Dr. Jean-Yves Le Goff in Paris

WHEN TO RESORT TO SURGERY?

THE IMPACT OF OBESITY ON HEALTH

General case

YOU ARE OBESE WITH A BMI OF 35 TO 50

The Le Goff Technique (GPSP) is aimed at all types of patients whatever their weight, or BMI, including for the morbidly obese (BMI > 50).

 

These patients benefit from a non-invasive surgical technique that gives the best currently known results, according to world scientific publications.

 

Of all the bariatric surgery techniques (band, sleeve, bypass), it is the one with the fewest pre- and (above all) post-operative complications.

 

Specific cases

le goff Technique

The Le Goff Technique (GPSP) is aimed at everyone, but there are some contraindications.


Specific cases include:

 

  • Absolute contraindications against general anaesthesia for laparoscopic surgery
  • Very severe psychiatric disorders (unstable serious psychosis)
  • Very severe medical contraindications (extremely rare)

Le goff Technique in Paris

YOU ARE OBESE WITH A BMI OF 30 TO 35

In this case, we prefer to place an intra-gastric balloon, rather than use the Le Goff Technique (GPSP) .

 

Intragastric balloons are used for overweight patients with a BMI < 35 with only 10 to 20 kg to lose. The aim of the balloon is to replace stomach volume in order to reduce the sensation of hunger, for 6 months. This will lead to a considerable reduction in food intake.

  • Feeling of fullness
  • Considerable reduction in hunger
  • Maximum weight loss of 10 to 20 kg over the 6 months the patients keep the balloon
  • Out-patient operation under endoscopic control with anaesthesia
  • Balloon inflated with blue saline up to 700 cm3

  •  Antacids prescribed for 6 months post-operative to treat reflux
  •  Multidisciplinary treatment (psychological, nutritional and sports) as provided in the Le Goff Technique treatment contract
  • Removal of the balloon after 6 months endoscopically under anaesthetic
  • Multidisciplinary treatment enables the patient to conserve the weight loss after the balloon is removed

YOU ARE OBESE WITH A BMI OF 30 TO 35

 


Specific cases

Le Goff Technique (GPSP)

BMI GREATER THAN 50

 

The Le Goff Technique (GPSP) is aimed at the super-obese with post-operative results on weight loss equivalent to BMI < 50.

 

The results are equivalent both in terms of percentage of excess weight loss and in terms of the low rate of complications.

 

The Le Goff Technique (GPSP) is well indicated as it can be performed whatever the BMI. The results are just as good as when the BMI < 50 as this score just means that:

Their history of morbid obesity is longer in time


The surgical treatment was later


Their personal history is more complicated

GASTRO-OESOPHAGEAL REFLUX

 

Clinical, endoscopic or radiological reflux with hiatus hernia (search for oesophagitis, search for hiatus hernia) poses no contraindication for the Le Goff Technique (GPSP) .

 

The reflux is cured at the same time as the Le Goff Technique (GPSP) .

 

Anti-reflux surgery:

Dissection of the hiatal orifice + closing of the diaphragm pillars with 1 to 3 individual stitches


Lengthening of the abdominal oesophagus


Band attachment gastro-oesophageal anti-reflux valve

FERTILITY AND PREGNANCY

 

The weight loss generated by the Le Goff Technique (GPSP) enhances fertility and thus secondary pregnancies.
There are numerous “band babies” (pregnancies due to the Le Goff Technique (GPSP)).

There are fewer complications in pregnancy due to the weight loss generated by the Le Goff Technique (GPSP).
Deficiencies are almost inexistent in the Le Goff Technique (GPSP).

In the event of 1st trimester syndrome with significant vomiting, the band can be adjusted by deflating it.

30, Avenue du président wilson   Paris 75116