Dr Mounir Ben Chatouh
Dr Mounir Ben Chatouh
Dr. Mounir Ben Chatouh is a bariatric and metabolic surgeon in tunisia and north africa for over 15 years.
Since 2016 he has been working at the prestigious taoufik polyclinic in tunis, where he has set up a renowned service.
Dr. Mounir Ben Chatouh and his team perform more than 900 bariatric surgery procedures per year.
In addition to native patients, more and more foreign patients are being operated on in Dr. Mounir Ben Chatouh's department.
Obesity surgery in Tunisia
Obesity is a major problem affecting all contemporary societies. When overweight threatens the health of the individual, and when it becomes a major risk to life, bariatric surgery should be used.
"Bariatric" or "Obesity Surgery" is based on a common principle: reducing appetite and helping the patient to achieve satiety quickly. This therefore amounts to limiting food intake (especially compulsive) and ultimately to a significant and lasting loss of weight.
“In 1991, the National Institutes of Health concluded in its Consensus Conference that diets, exercise programs, appetite suppressants and behavior modifications are not effective therapies”
Report of the Consensus Conference on Surgery of Morbid Obesity,
National Institutes of Health, Washington, DC 1991
Surgical techniques to treat obesity
Bariatric surgery is based on two principles:
Reducing appetite and food intake that leads to satiety.
Reducing the absorption of food in the intestine (especially reducing the absorption of fats and sugars)
The sleeve is the name commonly given to a surgical operation performed on the stomach to help the patient lose weight
SASI is not divided and the food stream is only partially diverted away from the duodenum and proximal small bowel. The remnant stomach is also completely removed.
RYGastric Bypass is the most commonly performed weight-loss procedure in the United States. It has been in practice for more than 30 years and provides an excellent balance of weight loss and manageable side effects.
The Mini-Gastric Bypass or single anastomosis gastric bypass, is an effective and well-established procedure which combines some of the properties of a gastric sleeve and a standard gastric bypass.
How big will my stomach be after surgery?
The size of the stomach will vary depending on the surgeon and the individual needs of the candidates for surgery. All surgeons use a tube to guide them when stapling the stomach. The size of the tube may vary depending on certain parameters to be taken into consideration.
Is it safe to remove the stomach?
This surgery has been performed for 35 years and has proven to be a safe procedure. It involves stapling, just like gastric bypass surgery, and has many other similarities.
What are the advantages of the Sleeve compared to the Bypass?
The main advantage of the Sleeve is that it does not require a new connection between the stomach and the small intestine (anastomosis).
In addition, long-term complications are less likely to occur with the Sleeve than with the Bypass.
In addition, the risk of internal hernia and marginal ulcer is non-existent after sleeve surgery because there is no anastomosis. These two complications are, on the other hand, associated with the Bypass.
The risk of nutrient deficiency is also less likely with Sleeve than with Bypass because there is no malabsorption.
Will the Sleeve cause stomach's burn
Opinions are rather divergent on this question. Indeed, some centers have reported an increase in incidents of gastroesophageal reflux disease (GERD) after sleeve surgery.
However, other studies have shown a decrease in incidents of gastroesophageal reflux disease (GERD) after sleeve surgery.
Usually, the burn after the Sleeve can be managed with antacid medications and lifestyle changes.