measuring tape

November 1, 2021 – It is normal to realize how you look in the mirror. Weight loss will be followed by fatigue and constant tiredness.

The CDC estimates that half of adults try to lose weight during any given year, with young adults likely to make the effort, followed by middle-aged adults. Common ways to lose weight include healthy eating, exercise, and intermittent fasting.

But for some, there is only one way that many may consider the last resort – weight loss surgery.

Spencer Kroll, MD, PhD, internal medicine specialist in New Jersey, says: “People usually choose weight loss surgery after several diet programs, sometimes after the failure of drug therapy.”

Jeannie Boyer, a licensed dietitian in Mount Pleasant, SC, says others have chosen surgery to help treat or improve diabetes, high blood pressure and sleep apnea.

“Some of these conditions, such as diabetes and insulin treatment, make it very difficult to lose weight through diet and exercise, so surgery may be ideal,” she says.

When to think about surgery?

Krol is a specialist in cholesterol-lipid diseases who specializes in metabolic diseases.

“It seems that people prefer surgeries out of frustration,” he says. “This should only be considered after consuming other options, such as a significant, lasting change in diet.”

He urges people to “review various weight loss strategies with a dietitian, change their lifestyle, increase physical activity to increase metabolism, and promote weight loss.”

Types of weight loss surgery

In case you have tried all the other weight loss alternatives, surgery may be your best option. But what will it be?

A recent study by the University of Michigan looked at two common weight loss surgeries: spinal gastrectomy and gastric bypass.

“Sleeve gastectomy is an easier operation [because] “Only the stomach shrinks in size,” says Kroll. Basically, part of the stomach is removed, making it smaller.

“Bypassing the stomach, which [involves] “Several surgical techniques involve bypassing the stomach so that the esophagus connects directly to the small intestine,” says Kroll.

That is, the stomach no longer enters food, but is attached to the intestine separately to ensure digestive secretion.

Sleeve Gastrectomy vs. Stomach Bypass. which is safer?

Before finding out which is safer, Dr. Ryan Howard, author of a study from the University of Michigan, says: “Patients can really understand the risk of problems such as death, complications, and hospitalization after these two procedures.”

General Surgeon Howard tells patients that understanding what they need helps them decide which type of bariatric surgery to choose.

He believes that a wing gastrectomy is safer, that it “does not give so much weight loss.”

However, just because it is safer does not mean that you should not consider other factors.

“If the patient has a lot of comorbidities, bypassing will bring better clinical benefits, maybe that risk is worth it,” he said.

A recent study of patients undergoing bariatric surgery for five years found that a gastrectomy had a longer risk of mortality, complications, and recurrence, but a higher long-term rate of surgical review.


Complications of bariatric surgery are usually rare. The American Society for Metabolic and Bariatric Surgery reports that the risk of dying from weight loss surgery is lower than the risk of gallbladder removal or hip replacement.

Kroll says the 30-day mortality rate for patients with acute gastrectomy is 0.08%, while the mortality rate for patients with gastric bypass is 0.14%.

Although these complications are rare, Kroll says there is a risk of clogging due to scar tissue infection.

Outlook և Recovery

“After bariatric surgery you have a new opportunity. When it comes to weight, you can reduce your body size, ”says Susan Zilberman, a New York-based mental health trainer.

But that is not the end goal. If you can not overcome the causes of excess weight, it will return after a while.

Zilberman says that “the main emotional concerns that caused the weight are still there. It is very important to come to the place of perception of your relationship with food in order to lose weight. ”

Zilberman incorporates his coaching skills while working with bariatric surgeons, nurses and nutritionists.

He says one way to heal is to eat sensibly.

“Eating carefully helps you to get rid of normal, unsatisfactory behavior. “Instead of thinking about food, you release your energy; you can focus on living your optimal life.”

“Recovery from surgery is a process. For optimal recovery, you can follow your bariatric team guidelines, think about self-care, reduce stress, and focus on self-acceptance right now. ”

WebMD Health News:


Ryan Howard, Physician, General Surgeon, University of Michigan.

Spencer Kroll, MD, PhD, Internal Medicine Specialist, New Jersey.

Jeannie Boyer, RD, LD, Mount Pleasant, SC.

Susan Zilberman, Certified Mental Nutrition Trainer, New York City.

JAMA Surgery. “Relative safety of gastric bypass gastric bypass in patients with severe obesity up to 5 years after surgery.”

CDC. “Adult Weight Loss Attempts in the United States, 2013-2016.”

© 2021 WebMD, LLC. All rights reserved.