When diet does not help: the degree of obesity and surgical treatment

Obesity is a dangerous disease. Being overweight significantly reduces the quality of life, increases the load on the internal organs, leads to diseases of the joints and spine, hypertension, atherosclerosis, infertility and impotence, cancer and psychological problems. Grade IV obesity dramatically increases the risk of premature death.

Obesity can be treated with conservative and radical methods. Conservative treatment is almost always started with diet, exercise and psychotherapy. If this ways does not work for a long time, bariatrics comes to the rescue. Bariatric surgery is a safe, predictable and effective way to lose weight with a long-lasting effect.

What is the threat of obesity

The medical community has 4 degrees of obesity. If in the first stages there is still a chance to deal with the problem on their own, then in the last two without the help of a specialist you can not do.

The degree of obesity can be assessed by the body mass index: weight (kg) / height (m²) = BMI. According to the obtained BMI data, the following stages of the disease are distinguished:

In the case of first and second degree obesity, people usually do not complain on health problems, but only occasionally show weakness and fatigue. But in the third and fourth stages of health deteriorates sharply: there is shortness of breath at the slightest exercise and even at rest, there is pain in the heart, rapid heartbeat, heart failure, headache, drowsiness, decreased efficiency.Patients often develop atherosclerosis, heart disease, joints, liver and biliary tract, diabetes. With morbid obesity, the risk of premature death increases 5 times. In most cases, the only way to overcome morbid obesity is surgery.

Another way to determine the seriousness of the problem is to calculate waist-to-hip ratio. Divide your waist in centimeters by your hips in centimeters.If the value obtained exceeds 0.95 for men and 0.85 for women, there is reason to talk about abdominal obesity.What is the danger of abdominal obesity? It more often leads to the metabolic syndrome (obesity, type 2 diabetes and hypertension), and it is also a risk for myocardial ischemia and stroke. Fat cells can accumulate not only in the subcutaneous fat layer in the abdomen, but also around the internal organs. Visceral fat is hormonally active, it causes metabolic disorders, gonadal function, cardiovascular function and others.

Obesity is not only a cosmetic and aesthetic problem. The quality and duration of life depend on the successful treatment of this disease. If it is impossible to correct the situation by conservative methods, it is necessary to resort to bariatric surgery.

Treatment of obesity of women and men at the Center for Metabolic Surgery: types of operations

Our Obesity Surgery Center in Kyiv offers several types of bariatric surgeries that allow you to lose weight:

The choice of a specific surgical method is made by the surgeon together with the patient, taking into consideration the condition of health, history, results of examinations and tests, as well as weight loss goals. The team of the Center for Metabolic Surgery in Kyiv treats obesity of any degree with safe minimally invasive methods that do not require a long recovery period.

Andrian Reitis` comment

PhD in Medicine,
Chief Surgeon of the Center for Metabolic Surgery

Surgical weight loss makes it possible to achieve exceptional results. Bariatric surgery changes the structure of the gastrointestinal tract: after surgery, the amount of food that patient can eat in one meal is reduced, and the absorption of nutrients in the small intestine is slowed down.

After bariatric surgery, patients usually lose weight very quickly. In addition, it is possible to completely get rid of or significantly reduce the manifestations of comorbidities associated with obesity (hypertension, obstructive sleep apnea syndrome and even type 2 diabetes). For example, gastric bypass surgery makes it possible to stop completely the progression of type 2 diabetes.

We offer a comprehensive approach to the treatment of obesity - a whole team of specialists works with each patient. You will not be left alone with the problem even after discharge from the hospital - doctors are in contact with the patient around the clock to monitor all indicators and changes in the body. We will teach you to live in a new weight and help you control your lifestyle.

What path do we take with patients?

Obesity surgery is a complex multi-stage process. By contacting the Center for Metabolic Surgery in Kyiv, you will receive full support at all stages - from psychological training to information support and support of a team of specialists after discharge from the hospital.

Initial consultation with a surgeon

During the initial consultation, a trusting partnership is established between the doctor and the patient. The specialist gets acquainted with the anamnesis, identifies the causes of excess weight, studies what results were achieved with conservative methods of weight loss.


Preoperative preparation always includes a complete examination of the body: you need to pass tests (including thyroid hormones), do an ECG, fluorography, gastroscopy, ultrasound of the abdominal cavity, vein scanning and more. After a comprehensive examination, the endocrinologist and gastroenterologist will give their conclusions.

It is important! Our Obesity Surgery Center in Kyiv gives you the opportunity to pass all examinations and tests directly at the clinic - you do not have to go anywhere and waste your time!

Preoperative preparation

After choosing the technique for surgery, the surgeon will tell you in detail how to prepare for surgery. The general recommendations are as follows: in 2 weeks you should switch to a low-calorie diet to reduce the burden on the liver and increase the success of surgery. It is also important to stop smoking, drinking alcohol and taking certain medications.


Surgery against excess weight is performed under general anesthesia. We use safe modern drugs without side effects. Depending on the type of intervention, the operation usually lasts one and a half to two hours. Before and after the operation, the patient's condition is monitored by an anesthesiologist-resuscitator.

Stay in the hospital

After the operation, patients undergo a recovery period in comfortable modern wards of the hospital. Due to minimally invasive surgical approaches, in most cases discharge from the clinic occurs in two or three days. Within a few hours after the operation, the patient can get out of bed and walk. Before discharge from the hospital, the surgeon conducts a follow-up examination and gives recommendations for further lifestyle.

Postoperative period

Surgery of obesity is only the first stage on the way to a healthy body without extra pounds. The recovery period is no less important. You are not alone at this time! You will always be accompanied by a team of specialists from the Center for Metabolic Surgery in Kyiv - nutritionists, psychologists, rehabilitation specialists, specialists in physical therapy. You will receive a clear diet, exercise, lifestyle adjustments and will always be able to turn to specialists with relevant questions about your health.

Entrust your health to professionals from the Center for Metabolic Surgery in Kyiv!