Treatment FAQ

what are the health benefits of gastric surgery for the treatment of clinically severe obesity?

by Adam Crist Published 3 years ago Updated 2 years ago

It removes a large portion of your stomach, leaving behind a narrow “sleeve.” Reducing your stomach helps restrict calories and reduce hunger signals. This surgery is offered to help people with clinically severe obesity achieve effective weight loss.

Full Answer

Is bariatric surgery safe for patients with severe obesity?

Bariatric Surgery Safety While the benefits of weight loss among individuals with severe obesity, particularly those with comorbid conditions, are unquestioned, these benefits must be considered in the context of surgical complications.

What is bariatric surgery used for?

Additionally, bariatric surgery is used in clinical practice for people who have milder levels of obesity along with type 2 diabetes or other serious obesity-related disease.

Which gastrointestinal procedures are best for weight loss?

In general, procedures less invasive or those that involve less gastrointestinal rearrangement such as LAGB, vagal blocking, and endoscopic procedures such as balloon placement accomplish considerably less weight loss but have substantially lower perioperative and longer-term risk.

Does gastric bypass surgery reduce biochemical Cardiac Risk factors?

Gastric bypass reduces biochemical cardiac risk factors. Surg Obes Relat Dis. 2007;3:8–13. PMID: 17196442. [PubMed] [Google Scholar]

What are the benefits of gastric bypass surgery?

The benefits of bariatric surgery go beyond just losing weight:Long-term remission for type 2 diabetes. ... Improved cardiovascular health. ... Relief of depression. ... Eliminate obstructive sleep apnea. ... Joint pain relief. ... Improve fertility. ... Alleviate other medical conditions.

What are the benefits and risks of gastric bypass surgery?

Benefits and Risks of Weight-loss Surgery74–98 percent of patients improving or resolving sleep apnea.50–90 percent resolving high blood pressure.72–98 percent improving or resolving gastroesophageal reflux disease (GERD)40–75 percent improving orthopedic issues.More items...

Who specifically benefits from bariatric surgery?

In general, bariatric surgery could be an option for you if: Your body mass index (BMI) is 40 or higher (extreme obesity). Your BMI is 35 to 39.9 (obesity), and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea.

Which is a health related benefit after bariatric surgery?

Surgery for weight loss lowers the risk of death related to many diseases including heart disease (40% lower), diabetes (92% lower), and cancer (60% lower) are also significantly reduced. Comparing the risks of surgery to the benefits of surgery makes the decision for surgery much easier to make.

How successful is bariatric surgery?

Success from bariatric surgery Patients may lose 30 to 50 percent of their excess weight in the first six months, and 77 percent of excess weight as early as 12 months after surgery. Another study showed that patients could maintain a 50 to 60 percent loss of excess weight 10 to 14 years after surgery.

Is weight-loss surgery good?

Weight-loss surgery changes the shape and function of your digestive system. This surgery may help you lose weight and manage medical conditions related to obesity. These conditions include diabetes, obstructive sleep apnea, and risk factors for heart disease and stroke.

Is bariatric surgery Safe?

Bariatric Surgery Among the Safest Surgical Procedures While any surgical procedure has risks, bariatric surgery has been found to be one of the safest surgeries to undergo. It is considered as safe or more safe when compared to other elective surgeries.

What is the most common complication of bariatric surgery?

An anastomotic leak is the most dreaded complication of any bariatric procedure because it increases overall morbidity to 61% and mortality to 15%.

What are the disadvantages of gastric bypass surgery?

Bariatric Surgery Long-Term Risks Dumping syndrome, a condition that can lead to symptoms like nausea and dizziness. Low blood sugar. Malnutrition. Vomiting.

How bariatric surgery can overcome obesity?

Bariatric surgery is a collective name for weight-loss surgery procedures that can help morbidly obese patients lose weight by making changes to their digestive system. These changes are often permanent, requiring commitment to life-long changes and adjustments to one's lifestyle.

How does bariatric surgery affect metabolism?

Bariatric surgery in which the stomach is reduced, and the intestines are rerouted has been shown to increase your body's production of this hormone, which can provide you with a boost in metabolism and dramatic, successful weight loss.

What BMI is required for bariatric surgery?

American Diabetes Association recommends bariatric surgery be considered for adults with type 2 diabetes who have a BMI greater than 35 , in particular if diabetes or associated co-morbidities are difficult to control with lifestyle and pharmacologic therapy.

Is surgery safe for diabetes?

It is an effective, safe and cost-effective therapy for obese Type 2 diabetes. Surgery can be considered an appropriate treatment for people with Type 2 diabetes and obesity not achieving recommended treatment targets with medical therapies, especially in the presence of other major co-morbidities.

Is obesity a quality of life?

Obesity is associated with impairments in quality of life. In particular, obesity can cause increased physical limitations, bodily pain, and fatigue. The National Health and Nutrition Examination Survey found that morbidly obese women (BMI >40 kg/m2) were four times more likely to be depressed as women with a normal BMI.

Does bariatric surgery increase fertility?

Studies from Italy, Canada and United States all showed that bariatric surgery significantly increased the fertility rate in obese women. A retrospective study in Italy involving 110 obese women who tried unsuccessfully to become pregnant before bariatric surgery. After surgery, 69 became pregnant.

Does bariatric surgery cause hypertension?

Bariatric surgery was reported to cause normalization of hypertension in 30-50% of patients with medication and reduced need of antihypertensive treatment in a further 20-30% of patients. Patients with complete resolution of hypertension after surgery usually had a shorter duration of hypertension compared with patients without resolution.

Is bariatric surgery better for diabetes?

That means the sooner to have bariatric surgery, the better chance to have remission of diabetes for obese patients . Meta-analysis of 22,000 bariatric surgery patients in 136 studies (1990-2003) found 86% of patients saw improvement or resolution of type 2 diabetes.

What is obesity related comorbidity?

Obesity-related comorbidity is defined as conditions either directly caused by overweight/obesity or known to contribute to the presence or severity of the condition. These comorbid conditions are expected to improve or go into remission in the presence of effective and sustained weight loss.

What are the factors that determine weight loss?

These factors include but are not limited to the presence of specific comorbid conditions such as diabetes, gender, age and behavioral variables, including physical activity and eating behaviors10.

What is Roux en Y gastrojejunostomy?

A Roux-en-Y gastrojejunostomy is done, thus diverting ingested nutrients from the body of the stomach, duodenum, and proximal jejunum. The vagal trunks are not disturbed but a variable number of branches to the body of the stomach are divided in the process of dividing the stomach.

Does bile acid affect gut function?

Bile acid metabolism clearly changes post-metabolic surgery and mechanisms to implicate these alterations to benefit include their beneficial effects on satiety, gut hormones, incretins, energy metabolism and the gut microbiome, with the majority of these effects mediated via the bile acid receptors FXR and TGR5111.

Does bariatric surgery affect the microbiome?

Finally, the gut microbiome is modified following metabolic surgery and this change seems to play an important role in the metabolic benefits gained from bariatric surgery. Two types of surgeries, RYGB and VBG, result in similar changes in the microbiome, an effect that can be maintained for at least a decade.

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