After gastric banding and intragastric baloon diets: pros and cons

• Autor(a) principal: Pinhão, Sílvia
• Data de Publicação: 2011
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.34632/cadernosdesaude.2011.3042

Obesity is a major public health problem. The failure of the treatment is very common. When we have individuals with morbid obesity, we find that many times diet, behavioral and pharmacological therapies are insufficient and ineffective, it is sometimes necessary to choose surgery. In this article we will consider the pros and cons of the diets for obese patients with gastric banding (GB) or intragastric balloon (IGB). Although BIG is not a surgical method, it is endoscopicaly performed but may also be an adjunct to the treatment of morbid obesity. Logically, the nutritional recommendations for the treatment of obesity are well defined, but in reality, this type of treatment, provided by specific hypo caloric diets in the order of 1200 kcal and 1500 kcal for women and for men, respectively to avoid nutritional deficiencies. With GB and IGB it is easier to control the intake, so diets are more easily accomplished, the weight losses are visible and self-esteem improves. On the other hand, these monotonous diets can lead to discouragement and abandonment of treatment, and there are many foods that are difficult to tolerate. In addition, GB and / or IGB can bring risks to health, including weight regain. A diet with a very low energy value can induce, micronutrient deficiencies, and vitamin and mineral supplementation may be necessary. In these treatments it is not possible to forget that obese people are particularly sensitive to sensory qualities of food, so forcing them to avoid to what they like to eat can be a barrier to a successful treatment. So, in addition to thinking about the advantages and disadvantages of the diet, it is essential to modify behaviors, to adapt the food plans to each patient individually and to create habits that allow them to have a healthy lifestyle with a healthy weight too.