- Bariatric surgery can significantly reduce the weight of adults with obesity, reduce their risk of developing myocardial infarction, type 2 diabetes, and other adverse effects of obesity.
- Not everyone who is obese is a candidate for bariatric surgery. Talk to your provider about the risks and benefits of the procedure.
New research shows that bariatric surgery may be a preventative treatment approach for adults with a history of myocardial infarction (HI), also known as heart attack. The study found that surgery reduced the risk of developing a second HR. It also reduced the risk of other cardiovascular events associated with obesity.
To conduct a study that has been published Circulation: On October 26, 2012, researchers looked at the health records of obese patients in Sweden who had a history of previous HR. Some patients underwent metabolic surgery, while others did not. The researchers studied their health outcomes over 8 years, with an average duration of 4 years.
The results showed that patients who underwent bariatric surgery had a significantly lower risk of another cardiovascular event, such as secondary MI, as well as a reduced risk of mortality compared with patients who did not undergo further surgery.
The cumulative risk of a major adverse cardiovascular event lasting 8 years was 18.7% for people who had surgery and 36.2% for those who did not.
“Evidence shows that bariatric surgery increases life expectancy,” Dan Azaguri, MD, a minimally invasive bariatric surgeon at Stanford Health, told Verywell. “Surgery also halves a person’s risk of having a second heart attack.”
What is Bariatric Surgery?
Barrier surgery is an umbrella term that includes several surgeries with the ultimate goal of sustained weight loss.
The American Association of Metabolic and Bariatric Surgery (ASMBS) divides these procedures into two categories.
What is obesity?
According to the ASMBS, obesity affects 34% of adults in the United States.Espionage can lead to adverse health conditions, reduced quality of life, disability, and even an increased risk of premature death.
Obesity is usually measured on a body mass index (BMI) scale. According to ASMBS, the scale parameters are:
- Normal BMI: 18.9 to 24.9
- Excess weight: from 25 to 29.9
- 1st degree obesity. 30-34.9:
- 2nd class Ob in the booth: 35-39.9
- 3rd Class Ob. 40 և more
The concept of weight loss surgery has been around since the 1950s, when the University of Minnesota first performed JIB surgery (which caused insufficient absorption bypassing the intestines).However, the surgery had many complications; otherwise, weight loss surgery is not recommended.
The lessons learned from the JIB have led to the most popular types of weight loss surgery now offered to patients with a lower risk of success.
The most common bariatric surgeries include:
- Bypassing the stomach. It’s called the Roux-en-Y Gastric Bypass, the gold standard for weight loss surgery. The procedure divides the stomach into a small sac attached to the small intestine. People need to eat less food և, therefore, consume fewer calories.
- Laparoscopic gastrectomy. He is known as “t”. This procedure removes 80% of the stomach. This requires less food and therefore fewer calories. It also reduces the feeling of hunger and can lead to better control of blood sugar.
- Adjustable stomach group. This operation, called a “tape”, uses inflatable tape to create a small pouch in the stomach that compresses over time, reducing the amount of food consumed and increasing the feeling of satiety. There is not enough absorption associated with this procedure.
- Biliopancreatic Diversion with Duodenal Switch Gastric Bypass (BPD / DS): This procedure is similar to the “t” procedure because the small stomach pouch bypasses a part of the small intestine (called the duodenum), which leads to insufficient absorption of calories, nutrients, including protein and fat. It is considered to be the best surgical approach to the treatment of diabetes.
Who can have pediatric surgery?
Not everyone who is obese is eligible for bariatric surgery. It will not be considered a treatment as long as other weight loss remedies, such as diet and exercise, are not effective.
ASMBS criteria for bar surgery
ASMBS states that someone who meets the following criteria will qualify for bariatric surgery.
- BMI ≥ 40, or over 100 pounds overweight
- BMI ≥ 35 առնվազն At least one or more obesity-related disorders, such as type II diabetes mellitus (T2DM), hypertension, sleep apnea, or other respiratory disorders;
- The inability to achieve healthy weight loss, which is maintained some time ago by the initial efforts of weight loss.
Advantages of Bariatric Surgery:
The technological advancement of bariatric surgery procedures over the last decade has allowed the benefits of surgery to outweigh the risks.
“Mortality has dropped over the past decade,” said Azaguri, who did not take part in the study. “Barrier surgery, in terms of mortality, is now more comparable to gallbladder removal or hip replacement.”
Bariatric surgery causes significant weight loss. In turn, many underlying medical conditions, such as type 2 diabetes, cardiovascular disease, sleep apnea, hypertension, and stroke, usually improve.
Many people who have had bariatric surgery also have type 2 diabetes. For 80% of these patients, Azarguri says that type 2 diabetes goes away after surgery հետ after further weight loss.
“There are very few other interventions that have such an impact on human health,” says Azaguri. “Whether they are at risk for heart attack or other health conditions, bariatric surgery will reduce those issues.”
What does this mean for you?
Obesity can increase the risk of cardiovascular disease, type 2 diabetes, sleep apnea, hypertension, and other chronic health conditions. Or not everyone who is obese qualifies for bariatric surgery, for some surgery can be life-changing, if not life-saving.
If you have not been able to lose weight through diet, exercise, or other activities, you may want to talk to your healthcare provider about the types of bariatric surgery that you meet the criteria for.