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جراحات السمنة

Obesity surgery:

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Gastric balloon:

A simple nonsurgical procedure done through a gastrointestinal endoscope to insert the balloon into the stomach. The balloon will be filled without anesthetic, but simple sedation instead. The patient can leave within half an hour.

Benefits of the Gastric Balloon:

- The balloon reduces the size of the stomach (as it occupies a large part of the stomach size) so the patient will feel full for long periods.
- The balloon helps lose 10 kg to 30 kg of weight within 6 months
- The patient will resume his normal & practical life after two days
- The balloon does not cause any injury or any complications

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Sleeve gastrectomy:

This is a relatively new procedure in the field of obesity surgery but one that is gaining in popularity. It started in 2003 and is a suitable procedure in terms of weight loss & improvement or remission of diabetes.
A group of harmful hormones have been discovered inside the stomach; these hormones cause hunger & obesity. By removing this part, the patient’s appetite decreases.
It is a suitable procedure for those patients who are classed as severely obese, but have no appetite for sweets, chocolate, ice cream or soda.

The benefits of Sleeve Gastrectomy:

- The patient loses his appetite towards food because the hunger hormone has been eradicated.
- The operation is done by laparoscopy, which causes very little risk.
- The patient will eat a small quantity of food and feel full for long periods this is because the size of the stomach become smaller.
- Does not lead to health problem because the body continues to absorb all the nutrients needed.
-The patient reaches his ideal weight within a year, then the weight will be stable because of the decreased stomach size.
- The operation is done using laparoscopy, making it a simple surgery with no complications.

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Laparoscopic Gastric Bypass:

Scientific developments aim to improve patient health & mental status, making him able to live a better life and enjoy better health. Laparoscopic Gastric Bypass operations passed through several development stages to become a simple operation done using laparoscopic surgery without any complications or risk to the patient's life.
Laparoscopic Gastric Bypass surgery is very successful in eliminating obesity & related complications as well as the treatment of diabetes, making it a real breakthrough in obesity surgery & full recovery from diabetes & related complications.
Laparoscopic Gastric Bypass surgery (Mini Gastric Bypass) for obesity patients who have extra weight that makes them unable to move or lead a normal life. Patients suffer from obesity complications which lead to death. After the operation, doctors discovered it could also treat diabetes & eliminate it completely. This encouraged scientists to search & find that the operation isolates a part of the stomach this part contains hormones that have a negative effect on the pancreas & its activity. This encouraged scientists to adjust the process to suit the obese patients as well as diabetics who have an ideal weight to get rid of diabetes.

Laparoscopic Gastric Bypass Advantages:
- The operation is done using laparoscopic surgery, making it safe & complication-free.
- It leads to a complete recovery from diabetes.
- The patient reaches the ideal weight within one year.
- Suitable for all types of patients who eat large quantities of food & also those who eat too much sweets, ice cream & chocolate
- Patient will resume his normal & practical life within two weeks
 

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Sasi operation:

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SASI bypass is an effective bariatric and metabolic surgery. Sasi operation is a mix operation between gastric sleeves and gastric bypass surgeries.

Sasi operation advantages:

If you like to eat sugars and starches in large quantities, Sasi operation will reduce the quantities you used to eat it and you will achieve a healthy body weight.
Achieves great goals in cure from Diabetes type 2.As the percentage of improvement reaches 90%.
One of the most effective procedures in losing weight quickly and healthy.
Cures the patient from the disturbing obesity complications as hypertension.
Controlling the level of fats and cholesterol in the blood.

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الشفاء من السكر

Treat diabetes:

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حيث تبلغ نسبة الشفاء من مرض السكر للنوع الثاني 100% وللنوع الأول من 75% إلى 80%، ولكن العملية أثبت في بعض الحالات أن نسبة الشفاء تصل إلى 100% للنوع الأول وهو ما جعلها طفرة حقيقة في علاج مرض السكر والقضاء على مضاعفاته.
تجري العملية من سن 14 سنة إلى سن 65 سنة.

مميزات عملية تحويل مسار المعدة بالمنظار: 

- تتم العملية بالمنظار الجراحى مما يجعلها أمنة ولا تحدث مضاعفات.
- تعمل على الشفاء التام من مرض السكر.
- يحصل المريض على وزنه المثالى خلال سنة.
- تناسب جميع أنواع المرضى الذين يأكلون كميات كبيرة من الطعام وأيضا الذين يأكلون الحلويات والأيس كريم والشكولاتة بكثرة.
- يمارس المريض حياته الطبيعة خلال أسبوعين بعد العملية.

Is a real breakthrough in obesity surgery not only because the patient gets rid of obesity & related complications, but also because it leads to the complete recovery from diabetes & related complications. Remarkable & impressive results have been achieved in the treatment of diabetes & it is now used for diabetic patients in addition to obese patients.
The process of gastric bypass passed through many developments & is now done using endoscopy. The procedure is very simple & complication-free. This allows many diabetics & obesity patients accept it.

خطوات العملية:

تتم العملية بالمنظار الجراحي بدون قطع او استئصال إي جزء من المعدة أو المعاء وتتم على مرحلتين هما: 

المرحلة الأولي: 

هي عزل الجزء الضار من المعدة والذي يحتوي على هرمونات لها تأثير سلبي على البنكرياس وتؤثر على نشاطه أداؤه. 

المرحلة الثانية: 

هي توصيل الجزء غير المعزول من المعدة على بعد 2 متر من الأمعاء تقريبا بالثلث الأخير من الأمعاء، ويعمل هذا على سوء امتصاص الجسم للطعام فيأكل المريض ما يريد من حلويات وطعام ولا يزيد في الوزن.
تحقق العملية نتائج مبهرة في إنقاص الوزن فيصل المريض إلى وزنه المثالي بعد 6 شهور من العملية ثم يتم تثبيت الوزن تلقائيا حيث أن حجم المعدة والأمعاء يتمدد بشكل طبيعي بعد ستة شهور من العملية. 
هنا تحقق العملية هدفين إنقاص الوزن والقضاء على السمنة ومضاعفاتها، وأيضا الشفاء التام من مرض السكر، 

Is a real breakthrough in obesity surgery not only because the patient gets rid of obesity & related complications, but also because it leads to the complete recovery from diabetes & related complications. Remarkable & impressive results have been achieved in the treatment of diabetes & it is now used for diabetic patients in addition to obese patients.
The process of gastric bypass passed through many developments & is now done using endoscopy. The procedure is very simple & complication-free. This allows many diabetics & obesity patients accept it.

Operation Steps:

The operation is done without surgery or cutting off any part of the stomach or intestines & is done in two steps:

The first step:

Separation of the harmful part of the stomach, which contains hormones that have a negative impact on the pancreas & affect performance activity.

The second step:

Connecting the non-separated part of the stomach, about 2 meters from the intestine, almost in the last third of the intestine. This works on the body's poor absorption of food, so the patient eats what he wants of sweets & food does not increase the weight.

The operation causes amazing results in weight loss and the patient reaches his ideal weight after 6 months of operation. The weight be fixed automatically as the size of the stomach & intestine naturally expand after six months of operation.

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The operation achieves two goals to reduce weight & eliminate obesity & related complications as well as full recovery from diabetes where the rate of recovery from type II diabetes reach 100%, while type I recovery is from 75% to 80% making it a real breakthrough in the treatment of diabetes & eliminating its complications.

The operation takes place from the age of 14 years to the age of 65 years.

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مركز دكتور أحمد طلحة
أستاذ جراحات الجهاز الهضمى والقولون والاورام
خبير واستشارى اول جراحات السمنة والمناظير المتقدمة 

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