Bariatric surgery is the most effective method of treatment of extreme obesity.

The final surgical treatment of obesity should be preceded by conservative treatment using diet and pharmacotherapy. Only after its completion can proceed to the next step - surgical procedures.

Bariatric surgery is a solution only for patients with advanced obesity (BMI over 35), up to 65 years oldr. In the ECZ Otwock Hospital, bariatric surgeries are performed exclusively commercially. In modern bariatric surgery the most often performed operations are gastric reduction, the aim of which is to reduce the appetite, create a feeling of satiety after eating a small amount of food and reduce the amount of food consumed. Treatments result in significant weight loss from the first days after leaving the hospital. The patient regains form, well-being and fitness. Ailments resulting from excessive body weight are reduced.

Gastric by-pass- The operation consists in creating a small container from the upper part of the stomach, which is connected to the small intestine. Small amounts of food bring a feeling of satiety. The food is digested only in the final part of the small intestine, which reduces the amount of calories absorbed.

Gastric balloon - a silicone balloon is introduced to the stomach laparoscopically, which is filled with physiological salt to a certain capacity. The balloon causes a feeling of satiety, which makes you eat much smaller portions. After six months of treatment the balloon is removed.

Stomach band - a silicone band is put on the stomach, which separates the organ into two parts. The patient eats only as much as the first part of the stomach separated by the band. The method requires a special semi-liquid diet. The band can be removed at any time.

Sleeve gastrectomy - in short, it is an excision of a fragment of the stomach so that some 30% of its volume remains. The left part of the stomach holds about 150 ml of food. The organ also no longer releases hormone to stimulate appetite. This method of surgical treatment of obesity forces a special diet. For the rest of his life, the patient can eat only small portions of chopped-up food.

Biliary-pancreatic exclusion - one of the rarest bariatric operations. It consists of excision of 2/3 of the stomach and dividing the small intestine into three parts. Two parts of the intestine merge with the third one to form the letter "Y". The first part leads to the stomach and digested food passes through it. The second part is connected to the bile ducts and is used to transport digestive juices. Digestion takes place in the third part of the small intestine. This method results in weaker absorption of nutrients. It is also burdened with the risk of complications, so it is usually performed when the other methods have not brought the expected results.

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