Puglia is among the top four Italian regions with the highest obesity rate: 12.8% of the population has a BMI (body mass index) higher than the value recommended by doctors (data from Truenumbers.it 2022). Furthermore the pandemic of recent years has accentuated La tendency to gain weight, which has occurred for the50% of the Apuliansbringing the percentage of children affected by obesity to 15% (Coldiretti data, October 2021).
City of Lecce Hospitala hospital of High Specialty accredited with the NHS, has activated a path of treatment of obesity. The synergy between endocrinologists, nutritionists, dieticians, bariatric surgeons, psychologists and/ or psychiatristsallows there taking charge of the patient during all the path: from diagnosis, to food plan up to surgical treatment, continuing with regular follow-up checks with the whole team.
“The new Unity ORperative of C.surgery G.eneral, B.ariatrica and Metabolic deals with the treatment of patients suffering from grade II obesity with associated comorbidities (with BMI between 35 and 40, according to SICOB indications – Italian Society of Surgery of Obesity and Metabolic Diseases) and of severely obese patients (with higher BMI or uguale a 40) even in the absence of comorbidities. Bariatric surgery has also been shown to be effective in patients with class I obesity (BMI 30-35 kg / m2) and with comorbidities, to be selected on a case-by-case basis. – comments the dr. Federico Perrone, director of the UO of General, Bariatric and Metabolic Surgery of the City of Lecce Hospital, with allis active over 500 bariatric surgeries -. Nowadays in the treatment of obesity it is important to consider the so-called “wellness pathologies”, such as S.indrome M.etabolic, often associated with obesityitself, with negative implications for the patient’s overall health. There M syndromeIn fact, etabolic is associated with cardiac problemsovascular (arterial hypertension, coronary heart disease, congestive heart disease, pulmonary embolism, stroke), respiratory (pulmonary diseases restrictive, Syndrome from TOpnee No.obturation), diabetes mellitus, ad disability deriving from chronic diseases of the osteo apparatus–articular (dueAnd to the weight of the body that excessively stresses the joints), to hepatic steatosis (il so-called “fatty liver”); and again at dyslipidemia, all‘hyperuricemia, all‘female infertility and Polycystic Ovary Syndrome; withoutto underestimate the increased risk of malignant neoplasms affecting various organs“.
The multidisciplinary path it begins with the specialist visits of the team to assess the patient’s suitability to face the intervention. Various are also performed instrumental investigations: blood tests, gastroscopy, spirometry, polysomnography, ultrasound of the abdomen, cardiological examination with echocardiogram, as well as any other tests based on the initial overall health picture.
“The information collected and analyzed by the team makes it possible to evaluate the most suitable surgical option– explains Dr. Perrone -. In most cases, these are sleeve gastrectomy (surgical reduction of the stomach) or gastric bypass (or mini bypass) operations, identified also considering the patient’s needs, to whom the most considered action plan is presented and explained. suitable for your case “.
Both sleeve gastrectomy and gastric bypass operations are performed with minimally invasive laparoscopic approach: in this way thephysical impact is limitedwith significant advantages in terms of post-operative recovery which is faster.CopyAMP code.
At Città di Lecce Hospital they are also performed more complex revision interventionsnecessary in patients already operated on who have regained weight or who have not obtained a satisfactory long-term result or who have had complications resulting from the previous surgery.
The Bariatric and Metabolic Surgery Unit is part of the larger department of General Surgery of the City of Lecce Hospital, specialized in the application of the minimally invasive laparoscopic approach also in the areas of colon-proctological, abdominal wall and oncological surgery.
City of Lecce Hospital joins the Department of Bariatric Surgery coordinated by dr. Antonio Braunformerly responsible for the center for obesity and eating disorders of the Santa Maria di Bari Hospital. A further step towards one shared logic in the treatment of a pathology so widespread in the area.