Losing weight can be a challenging journey, and for some, diet and exercise alone may not be enough. When obesity becomes a serious health concern, weight loss surgery, also known as bariatric or metabolic surgery, can be a life-changing option. This article will guide you through understanding bariatric surgery and how Weight Loss Doctors, experts in this field, can help you navigate this process.
Understanding Bariatric Surgery and its Types
Bariatric surgery encompasses various procedures that alter your digestive system to facilitate weight loss. These surgeries are typically considered when conventional methods have failed or when obesity-related health problems become severe. Weight loss doctors, also known as bariatric surgeons, specialize in performing these complex procedures. There are several types of bariatric surgery, each with its own approach:
- Roux-en-Y Gastric Bypass: Often considered the gold standard, this procedure involves creating a small stomach pouch and connecting it directly to the small intestine, bypassing a significant portion of the stomach and upper small intestine. This limits food intake and reduces calorie and fat absorption.
- Sleeve Gastrectomy: This procedure involves removing approximately 80% of the stomach, leaving a smaller, tube-shaped stomach. This reduces the amount of food the stomach can hold and decreases the production of ghrelin, an appetite-stimulating hormone.
- Biliopancreatic Diversion with Duodenal Switch (BPD/DS): A more complex two-step procedure starting with a sleeve gastrectomy. The second step reroutes the intestines to limit nutrient absorption. While highly effective, it carries a higher risk of complications.
- Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S): Similar to BPD/DS, SADI-S combines sleeve gastrectomy with intestinal bypass, limiting both food intake and nutrient absorption.
Weight loss doctors will assess your individual health profile to determine the most suitable type of bariatric surgery for you.
Why Consider Bariatric Surgery?
Weight loss doctors often recommend bariatric surgery to address significant weight issues and reduce the risk of life-threatening obesity-related health conditions, such as:
- Type 2 Diabetes: Bariatric surgery can lead to significant improvement or even remission of type 2 diabetes.
- Heart Disease and Stroke: Reducing excess weight can significantly lower the risk of cardiovascular diseases.
- High Blood Pressure: Weight loss surgery can help regulate blood pressure levels.
- High Cholesterol: Surgery can improve cholesterol profiles, reducing the risk of heart disease.
- Sleep Apnea: Weight loss often alleviates sleep apnea, improving sleep quality and overall health.
- Certain Cancers: Obesity is linked to an increased risk of cancers like breast, endometrial, and prostate cancer, which can be mitigated through weight loss.
- Nonalcoholic Fatty Liver Disease (NAFLD) and Nonalcoholic Steatohepatitis (NASH): Bariatric surgery can improve liver health in patients with NAFLD and NASH.
It’s important to note that weight loss doctors typically recommend bariatric surgery after other weight loss attempts, such as diet and exercise, have been unsuccessful.
Is Bariatric Surgery Right for You? Consulting Weight Loss Doctors
Bariatric surgery is not a universal solution and weight loss doctors carefully evaluate potential candidates. Generally, you might be considered for bariatric surgery if:
- Your Body Mass Index (BMI) is 40 or higher, indicating extreme obesity.
- Your BMI is between 35 and 39.9 (obesity) and you have a serious weight-related health condition like type 2 diabetes, hypertension, or severe sleep apnea. In some cases, individuals with a BMI of 30 to 34 with significant health problems may also qualify.
Weight loss doctors conduct thorough screenings to ensure patients are suitable candidates. They assess medical history, psychological readiness, and commitment to lifestyle changes. Bariatric surgery requires a lifelong commitment to healthy habits and follow-up care. It’s crucial to have realistic expectations and understand the necessary lifestyle adjustments.
Understanding the Risks and Preparing for Surgery with Your Weight Loss Doctor
Like any major surgical procedure, bariatric surgery carries potential risks. Weight loss doctors will thoroughly discuss these risks with you, which can include:
Short-term Risks:
- Excessive bleeding
- Infection
- Adverse reactions to anesthesia
- Blood clots
- Lung or breathing problems
- Leaks in the gastrointestinal system
Long-term Risks and Complications:
- Bowel obstruction
- Dumping syndrome (leading to diarrhea, nausea, and lightheadedness)
- Gallstones
- Hernias
- Hypoglycemia (low blood sugar)
- Malnutrition
- Ulcers
- Vomiting
- Acid reflux
- Need for revisional surgery
Weight loss doctors and their teams provide comprehensive pre-operative instructions. This may include lab tests, medical evaluations, dietary restrictions, medication adjustments, and mandatory smoking cessation. Preparing for recovery, including arranging for home support, is also essential.
What to Expect During and After Bariatric Surgery
Bariatric surgery is performed in a hospital under general anesthesia. The surgical approach can be open surgery (large incision) or laparoscopic surgery (minimally invasive with small incisions and a camera). Laparoscopic surgery often results in faster recovery. Weight loss doctors typically favor laparoscopic techniques when appropriate.
Following surgery, you can expect a hospital stay of a few days. Initially, you will follow a liquid diet, gradually progressing to pureed, soft, and then regular foods over several weeks. Weight loss doctors and dietitians provide detailed dietary guidelines and monitor your progress through regular follow-up appointments, including bloodwork and other tests.
Achieving Long-Term Success with Weight Loss Doctors
Bariatric surgery, when performed by experienced weight loss doctors, offers significant potential for long-term weight loss and improved health. Patients can lose a substantial portion of their excess weight within two years. Beyond weight loss, surgery can lead to remission or improvement in numerous obesity-related conditions, enhancing quality of life.
However, it’s crucial to understand that bariatric surgery is a tool, not a cure. Long-term success depends on your commitment to lifestyle changes, including:
- Following dietary recommendations: Adhering to portion control and nutritional guidelines provided by your weight loss doctor and dietitian.
- Regular physical activity: Incorporating exercise into your daily routine.
- Consistent follow-up care: Attending all scheduled appointments with your weight loss doctor and healthcare team.
In some cases, weight loss surgery may not yield the desired results, or weight regain can occur if lifestyle recommendations are not followed. If you experience issues or stalled weight loss, promptly consult your weight loss doctor to investigate and address any underlying factors.
Finding the Right Weight Loss Doctor
Choosing a qualified and experienced weight loss doctor is paramount for a successful bariatric surgery journey. Look for board-certified surgeons specializing in bariatric surgery with a proven track record. Hospitals and centers of excellence specializing in bariatric care often have multidisciplinary teams, including surgeons, dietitians, psychologists, and support staff, providing comprehensive care.
If you are considering bariatric surgery, consulting with a weight loss doctor is the first step towards a healthier future. They can provide personalized guidance, assess your suitability for surgery, and support you throughout your weight loss journey.
Bariatric surgery care at Mayo Clinic
July 05, 2024
- Obesity, surgical management. Clinical overview. Elsevier; 2022. https://www.clinicalkey.com. Accessed June 24, 2023.
- Feldman M, et al., eds. Surgical and endoscopic treatment of obesity. In: Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 11th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed June 24, 2023.
- Bariatric surgery procedures. American Society for Metabolic and Bariatric Surgery. https://asmbs.org/patients/bariatric-surgery-procedures.Accessed June 21, 2023.
- Shetye B, et al. Bariatric surgery, gastrointestinal hormones, and the microbiome: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022. Obesity Pillars. 2022; doi:10.1016/j.obpill.2022.100015.
- Types of weight-loss surgery. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/weight-management/bariatric-surgery/types. Accessed June 21, 2023.
- Bariatric surgery. Endocrine Society. https://www.endocrine.org/patient-engagement/endocrine-library/bariatric-surgery. Accessed June 21, 2023.
- Ami TR. Allscripts EPSi. Mayo Clinic. May 26, 2023.
- Ghanem OM (expert opinion). Mayo Clinic. July 26, 2023.
- Ami TR. Allscripts EPSi. Mayo Clinic. May 26, 2023.
