Weight Loss Surgery
Obesity is a major health problem affecting approximately 500 million people world wide. Approximately 4.5 million deaths occurred because of obesity related comorbidities and it shortens the life span of those who suffers it. Obesity is no longer a problem of the affluent societies and western world. It was now a common problem not only in in the United States but also in Asia. In 2008, in India, percentage of Adult polulation with a BMI of more than 30 is 2.8% which has increased to more than 20% in 2017!!!
Obesity tends to run in families, suggesting a genetic contribution. However, family members also tend to share the same diet and lifestyle habits.
Hence OBESITY RUNS IN THE FAMILY CAUSE NO ONE RUNS IN THE FAMILY.
Environment also plays a role in obesity. Environmental factors include what and how often a person eats, a person’s level of activity and behavioral factors. We have come to realize that obesity is a chronic condition and a lifelong battle that requires long-term lifestyle changes.
The treatment of obesity can be difficult, especially when the patient does not have a correctable endocrine problem, such as a thyroid disorder. Low-calorie, low-fat diets along with exercise – usually are recommended to treat obesity. “Crash” diets and appetite suppressants generally are appropriate only under very specific conditions.
Result of weight loss surgery
Most patients will lose about 66 to 80 percent of their excess body weight with the gastric bypass procedure. Substantial weight loss occurs 3 months to 12 months after surgery; some weight regain is normal and can be expected at two to five years after surgery.
In addition to weight loss, surgery has been found to have a beneficial effect on many medical conditions such as: diabetes, hypertension, acid reflux, sleep apnea, polycystic ovary syndrome (PCOS), urinary stress incontinence, low back pain, and many others. Our research has shown that 80% of our diabetic patients had remission from their diabetes (the blood sugar is normal on no medication). Many patients report an improvement in mood and other aspects of psychosocial functioning after surgery.
The overall quality of life is improved. Many patients express elation on being able to do things that may seem trivial to the non-obese person, such as, improvement in personal hygiene, going to the store, playing with their children, getting in and out of a car, riding a roller coaster, shopping for regular sized clothes … the list is endless. Also, because most surgeries are performed laparoscopically (minimaly invasive surgery), patients will typically experience shorter hospital stays, smaller incisions and quicker recovery periods.
Benefits of weight loss surgery
Health consequences of severe obesity, or comorbidities, affect most of the organs in the body. Most of these problems can be greatly improved, or entirely resolved, with successful weight loss. Most people have actually observed this, at least for short periods, after a weight loss by dieting. Unfortunately, with dieting, such benefits usually do not last, because weight loss from diets does not often last. We have shown that the weight loss achieved with Roux-en- Y Gastric Bypass and Sleeve Gastrectomy can reduce an average of 66 to 80 percent of excess body weight, and can be maintained for years following surgery. We instruct patients in a very simple program, which is much easier to follow when one is not constantly deprived on a diet.
Frequently Asked Questions
1. What is weight loss surgery?
Weight loss surgery, also known as bariatric or metabolic surgery, includes procedures that modify the stomach and sometimes the small intestine to support significant and sustained weight reduction.
2. Who is eligible for weight loss surgery?
Eligibility depends on BMI, obesity-related health conditions, previous weight-loss attempts and overall health. Selected patients with severe obesity or metabolic disease may be considered after a complete bariatric assessment.
3. Which are the common types of weight loss surgery?
Common procedures include sleeve gastrectomy, Roux-en-Y gastric bypass and Mini Gastric Bypass or One Anastomosis Gastric Bypass (OAGB).
4. Is there a best weight loss surgery?
No single bariatric procedure is best for every patient. The choice depends on BMI, diabetes, reflux symptoms, eating pattern, previous surgery, nutritional status and individual health factors.
5. Can weight loss surgery help with type 2 diabetes?
Yes. Bariatric and metabolic surgery can significantly improve blood-sugar control in many patients with obesity and type 2 diabetes. Some patients may achieve diabetes remission, although results vary.
6. How much weight can I lose after bariatric surgery?
Weight loss varies according to the type of procedure, starting BMI, metabolism, dietary habits, physical activity and long-term follow-up. A fixed amount of weight loss cannot be guaranteed.
7. Can weight come back after weight loss surgery?
Yes. Some weight regain can occur over time. Long-term eating habits, physical activity, metabolic factors and regular follow-up influence weight maintenance.
8. Is bariatric surgery safe?
Bariatric surgery is an established treatment for selected patients, but like any major operation it has potential risks such as bleeding, infection, leakage, blood clots, nutritional deficiencies and anaesthesia-related complications.
9. Can weight loss surgery be done laparoscopically?
Yes. Procedures such as sleeve gastrectomy, gastric bypass and OAGB are commonly performed using minimally invasive laparoscopic techniques in suitable patients.
10. How long does recovery take after weight loss surgery?
Recovery depends on the procedure and the patient’s overall health. Patients usually return gradually to routine activity and progress through a structured post-surgery diet.
11. Will I need vitamins after bariatric surgery?
Many bariatric procedures require long-term vitamin and mineral supplementation. The type and amount depend on the operation and follow-up blood tests.
12. What diet is followed after weight loss surgery?
Patients usually progress from liquids to soft foods and then to solid foods according to the bariatric team’s instructions. Adequate protein, hydration and portion control are important.
13. Can bariatric surgery improve other obesity-related conditions?
Yes. Weight loss after surgery may improve high blood pressure, sleep apnea, fatty liver disease, abnormal cholesterol and mobility problems in selected patients.
14. Is bariatric surgery permanent?
The anatomical changes from many bariatric procedures are long-lasting, but weight and metabolic outcomes can change over time. Long-term lifestyle and medical follow-up remain important.
15. Who should I consult for weight loss surgery in Delhi?
Patients considering bariatric surgery can consult an experienced bariatric surgeon for a complete assessment. Dr. Sushant Wadhera provides evaluation and treatment planning for weight loss surgery in Delhi.
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