Bariatric Surgery in Madrid

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Madrid?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Madrid as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Madrid

About Madrid

Madrid is the capital and most populous city in Spain and the city continues to charm its visitors with glorious fashion, amazing food, and lively nightlife. Beyond its culture and beauty, Madrid is also a convenient medical tourism destination, particularly for residents of Western Europe. Many of the best JCI-accredited and high-quality hospitals in Spain are located within this city and these hospitals are well-regarded for high standards, both in terms of staff and facilities. The doctors and medical professionals are highly trained and will make sure to give you the best of care. Furthermore, the city has one of the most affordable healthcare systems on the continent. Popular treatments include orthopedic surgery, dental treatments, and general checkups. Infertility treatments are particularly popular and are attracting medical tourists from all over Europe.  

Popular Parts of Madrid

From amazing masterpieces, upbeat nightlife, amazing local cuisine, to beautiful architecture, there’s plenty to see in Madrid. The most popular area is Plaza Mayor, which is the city’s main square where visitors can stroll around its winding streets to find many churches and tapas bars. This area will give insights into the city’s royal history and architecture. The most popular sites around the plaza are Ayuntamiento and San Pedro. Those who want to learn more about Madrid’s culture should visit the Prado Museum. It is one of the most amazing art galleries in the world displaying the works by the great European masters, such as Raphael, Bosch, Rubens, Goya, and Velázquez. On sunny days, people usually go to El Retiro Park to unwind and relax. 

Transport in Madrid

Adolfo Suárez Madrid–Barajas Airport is the main airport in Madrid and is the second-largest airport by physical size in Europe. It serves both domestic and international flights to and from numerous major cities around the world. Getting around in Madrid is fairly easy since the city has an effective public transport system. The best way to get around is by the metro, which has an extensive network and will take visitors almost everywhere around the city. Buses are a great option as well, and metered taxis are widely available. 

Visas in Madrid

As a member of the Schengen Area, Spain allows citizens of 62 countries, including the US, Canada, and Australia, to visit and stay without a visa for up to 90 days. Citizens of other countries are required to apply for a visa to be able to enter Madrid and It is highly advisable to check at your nearest Spanish embassy or consulate for the requirements.

Weather in Madrid

Spring (March-May) is one of the wettest times in the city, but it does offer pleasant weather. Autumn (September – October) is also quite pleasant, with the average temperatures hovering around 15°C. Summer (June – August) can be very hot, with the temperatures rising to 37°C on the hottest days. Winter is chilly, with the average temperature dropping to 8°C.

Additional Info

1. Local Currency: The Euro is the currency and 1 EUR is equivalent to approx. 1.12 USD.
2. Money & Payments: It’s easy to find ATMs in Madrid and credit cards are widely accepted. In some areas, tipping can be expected.
3. Local Language: The official language is Spanish and many people speak good English.
4. Local Culture and Religion: The largest religion is Christianity. However, other religions, such as Islam and Judaism, are also widely practiced.
5. Public Holidays: New Year's Day, Day of Murcia, and Christmas Day are some of the most celebrated holidays in the city.