The Obesity Unit of Hospital Clínica Benidorm helps patients to reach their weight goals.

The unit offers a simple treatment plan where the patient is always informed and supported by the best professionals.

The Obesity Unit of Hospital Clínica Benidorm has organized a full team of specialists of the surgical treatment of obesity to help obese patients to reach their weight goals and improve their health and quality of life.

For this, doctor specialized in Internal Medicine will evaluate the patient’s health and guide it through the process. In the initial evaluation phase, as well as during the whole year of follow-up, the Internist may refer the patient to the related specialists depending on the case.

The Obesity unit of Hospital Clínica Benidorm offers, always within the same medical and hospital center, a simple medical and care plan where the patient is always informed and supported by the best professionals.

First, the Internist will inform the patient about the treatments available and assess the patient´s health status to determine if it is a possible candidate for surgical treatment. In that case, the patient will work with the HCB Nutrition and Dietetics Service to prepare physically for the intervention.

After analyzing the health status and preparing of the personalized diet program, the patient will meet the Bariatric Surgeon who will assess which surgical option is the most appropriate. Consultation with the anesthetist as well. Also well as consultation with the anesthetist. The modern advanced surgical techniques of obesity allow the patient to recover quickly after the operation with an approximate hospital stay of three days. After that, the patient will be able to return home until the next appointment in which the points will be removed.

Approximately 10 days after the surgery the patient will be ready to start his new life. Then, during one year, the patient will be supported by his internist doctor, who, if necessary, can organize a medical consultation of Psychologist, Nutritionist or Endocrinologist to lose weight, strengthen his physique and motivate the patient.

Laparoscopic Surgery Techniques

Bariatric surgery is an operation that helps you lose weight by making changes to your digestive system. In these types of interventions a small video camera and surgical instruments are inserted through small incisions in the abdomen. These techniques allow a faster recovery with fewer complications. Some types of bariatric surgeries make the stomach smaller, allowing to eat and drink less at one time and making feel full sooner. Other bariatric surgeries also change the small intestine – the part of the body that absorbs calories and nutrients from foods and beverages.

Adjustable gastric band

The inflatable band is placed around the upper part of the stomach to create a smaller stomach pouch. The pouch fills with food quickly, and the band slows the passage of food from the pouch to the lower part of the stomach.

It is removable, requiring only a laparoscopic procedure to remove the band, after which the stomach usually returns to its normal pre-banded size so it is not unusual for a person to gain weight after having a band removed.

The patient needs fewer vitamin supplements. The result depends on the patient’s will.

Tubular gastrectomy. Also known as a “Sleeve Gastrectomy” or “gastric sleeve”

Sleeve gastrectomy is a surgical procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube like structure. The procedure permanently reduces the size of the stomach, although there could be some dilatation of the stomach later on in life. The procedure is irreversible.

The result will be a gradual and lasting weight loss. Cause an improvement in other diseases caused by obesity, such as type 2 diabetes.

Gastric bypass

It consists of leaving a very small functional and deriving a part of the intestine to get a reduction in the amount of food that patient can eat and a slight reduction in the absorption of food.

It is hardly reversible, complex to perform and has a risk of bleeding, fistula, stenosis, internal hernia and malnutrition. It is recognized as the standard technique. Need multivitamin supplements and life-long controls. It’s the intervention that achieves the greatest weight loss.

Biliopancreatic diversion

In a biliopancreatic diversion part of the stomach is removed. The remaining part of the stomach is connected to the lower portion of the small intestine. It is only recommended for selected patients because of the high risk of malnutrition.

Obesity is one of the most pervasive, chronic diseases in need of new strategies for medical treatment and prevention. Obesity is defined as excess adipose tissue.

There are several different methods for determining excess adipose (fat) tissue; the most common being the Body Mass Index (BMI) (see below). A fat cell is an endocrine cell and adipose tissue is an endocrine organ. As such, adipose tissue secretes a number of products, including metabolites, cytokines, lipids, and coagulation factors among others. Significantly, excess adiposity or obesity causes increased levels of circulating fatty acids and inflammation. This can lead to insulin resistance, which in turn can lead to type 2 diabetes.

Body Mass Index (BMI) is a mathematical calculation involving height and weight, irrespective of family history, gender, age or race. BMI is calculated by dividing a person’s body weight in kilograms by their height in meters squared (weight [kg] height [m]2).

 

Classification of obesity according to BMI:

TABLA

 

Bariatric surgery may be an option for adults who have:

  • Body mass index (BMI) of 40 or more, OR
  • BMI of 35 or more with a serious health problem linked to obesity, such as type 2 diabetes, heart disease, or sleep apnea
  • BMI of 30 or more with a serious health problem linked to obesity, for the gastric band only
  • Severe obesity with more than five years of evolution
  • Absence of history of alcoholism, drug addiction and serious psychiatric illness
  • Age between 18 and 65 years (excluding exceptions)
  • Adequate understanding of the changes produced by the intervention and a good adherence to the proposed therapeutic strategy.

Changes in Quality of Life and Psychological Status after the Surgery.

  • Improvement or cure of diabetes, hypertension, cholesterol, etc.
  • Improve breathing problems, snoring, sleep apnea and heart failure.
  • Reduce the problems of knee and hip osteoarthritis.
  • Improves physical ability to walk more easily and practice more exercise

In addition to improvements in health and longevity, surgical weight-loss improves overall quality of life. Measures of quality of life that are positively affected by bariatric surgery include physical functions such as mobility, self-esteem, work, social interactions, and sexual function.

Medical Specialists

 Bariatric Surgery
Dr. José Luis Estrada

 Nutrition and Dietetics Service
Fátima Júdez
 Psychology
Juanjo Saval
 Endocrinology
Dr. Rafael Cerezo