Bariatric and Metabolic Clinic

Our experienced specialists perform minimally invasive laparoscopic gastric reduction procedures such as gastric bypass, gastric sleeve, gastric band or endoscopically inserted gastric balloon.

Patients who do not benefit from classical methods of weight loss are eligible for surgical treatment of obesity. The BMI (Body Mass Index) must be higher than 40 kg/m2 or 35 kg/m2 if obesity is accompanied by other related diseases (e.g. hypertension and diabetes).

Given the low effectiveness of behavioural therapy and the obstacles associated with pharmacotherapy (side effects, lack of discipline in taking the drug), surgery remains the only method for many patients. 

Laparoscopic, bariatric and metabolic surgery specialists at KCM Clinic are the few in Poland to use minimally invasive laparoscopic techniques with the highest effectiveness, lowest possible complication rate and short rehabilitation.

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Obesity treatment methods:

Laparoscopic Gastric Bypass

The indication for this type of procedure is a body mass with a BMI of 40 kg/m2 – 50 kg/m2 (or from 35 kg/m2 with related diseases) and type II diabetes, hypertension, heartburn and other related diseases.

During the operation, the stomach is divided into two parts. The smaller part – around the oesophagus – performs the functions of the new stomach and allows only small meals to be eaten. The larger part of the stomach produces digestive juices. 

During the procedure, continuity with the digestive tract is restored. When the stomach outlet is smaller, the patient feels full faster and does not feel hungry between meals. The patient loses up to 80% of their weight.

Laparoscopic Sleeve Gastrectomy

This operation involves the laparoscopic excision of almost 4/5 of the stomach, leaving a cuff along the small curve along with the antrum.

The excision of a large part of the stomach including the fundus results in a reduction in the secretion of ghrelin and therefore a reduction in the feeling of hunger. This is an operation that can be performed as a stand-alone procedure, but can also be used as the first stage of treatment in people with a BMI >50 kg/m2 (35-50 kg/m2 with contraindications to other procedures).

In the next stage, gastrointestinal bypass or hepatopancreatic bypass surgery can be performed. The procedure significantly reduces food intake and results in a faster feeling of satiety.

Both procedures require 3-6 days of hospitalisation. During the pre-and post-operative period, the patient is required to follow a prescribed diet and take supplements, vitamins and minerals.

Gastric balloon

People with a body mass index BMI 27 or higher, who have difficulty in losing weight using traditional methods, are eligible for gastric balloon insertion. The procedure involves inserting a gastric acid-resistant balloon endoscopically into the stomach and filling it with saline.

After 6 months the balloon is emptied of salt and removed from the stomach.

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