Dr. Stanczyk describes which bariatric procedure is best and how doctors decide which procedure to perform on their patients.
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Choosing the Best Bariatric Surgery for You There’s not one excellent procedure for everybody who is morbidly obese. We have to look at the patient, at his comorbidities. If he has a diabetes or no, if he has a hypertension or no, if he has any problems which we know that one procedure will be better than other. Restrictive procedures -- they are good for a patient who don’t have comorbidities, who have a little bit of obesity. However, we know that gastric bypass, or malabsorptive procedures, are better for extremely obese patients. We have to talk to the patient because every one of this procedure is a good procedure. It’s just, we have to find the best procedure for a specific person. That’s why we spend lots of time trying to know the patient, trying to know the habits, how he eats, what’s the desire is, what does the patient desire to lose weight, how much and how quickly. We know that restrictive procedures will allow you to lose weight slowly. Gastric bypass will allow you to lose weight more rapidly. We know that if you want to exercise and if you have a will of power to change your nutrition, to change the way how you eat, the restrictive procedure will be fine. However, if you want a feedback from your own body, the gastric bypass will be better for you. So there is no one answer which procedure is the best. There are different procedures, and every one has some unique quality, which we have to match with the patient and the patient with procedure. We have an entire team of doctors, specialists, nutritionists, psychotherapists, which work with the patient trying to find out which procedure is the best and which procedure will give a patient the most benefit.