Obesity is a serious condition that can lead to many other fatal diseases and conditions such as heart disease, type 2 diabetes, sleep apnea, joint problems and other conditions whose chances increase when a person maintains an unhealthy weight. Thus, there are many ways in which life can be improved by solving obesity problems quickly and effectively.
In an interview with HT Lifestyle, Dr Sudhir Jadhav, Consultant, Bariatric and Minimally Invasive Surgery, Manipal Hospital, Khardi, Pune, said, “Bariatric surgery, commonly known as weight loss surgery, is a significant advancement for people struggling with obesity. Before deciding to go ahead with weight loss surgery, there are a few things that patients should discuss with their doctor.”
What are the different types of bariatric surgery and which one is right?
Dr. Sudhir Jadhav answers, “Bariatric surgery includes a few techniques, such as mini gastric bypass, sleeve gastrectomy, and bypass. Each type has its own benefits, risks, and eligibility criteria. A physician will look at the patient’s medical history, current state of health, and weight loss goals to determine which course of action is best for the individual. Making an informed choice requires an understanding of the variations between these procedures and their potential outcomes.”
Are there more benefits than risks?
Dr. Sudhir Jadhav explained, “Like any procedure, there are risks associated with bariatric surgery that vary depending on the patient’s specific situation. On the other hand, when a person decides to undergo bariatric surgery, the potential benefits can significantly improve his or her health. One of the main causes of health problems in the world is obesity, and treating it can often lead to improvements in general health.”
The following conditions can be prevented or treated by bariatric surgery:
- Type 2 diabetes
- high blood pressure
- heart diseases
- unhealthy levels of cholesterol
- Difficulty breathing while sleeping
- Inability to urinate
- pain in joints or other parts of the body
- Infertility and PCOD in Women
How long should it take to lose all the weight?
According to Dr. Sudhir Jadhav, the duration of the entire weight loss journey after bariatric surgery varies from person to person. He said, “While some people lose weight quickly after surgery, others may lose weight more slowly. Most patients can expect to see their maximum weight loss 12 to 15 months after surgery. However, it is important to understand that weight loss is only one part of the whole process. Maintaining long-term weight loss and living a healthy lifestyle is equally important. Patients are often asked to continue their post-surgery diet and physical activity regimen indefinitely to maintain weight loss and remain in the best possible health.”
What medical follow-up will be necessary?
Dr. Sudhir Jadhav explains, “After bariatric surgery, regular medical follow-up is required to monitor your progress, manage any potential problems, and ensure the best possible medical outcome. The specific follow-up schedule may vary depending on the type of surgery, the patient’s individual health condition, and the doctor’s advice.” However, general medical follow-up generally includes:
- Post-operation appointments: The surgeon will schedule follow-up sessions with patients soon after surgery to assess healing, monitor any post-surgery problems, and discuss post-surgery diet and lifestyle changes.
- Nutritional Screening: Bariatric surgery can interfere with the body’s ability to absorb nutrients, so regular nutritional screenings are important. A person can talk to a dietitian or nutritionist to ensure they are meeting nutritional requirements, correcting any deficiencies, and optimizing dietary consumption for long-term health and weight loss.
- Monitoring weight loss: Doctors will monitor weight loss progress periodically to verify that the patient is achieving their goals at a safe and sustainable rate. They may also assess other aspects of health, such as body mass index (BMI), waist circumference, and body composition.
- Long-term follow-up: Bariatric surgery requires a lifetime of good habits and health monitoring. Even after reaching weight loss goals, a person will continue to see a doctor for regular follow-up visits. These visits are necessary to ensure continued progress, address any new health problems, and provide support as needed.
What is the optimal clinical response?
Dr. Sudhir Jadhav said, “It can be difficult to determine the optimal clinical response to bariatric surgery, as such a response can be measured by parameters other than weight loss. However, research has shown that bariatric surgery can lead to significant and long-term weight loss for most people. Patients can lose 50% to 70% of their excess body weight within the first year after surgery. Bariatric surgery can be a life-changing option for people suffering from obesity, but it should not be taken lightly. Asking doctors these important questions before choosing bariatric surgery can give patients a complete understanding of the treatment, its risks and benefits, and what to expect throughout the journey.”
