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“Primum non nocere”

Primum non nocere is a Latin phrase that means “First, do no harm”.

This is one of the principal precepts of medical ethics. The Hippocratic Oath includes the promise “to abstain from doing harm” and this is a fundamental principle for health professionals around the world.

Our philosophy is to expose the patients to the smallest possible risk whilst achieving the greatest possible benefit.

This is particularly relevant when dealing with obesity surgery.

We are obtaining results with the lap band as good or better than with other more aggressive techniques such as the gastric by-pass or the gastric sleeve.

All these “stapling” procedures require division, diversion or removal of part of the gastro intestinal system and even though the results can be quicker than with the lap band, they represent a risk for the patient that we now find unacceptable.

It has been shown that bypasses and gastric sleeves loose efficacy over time, the gastric pouch or sleeve becomes larger and the patient gains weight again. They cannot be adjusted like the lap band, these operations are not reversible, the stomach or the bile ducts are no longer accessible with endoscopy making very difficult to diagnose or treat future problems at this level.

The bilio pancreatic bypass achieves a sustained and great weight loss, but at a cost to the patients health. These patients require life long vitamins and even protein supplements and have a permanent and unpleasant change in their bowel habit. Another factor to take into account is that more than 50% of the weight loss is at the expense of muscle bulk whilst with the lap band the percentage of fat free mass lost does not exceed 30%.