Deva Clinique professionals develop individual weight control programs based on genetic analysis data of the patient’s body. Genetic analysis shows which foods are best absorbed by your body and which sports is suitable for you. In addition, blood tests allow to identify foods that are poorly absorbed by your body and can cause unwanted reactions.
Deva Clinique selects the best treatment option for obesity using surgical or non-surgical methods.
According to statistics, from 35% to 60% of the adult population of Europe are overweight, and from 15% to 30% suffer from obesity. Among the U.S. adult population, the share of people with obesity is growing by 8% every ten years and is over 60% now. According to the most conservative estimates, in Ukraine, every fourth woman and every sixth man suffer from excess weight (According to American Medical Association, every third adult in the U.S. is overweight).
According to experts, obesity can take 1/6 of a person’s life.
Since this disease is multifactorial, sometimes genetically determined, and extremely lifethreatening, doctors of various profiles – from geneticists to endocrinologists and from nutritionists to surgeons – join their efforts in treating it.
There is a separate medical practice called bariatric surgery. It is about the treatment of obesity using surgical technique.
One of the authors of the best surgical practice in the treatment of morbid obesity is EVGENI KOLESNIKOV, MD, PhD, DMEDSC, FICS, FIMSA, professor at the Department of General and Emergency Surgery of the P. L. Shupyk National Medical Academy of Postgraduate Education, President of the International Organization Intermed Inc. (USA-Ukraine), Vice President of Ukrainian Association of Plastic, Reconstructive and Aesthetic Surgery, Laureate of the State Prize of Ukraine, prizes and medals of the International College of Surgeons (USA), member of the International Academy of Medical Sciences, surgeon of Deva Clinique.
– Why the diets are not effective?
Unfortunately, it’s not always possible for a person to change his/her lifestyle. As a rule, even if a diet can help you lose weight, it is quite uncommon that this effect will be there for a long time. In the U.S., I’ve been working for 18 years, they practice prescribing a patient up to six different diets before deciding to do a surgery. Common recommendations are to consume low-calorie foods, including fresh foods in small portions, more movement, etc.
But a human is a human! A human is prone to laziness, often has a bad habit of eating his/her stress (by the way, this habit is developed in childhood when a mom starts to breastfeed or offers something tasty to soothe a baby on his/her first request). In some cases, an adult person manages to get rid of this habit, but most adults do not. For many people, you have to find some alternative, because diets do not work. And if it did work, some people cannot follow a diet all life long, even knowing that an inherited predisposition to obesity. In addition, they often have social factors that contribute to obesity
– What other non-surgical methods to lose weight are used in modern medicine?
An intragastric balloon. It is inserted into the cavity of the stomach using a gastroscope. The balloon works like this – it fills a part of the stomach and thus a patient eats less, as the feeling of fullness comes faster. The disadvantage of this method is that in the future, the balloon is removed and the patient will have to adhere to the nutrition program he/she will be offered (otherwise the effect should not expected): eat low-calorie foods, in small portions, do not eat after 6 p.m., exercise enough, etc. The patients adhering to the program prescribed by the doctor have good outcomes after this manipulation.
In one family, the balloons were inserted into four patients, and the outcomes were different for everyone: it was the best for the youngest woman in the family who lost about thirty kilograms during the year and, importantly, still retains this effect. Other members of the family had more modest outcomes because they did not make any changes to their lifestyle and nutrition, and the balloon alone does not guarantee weight loss – you need to make some efforts, too.
This example is yet another proof that all similar methods of losing weight are aimed at forcing a person to change his/her lifestyle.
– And when it is not possible to achieve it with conservative methods, surgical methods are used. What do surgeons offer?
Today, there are three groups of surgical operations that help get rid of excess body weight:
- restrictive operations aimed at reducing the amount of food eaten (for example, sleeve-gastrectomy, bandaging the stomach)
- malabsorbent operations that reduce absorption of nutrients in the gastrointestinal tract (for example, biliopancreatic shunting)
- combined operations (by-passing operations on the stomach and small intestine – golden standard “miniinvasive Roux-en-Y gastric bypass”)
In my opinion, the latter is the most successful, because it combines both principles.
– What are the criteria for the surgery?
First of all, this is the body mass index – the ratio of height and weight of a person – and comorbid diseases, the so-called metabolic syndrome (type II diabetes mellitus, hypertension, vascular pathologies, respiratory problems, etc.). When the body mass index is 35-40 or higher, there is every reason to consider surgical treatment.