OBESITY SURGERY IN AFRICA

The first gastric BYPASS operation in West Africa was performed at the Madeleine clinic in 2016.


Surgery remains the only effective treatment for obesity. However, no intervention will cure obesity. It can legitimately be assumed that each intervention will reduce weight for a number of years.

The obesity surgery centre of the Clinique de la Madeleine in Dakar is a multidisciplinary surgical, medical and paramedical alliance, organized around the patient to treat overweight and obesity.
We offer you a personalized care by a team determined to help you, motivate you over time and encourage you towards a new way of life in order to obtain a sustainable weight loss.

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Pathology treated

Obesity surgery
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Obesity is a pathology characterized by an excess of fat mass, leading to significant health problems in the patient.
Obesity can have several origins; genetic, metabolic or medical factors can promote its development.

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Digestive surgery
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The digestive centre is responsible for the diagnosis and treatment, both medical and surgical, of diseases of the digestive system, digestive tract, pancreas, liver and biliary tract, whether in the context of emergency or scheduled surgery.


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OBESITY SURGERY

Bariatric surgery is a surgical technique that restricts the absorption of food, thereby reducing daily caloric intake: it provides a "surgical cure" for obesity.

Sleeve

Or sleeve gastrectomy
It consists of surgically removing nearly two thirds of the stomach, which reduces the capacity to receive food.
The sleeve is suitable for overweight people up to 40 kg.

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ByPass

The stomach is preserved, but part of it is short-circuited.
The food goes directly to the middle part of the small intestine. This reduces the amount of food absorbed by the body. The procedure is intended for patients who are overweight by 50 to 70 kg.

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Band

The procedure consists of placing a rigid ring around the upper part of the stomach, which prevents the stomach from stretching as food passes through. The feeling of satiety appears more quickly. The ring is connected to a housing under the skin, which is used to tighten or loosen it by injecting serum into the housing.

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Ballon

The procedure consists in placing an inflatable balloon (inflated either with water or air) in your stomach during gastric fibroscopy. This balloon will artificially give your stomach the feeling of being full; you will feel satiety faster during meals, so you will eat less. A weight loss of 10 to 15 kg is usually observed.

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Suivi

Post-operative follow-up after bariatric surgery is essential and must be continued for life. Its objective is to evaluate, in patients, the evolution of weight and the absence of excessive weight gain in the long term, to assess qualitatively and quantitatively their nutritional intake and dietary behaviour, to detect nutritional and vitamin deficiencies and possible surgical complications, to evaluate the need for tightening in patients with gastric banding and the adaptation of treatments for comorbidities associated with obesity.

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Frequently asked questions

In order to help you better understand the surgical procedure, we have selected the most frequently asked questions and answers about obesity surgery.
Feel free to contact us for any further questions and/or information

The pain lasts, at most, 12 to 48 hours and is moderate thanks to laparoscopy. On the other hand, the gases blown into the abdominal cavity during the operation irritate the diaphragm, and can cause aches and pains in the shoulders. These aches respond well to simple analgesics.

Do not overdo it on your abdominal wall for about a month. The recovery will be gradual after the operation. It is best to start by walking, starting about 1/2 hour a day, and gradually increasing. Swimming can be done at one month if everything is well healed, the bike is no problem either. For the abs, wait two months,... and always gradually!

Surgery alone cannot guarantee weight loss. It is an opportunity to adopt a better eating behaviour and a healthier lifestyle. The fact is, even if the surgeon gives you a "new stomach" or " new intestine ", he cannot give you new habits. Surgery is a help towards a new life.

Medical follow-up is imperative! It conditions the result and the detection of complications.
The follow-up after the ring must be at one month to adjust the clamping diameter and every 3 months in the first year (maximum weight loss period). Monthly and quarterly monitoring is recommended for the first two years for a bypass.

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Our team

Obesity surgery (or bariatric surgery) has been performed at the Clinique de la Madeleine in Dakar since 2016.
The management of overweight patients is carried out by a cohesive team (a multidisciplinary team combining surgeons, anaesthetists, endocrinologists, dieticians, nurses and psychologists), operating in a network.