– Dr. Viorel Dejeu, accredited “Master Surgeon” in Bariatric and Metabolic Surgery
Obesity is a disease, no matter how much some of the patients with whom Dr. Dejeu’s team interacts try to
to deny this fact. The body suffers a lot and starts to break down, which is why diabetes occurs,
hypertension, sleep apnoea and many other associated diseases.
Dr. Viorel Dejeu:
“When patients come for surgery, they come with a fragile body. Takes controlled risks
an intervention to avoid long-term complications of obesity. The risk of dying from
complications of bariatric surgery is much lower than dying from complications
obesity. We have the experience of thousands of operated cases, so come in safe. Because you are in
safety. What I also want to stress is that there is no surgery without the risk of complications. No
it’s all about the surgeon’s technique. It also depends on the patient’s tissues, how the body heals.”
So here are some of the most common complications that can occur after surgery
bariatric? Dr Viorel Dejeu explains:
- Bleeding – “may occur in the first few hours after surgery. Frequency approximately 1 patient per complication that resolves relatively easily without prolonging recovery much”;
- Fistula-“is a scarring defect in the stomach. The appearance of a pore through which
leaks out of the stomach, causing an infection near the stomach. Studies say that
the frequency is between 1-4% (every 100 patients operated between 1-4 patients with fistula). In our
Doctor Dejeu’s team, the frequency is almost 1 patient per 1000, taking into account all patients
operated so far. It happens very rarely, but even when it does, recovery is slow and
difficult”; - Thrombosis/emboli-the appearance of blood clots in the vessels in the abdomen or legs, some
can migrate to the lungs (embolism). Rarisim, says Dr Viorel Dejeu: “For this
we administer anticoagulants three weeks postoperatively at home. Below 1 per thousand frequency. Any
obese patient has this higher risk than a normal-weight”. - Stenosis/strictures- the risk that the stomach after surgery, while healing, may develop a
excessive narrowing of an area. “It has treatment by conversion to bypass or
endoscopic dilation. Less than 1 per thousand frequency in us.”.
“Not everything depends on us doctors. Please also remember that many of you have neglected a
and we can’t fix that in an hour.”
Dr Viorel Dejeu reminds again how important communication and collaboration with the team are
medical care, at any time before and after the procedure, and how important it is that patients respect
strictly to all the instructions given:
“Patients leave the hospital informed about what to look out for. Everything has a solution as long as it can be treated in time. Yeah, nobody likes a complication. Neither the patients nor the surgeon. There is suffering and great stress on both sides. However, not everything depends on us doctors. Please also remember that many of you have neglected yourselves for a lifetime, and we can’t fix that in an hour. You come to us with heavy and difficult ‘baggage’. Many patients do not follow the indications, smoke, do not hydrate, do not follow the fluid regime, etc. So anyone who has surgery should be well aware that there is a risk, however small. If diets worked, there would be no obesity and no bariatrics. Bariatrics is the only true solution for obesity. It saves and prolongs hundreds of thousands of lives globally every year. Nothing is possible without taking a risk. We can’t travel by plane without taking the risk that it might fall. So it is with bariatrics, and with any decision in life in general.”