Obesity has increased its incidence throughout the world and become a major public health problem. Therefore, diseases associated with obesity have increased their prevalence in the same proportion. Unfortunately, clinical treatment for obesity by means of diets, medications, and physical activity has proved ineffective in producing substantial and durable weight reduction. On the other hand, scientific evidence has shown that bariatric surgical interventions present the best results in terms of weight control and, consequently, effective control of diseases... [+] Read More…

Sallet Institute Of Medicine

The SALLET INSTITUTE OF MEDICINE (INSTITUTO DE MEDICINA SALLET) was created in 1999 by its director, José Afonso Sallet, MD, and has been providing since then high-quality care to its patients in the clinical and surgical treatment for obesity, metabolic diseases and disorders of the digestive tract. Eighteen years later, it counts more than 11,000 bariatric and metabolic surgical procedures performed by laparoscopy.  [+] Learn More

The SALLET INSTITUTE OF MEDICINE

Surgical Techniques

Restrictive

It consists in promoting only a restriction in the alimentary volume ingestion by a surgical confection of a new gastric reservoir, in general, with a capacity of 50ml. Ex: Sleeve Gastrectomy and Adjustable Gastric Band.

Malabsorption

Malabsorption Procedures: it consists of the surgical exclusion of a segment of the intestine from the alimentary path. The stomach may or may not be kept intact. Ex: Duodenal Switch.

Mixed

Mixed procedures: are considered gold standard in the treatment of obesity, since these surgeries associate restriction and malabsorption procedures simultaneously. Ex: Chapel Surgery or Bypass Y of Roux.

MAIN PROCEDURES

Intragastric Balloon

Intragastric balloon treatment is temporary and transient (06 months) and involves the introduction of an inflatable silicone balloon into the stomach via the endoscopic route. Immediately after its introduction, the balloon is inflated with about 500-600 ml of liquid, to reduce the capacity of the stomach and consequently the ingestion of food. It is a simple procedure, it's not a surgery!

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Gastric Bypass

Gastric Bypass or Roux-en-Y Gastroplasty with Intestinal Derivation (Capella) is a technique for the surgical treatment of obesity and metabolic diseases which consists of constructing a new small gastric reservoir (stomach with 50mL approximately) and anastomosing this reservoir with the intestine placed below, about 1 meter shorter. The rest of the stomach are not removed from the body.

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Sleeve Gastrectomy

Sleeve technique is a recent bariatric procedure (it has been practiced in less than 10 years) and has been evolving with great global acceptance and presenting good results in multiple centers nationally as well as internationally. It consists of building a new stomach with the shape of a thin tube by removing 70% to 80% of the original stomach, which will restrict the food intake.

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Gastric Banding

The treatment with Gastric Band was created in 1984 and brought to Brazil in 1996. It represents less than 2% of the procedures performed in Brazil and consists of the placement of a ring-shaped silicone prosthesis around the proximal (upper) part of the stomach, to cause a narrowing in the stomach and create a small capacity reservoir with 30 ml approximately. The food intake quickly fills this reservoir.

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