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Obesity is a pathology that currently afflicts the modern world and, consequently, the health system since this condition carries a series of associated diseases. The diseases have become a challenge for global public health. In view of this reality, different methods and techniques have been developed to be applied to patients with this condition, as long as traditional methods such as diets and exercises do not generate the desired effect.
Bariatric surgeries are one of the most commonly used methods to lose weight, but they are invasive and present certain risks and complications that are somewhat serious. Then, the gastric botox injection method arises.
First of all, we will explain what botox is. Botox, also known as botulinum toxin, is a neurotoxin released by botulism which is a disease arising from a bacterium that causes muscle paralysis. This toxin is widely used in the neurological field and aesthetic medicine to treat different conditions.
The toxin works as follows, from the point of view of the skin, it is injected and relaxes the muscle fibers to decrease the function of contraction. This causes the nerves to be cut, resulting in a spot on the skin with a small paralysis. Then, in the aesthetic aspect, it is used to slow down the appearance of wrinkles.
In the medical field, Botox is widely used to treat ocular strabismus, dystonia, blepharospasm, vertebral algias, migraine, urinary incontinence and now in the bariatric field. However, its most recognized application is in the aesthetic field to treat wrinkles on the face.
These have been used in recent years to treat obesity from another point of view. Its application is relatively simple; it consists of applying an injection of botulinum toxin in the gastric fundus using an endoscopic needle.
The toxin then affects the striated muscles of the stomach causing their contractions to be inhibited. This has the effect of slowing down the digestion of food in the stomach, therefore, the feeling of satiety lasts much longer.
This treatment facilitates appetite control since the injection is directed to the gastric fundus which is considered the center of appetite.
As opposed to traditional weight loss methods, treatment with gastric botox injections are recommended for people with a body mass index of less than 35. Compared to patients who need bariatric surgeries such as sleeve or bypass surgery because their body mass index ranges between 35 and 40 (extreme obesity), botox injection is suitable for patients with less severe degrees of obesity. Or, on the contrary, for patients who do not want to undergo surgery.
It is necessary to emphasize that gastric conditions such as ulcers and gastritis should be treated before patients undergo this procedure.
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Compared to other gastric treatments, botox injections have a number of advantages:
In the literature there are no records of significant risks of this treatment due to the fact that it is a non-surgical procedure, however, a risk that is perhaps not so much contemplated is that it is contraindicated for people who present muscular affections or hypersensitivity to the toxin.
Although it is considered a painless procedure, after the procedure, patients may experience burning, indigestion and gas sensation. Normally these effects last a couple of hours after the process and in very rare occasions the respiratory system can be affected, although it can be treated with medication.
As a reminder, although the application can be repeated up to three times, it is important to emphasize that at the end of the first dose the patient must have internalized the postoperative diet and exercise program to avoid gaining the weight that was lost while the treatment was in effect (4-6 months). If this is the case, the treatment must be repeated.
So far there are two preparations of botulinum toxin type A in use. The first one is called Botox and the second one is called Dysport. Evaluations have found no significant differences between the two products and they are widely and safely used.
It is important to recognize that this procedure is aimed at facilitating compliance with the weight loss diet. In terms of diet, a dietitian should be consulted who has the ability to develop a balanced diet between carbohydrates, fats, and proteins that suits the needs and lifestyle of each patient.
Diet is the key for patients to achieve their goal of losing weight and improving their quality of life.
It is well known that Botox injections anywhere on the body need to be repeated from time to time since its effects are not permanent. In the case of gastric injections, its effects begin within 72 hours after the injection and last on average 4 to 6 months.
At the end of this time, the patient must go to the routine checkup and undergoes an evaluation where the doctor determines whether it is necessary to place another dose or not. In this check-up it is evaluated if the diseases derived from the degree of obesity that the patient presents have been reduced or completely eliminated and if he/she has lost enough weight to date.
Likewise, the procedure can be repeated three times in 6-month intervals, as long as the doctor decides so. On the other hand, the exercise regimen and diet are fundamental pillars of the success of the treatment.
This procedure is performed under mild anesthesia and endoscopically. The process lasts between 15 and 30 minutes and the dose that is injected varies between a range of 500 IUI and 1000 IUI. Unlike other gastric procedures, the patient remains under medical observation for approximately two hours after the procedure and can then go home.
In a previous endoscopy, the esophagus, stomach and duodenum of the patient are checked to know the internal state, after which the injection process is performed. An approximate of 40 to 60 injections of the toxin are applied in all parts of the stomach with the help of a special needle. You are then taken to a recovery room for a short period of time.
Beyoğlu, İstanbul, Turkey
L’Allure Clinic was established to assist the patient in every step of transformation. We aim to be your trustable partner during your medical experience in Turkey.
We seek to reach to the natural beauty that suits each person individually trying not to impose specific methods on you, but offer options that suit your case.
