prevalence of Obesity

  • 39% of adults aged 18 years and over were overweight in 2016, and 13% were obese
  • Most of the world’s population live in countries where overweight and obesity kills more people than underweight
  • 29% of adults in Nigeria are overweight
  • The world prevalence of diabetes among adults (aged 20 – 79 years) was 6.4% in 2010 (affecting 285 million adults). Most of the people with diabetes live in low- and middle-income countries such as Nigeria. It is predicted that this will rise to 7.7% by 2030 (439 million adults). Of concern is that 69% of the increase in the number of adults with type 2 diabetes will be from the low and middle income countries with the remaining 20% increase coming from the high income countries
  • Type 2 diabetes is largely prevalent among people with obesity (80-85%) while the most successful way to control it, is to achieve and maintain healthy body weight

*WHO statistics

Causes of Obesity:

  • An increased intake of energy-dense foods that are high in saturated fats and refined carbs; and
  • An increase in physical inactivity due to the increasingly sedentary nature of many forms of work, changing modes of transportation, and increasing urbanization

Consequences of Obesity:

  • Cardiovascular diseases (mainly heart disease and stroke), which were the leading cause of death in 2012
  • Type 2 diabetes
  • Musculoskeletal disorders (especially osteoarthritis – a highly disabling degenerative disease of the joints)
  • Some cancers (including endometrial, breast, ovarian, prostate, liver, gallbladder, kidney, and colon)
  • Sleep apnea and breathing problems
  • Infertility
  • Erectile dysfunction
  • Sleep apnea and breathing problems
  • Low quality of life
  • Mental illness such as clinical depression, anxiety, and other mental disorders

Benefits of Bariatric Surgery
Nonsurgical methods such as diet, exercise, behavior modification, and medication are recognized not effective and sustainable for patients with severe obesity. Emerging scientific evidence is strongly suggesting that bariatric surgery is capable of achieving resolution of long-term chronic diseases such as type 2 diabetes and hypertension.

Our weight-loss and metabolic team will consult with you and design a individual and personalized programme to help you successfully reach and maintain your weight loss goals. Our team will be there every step of the way with encouragement and support. During regularly scheduled meetings with your dietician or nurse you will learn the principles needed to manage your weight and promote long-term health.

Gastric Balloon Procedure
The gastric balloon is a soft, silicon balloon that is inserted into the stomach by endoscopy and filled with sterile saline. The balloon is designed to partially fill your stomach, giving you a feeling of fullness. It will not only make you feel less hungry, but feel fuller more quickly after small meals. The balloon is removed after 6 months to one year.

Sleeve Gastrectomy
The gastric sleeve procedure is normally done as keyhole surgery and involves a vertical removal of up to 75% of the stomach area. This means that the stomach continues to function as normal, but is simply smaller, which reduces the appetite and makes it easier to cut down dramatically on calorie intake. In addition, the portion of the stomach that is removed is the area responsible for secreting the hormone “Ghrelin”, which is responsible for appetite and hunger – the near elimination of this “hunger hormone” results in a significant reduction or loss of appetite. Patients can expect 50-70% excess weight loss in the first year and this is increased if they also follow sensible dietary advice from our dietitians (i.e. low fat, low sugar, low alcohol, high fruit/veg…). The sleeve is a tool to help the patient manage their food intake and appetite.

Single Anastomoses Bypass
Single anastomosis gastric bypass or mini-gastric bypass, is an effective procedure that can be used as a primary weight loss procedure. This procedure was developed to reduce operating time, simplify the procedure and reduce complications. It can also be used in patients who have had previous gastric banding or sleeve surgery but have been unsuccessful with weight loss.

The upper part of the stomach is divided into a tube, and then joined to a loop of intestine. The procedure reduces absorption of food by bypassing up to 6 feet (200cm) of intestines.

Body Mass Index (BMI)
BMI takes into consideration an individual’s height and weight and can be calculated using the following formula: Weight in kilograms divided by Height in meters squared (BMI = kg/m2)

BMI Range
Normal Size 18.9 to 24.9
Overweight 25 to 29.9
Class I, Obesity 30 to 34.9
Class II, Serious Obesity 35 to 39.9
Class III, Severe Obesity 40 and greater

The importance and the main goals of this day are to heighten within the minds of the public the reality of the current epidemic of the global obesity crisis. The priorities are raising awareness, supporting advocacy and improving policy around the issues of treating and preventing obesity. Read More…

Dr A. Okaro, Euracare’s consultant general and laparoscopic surgeon talks about diabetes

Dr Abuchi Okaro is talking about Bariatric Procedures at Euracare Inspiration FM

  • A Guide To Bariatric Surgery: Weight-loss & GI Surgeon Dr Abuchi Okaro provides some top tips on why you should consider bariatric surgery as an option for weight-loss. Read More…
  • Bariatric surgery prevents cancer, infertility, hypertension, others, improves lifespan: With the rising numbers of non-communicable diseases in the world, especially Nigeria, medical experts have stressed the need to embrace Bariatric surgery to prevent the adverse effects of these diseases on human lives, which sometime leads to preventable death. Read More…
  • Euracare Multi-Specialist Hospital Expands Range Of Services In Nigeria: Euracare, the leading multi-specialist hospital in Lagos provides Weight loss/Bariatric surgery services to patients in Nigeria. Euracare Multi-Specialist Hospital’s Weight Loss/Bariatric Surgery team offers surgical weight loss options to assist with weight control and healthy living delivered by a team of local and international clinical professionals.. Read More…
  • Bariatric surgery prevents cancer, infertility, hypertension, others, improves lifespan: With the rising numbers of non-communicable diseases in the world, especially Nigeria, medical experts have stressed the need to embrace Bariatric surgery to prevent the adverse effects of these diseases on human lives, which sometime leads to preventable death. Read More…
  • Weight loss surgery prevents non–communicable disease, improves life expectancy: Chronic non-communicable diseases related to diet and nutrition is presenting the greatest public health burden to Nigerians and medical experts are advocating surgical procedures to manage weight and improve healthy living.. Read More…
  • Get back to healthy life with weight loss surgery: Funmi was tipping the scales at 157 kg when she decided to seek help for her overweight problem. She was overweight, obese, and had an umbilical hernia. Read More…
Dr Abuchi Okaro

Dr Abuchi Okaro

MS FRCS FWACS - Kent Oncology Centre & Hospital of St John and St Elizabeth, UK

Dr Okaro is a consultant general and laparoscopic surgeon affiliated with the Kent Oncology Centre in Maidstone, Kent, and the Hospital of St John and St Elizabeth in London, UK. He provides consultations and surgical procedures once a month at Euracare, Nigeria. Trained both in the UK and in Tokyo, Japan. Dr Okaro is a graduate of the Royal College of Surgeons in England and holds a Masters in Surgery Degree from the University of London. He has a special interest and extensive experience in the repair of both open and laparoscopic surgeries of hernias of all varieties from incisional, inguinal, femoral, umbilical to hiatus and diaphragmatic.

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