Bariatric Surgery – Surgical Treatment for Weight Loss

With a rapidly changing and unhealthy lifestyle, Obesity and Diabetes have become inevitable. These diseases not only come hand in hand but also an open door for various other incurable and deadly diseases. Treating Obesity was a cumbersome process but now with advanced treatments like Bariatric surgery and Robotics Surgeries obese people can lead a normal life.

Why is Bariatric surgery important?

Obesity is the result of an unhealthy lifestyle, and it directly affects all domains of an individual’s life. In scientific techniques, Bariatric surgery helps in Obesity and diseases associated with it. Few of them are Blood Pressure, Knee pain, Sleep Apnea, Diabetes, etc. and Bariatric surgery is an effective method to get rid of Obesity and Obesity-related diseases.

Who can undergo surgical treatment of type 2 diabetes?

Bariatric surgery is an effective method that can resolve type 2 diabetes mellitus(T2DM) in adult patients. Type 2 diabetes mellitus is associated with obesity and multiple metabolic derangements. Further obesity leads to an increased financial burden, morbidity, and mortality.

According to international guidelines all those who have uncontrolled diabetes and despite all medical measures with a BMI greater than 28, can undergo this treatment. Patients with a great pancreatic reserve benefit the most from the Bariatric surgical treatment.


Mechanism of diabetes resolution through bariatric surgery

The main distinction between the four bariatric procedures relies on their mechanisms of action and comprises purely restrictive, malabsorptive or combination techniques. Also, the length of the upper gastrointestinal tract bypass determines the magnitude of weight loss and metabolic outcomes.

The following four methods are best regarding safety and efficacy to promote weight loss and improve metabolic state and overall health.

  • Laparoscopic adjustable gastric banding(LAGB)
  • Roux-en-Y gastric bypass(RYGB)
  • Sleeve gastrectomy(SG)
  • Biliopancreatic diversion(BPD)

All bariatric operations are performed laparoscopically with small operative times and complication rates. The limitation of LAGB is that 20% of patients do not experience any changes in hunger and hence no weight loss. They often regain weight and undergo multiple operations.

And the other surgeries include chronic nutritional deficiencies, loss of bone density and abdominal side effects.

A hormone called glp-1 is secreted in huge quantity. The glp-1 hormone counters insulin resistance thereby causing resolution of diabetes. Furthermore, bypassing a part of intestine avoids high absorption of sugar.

After how much time one can lead a normal life after the surgery?

The patient can walk after 4-5 hours of surgery, and they are discharged after the third day from the hospital. The patient can go back to their routine after that. The best part about this surgery is that it doesn’t involve any bed rest.

What are the changes in diet after the surgery?

The patient has to follow the diet prescribed by the doctors for three weeks only. After that, the patient can go back to their old lifestyle and savor all their favorite dishes.

Does this surgery leave any mark or scar on the external body?

Usually, weight reduction surgery is performed through 3-4 small holes, but Bariatrics surgery is also done through a single hole. It is then called SILS(Single Incision Laparoscopic Surgery). In this surgery, a small incision of 1.5 cm is made in the navel or belly button for the operation, and the mark/scar is then hidden in the navel itself.

Saying ‘No’ to your favorite food can be very difficult for any person with a sweet tooth. But overeating can lead to obesity and related diseases like diabetes so you need to be careful with that.

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