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Bariatric Surgery-A Most Convenient Solution for Weight Loss

Updated on: 27 August,2024 07:50 PM IST  |  Mumbai
Buzz | sumit.zarchobe@mid-day.com

Bariatric surgery includes various approaches, each offering distinct benefits for managing obesity.

Bariatric Surgery-A Most Convenient Solution for Weight Loss

Dr. Manish Khaitan

Bariatric surgery has emerged as a leading solution in addressing the growing obesity epidemic, a condition with profound medical and socioeconomic impacts worldwide. Recognized as the only long-term effective treatment for severe obesity, this surgical approach not only promotes substantial and enduring weight loss but also plays a critical role in alleviating various obesity-related health conditions. These conditions often include type 2 diabetes, hypertension, high cholesterol, sleep apnea, heart disease, nonalcoholic fatty liver disease (NAFLD), gastroesophageal reflux disease (GERD), joint pain caused by osteoarthritis, and certain skin conditions such as psoriasis and acanthosis nigricans. 


Types of Bariatric Surgeries 
Bariatric surgery includes various approaches, each offering distinct benefits for managing obesity. Gastric bypass involves altering the stomach and intestines to limit food intake and nutrient absorption, leading to significant weight loss and reduced appetite. Sleeve gastrectomy, on the other hand, removes a substantial portion of the stomach to create a smaller, tube-like structure that restricts food consumption and supports notable weight reduction. Mini-gastric bypass is another approach where a smaller stomach pouch is created, and a segment of the small intestine is rerouted to enhance weight loss and improve metabolic function. These surgeries not only aid in weight management but also offer benefits such as better control over high blood pressure, improved cholesterol levels, and relief from nonalcoholic fatty liver disease.


Impressive Weight Loss
The results of bariatric surgery are impressive, with patients typically losing 70-80% of excess body weight within 12-18 months post-surgery. This substantial weight reduction is often unattainable through non-surgical methods alone. Moreover, the surgery leads to marked improvements in obesity-related health conditions, with up to 75% of patients experiencing better blood sugar control, reduced hypertension, and resolution of obstructive sleep apnea within a few months.

Candidate Criteria
Candidates for bariatric surgery typically include individuals with a BMI of 30-34 kg/m² and co-morbidities like type 2 diabetes, as well as those with a BMI over 35 regardless of co-morbidities. The recovery process is swift, with patients resuming daily activities within two days and transitioning to a normal diet within two months. Unlike traditional weight loss methods that require prolonged effort and lifestyle changes, bariatric surgery offers a more efficient and sustained solution. The body’s set point, which regulates weight, is reset to a lower level post-surgery, making it easier to maintain weight loss.

Important Considerations
While bariatric surgery is generally safe, potential risks exist, such as minor complications if postoperative guidelines are not followed. These include the necessity of adhering to prescribed supplements, engaging in regular physical activity, and following dietary recommendations. Preoperative counselling ensures that patients are well-prepared for these lifestyle changes, considerably enhancing the likelihood of long-term success. Importantly, routine check-ups and ongoing follow-up care are essential for maintaining weight loss and addressing any emerging health issues effectively.

The author, Dr. Manish Khaitan, is a Director & Sr. Bariatric & Metabolic Surgeon at Nobesity Bariatric Surgery Centre.

 

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