Weight gain and Weight loss are burning issues nowadays. There are many ways to lose weight either slowly or fast. Many regimes and diet plans are in town now to help you lose weight. Laparoscopic surgery for weight loss which is also known as Bariatric surgery is a new weight loss option in 2023, especially for severe obesity.
What is Bariatric Surgery :
Bariatric surgery is basically a kind of surgery that we do on our Digestive system .i-e on our stomach and intestine. This surgery causes changes in the hormones secreted by the stomach and intestine. So bodyweight decreases which decreases Insulin Resistance and improves Diabetes.
The reason why people become overweight :
We were unable to find the reason for Obesity and being overweight. But now with the help of Medical Research, we now know that the brain has a center that controls our body weight. Many hormones impact this center which excretes from the intestine and stomach. Because of the imbalance in these hormones, the weight actually starts to increase.
Many people say that they eat very less but they are putting on weight. The reason behind that is the Hormonal imbalance. When we perform Bariatric surgery on such patients, that leads to the normalization of hormone imbalance and the body starts to take its body weight to normal, and within a year patient gets rid of extra body weight.
Bariatric surgeries are done laparoscopically and the surgeon who performs such procedures is called a Laparoscopic Bariatric Surgeon. Laparoscopic surgeries are done by making small holes. No big cut/incision is required in such surgeries.
Benefits of Laparoscopic Surgery :
Laparoscopic surgery requires small cuts, which aids in the rapid recovery of a patient. There is a decrease/minimal blood loss, pain, and discomfort, which is bearable for the patient.
Using a camera during laparoscopy is very beneficial as a surgeon can see minute details he/she is unable to see while doing open surgery. The surgeon usually can’t see those small details while doing normal surgery. With the help of a camera, the surgeon can now reach those areas and figure out problems that were previously tough through open surgeries.
Recovery in Laparoscopic surgery is so rapid that if the patient had undergone laparoscopic surgery in the morning, he/she can sit on a chair with his/her family members in the evening and take liquids. The patient can go to the washroom on his own. No urine bag or catheter is required (which is usually necessary for open surgeries).
Patients who underwent laparoscopic surgeries are usually discharged after a day or 2 maximum. They can resume their normal job routine after 12-14 days of their surgery. Only a painkiller like Panadol is sufficient if the patient requires it.
In Bariatric Surgery, as the intestines and stomach are operated on, a special diet is given to patients and gradually we take them to a normal diet i-e a healthy diet.
What are the types of Bariatric Surgery :
Bariatric surgeries have many types. Out of these Sleeve Gastrectomy and Gastric By-Pass are the most common.
1- Sleeve Gastrectomy:
This method is very famous as it’s easy to get understood by patients and easy for Doctors to do it. In this procedure, we use a plastic tube for sizing (of the stomach). We resect the portion of the stomach around it, leaving only tubal-size stomach parts only.
Apparently, it seems that it’s the reduction in the size of the stomach that aids in weight loss, but our research had proved that the actual reason for weight reduction is that, the part of the stomach we remove with the help of surgery, many hormones got removed along with the resection of that stomach part which was causing weight gain. So when hormones decrease, weight decreases and blood sugar control improves (insulin resistance).
2- Gastric By Pass :
Gastric bypass has some types too. In this type of surgery, the upper portion of the stomach is resected and the intestine is attached to the upper part of the stomach so that food goes from the upper part of the stomach to the intestine. The process of digestion actually takes place in the small intestine, not in the stomach. Nutrients are also absorbed in the small intestine.
In bypass surgery, hormone control is better and weight also decreases. In the long term, studies have shown that in Sleeve Gastrectomy 15-50% chances are there to regain weight, whereas in Bypass surgery this % is less which is around 10%. After undergoing the above surgeries, complications that arise because of excessive weight gain or obesity start to diminish.
Possible complications after Bariatric (laparoscopic) surgery:
As surgery has done, some part of the stomach is removed, So absorption of some Vitamin is affected as the hormones used to absorb vitamins are not sufficient enough or distorted. So after the above surgeries, lifelong vitamins are necessary.
It’s mandatory to take a multivitamin daily in the Morning which should contain iron (Fe) and vitamin B12. Calcium (Ca) and Vitamin D is also mandatory, as a deficiency of Iron (Fe) leads to decreased blood levels and lethargy. The deficiency of Vitamin B12 affects nerves.
Decreased Calcium (Ca) levels can lead to weakness of bones. By taking such medications (multivitamins) chances of deficiency of vitamins are very less. To avoid such complications, the usage of Vitamin supplements is necessary.
So, as a result of Gastric Surgery, your medication such as to control Blood Pressure (BP), Diabetes (DM) will be stopped and you will be given multivitamins.
In the first year after surgery, the body experiences many changes inside. Followup with your doctor/surgeon is necessary /mandatory so that he can check if there is any deficiency of proteins.
Protein deficiency can lead to excess hair fall. Nails and skin texture also get affected. To normalize such things follow-up with a doctor is mandatory. Patients should take proteins in their diet regularly.
In the long term, we do some tests to check patients’ health, as maintenance is necessary. The body needs some checkups too. We recommend getting a checkup from your surgeon or from your personal physician.
To check your Obesity status, check your BMI. BMI around 25 is considered to be healthy, but if it’s around 30-35, you are an obese to high-risk patient.
So what are you waiting for? Check your BMI today and start losing weight 🙂
Surgical options to lose weight in PCOS:
For all those PCOS patients, (Diet Plan For PCOs Patient ) sufferers who can’t lose weight through diet and lifestyle modifications, A surgical option is also there known as the New WEIGHT LOSS Option in 2020–Bariatric Surgery. Bariatric surgery can help to reduce and maintain weight in PCOS patients.
Any queries or questions are highly welcomed.