Bariatric surgery … benefits beyond weight loss

Bariatric surgery … benefits beyond weight loss

Bariatric surgery… benefits beyond weight loss
Bariatric surgery… benefits beyond weight loss

Bariatric surgery helps to get rid of excess weight after diets and sports fail to achieve this. However, the benefits of this type of operation go beyond losing weight to be of great importance in terms of getting rid of some chronic diseases and preventing their complications, provided that the type of operation is determined according to the case, but it is certainly necessary for everyone who has a BMI over 40 or 35 with problems health associated with obesity.

Obesity surgery is considered the ideal solution to get rid of excess weight, as it is now performed safely thanks to the development of science and medicine. There are many forms and types to suit the conditions of individuals. Not everyone needs liposuction, stapling, or gastric sleeve surgery.

The patient must realize that for each case a type of operation suits him more than other operations, and the doctor is the one who determines the type that is most suitable for him.

*** Benefits of bariatric surgery

Surgical intervention to treat obesity and get rid of excess kilograms carries many benefits, both in terms of shape and health in general. Studies in this regard have proven the possibility of getting rid of type 2 diabetes in a large percentage or high blood pressure, as well as reducing the risk of heart disease and high cholesterol. Triglycerides, which lead to narrowing of the arteries, and many other diseases and health problems.

The main benefits of obesity surgery are as follows:

 * Significant weight loss

It is the first and primary goal of obesity operations, as it helps the patient lose many extra kilograms during a period ranging between 12 and 18 months. The patient must adhere to his own diet after the operation and do exercises on a daily basis.

 * Get rid of obesity-related diseases

One of the most important reasons for resorting to obesity surgery is the presence of chronic diseases associated with obesity that raise the level of risk and increase health problems in a way that threatens the patient’s life; In this context, a recent study published in the Cleveland Clinic Journal of Medicine indicated that laparoscopic gastric bypass surgery eliminated type 2 diabetes by 83%, high blood pressure by 52% to 92%, and obstructive apnea from 74% to 4%. 98, it also reduces the risk of cardiovascular disease by 82%.

 * Improve physical activity

With the loss of excess weight, the person's movement becomes lighter, his physical condition improves, and he is able to engage in physical activity.

 * Reducing the need for medication

Obesity is often associated with serious health problems that require taking several medications, especially in the event of chronic diseases associated with obesity, such as diabetes, high blood pressure, heart disease, and others; After the operation, the risk of these diseases decreases and may disappear completely, and there is no need to take more medications.

 * Increased life expectancy

Treating obesity and getting rid of extra kilos significantly improves the patient's quality of life and increases life expectancy, because obesity-related diseases are among the leading preventable causes of death.

*** Types of obesity surgery

* Gastric sleeve or gastric sleeve surgery

One of the surgical procedures for the treatment of morbid obesity, where about 80% of the stomach volume is removed through the endoscope or laser to permanently reduce the size of the stomach, by removing the outer part of the stomach so that the shape of the stomach turns from a large bag to a long and thin tube called a cut operation. The stomach with a sleeve gastrectomy.

During the operation, the specialist removes the bulimia gland that secretes the appetite-controlling hormone or hunger hormone called “ghrelin.” This smaller stomach cannot hold much food. This process is characterized by significant weight loss and no change in the bowel path. This operation is suitable for obese people after the failure to lose weight through diet and sports, especially those who suffer from genetic obesity that is difficult to treat medically. Or at least that these diseases are under the control of treatment and have no apparent symptoms.

* Gastric bypass

Gastric bypass is also called a gastric bypass as a surgical procedure to lose weight by creating a small pouch in the stomach and connecting it directly to the small intestine. This pocket is usually between 20 and 30 milliliters in size, and diverts about 90 to 95 percent of the stomach as well as the first 50 centimeters of the intestine, which leads to significant benefits in terms of metabolism and weight loss. This type of operation is preferred in obese patients with type 2 diabetes. One of the advantages of this process is that the lost weight remains constant in the long term. Gastric bypass surgery is resorted to after a comprehensive evaluation of the case conducted by the specialized doctor, taking into account the following criteria:

  • A high body mass index (BMI) of more than 40, with or without complications of obesity.

  • High body mass index between 35-40 and the presence of one of the serious complications of obesity, such as diabetes, sleep disorders, snoring, high blood pressure, coronary artery disease and others.

  • High body mass index between 30-35 and difficulty controlling sugar levels or the presence of metabolic syndrome.

* Stomach fold surgery

This process reduces the size of the stomach and limits the amount of food that can be eaten at one time. It does not, therefore, lead to a lack of absorption of nutrients or a diversion of the intestine. The stomach is not cut or stapled so that the stomach can be returned to what it was before. But the space available for eating decreases, so the patient feels full by eating small amounts. This process, then, is one of the processes that reduces the space available for eating, and not one of the processes that reduces absorption.

Eating a small amount of food is enough and one quickly feels full because the stomach size shrinks by up to 70 percent. This operation requires less surgical intervention than other surgeries, as most patients stay in the hospital for a day or two after the operation. This operation is performed on obese patients with a body mass index between 30 and 45 kg/m2.

This person should not suffer from GERD because this type of restrictive stomach size operation may contribute to a person having GERD afterwards, or to the worsening and worsening of GERD if he suffers from it at all. This process is not performed for lovers of sweets and sugars, because it leads to regaining weight even with eating small amounts of them.

* Gastric band surgery, or gastric band surgery

This operation is performed using the endoscope and making small incisions on the skin of the abdomen. In this process, a belt or ring is placed around the upper part of the stomach, and it is continuous with a tube that connects it to a small pocket in the form of a disk placed under the skin on the upper part of the abdomen. This strap is made of silicone which is inert and may last a lifetime. The ring can be tightened or the belt tightened by introducing liquid into the disc using a special needle for this. One of the benefits of this operation is to return to work within a week, and it is an adjustable process by filling the pocket, to reduce the size of the gastric outlet, and the belt can be removed and the stomach to be returned to what it was, and does not cause poor absorption of nutrients.

*** Post obesity surgery

The patient must realize that his life after bariatric surgery will not be the same as it was before; It is true that surgery strongly helps in getting rid of excess weight, but maintaining this achievement requires constant follow-up in the post-operative phase.

In this context, some medical statistics talk about that about 22% of patients may regain some of the weight they lost after surgery, and about 25% may suffer from symptoms of vitamin and salt deficiency within 5 years of the operation, hence the importance of medical supervision and follow-up. Patrol the patient with a special team, whether the doctor who performed the operation or the nutritionist, to give him the type of food and the allowed quantities, in addition to the type of exercise recommended.

In the post-operative phase, the patient must strive to maintain a healthy weight by adopting new healthy habits represented in the way of eating, drinking and exercising permanently. Follow-up with the doctor is very necessary after the operation at least twice a month for three months, then once a month in the first year, then once a year for life. The patient must undergo periodic examinations and analyzes to follow up on the deficiency of vitamins and minerals after surgery, every three months in the first year, then twice in the second year, and then once a year for life.

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