Weight loss surgery, once considered risky, has seen significant progress in the last decade. And that is fortunately, because in 2011 The number of bariatric surgeries performed in the United States has nearly doubled since then, according to the American Society for Metabolic Surgery (ASMBS).
The Centers for Disease Control and Prevention (CDC) estimates that about 40% of Americans are obese, which is no coincidence. “If your body mass index (BMI) is above 40, it’s just that BMI puts you at a high risk of death from all causes, even in the absence of health problems,” explains Dr. Eric De. Demaria, former President of ASMBS ղեկավար Head of Bariatric Surgery, University of Carolina.
Weight loss surgery has been a significant: response to this epidemic, allowing people struggling with their weight to regain their health and quality of life, which diet and exercise alone often fail to do.
Although bariatric surgery has proven to be life-changing for the vast majority of patients undergoing surgery, a cloud of confusion still hangs over these procedures. Here, weight loss surgery experts find out the most common misconceptions.
1. All weight loss surgeries are the same.
Over the years, surgeons have developed a number of different approaches to weight loss surgery. “Different procedures have different ‘powers’ և affecting metabolism,” says Dr. Demaria.
For years, experts have routinely used stomach surgery (which involves the use of a belt to regulate the stomach area), says Dr. Demaria. However, they now recognize it as one of the less powerful interventions.
Other popular options include a gastrectomy (in which case the stomach is reduced to the size of a banana), a duodenal switch (usually combined with a gastrectomy, or bypassing most of the small intestine).
The “gold standard” for weight loss surgery, however, is bypassing the stomach, says Dr. De Maria. In this procedure, the vast majority of the stomach և the beginning of the small intestine is bypassed, so that a small part of the stomach is directly connected to the later part of the intestine.
“It really has become a profession of surgery, it’s not just one operation,” says Dr. De Maria. “We work with patients to look at their lifestyle, health issues, how much weight they need to lose, and decide which procedure is right for them.”
2. Weight loss surgery is an easy way out.
Many people think that those who undergo weight loss surgery simply do not have the willpower to lose weight through diet and exercise. However, “we estimate that 97 to 99% of diets do not allow people who want to lose weight, even in moderation, to 10-30% of excess weight,” says a licensed health psychologist. , Ph.D. Jim my Keller. Bariatric psychology.
For many patients, the metabolic changes associated with obesity make fat loss extremely difficult, Keller explains. It is often a weight loss surgery only: Exit “And given your risk of dying prematurely when you reach a BMI of about 30, this is a way out that is worth using,” says Keller.
However, for many patients, weight loss surgery insurance covers months և months of pre-employment. “Many insurance companies require patients to spend three, six or even 12 months documenting their weight loss attempts through visits to doctors and nutritionists before they can qualify for surgery,” says Dr. Demaria. Of course, there is no easy way out.
3. You will just gain weight after the operation.
It: is: It is true that about 30 to 35% of patients with weight loss surgery gain significant weight after surgery, says Keller. However, it leaves 65-70% of people who undergo bariatric surgery without gaining any weight, which is much higher than just dieting.
According to ASMBS, most patients with weight loss surgery successfully lose (և retain) at least 50% of their excess weight.
4. After the operation, you can simply return to your former lifestyle.
During the eight to 12 months after bariatric surgery, most patients experience what Keller calls the “honeymoon phase,” during which they generally lose weight quickly, regardless of their lifestyle habits. (Experts attribute this to intestinal hormonal changes that cause many bariatric surgeries.)
However, “any long-term treatment for obesity involves lifestyle changes,” says Dr. Demaria. “If you want lasting success, you have to make healthy food choices and be physically active.”
Otherwise, if you skip exercise and eat poorly, you will start to lose weight after the “honeymoon phase” is over, says Keller. After all, successful weight loss through surgery requires life commitment and healthy habits.
5. Weight loss surgery is dangerous.
For many, living with obesity is actually much more dangerous than bariatric surgery, says Keller. After all, according to the CDC, obesity increases the risk of a number of health problems, including stroke, heart disease, mental illness, and some cancers.
Not to mention that weight loss surgeries actually have a lower mortality rate than many of the procedures we consider commonplace, such as gallbladder removal, hip replacement, and knee replacement, says Dr. De Maria.
“These are surgeries, are there any risks?” Says Keller. However, “while gallbladder removal accounts for an average of 0.7% of deaths, weight loss surgery accounts for only 0.1%.”
In fact, most weight loss procedures are performed through laparoscopic surgery, which means that they involve only a small incision and are minimally invasive, says Dr. Demaria. Some types of bariatric surgery, such as gastrectomy, can be performed on an outpatient basis, so they do not even require an overnight hospital stay.
6. It is a weight loss surgery simply about weight.
“While many people think that weight loss surgery is as simple as shrinking the abdomen so you can not burn as many calories, it is not,” says Keller. Bariatric procedures, which include gastric bypass, have a significant impact on our biology.
“We now believe that these surgeries alter GI hormones that regulate insulin և insulin resistance,” says Dr. Demaria. The result. In addition to the incredible weight loss, these procedures have a significant impact on chronic health problems, especially type 2 diabetes. “Some patients react to type 2 diabetes, even when they are really starting to lose weight,” he says.
The effect of these surgeries on diabetes has, in fact, led many experts to call bariatric procedures “diabetes surgeries,” says Dr. Demaria. In addition to improving overall health ծայր extreme weight loss, these procedures allow patients to restore their quality of life.
While many may consider weight loss surgery to be the last resort, “in fact, it’s not so scary that it should be postponed at all costs,” says Dr. Demaria.
In fact, she advises anyone who is obese or has any other health condition, such as type 2 diabetes, to talk to their doctor about whether a bariatric procedure is right for them. “If you suffer from obesity complications or your diabetes is not under control, weight loss surgery can be a profound intervention.”
Your doctor will help you figure out which procedure may be best for you, որոշ orient yourself to the insurance bureaucracy ցանկացած any lifestyle changes you need to qualify for your surgery և complete successfully.
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