You have tried every diet և to follow yourself, but you still do not lose weight. If you are one in a third of obese Americans, bariatric surgery may be what your doctor prescribes.

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The two most common weight loss procedures are Roux-en-Y gastric bypass gastrectomy.

“For the average obese patient with obesity, both procedures are good because they are relatively similar,” says Ali Aminyan, a bariatric surgeon and physician. But there are some considerations that scales (intended for puns) can benefit one another.

How can you decide which weight loss surgery is best for you? Dr. Aminyan is tearing down the options.

Bariatric surgery options

You are eligible for bariatric surgery if your body mass index (BMI) is as follows:

But to find the right procedure, you need to discuss it with your “bariatric surgeon”. “We take into account the patient’s history, conditions և expectations. Then we work out a plan together, ”says Dr. Aminyan.

Today, doctors perform almost all bariatric surgeries using minimally invasive techniques. This means smaller incisions (usually five or six in the abdomen) և faster healing. Most patients go home the day after surgery and recover within two to three weeks.

Stomach bypass surgery

Basics: Roux-en-Y gastric bypass surgery is a surgery that reduces the amount of calories և fat ձեր in your stomach.

«We separate the stomach at the top and make a small bag there. “Then we bring a small bowel ring and attach it to that pouch, transforming the GI (gastrointestinal) tract,” explains Dr. Aminyan. “When a patient eats food, it enters the small intestine directly. We bypass 90 to 95% of the stomach. “

Advantages: “Bypassing the stomach is a more powerful tool than a gastrectomy. Patients usually lose 10 to 20 pounds with it. “Changes in the GI tract lead to some beneficial hormonal changes, so diabetes is also more likely to improve.”

For whom is it good?

  • People with severe reflux disease. Acid reflux often improves after gastric bypass surgery.
  • People with high BMI. People lose more weight by bypassing the stomach.
  • People with diabetes. “Bypassing the stomach is generally better for these patients,” Dr. Aminyan says. Both procedures are equally effective. ”

T gastrectomy surgery

The basics. Also known as gastric or gastrectomy, surgery involves surgery only on the stomach. Surgeons remove 80-85% of it, leaving a smaller “T” instead.

Advantages: Dr. Aminyan says that it is a little safer than bypassing the stomach.

For whom is it good?

  • People who have had many abdominal surgeries. “It will be impossible to redirect the gastrointestinal tract, to operate on the small intestine, when there is a heavy scar tissue around it,” says Dr. Aminyan. “In case of T gastrectomy, we only operate on the upper abdomen, which usually has less effect on the scar tissue.”
  • High-risk surgical patients. T-gastrectomy is easier for patients than bypassing the stomach. The anesthesia time is shorter and the recovery time is faster. High-risk patients include people with severe heart disease or lung problems, as well as transplant candidates or recipients.
  • People who weigh more than 450-500 pounds. Too much fat can limit the amount of space inside the abdomen. Surgeons need space to transform the GI tract. “Without space, it is impossible to bypass the stomach.”
  • People taking many medicines for the treatment of psychiatric diseases. Stomach upset can affect how well your body absorbs and responds to medications. “If a patient with major depression or anxiety is resistant to many psychiatric medications, we do not want to give them a procedure that could alter the absorption and effectiveness of the medication.”

Duodenal switch

Basics: Duodenal fracture surgery is what would happen if a child had a gastrectomy or gastric bypass. During this procedure, bariatric surgeons remove part of the stomach to create a trademark. Then they perform a more extensive version of gastric bypass surgery. The result? Potential for greater effects on weight loss ափոխ metabolism.

It may seem like the best of both worlds, as long as you do not consider yourself at greater risk for surgical complications, as surgeons do more to change your anatomy. That is why only 1 to 2% of bariatric surgeries performed in the United States are duodenal switches. If you want to go this route, you can find an experienced surgeon և center.

Advantages: Patients tend to lose weight even more than with Roux-en-Y gastric bypass surgery. It can also overcome diabetes.

For whom is it good?

  • People with severe obesity: Patients can lose a lot of weight.
  • People with severe metabolic disordersThe duodenal detachment procedure affects the hormonal balance in the GI tract. It is very effective in improving metabolic conditions such as diabetes and high blood pressure.
  • People who follow their doctor’s instructions very well“It is usually chosen for patients who are very suitable for vitamins, supplements and postoperative examinations. It is not safe for everyone. “Even in patients who follow postpartum recommendations, there is a small risk of malnutrition,” says Dr. Aminyan.