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Bariatric Surgery Treatment

What is Bariatric Surgery ?

Bariatric surgery, referred to as weight loss surgery, is the procedure for weight loss for people who are severely obese. When fat reduction methods such as diet management and physical exercise, are not effective, bariatric surgery is the best substitute to lose and manage weight in a planned manner.

Bariatric surgical procedures cause weight loss by restricting the amount of food the stomach can hold, causing a combination of both gastric restriction and malabsorption. Bariatric procedures often results in hormonal changes. The most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch. Each surgery has its own advantages and disadvantages. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic surgery).


Who should consider Bariatric Surgery ?

Candidates of bariatric surgery should qualify the following conditions:

  • A candidate should have a BMI (Body Mass Index) in between 35-40. The candidate should also possess an obesity-related condition of diabetes mellitus, severe sleep apnea, cardiovascular disease and hypertension. The calculation of BMI is done by dividing the weight of a person in kilograms by height in meters squared.
  • Apart from these, a Bariatric surgery candidate should also be –

  • Willing to exercise for at least ninety minutes each week.
  • Overweight for more than 5 years.
  • Is able and willing to make lifestyle and eating habit changes.

Risks

  

As with any major surgery, gastric bypass and other weight-loss surgeries pose potential health risks, both in the short term and long term

Risks associated with the surgical procedure can include:


  • Excessive bleeding
  • Infection
  • Adverse reactions to anesthesia
  • Blood clots
  • Lung or breathing problems
  • Leaks in your gastrointestinal system
  • Death (rare)

Longer term risks and complications of weight-loss surgery vary depending on the type of surgery. They can include:


  • Bowel obstruction
  • Gallstones
  • Hernias
  • Low blood sugar (hypoglycemia)
  • Malnutrition
  • Stomach perforation
  • Ulcers
  • Vomiting
  • Death (rare)
  • Dumping syndrome, causing diarrhea, nausea or vomiting

Common Bariatric surgery options which are available:


  • Gastric bypass
  • Sleeve gastrectomy
  • Mini gastric bypass
  • Gastric band

The choice of the surgical procedure of this weight loss treatment depends on the treating Bariatric Surgeon and the team after evaluation and counselling.

 

Benefits of weight loss surgery

Candidates of bariatric surgery should qualify the following conditions:

  • Long-term cutback for type 2 diabetes: A recent study in Cleveland Clinic suggests that bariatric surgery causes long-term remission of type 2 diabetes which is very difficult to control otherwise.
  • Improved cardiovascular health: The weight loss reduces risk of a coronoary heart disease, storke and peripheral heart disease. Blood pressure and cholesterol levels return to normal or near normal levels.
  • Relief from depression: Obesity leads to poor self esteem in many people and is considered a social stigma. Excess weight hampers easy movement and deters people from participating in many activities, leading to social isolation and depression. Losing all this excess weight can improve self esteem and emotional health of these patients.
  • Eliminate obstructive sleep apnea: Achieving and sustaining a normal weight range often allows people with sleep apnea to stop using a CPAP machine at bedtime.
  • Joint pain relief: With less weight to carry, the joint get to breathe easy leading to relief from chronic pain & stress on joints.
  • Improved fertility: Weight loss surgery can also improve fertility during childbearing years.
  • Alleviate other medical condition: Weight loss surgery can alleviate metabolic syndrome, pregnancy complications, gallbladder disease and more.

Results of the Weight Loss Surgery

Bariatric surgery and other weight loss treatments can provide long-term weight loss. The amount of weight a person loses depends on the type of surgery and also the change in their lifestyle habits. It is possible for a person to lose half, or even more, of their excess weight within a period of two years depending on the intial weight. Approximately, 70% of the excess body weight is lost.

Apart from weight loss, bariatric surgery significantly improves conditions often related to being overweight, including Type 2 diabetes, high blood pressure, heart diseases, joint pains, sleeping disorders, infertility, gastroesophageal reflux disease.

Bariatric surgery can also help in improving an individual’s ability to perform the daily routine activities, which further enhances the quality of life.

Weight Loss Surgery: Condition & Treatment

Gastric bypass surgery

  

Gastric bypass and other weight-loss surgeries make changes to your digestive system to help you lose weight by limiting how much you can eat or by reducing the absorption of nutrients...

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Gastric Banding

  

Laparoscopic gastric banding is surgery to help with weight loss. The surgeon places a band around the upper part of your stomach to create a small pouch to hold food The band limits the amount....

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Laparoscopic Sleeve Gastrectomy

  

This procedure involves surgery on the stomach only and does not involve the intestine. In this procedure, the stomach is reduced permanently to about ...

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Duodenal Switch

  

Duodenal switch, also known as biliopancreatic diversion with duodenal switch, or vertical gastrectomy, is an effective weight loss procedure.This procedure provides long-term weight....

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