Sleeve, bypass, balloon and gastric botox — eligibility by BMI, what each operation actually changes and why the follow-up year decides the result.
Around 80% of the stomach is removed, leaving a tube of roughly 100–150 ml. Here is what that means at the table, month by month.
Learn moreA leak is ruled out before you leave the operating room, with a dye or air test through the new sleeve — and then confirmed by two to three nights of observation.
Learn moreYes, they are for life — not for the first year. The operation bypasses exactly the stretch of intestine where iron, calcium and B12 are absorbed.
Learn moreMost medicines still work, but three groups need reviewing before you travel: extended-release tablets, anti-inflammatories, and drugs with a narrow safe range.
Learn moreAt six or twelve months depending on the model, and the date is not negotiable. Removal is a fifteen-minute endoscopy; the month after it decides your result.
Learn moreNausea and cramping in the first three to five days are expected rather than a complication. The medication schedule and hydration decide how bad that week is.
Learn moreFour to six months, then it wears off completely — that is both the honest answer and the whole point of the method.
Learn moreFour groups are declined outright, and a fifth is harder to put on a form: patients whose expectations no technique can meet.
Learn moreThe ranking barely moves: bypass first, sleeve close behind, balloon well back, botox barely on the chart. Durability, not peak loss, is the real difference.
Learn moreIf you already have significant reflux, a bypass is usually the safer first operation. A sleeve creates a high-pressure tube and leaves the valve untouched.
Learn moreSurgery is the cheap part. The follow-up year is what separates a package from a programme.
Learn moreReflux, diabetes, BMI, eating pattern and willingness to supplement for life — those five answers point to one operation.
Learn moreBMI 35 with comorbidity or 40 without is the classic threshold — but metabolic disease lowers it, and guidelines have moved.
Learn moreRapid loss for six months, a plateau that frightens everyone, and a set of habits that decide the next decade.
Learn moreFor the right patient it is a supervised head start. For the wrong one it is €2,800 of temporary discomfort.
Learn moreSome regain is expected and normal. Significant regain almost always has a behavioural cause with a practical fix.
Learn moreThe staple line needs four weeks to heal. Rushing to solid food is the one mistake with a serious complication attached.
Learn moreMany patients leave hospital on less medication than they arrived with — before losing significant weight. That is hormonal, not caloric.
Learn moreCreams do nothing. Protein and training help a little. After a certain point only surgery removes it — and timing matters.
Learn moreLeak, bleeding, clot and stricture are the four that matter. Here is how likely each is and how they are prevented.
Learn moreFertility often improves within months — which surprises patients who were told they could not conceive.
Learn moreIf the facility cannot manage a leak at 3am, nothing else on the brochure matters.
Learn moreWith a stomach the size of a banana, the order you eat in decides whether you lose fat or muscle.
Learn moreWalking starts hours after surgery. Resistance training starts at six weeks and matters more than cardio for keeping weight off.
Learn moreGLP-1 drugs work while you take them. Surgery works while you follow it. The right answer depends on which commitment fits your life.
Learn moreSipping water is harder than you imagine, and walking is more important than resting.
Learn moreSleep apnoea, fatty liver, joint disease, hypertension and diabetes all improve — often faster than the weight comes off.
Learn moreFood stops being a coping tool overnight. Relationships shift. Body image lags behind the mirror by a year or more.
Learn moreTwo reasons justify it: severe reflux and insufficient weight loss with a documented behavioural effort behind it.
Learn moreFive to six nights, a companion if possible, and a plan for the flight home that includes moving every hour.
Learn moreBotulinum injected into the stomach wall slows emptying for three to four months. It is not a substitute for a balloon or a sleeve, and we say so plainly.
Learn moreExcess weight disrupts ovulation, sperm quality and IVF access in measurable ways — and a loss of five to ten percent often restores cycles before surgery is discussed.
Learn moreA fatty liver sits directly over the stomach and blocks the surgeon's view. Two strict low-carbohydrate weeks shrink it enough to keep the operation keyhole.
Learn moreCycles often restart within three months of a sleeve, while the oral pill may absorb unreliably. The eighteen-month window matters for both mother and baby.
Learn moreRoughly a third of bariatric patients shed hair between months three and six. It is telogen effluvium, it is temporary, and a transplant then is the wrong answer.
Learn moreWithout resistance training and enough protein, a quarter of rapid weight loss can come from lean tissue — and lean tissue is what holds your metabolism up.
Learn moreEarly dumping strikes fifteen to thirty minutes after a sugary meal; late dumping arrives at two hours and feels like hypoglycaemia. Both are manageable.
Learn moreWe do not perform bariatric surgery on anyone under eighteen, and we turn these enquiries down every month. Here is what a family should be doing instead.
Learn moreShort sleep raises ghrelin, dulls insulin sensitivity and steers appetite towards sugar. Untreated sleep apnoea makes the whole loop considerably worse.
Learn moreA festive table is a mechanical problem, not a moral one: a small stomach, a long meal, sugary drinks and relatives who insist. Here is what actually works.
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