NEW OR YORK (AP)

Last year, 15% of the 252,000 obesity surgeries in the United States were performed after the previous surgery. That compares with 6% of the 158,000 surgeries in 2011, according to the Surgeon Group.

Weight loss surgery has proven to be an effective way to treat obesity and related conditions such as diabetes. The methods are different, but in general, surgeries reduce the size of the stomach to limit how much a person can eat without getting sick.

Many achieve significant weight loss, but the results are not certain. It is still possible to eat a lot, restraining devices can slip, the stomach can pull back, and patients can regain weight over time.

This was the case with Carrie Dutton, who underwent surgery for the first time four years ago.

At first, Dutton said he could not eat much without getting sick, as expected. He quickly dropped from 320 320 to about: 100. Then gradually his stomach began to stretch, և he was able to eat more again.

“In my sophomore year, I noticed that my weight was crawling pretty fast,” said Dutton, 29, of Long Island, New York.

Dutton’s first operation was a newer procedure that cuts a portion of the stomach, leaving a narrow sac. In October, he finally underwent more permanent surgery, which significantly reduced his stomach.

Guidelines in the United States generally recommend weight loss surgery for obese people, those with a body mass index of 40: or those with a BMI of 35, who have health problems such as diabetes or high blood pressure.

And the problem of obesity is not improving in the United States. According to the latest study, 4 out of 10 American adults are obese, and almost 1 in 10 are severely obese. by government researchers.

The American Society for Metabolic and Bariatric Surgery does not provide information on which procedures lead to subsequent surgeries. Dr. John von Morton, a former group president and surgeon at Yale Medical School, said patients were first given an adjustable “moving belt” that limited stomach size. The band’s popularity in the United States has declined significantly over the years.

ReShape Lifesciences, a medical device company that bought the Lap-Band system in 2018, says it does not think removing its belts is prompting a second operation. Dr. Mark Watson, of the group at UT Southwestern Medical Center in Dallas, says that with proper care, the group can avoid other surgeries that may be appropriate for the job.

Contributing to the growing number of returning patients is the fact that it now accounts for 61% of US procedures. Surgeons say that many patients choose t, because it seems less complicated, sharper than the bypass, which puts the stomach in a small bag, shortens the intestinal tract.

Some surgeons are beginning to realize that T is not the best option for some, such as those who are very obese.

“It has been widely used,” said Dr. Stacey Bretauer, a Columbus, Ohio, surgeon and former president of the American Society for Metabolic Barbar Surgery, who follows the procedure.

Because the number is relatively new, there is no strong data on how long patients can live, but Bretauer said surgeons have seen patients begin to return for review.

Prospective patients need to understand the options, surgeons say, as additional surgeries may increase the risk of complications. Dr. David Arterberne, who studies weight loss procedures at the Kaiser Permanente in Seattle, recommends that people seek the help of surgeons who are comfortable performing a variety of procedures.

Dr. Neil Floch, a surgeon in Norwalk, Connecticut, said the correct procedure would depend on the individual’s condition.

The most common procedure after sputum is traditional gastric bypass. It is considered more effective in part because it also limits the amount of food digested. In general, both are considered safe; they are performed laparoscopically or through small incisions.

The need for another operation does not necessarily make patients regret their decisions. Some say they got what they thought was the best option for them at the time.

Some, such as Anita Saah, 45, of Rockville, Maryland, may have looked the other way.

In 2018, Saah chose t because it seemed less risky than bypassing. He immediately lost weight, but then became severely dehydrated and vomited bile, probably due to problems with his former acid reflux.

In September, he underwent another operation, this time bypass. He has no other complications, he just wants to understand how serious the acid reflux can be.

“I would not have had two surgeries,” Saah said.

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The Associated Press Department of Health and Science receives support From the Department of Scientific Education, Howard Hughes Medical Institute. AP is only responsible for all content.

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