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A dedicated approach to your personal needs

Our treatment method is designed to help you achieve much more than just lose weight. The focus is on a drastic lifestyle change. We teach you to organise life in a healthy way by means of better nutrition, more physical activity and by dealing effectively with any obstacles to leading a healthy lifestyle. We then combine this treatment with a bariatric surgery.

The first step will be to check your eligibility according to the international guidelines. Following the screening, you can expect to team up with your own mentor and multidisciplinary team made up of dieticians, physiotherapists, psychologists, endocrinologists and surgeons. You will then take part in a balanced schedule of group sessions. At first these will focus on preparing you for your surgery, then will later take the form of our proven post- surgical lifestyle and behavioural change program to ensure the optimal weight loss and development of sustainable healthy habits.

Time and time again, our patients tell us that these groups provide valuable support in helping them strive to achieve optimal results.

We understand that monitoring progress is crucial for a variety of reasons. As such, we take both laboratory and scientific research measurements at regular intervals to keep track of your individual progress and help ensure you achieve optimal results.

 

 

Our surgeries

We work with highly experienced laparoscopic (keyhole) surgeons who are selected and trained according to exceptionally high standards. You can rest assured you are in safe hands as the team who perform all our primary and revisional operations are approved by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). All procedures (see below) work by targeting a different mechanism, either by:

  • Reducing the amount of food intake in the stomach
  • Reducing the capacity to take up food by the intestine
  • A combination of the two above approaches.


Nowadays, these types of surgery are very safe and can be performed during short admission (average of 2-3 days).

It is important to emphasize that the operation is one element of a comprehensive treatment plan. Only by undertaking surgery in combination with Quro’s selection and the integrated pre- and post-operative program can you expect to achieve weight loss of around 60-80% of the excess weight and up to 90% resolution of co-morbidities (e.g. type 2 diabetes mellitus, hypertension and sleep apnea).

Benefits

  • Safe: We provide a safe, proven treatment for morbid obesity with maximum long-term health benefits for our patients. Our complication rates are so low, they are comparable to those for a gallbladder surgery
  • Effective: Very high compliance rates and total weight loss proves our highly effective program truly works for our patients. We also often see that any co-morbidities present before the surgery (e.g. diabetes, high blood pressure etc.) are completely resolved
  • Successful: Patient input scores show strong improvements in both quality of life and overall happiness following surgery. Two years after starting the program, most of our patients have lost up to 90% of their excess weight
  • Supportive: We teach our lifestyle program in group sessions, providing a safe and trusting environment for our patients.

Operation techniques

Roux-en-Y gastric bypass

  • Reduced appetite and enhanced satiety
  • Beneficial resolution effect on type 2 diabetes
  • Need for life-long vitamin and mineral supplementation
  • Produces significant long term weight loss (up to 80% excess weight loss within 2 years and > 50% after 5 years of follow up)

 

The Roux-en-Y gastric bypass is one of the most frequently performed procedures andconsists of 2 elements. First a small stomach pouch is created by dividing the top from the rest of the stomach. Next, the first part of the small intestine is divided and the bottom part is brought up and connected to the small pouch. Finally, the upper part of the divided small bowel is connected to the small bowel further stream downwards. The new stomach pouch encourages you to eat considerably smaller amounts of food as it helps you feel full more easily, meaning you don’t need to consume as much. Energy uptake will also be reduced thanks to the smaller stomach size and bypassed small bowel. Most importantly, excluding the first part of the small bowel induces hormonal changes that promote satiety and reverse the mechanism by which obesity induces type 2 diabetes.



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Gastric sleeve resection

  • Non-reversible
  • Need for life-long vitamin and mineral supplementation
  • Preferred operation for the most obese patients and women of childbearing age
  • Weight loss and resolution of co- morbidities is comparable to that of Roux-en-Y gastric bypass

The gastric sleeve resection is another
frequently performed operation. The
surgeon removes a large part of the outer
curve of the stomach. As a result, the
stomach becomes a narrow tube, keeping
the inlet, outlet sphincter and digestive tract
intact.
This works on a number of levels. An
important mechanism is reducing food
intake by restriction and subsequent early
satiety, however there is also a metabolic
effect which offers significant
improvements for co-morbidities such as
diabetes.
The gastric sleeve resection can be used to
achieve initial weight reduction and then
followed up by a SADI operation (see
below) to achieve further weight reduction.



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Adjustable gastric band

  • Highest rate of re-operation
  • Lowest risk for vitamin and/or mineral deficiencies
  • Involves no cutting of the stomach or rerouting of the intestines
  • Less effective surgery for weight loss compared to other types of surgery described
  • Adjustment of the band can be done in an outpatient setting and without anaesthesia
  • Requires strict adherence to the post-operative diet and to post-operative follow-up visits
  • Lowest rate of early post-operative complications and mortality among the approved bariatric procedures

The Adjustable Gastric Band involves positioning an inflatable band around the upper part of the stomach to create a small pouch above it. This pouch allows only a small amount of food to enter, resulting in early satiety. The remaining stomach below the band stays intact.

The band comprises a rigid outer part and an adjustable inner part, connected with a cannula to an access port placed under the skin. The port is easy accessible Highest rate of re-operation with a needle and can be used to inflate or deflate the band to adjust the passage of food



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One Anastomosis (mini) Gastric Bypass (OAGB)

  • Need for life-long vitamin and mineral supplementation
  • Less risk for intestinal obstruction and internal herniation
  • Greater likelihood of bile reflux and vitamin and nutrient deficiencies
  • OAGB results in a slightly higher weight loss and better resolution of type 2 diabetes compared to RYGB

The OAGB is a modification of the traditional Roux-en-Y gastric bypass. The tube-like stomach is smaller and longer and is connected in a loop fashion to the upper part of the small intestine slightly further stream downwards. The advantage of this surgery is that it only takes one intestinal connection compared to two in the RYGB.

Similarly, the new stomach pouch facilitates considerable smaller amounts of food, creating early satiety and consequently reduced energy intake. Most importantly, exclusion of the first part of the small bowel induces hormonal changes that promote satiety and reverse the mechanism by which obesity induces type 2 diabetes



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SADI

  • Reduced appetite and enhanced satiety
  • Strongest resolution effect on type 2 diabetes
  • Need for life-long vitamin and mineral supplementation
  • Greatest potential to cause protein deficiencies and long-term deficiencies in a number of vitamins and minerals (iron, calcium, zinc and fat-soluble vitamins e.g. vitamin D)
  • Good option for additional weight loss after a previous gastric sleeve or in one stage combined with a Gastric Sleeve resection

During a SADI (Single Anastomosis Duodeno Ileal bypass), we cut the intestine just after the gastric outlet sphincter and re- connect it to the stomach much further downstream. As such, a much shorter portion of small intestine remains for the absorption of food and its nutrients.

The SADI is a relatively new type of operation. It simplifies the well-established Biliopancreatic Diversion with Duodenal Switch (BPD/DS) operation, which is the most powerful but also hazardous

Unlike the other types of operation, there is a considerable amount of small bowel being bypassed, which results in a significant reduction in absorption of calories and nutrients (particularly fat and proteins) and fat-soluble vitamins and nutrients.



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The Elipse Balloon Weight Loss Program (non surgical)

The Elipse® Balloon Weight Loss Program

 

If you are overweight and have a history of unsuccessful dieting, the ElipseTM Balloon Weight Loss Program may be right for you.

 

What does the Elipse Program consist of?

 

At the center of the 6 month Elipse Program is the Elipse Balloon, a soft balloon that is placed in your stomach. The Elipse Balloon takes up space in the stomach and helps the user feel full and eat less. The balloon is swallowed during a brief 20-minute office visit, and four months later, passes naturally without the need for a removal procedure.  The comprehensive Elipse Balloon Weight Loss Program also includes counseling and coaching from a physician and trained nutritionist, a connected scale and a mobile app that allows you to track your progress and help you achieve your weight loss goals.

 

What results can be expected?

 

When combined with diet and lifestyle changes, the Elipse Program can lead to meaningful weight loss: Studies have shown that after following 16 weeks of therapy, patients on average lost between 13 and 15kgs1,2. Beyond the number on the scale, the patients often see improvement in their metabolism and in their quality of life1,2 For the entire time that you are losing weight, the Elipse Program helps you cultivate habits in order to achieve your weight loss goals.

 

How does the balloon and the program work?

 

Weight loss balloons work by inducing a feeling of fullness, taking up space in the stomach and slowing the passage of food. Their presence helps users feel fuller faster, training them to eat smaller portions3,4. As a participant in the comprehensive Elipse Program, you will receive substantial support to help you succeed. 

  • The Elipse Balloon: To help you make healthy nutrition and lifestyle choices to help you achieve weight-loss goals.
  • Personalized Guide to Nutrition - Your nutritionist will make recommendations that are best suited to you, your body, and your goals
  • A wireless Digital Scale - Your Allurion scale will provide constant updates of your progress to your care team and these multiple visits with your care team will help you get the maximum benefit from your Elipse Balloon.

Nathalie’s testimonial on the Elipse Program, patient at Clinique de Paris-Bercy, Paris

 

Nathalie, patient at Clinique de Paris-Bercy, describes her Elipse Experience: “The Elipse Balloon is a great tool to kickstart your weight-loss. It has helped me to make changes in my lifestyle as well as my eating habits. When you start feeling full by eating less, thanks to the Elipse Balloon, you start to realize that you were eating too much before”.

 

What are the advantages of the Elipse Program?

 

  • Simplicity: Watch this 2-minute video of an Elipse Balloon being placed –without any surgery, endoscopy, or anesthesia.
  • Support: Patients receive medical and nutritional support, a “smart” weighing scale and a mobile app to track their progress.
  • Results: The Elipse Balloon helps you kick-start your weight-loss journey by helping you feel full and by encouraging the development of new habits.

F.A.Q.

 

How does the Elipse Balloon get into my stomach?

 

After your physician confirms that Elipse Balloon therapy is right for you, s/he will place the balloon in your stomach during a brief 20-minute outpatient visit. You will swallow a capsule that contains the deflated balloon along with a thin tube. Once the capsule has entered your stomach, your doctor will use the tube to fill the balloon with liquid. Once the balloon is filled, your doctor will gently remove the tube—and you’ll be on your way.

 

Is the balloon easy to swallow?

 

Most people are able to swallow the Elipse Balloon without issue. People who do have difficulty swallowing it can be assisted with a stylet used by their physician, who will guide the balloon into place—still without endoscopy or anesthesia*.

 

Why choose the Elipse Balloon?

 

While earlier generations of gastric balloons had to be placed and removed with an endoscopic medical procedure requiring anesthesia, the Elipse Balloon is the first gastric balloon that is swallowed and, months later, naturally excreted*

 



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