Treatment of Obesity

Medical/surgical service for the treatment of excess weight and obesity in Barcelona

Our centre has a Medical Surgical Obesity Service for specialized and multidisciplinary treatment of Obesity, one of the most frequent pathologies in developed societies. This is an extremely important health issue that requires specific treatments.

We have services such as endocrinology, nutrition and diet, psychology, digestive endoscopy and obesity surgery (bariatrics) in order to apply  different dietary, pharmacological, endoscopic (intragastric balloon), and surgical treatments in a coordinated manner, depending on the degree of excess weight or obesity.

Obesity is a metabolic disease that is becoming more and more frequent in developed nations, and one of the greatest epidemics of the 21st century, according to the WHO.

The increase in obesity is not only due to a genetic predisposition, but also to poor eating habits and a lack of physical exercise.

Obesity should not merely be considered as a question of aesthetics, but rather as a health problem, because it leads to the appearance of other diseases such as diabetes, high blood pressure, dyslipidaemia, degenerative osteoarticular diseases, cardiovascular diseases, psychological alterations (anxiety, depression), sleep apnoea, gynaecological disorders, digestive disorders, hepatic disorders, and a higher chance of developing cancer of the uterus, the colon and so on.

Excess weight is an illness that evolves towards obesity; its progression must therefore be stopped at a time when it has not yet significantly affected the patient’s health. Different degrees of obesity require different levels of treatment. These must be evaluated and treated in Expert Units for the treatment of obesity and excess weight.

The treatment of these conditions is complex and must be applied comprehensively and in a multidisciplinary form, customising each case in order to garner the motivation and collaboration of the patient:

◦Endocrine Treatment
◦Nutritional-Dietary Treatment
◦Psychological Treatment
◦Physical Activity Evaluation
◦Endoscopic Treatment
◦Obesity Surgery (Bariatric Surgery)

Endoscopic Treatments

Endoscopic techniques are performed with the goal of reducing gastric capacity, achieving a greater sensation of satiety with a smaller amount of ingestion, and in some cases, achieving the incomplete absorption of the nutrients in order to encourage greater weight loss.

Endoscopic Intra-Gastric Balloon.

Without surgery, this technique consists of endoscopically introducing a silicone balloon filled with saline solution into the stomach. This balloon is kept inside for a few months, producing a sensation of satiety and re-educating the patient during this period of time on how to eat lighter and in smaller amounts.

PSEO Surgery (Primary Surgery for Endoluminal Obesity).

Performed endoscopically, creases are formed in specific areas of the stomach in order to reduce its size and increase the sensation of satiety.

Obesity Surgery Surgical

Obesity Surgery, or Bariatric Surgery, began with other surgical procedures where weight loss was observed in patients who were not operated with that purpose in mind.

Bariatric surgery techniques have been used for more than 60 years, but have proven to be especially efficient as treatment with the development of laparoscopic surgery.

Nowadays, bariatric surgery is the most effective option in cases of obesity catalogued as morbid (body mass index greater than 40), and in cases where other treatments have failed, or when the body mass index is greater than 35 and there are serious co-morbidities related to obesity, such as diabetes, high blood pressure, dyslipidaemia, sleep apnoea syndrome, etc.

Bariatric surgery is only the beginning of a treatment against obesity.

After the operation the process continues with a programme aimed at changing the eating and lifestyle habits of the patient, including protocol-based dietary guidelines and a progressive increase in physical exercise through adapted exercise. These guidelines are essential for the results of the treatment to be favourable, and so that the weight lost can be kept off in the long term.

The surgical treatment of obesity is currently the safest and efficient option for the treatment of morbid obesity.

Multidisciplinary Team

Obesity is a disease that requires multidisciplinary treatment, meaning that the patient will be treated by several specialists in order to evaluate the patient’s clinical situation and to carry out the monitoring subsequent to the intervention.

The specialities that make up the Medical/Surgical Metabolism and Obesity Department are:

◦Bariatric and Metabolic Surgery
◦Psychiatry and Psychology
◦Physiotherapy and a Physical Exercise Professional
The ServiDigest Medical/Surgical Centre selects the most efficient, safe, and appropriate surgical treatment according to the degree of excess weight and obesity.