Types of Weight Loss Surgery, How to Choose?

Types of Weight Loss Surgery

The kind of surgery that may be most effective for aiding weight loss relies on a variety of variables. There are different Types of Weight Loss Surgery. What type of operation might be most beneficial for you should be discussed with your doctor?

Why Is Obesity Surgery Done?

Bariatric Surgery is performed to assist you in losing excess weight and lower your chance of serious, possibly fatal, weight-related health issues, such as:

  • A heart attack and a stroke.
  • Elevated blood pressure.
  • Nonalcoholic steatohepatitis, also known as nonalcoholic fatty liver disease (NAFLD), (NASH).
  • Slumber breathing.
  • Diabetes type 2.

Who Are the Suitable Candidates for Types of Weight Loss Surgery?

In general, you might be a candidate for Bariatric Treatment if:

  • Your body mass index (BMI), which is considered extreme obesity, is 40 or greater.
  • You have an obesity-related significant health issue, such as type 2 diabetes, high blood pressure, or severe sleep apnea, and your BMI is between 35 and 39.9, which is considered obese. If your BMI is between 30 and 34 and you have severe weight-related health issues, you might be eligible for some types of weight-loss surgery.
  • Not everyone who is extremely overweight should have bariatric procedure. To be eligible for weight-loss procedure, you might need to fulfill certain medical requirements.
  • You’ll probably go through a rigorous screening procedure to see if you qualify. To live a healthier lifestyle, you must also be prepared to make long-term adjustments.

When Is Obesity Surgery for Weight Loss Unsuccessful?

Other weight-loss procedures like gastric bypass don’t always work as well as you might have anticipated. You might not lose weight and experience severe health issues if a weight-loss procedure doesn’t work or stops working.

After having weight-loss surgery, keep all of your planned follow-up appointments. Consult your doctor right away if you observe that you are not losing weight or if you experience problems. You can track your weight loss and assess any variables that might be holding you back from losing weight.

Even if the procedure itself is successful, it is still possible for the patient to fail to lose enough weight or to gain it back after having any form of weight-loss surgery. If you do not make the suggested lifestyle changes, such as increasing your physical exercise and consuming healthier foods, weight gain may result.

What to Anticipate? 

General anesthetic is used during Bariatric Surgery to be performed in a hospital. This indicates that you were asleep throughout the process.

Your unique circumstances, the sort of weight-loss surgery you choose, and the hospital’s or doctor’s policies will all have an impact on the specifics of your procedure. Certain weight-loss procedures involve making conventionally big incisions in your abdomen. Open surgery is what is used here.

The majority of Gastric Procedures are now carried out laparoscopically. A laparoscope is a little camera-equipped tube-shaped device. Small abdominal incisions are used to introduce the laparoscope. The physician can see inside the abdomen and perform operations there without using the conventionally large incisions thanks to the tiny camera on the laparoscope’s tip. Although laparoscopic surgery can shorten and speed up healing, not everyone is a good candidate.

The average surgery lasts several hours. You awaken in a recovery area following surgery, where medical personnel keep an eye out for any complications. You might have to spend a couple of days in the hospital, depending on your operation.

Which Types of Obesity Surgery for Weight Loss Are Available?

Four types of operations are those that surgeons typically conduct in Turkey:

  1. Gastric Sleeve.
  2. Gastric Bypass.
  3. Adjustable Gastric Band.
  4. Biliopancreatic Diversion with Duodenum Switch -less frequently used by surgeons-.

 

  1. Gastric Sleeve:

The majority of your stomach is removed during gastric sleeve operation, also known as vertical sleeve gastrectomy, leaving only a banana-shaped section that is stapled shut. As a result of the operation, your stomach can hold less food, causing you to feel full more quickly. The hormones or bacteria in your gastrointestinal system that influence appetite and metabolism may also be impacted by having part of your stomach removed. Due to the permanent removal of a portion of the stomach, this kind of operation cannot be undone.

 

  1. Gastric Bypass:

Roux-en-Y gastric bypass, also known as gastric bypass surgery, entails three stages. Your stomach is first stapled, resulting in a tiny pouch in the upper portion. You consume less because you feel full more quickly due to the significantly smaller stomach caused by the staples.

The bottom portion of your small intestine is then surgically connected to the tiny stomach pouch after the surgeon divides it into two pieces. Your body will absorb fewer calories because food will bypass the majority of your stomach and the upper portion of your small intestine.

The upper portion of the small intestine is then reconnected to a new spot on the lower portion of the small intestine that is located further down. In order for food to be completely digested, this enables the digestive juices in the stomach to flow from the bypassed portion of the small intestine to the lower part of the small intestine. Hormones, bacteria, and other elements in the gastrointestinal system are altered by the bypass, which may have an impact on metabolism and appetite. Even though a surgeon might revert a gastric bypass if it’s medically essential, this procedure is challenging.

 

  1. Adjustable Gastric Band:

In this kind of procedure, the doctor makes a tiny pouch by wrapping a ring with an inner inflatable band around the top of your stomach. The gastric band causes you to feel full after only a small quantity of food, much like the gastric sleeve and gastric bypass procedures. Saline fluid is contained inside a circular balloon that is located inside the inner band. By injecting or withdrawing the saline solution through a small device known as a port that is inserted under your skin, the surgeon can modify the inner band to resize the opening from the pouch to the remainder of your stomach.

You will require several follow-up appointments after operation to modify the size of the band opening. The surgeon may remove the band if it creates issues or is not assisting you in losing enough weight.

Compared to gastric sleeve or gastric bypass surgery, adjustable gastric band surgery is now less prevalent in the United States because it is associated with more complications, most notably the requirement for band removal due to intolerance. Additionally, gastric band surgery frequently leads to considerably less weight loss and is linked to more side effects, the majority of which require the removal of the band due to intolerance.

 

  1. Biliopancreatic Diversion with Duodenal Switch:

Biliopancreatic diversion with duodenum switch, also known as “mixed surgery” entails two distinct operations. The initial treatment resembles gastric sleeve surgery in some ways. Two tracts are created from the small intestine through a second surgical operation. The majority of the small intestine is bypassed as food travels through one track. As a result, fewer calories and fewer nutrients are assimilated. Food is mixed with digestive juices as it travels through the other intestinal tract from the stomach and reaches the colon.

Comparing this form of surgery to the previous three procedures, you can lose more weight. However, it is also the most likely to result in post-surgery complications and a deficiency of nutrients, vitamins, and minerals in your body. Due to these factors, surgeons rarely carry out this specific operation. However, some surgeons might advise it to patients with extreme obesity and specific medical issues.

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How Does the Obesity Surgery Procedure Carry out?

Most weight-loss surgeries are performed laparoscopically, which only involves minor incisions, while under general anesthetic. The surgeon can insert tiny instruments and a scope with a camera affixed that projects pictures onto a video monitor through these incisions. Compared to open surgery, laparoscopic surgery has fewer dangers and may result in less discomfort and scarring. Laparoscopic procedure may also result in a quicker recovery.

For some patients, open surgery, which requires a single large incision in the belly, may be preferable to laparoscopic surgery. If you are extremely obese, have had gastric surgery in the past, or suffer from other complicated medical conditions, you might require open surgery.

By surgically shrinking your stomach, weight loss surgery, also referred to as bariatric surgery, enables you to consume less. This implies that less food is absorbed by your body. Laparoscopic adjustable gastric banding, also known as the lap band, gastric bypass, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch are some common forms of bariatric surgery.

Laparoscopic surgeries, also referred to as minimally invasive surgeries, make up a large portion of these treatments. This indicates that they’re carried out via tiny cuts and a laparoscope. Compared to more invasive procedures, laparoscopic surgery results in less discomfort and a faster recovery.

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How Should Your Life Be after the Surgery?

You might feel some soreness or discomfort after surgery. That is typical. To keep you comfortable, your doctor will recommend pain medication.

  • Food: Additionally, your doctor will prescribe an all-liquid diet for the first two weeks after your procedure. He or she will advise you on the recommended daily fluid intake. You will then follow a soft-food regimen for two additional weeks after those first two. After those weeks are over, you should be able to start consuming solid foods again. But keep in mind that you’ll need to change your dietary routine. You must consume smaller servings of food, chew each mouthful thoroughly, and take smaller bites. Additionally, you ought to stay away from sugary and high-fat meals.
  • Movement: The day after your operation, your doctor will advise you to get out of bed and walk around. You can prevent blood clots in your thighs by exercising your legs and walking. Avoid staying in bed for prolonged periods of time. A day after surgery, you should be able to resume your regular everyday activities. However, it will take a few weeks before you can start exercising or engaging in other hard activities again. You’ll learn when you can start these exercises from your doctor.

Further to Do

  • Appointments: You’ll visit your doctor for follow-up visits frequently. During the first few months following operation, these will probably be given every 4 to 6 weeks. Your doctor will want to keep track of your progress and ensure that you are doing well during this time because you will be losing weight rapidly. Ask inquiries now if you have any. Tell the truth about how frequently you use the restroom. (probably a lot more often). Additionally, express your feelings to your practitioner. It’s typical to feel conflicted about your weight reduction. Others might even experience depression. Talk about it with your practitioner. You will most likely visit your doctor every six to twelve months after your weight reduction slows. You will talk about your diet and exercise goals at these appointments. Keep expressing your emotions. At these visits, your doctor might prescribe blood tests.
  • Supplements: If your surgery prevents your body from absorbing vitamins from food, your doctor will likely suggest a daily vitamin supplement. It’s crucial to take this exactly as your doctor prescribes in order to prevent nutrient deficiencies.

The fight doesn’t end when you lose the weight. It will take permanent, healthy changes to your way of living to keep the weight off. Here are some straightforward actions you can take each day to gradually make a big impact.

  • By adding 10 minutes a day to your existing exercise routine or upping the intensity from low to moderate, you can increase your physical activity. Spend no more than two hours a day combined online, viewing TV, and playing video games.
  • Walk to your location after parking at the far end of the parking lot. Alternatively, you can get off the bus a stop early and continue walking.
  • Do more housekeeping (such as dusting, vacuuming, or weeding).
  • Take the canine and/or kids for a run or a walk.
  • Go on “active” holidays and go biking or hiking.

Results of Obesity Surgeries 

Long-lasting weight reduction can be achieved through gastric bypass and other bariatric procedures. The sort of surgery you undergo and the modifications you make to your lifestyle will affect how much weight you lose. Within two years, you might be able to drop half or even more of your excess weight.

Gastric bypass surgery has been demonstrated to improve patients’ quality of life in addition to helping them reduce weight or treat a number of diseases linked to obesity, such as:

  • Heart condition.
  • Elevated blood pressure.
  • Obstructive snoring.
  • Diabetes type 2.
  • Nonalcoholic fatty liver disease (NAFLD), also referred to as non-alcoholic steatohepatitis, (NASH).
  • Gastroesophageal reflux disease (GERD)
  • Osteoarthritis is another term for pain in the joints.
  • Gastric bypass surgery can also increase your ability to perform routine daily activities, potentially improving your quality of life.

Questions to Ask your Doctor:

  • Can I have surgery to lose weight?
  • Is there a maximum age for having procedure to lose weight?
  • Will weight-loss procedure be covered by my insurance?
  • If I have weight-loss surgery, how much weight will I lose?
  • Do these procedures have any unfavorable adverse effects?
  • How big are the marks from the surgery?
  • How quickly should I anticipate losing weight after surgery?
  • Can I consume anything I want (in smaller amounts) after surgery?

 

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