Obesity is a worldwide epidemic, especially in developed and industrialized nations. In fact, it would not be going too far to refer to obesity as a pandemic. All ages and genders are affected by this disease, and the symptoms, although often slow to appear, can be quite serious.
Fortunately, The Obesity Center at Sheba Medical Center provides effective, definitive treatment for obesity delivered by experienced experts. This treatment is also much less invasive than many patients expect.
What is Obesity?
Simply put, obesity is a state of being severely overweight. It is typically defined in terms of body mass index (BMI), a calculation based on an individual’s height and weight. Having a particularly high BMI is called morbid obesity.
Obesity is accompanied by a number of possible health problems. These include an increased risk of developing type 2 diabetes, high blood pressure, hypertension, and cancer. Furthermore, mental health issues like depression are common among obese people.
What Causes Obesity?
There are a number of causes of obesity among individuals including hormonal disorders and genetic predisposition. However, the modern obesity epidemic can mainly be attributed to high-calorie, carbohydrate-heavy diets and sedentary lifestyles made possible by technology. Today, office jobs that involve many hours of sitting are ubiquitous, and these occupations involve little daily exercise.
What is the Treatment for Morbid Obesity?
Bariatric surgery is considered the only effective and lasting treatment option for morbidly obese individuals, defined as those with a BMI greater than 40 or more than 35 with existing weight-related comorbidities. This surgery lowers the risk of death from cardiac disease by 50% and the risk of cancer-related death by 78%.
What does the Obesity Center at Sheba Offer?
The Obesity Center, under the direction of Prof. David Goitein, is a multidisciplinary bariatric center that provides treatment for the medical, nutritional and emotional aspects of obesity.
In an example of tailor-made medicine, the center offers personalized treatment plans designed the meet the individual needs of each patient. Our staff has extensive experience in bariatric surgery. This is demonstrated by our lower-than-average complication rate and shorter-than-average hospital stays.
Approximately 500 bariatric procedures are performed annually at the Obesity Center and we also serve as a referral center for complex cases.
The Obesity Center in Israel
The Obesity Center at Sheba offers all bariatric surgical options, including:
- Sleeve gastrectomy
- Endoscopic Sleeve Gastroplasty
- Gastric bypass (“standard”, Roux-en-Y, single anastomosis (“mini-bypass”), biliopancreatic diversion/duodenal switch, and revision and conversion procedures.
Over 97% of surgeries here are performed using minimally-invasive laparoscopic techniques. This approach decreases the complication rate, pain, infections, and other wound-related problems.
The Obesity Center at Sheba embraces a multidisciplinary approach with the understanding that surgery alone cannot always produce success for morbid obesity.
We offer additional support both preoperatively and postoperatively, including endocrinological services for diabetic patients, a dedicated nutritional service that provides dietary guidance, and psychological support to help make behavioral changes for continued success.
Who is a Candidate for Bariatric Surgery?
Patients that are potential candidates for bariatric surgery have the following attributes:
- A BMI higher than 40.
- A BMI of 35-40 that is accompanied by one of the following: diabetes, high blood pressure, high cholesterol, sleep apnea, cardiac diseases, shortness of breath, backache, pain in the knee joints, or fertility problems.
- Over the age of 18.
- Do not smoke or have completely stopped smoking for at least three months prior to surgery.
- Have failed past attempts to lose weight by dieting and physical activity.
- Are committed to a positive change in lifestyle.
What is the Process for Undergoing Bariatric Surgery at Sheba?
Candidate patients will need to undergo the following before surgery:
- Consultation with the surgeon, including a medical history evaluation and explanation of the surgeries available.
- Consultation with an expert bariatric dietician, including a weight history evaluation and postoperative diet plan.
- Psychological consultation to evaluate the patient’s ability to adapt and level of commitment to lifestyle changes.
Sheba Medical Center – World-Class Medicine with a Personal Touch
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