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Weight Loss Surgery: A Boon or a Bane?

Severe obesity is now a common and chronic problem throughout the United States. According to the latest statistics released by the Centers for Disease Control and Prevention, approximately 65 percent of all US citizens are overweight. What’s even more terrifying is that more than 12.5 million children between the ages of 2 and 19 are also victims of this terrible disease, according to the US Surgeon General.

Severe obesity, when it becomes morbid, increases the risk of other medical conditions such as cardiovascular disease, high blood pressure, diabetes, osteoporosis and sometimes shortens life expectancy. Although there are many diet and exercise plans available in the market, these are rarely effective in treating obesity. Because this is the trend towards surgical procedures. More and more people are opting for weight loss or bariatric surgery which helps by restricting the amount of food intake (restrictive surgery) or disrupting the digestive process (malabsorptive surgery). There are both benefits and risks involved in this procedure.

Advantage:

1. Effective Weight Loss

Patients lose weight rapidly immediately after surgery and the process slowly continues for up to 18 to 24 months. Although some patients regain some of their weight, few recover completely.

2. Improvement in other Medical Conditions

It has been observed that there is an overall improvement in other obesity related conditions such as high blood pressure, sugar levels etc. after weight loss surgery.

After Effects of Bariatric Surgery:

1. Nutritional Deficiency

Patients who undergo weight loss surgery may experience nutritional deficiencies such as anemia, osteoporosis, and metabolic bone disease. This deficiency can be avoided if the intake of vitamins and minerals is maintained.

2. Coral stone

More than one-third of obese patients who undergo gastric bypass surgery develop gallstones. Gallstones are clumps of cholesterol and other substances that form in the gallbladder. During rapid or significant weight loss, a person’s risk of developing kidney stones increases. Sometimes this can be prevented by taking extra bile salts for the first six months after surgery.

3. Nausea and Vomiting

Common side effects experienced by all patients include nausea, vomiting, diarrhea, flatulence, dizziness and excessive sweating.

4. Postponing Pregnancy

Women are advised to avoid pregnancy until their weight stabilizes because rapid weight loss and lack of nutrition can harm the developing fetus.

5. Changes in Lifestyle

Patients with extensive bypasses of normal digestive processes require not only close monitoring, but also lifelong diet and exercise modifications and vitamin and mineral supplementation.

6. Other Complications

Some patients who undergo weight loss surgery require follow-up surgery to correct other complications. They may include abdominal hernias, infections, rupture of staple lines (used to shrink the stomach), and dilated gastric outlet (when the stomach returns to its normal size).

There is no doubt that weight loss surgery is a serious undertaking and therefore it is important to discuss all the pros and cons with your doctor before making any decisions.

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