A Presentation by Dr Bokobsa the Lead Surgeon at the Jaques Monad Hospital in Le Havre France
Dr Bokobsa is the Lead of the surgical procedures department in the French Hospital Group which is the most important Communiary hospital in France. Dr Bokobsa performs every type of Weight Loss surgery. The initial method of Weight Loss surgery is adjustable gastric band. The second most popular surgery is Gastric sleeve. The most popular surgery is the Gastric bypass.
Dr Bokobsa Charts all of the outcomes of all of of his surgeries completed from 1998. The average at the beginning patients weight is 125 Kilo and after six years the average is 92 kilo.
For Gastric Band a special band is placed around the stomach forming a small pouch which will dilate when you eat making your stomach feel full so you stop eating.
With Gastric Sleeves we remove four fifths of the stomach and we create a tube and in the procedure take away the part of the stomach secreting a hormone called ghrelin which usually stimulates the appetite so if you take away this hormone the patient simply does not want to eat as much as before.
At the start the patient’s weight is very important, it’s more important because the gastric sleeve is a good procedure for the very very overweight patient and you can see after six year the weight is around 90 Kilo.
For a Gastric ByPass you cut the stomach, and you leave a pouch and a remnanat, you do not (remove|take away} any part of the stomach so it’s possible to reverse the procedure later. The general weight reduction after 6years is 50 Kilo.
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