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Closure of the esophagus
مقاله تخصصی

Closure of the esophagus

2 months ago
321 بازدید
Dr. Mohammad Reza Abdul Hosseini

Dr. Mohammad Reza Abdul Hosseini

تهران

Endoscopic Surgery Fellowship (Laparoscopy)

Closing the appetite vein or **Left Gastric Artery Embolization** is one of the newest methods of appetite control, which helps to lose weight by reducing the release of the hunger hormone (ghrelin). This method is less invasive than other bariatric surgery methods, but like any other method, it has its own advantages and disadvantages. In this article, we will comprehensively examine **closing the appetite vein** and analyze all its aspects.
Quick access - What is occlusion of the alimentary canal? - Summary
**What is the closure of the appetite vessel?** Occluding the oesophageal vein means blocking the left gastric artery, which supplies blood to a part of the stomach called the fundus. The fundus of the stomach is the main part of ghrelin hormone production. Decreased blood supply to this area decreases the production of ghrelin hormone and thus decreases appetite. This method was first used to control gastrointestinal bleeding, but due to its effect on reducing appetite, special attention has been paid to it. ### **How to close the appetite vein** This procedure is performed on an outpatient basis under local anesthesia. The steps to do it are: 1. **Patient preparation:** The patient does not need anesthesia and the initial preparation includes disinfection of the injection site and the use of local anesthesia. 2. Access to the left gastric artery: Through angiography, the doctor reaches the left gastric artery by inserting a catheter from the femoral artery (in the thigh area). 3. **Injection of blocking substance:** A special substance is injected into the artery to create a clot that reduces blood flow to the fundus of the stomach. 4. **End of the process:** After ensuring that the artery is blocked, the catheter is removed and the patient is monitored.
This way directly affects appetite reduction. - **Decreasing ghrelin hormone:** Reducing the production of this hunger hormone reduces the desire for food. - **Feeling more full:** The patient has less desire to eat and experiences a longer feeling of fullness. - **Reduce calorie consumption:** Finally, this method can lead to weight loss. **Important note:** This method has a temporary effect and without changing the lifestyle, the weight may return. ### **Advantages and disadvantages of closing the appetite vein** #### **advantages** 1. Being less aggressive: This method does not require open surgery. 2. **short recovery period:** The patient can return to daily activities after a short time. 3. **rapid loss of appetite:** Its effect on reducing appetite is evident in a short period of time. #### **disadvantages and complications** 1. **Danger of bleeding:** The artery may be damaged and internal bleeding may occur. 2. **Stomach ulcer:** Reduced blood supply to the stomach can cause peptic ulcers. 3. **Embolism:** Blocking substances may be transported to other parts of the body and increase the risk of stroke or vascular blockage. 4. **Fundus necrosis:** Inadequate blood supply may lead to tissue death in the gastric fundus. 5. **Impossibility of future slimming surgeries:** After this operation, surgeries such as **gastric sleeve operation** or **gastric bypass operation** may become impossible. ### **Comparison of closing the appetite vein with other weight loss methods**
1. **Is this method safe?** This method is minimally invasive but may cause serious complications such as bleeding or tissue necrosis. 2. **Who can apply for this procedure?** People who are morbidly obese and other weight loss methods have not been effective for them. 3. **Is closing the appetite vessel permanent?** No, the effect of this method is temporary and without lifestyle changes, the weight may return. 4. How long does it take to see its effect? Loss of appetite is felt immediately after the operation, but weight loss is gradual. 5. **Is this method an alternative to slimming surgeries?** No, this procedure is not recommended as an alternative to standard surgeries such as sleeve or gastric bypass. ### **alternative solutions to lose weight** If occlusion is not suitable for you, you can consider the following options: 1. **Healthy and balanced nutrition:** Eating low-fat and high-fiber foods. 2. **regular exercise:** Doing aerobic and strength exercises. 3. Standard weight loss surgeries: Gastric sleeve and gastric bypass. 4. **Consultation with a nutritionist:** Personalized weight loss programs. **Summary** Closing the appetite vein is one of the new weight loss methods that reduces appetite by reducing the hormone ghrelin. However, this method has serious side effects and its effectiveness in long-term weight loss is not guaranteed. To choose the best solution, it is recommended to receive advice from ** Dr. Abdul Hosseini ** and prioritize methods that have scientific confirmations.
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