It was never that easy to lose weight so quickly! But, the bariatric surgery nailed it! The ultimate weight loss surgery has badly hit the world! People have gone out of their mind, you think they are crazy, foolish or insane! Probably Yes! If you think, these weight loss surgeries have no side effects, then you should read this post from start to end!
Losing weight ONLY makes fat cells go smaller in size, however, the number of fat cells remain the same! Even after vigorous dieting and weight loss, fat cells get smaller but, the number of fat cells stays the same!!
Whereas, losing fat refers to losing ONLY fat cells! This seldom occurs alone!!
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Top FAQ’s for Weight Loss Surgery: A Complete Patient Guide to Bariatric Surgical Procedures
What is the bariatric surgery?
Bariatric Surgery or the Weight Loss Surgery is a procedure where it helps to cause weight loss by either restricting the amount of food the stomach can hold (gastric retriction), or by causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption.
What are the types of Weight Loss Surgeries?
Procedure: A portion of the stomach is permanently removed. Approximately 80 percent of the stomach is cut off and removed. The remaining stomach is a tubular pouch that resembles a banana. The mechanism of weight loss is due to the this smaller stomach, which cannot hold as much food. It also produces less of the appetite-regulating hormone Ghrelin, which may lessen your desire to eat food.
- No malabsorption of nutrients.
- Excellent compliance of the patient.
- Involves a relatively short hospital stay.
- Long term supplementation of Vitamins is required.
Laparoscopic Adjusted Gastric Banding
Procedure: This involves putting an inflatable band around the upper part of the stomach. This creates a small stomach pouch above the band, and the rest of the stomach below the band. This band reduces hunger, which helps the patients to eat less, hence lesser calories are consumed.
- No cutting of the stomach is required
- Completely reversible procedure
- Very short hospital stay
- Has the lowest risk for vitamin/mineral deficiencies among all available methods.
- Band problems like slippage, mechanical problems with the band.
- Higher failure rates as compared to other procedures.
Roux-en-Y Gastric Bypass Surgery
Procedure: It is performed in two steps through Laparoscopic approach. First, a small stomach pouch is punched off. Next, a portion of the small intestine is divided, and the bottom end of the divided small intestine is brought up and connected to the newly created small stomach pouch. Finally, the procedure is completed by connecting the top portion of the divided small intestine to the small intestine connected to the punched off stomach. This helps the stomach acids and digestive enzymes from the bypassed stomach and first portion of small intestine to mix with the food. Food now bypasses a portion of the small intestine, causes fewer nutrients and calories to be absorbed.
Benefits: Particularly helpful for patients who have binge eating habits, as this procedure contributes towards your weight loss because you feel fuller much early than any of the procedures available. Second, it produces long-term weight loss
Adverse Effects: Difficult surgery with longer hospital stay, long-term vitamin/mineral deficiencies
Bilio-Pancreatic Diversion with Duodenal Switch (BPD/DS)
Procedure: This is a complex procedure with two parts. First, the stomach is cut into a smaller tubular portion. Next, a large portion of small bowel is bypassed, removing gall bladder permanently.
- Results of weight loss is better.
- Fat absorption is very low.
- No strict diet pattern has to be followed by the patient.
- Higher complication rates among all other bariatric procedures for losing weight.
- Higher hospital stay.
- Higher Mineral and Vitamin deficiencies.
Do I need a Bariatric Surgical Procedure?
Not everyone who thinks of losing weight quickly can be a suitable candidate for these specialized surgeries! However, these complex surgeries are reserved for the patients meeting the following criteria.
American Society for Metabolic & Bariatric Surgery (ASMBS) lists these criteria for a suitable candidate for the weight loss surgeries:
- BMI ≥ 40, or more than 100 pounds overweight.
- BMI ≥35 and at least one or more obesity-related co-morbidities such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease.
- Inability to achieve a healthy weight loss sustained for a period of time with prior weight loss efforts.
Which weight loss surgery is right for me?
Well, it all depends upon the kind of patient you’re and your metabolism. Check this Quiz to find out, which Bariatric surgery would be beneficial for you. However, you must speak to your consulting surgeon about your choices, rather than relying on the sources of internet!
What is the best and safest weight loss surgery?
There is NO absolute answer to this question! It depends upon your BMI and many factors listed below that helps to decide, what procedure is right for you.
- Age and BMI (Body Mass Index)
- Medical conditions like Heart diseases, Non-Alcoholic Fatty Liver Disease, Diabetes, Hypertension, etc.
- Your commitment to changing your habits and giving up any addictions.
Is Weight Loss Surgery Worth the Risk?
If you’re morbidly obese, or fall into the category as described by the American Society for Metabolic & Bariatric Surgery (ASMBS), then the weight loss surgery should be your choice!
How much is bariatric surgery in India?
Probably, Quora has an answer! But, summing up the views of many experts, the procedure starts from approx Rs 2.5 Lakhs can can go upto Rs 7 Lakhs. The main factors for this variation could be due to the reputation of the hospital and surgeon, type of weight loss procedure being performed, medical conditions, and BMI.
Bariatric surgery is quite cheaper in India as compared to other developing and developed nations.
Is weight loss surgery covered by insurance?
This smart question deserves a smarter answer! Well, I will hold my views for Indian Insurance brands only.
There is a grey area in this scenario, which is not yet open for any resolution. The main question is about, getting bariatric surgery for cosmetic means or for morbid conditions!?
Indian Insurance companies clearly state that, any kind of cosmetic enhancement procedure will NOT be covered under their clauses. So, if you’re already a victim of metabolic syndrome and your doctor recommends you for a weight loss surgery, this might be covered by your Insurance company. However, not all Insurance brands see this the same way. You must consult your Insurance agent to learn the same for your surgery.
Most insurance experts says that insurers consider it as cosmetic surgery. “Chances of getting an insurance claim approved are very low. If you take a look at the bariatric surgery cases in India, almost 95% of them are cosmetic in nature.”
Weight loss surgery requires patient understanding about the treatment and it’s long term measures. It is really beneficial, if performed for the right reason on the right patient. Adverse effects of most of the procedures are almost same. Hence, this requires long term commitment and compliance in the post-operative period.
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