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Who needs Bariatric Surgery? Eligibility for Weight Loss Surgery
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The most important point is gastric bypass or bariatric surgery is not for everyone. Experts make safety by determining your weight and any health condition that has resulted in obesity. For example, if you are 18 years old and more than 41 kgs above your ideal weight, you are eligible for bariatric surgery.
Table of Contents
Who needs bariatric surgery?
You are eligible for bariatric surgery if you:
- fail to lose weight via home remedies such as yoga, exercises for weight loss or dietary changes for weight loss.
- the one has BMI 35 or more along with serious weight-related health problems such as type 2 diabetes, high blood pressure or severe sleep apnea.
- If you pass through the evaluation test for bariatric surgery.
What happens in the evaluation test?
- The doctor goes through your medical history. They ask you about the weight loss routines or weight loss plans that you have followed previously, exercises to lose weight, eating habits and everything you do to lose weight.
- Tell your doctor about your current health condition if you are going through any or any surgeries you have gone through in the past. All these evaluations may help in determining the eligibility of weight loss surgery.
- The surgery is riskier for elderly people and teenagers. It can be considered if the teenager has a BMI of 35 or more along with obesity-related health problems.
- Psychological test is assessed to go through bariatric surgery. It is important for doctors to know if your obesity is due to some mental health conditions such as binge eating, anxiety, depression. The doctor may postpone surgery if they see these symptoms.
You must go for weight loss surgery when you are:
- obese or overweight adults with health conditions type 2 diabetes.
- aware of the benefits and side-effects of bariatric surgery.
- ready to adjust to life after bariatric surgery.
- ready to make lifestyle changes to maintain a healthy weight.
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What are the risks of bariatric surgery?
Bariatric surgery is a major procedure and with all major procedures, some risks are associated. So here are the following risks that bariatric surgery poses, both in the short and long term.
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Dumping syndrome:
This syndrome happens when the food from your stomach pouch directly gets “dumped” to your small intestine without undergoing the process of digestion. Early dumping happens within 10-30 minutes after the meal. Late dumping happens 1-3 hours after the meal. This syndrome could lead to diarrhea, vomiting, nausea, lightheadedness, or flushing.
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Kidney stones:
Many times, bariatric surgery poses an increased risk of developing stones in patients after the surgery. The patient witnesses changes in urine patterns and higher levels of particles, called oxalates which form kidney stones.
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Weight regain:
Although most bariatric surgery patients are able to maintain weight loss for the long term. But more than 50 percent of patients may regain a small amount of weight after two years or so after the surgery.
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Small Bowel Obstruction (SBO):
This is one of the most dreaded complications associated with bariatric surgery. The most common cause of it is adhesive bands or stenosis rather than internal hernias.
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GERD:
Sleeve gastrectomy may make GERD symptoms worse or continue. So, people with severe GERD are not generally recommended for this surgery.
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Esophageal dilation:
Many patients have reported elevated rates of esophageal dilation and alterations in lower esophageal sphincter pressure. This might further result in difficult or painful swallowing, unintended weight loss, heartburn, frequent burping or hiccups. (Also read: Esophagus Facts You must Know)
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Leaks in the gastrointestinal system:
This is one of the most common risks of this surgery. This is a serious risk. A leak may happen anytime, mostly after several weeks after surgery. Digested and partly digested food leaks through an anastomosis.
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Stomach ulcers:
Stomach ulcers are a common cause of nausea and vomiting for bariatric surgery patients. These can be a result of excessive tension at the anastomotic site.
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Hypoglycemia or low blood sugar:
This problem doesn’t show up to 2-3 years of gastric bypass surgery. These low blood sugar episodes are experienced 2-3 hours after a meal because eating triggers a rapid drop in glucose due to the release of hormones.
Some other risks involve:
- Spleen or other organ injuries
- Excessive bleeding
- Blood clots
- Lung or breathing problems
- Infection
- Hernias
- Malnutrition
- Need for a revised surgery
- Profuse bleeding due to surgical wound
- Protein or calorie malnutrition
- Vitamin or iron deficiency
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How can you reduce the chances of these risks?
You can indulge in several lifestyle changes that would keep you safe from such complications or risks from occurring sooner or later after the surgery. These are:
- Stop smoking
- Start exercising regularly
- Stay active
- Decrease your Body Mass Index (BMI)
Changes you should know after bariatric surgery:
- You will not be allowed to eat for 1-2 days so that your stomach and digestive system can heal.
- You will have to follow the prescribed specific diet for a few weeks.
- The diet regime will consist of liquids only initially, pureed food thereafter, very soft foods and finally regular foods in prescribed quantity after some time.
- You will have to go to frequent regular checkups to see if everything is going on smoothly until several initial months.
- You will witness a great improvement in your quality of life if you follow all the dos and don’ts after the surgery.
Take Away
Therefore, for such major surgeries to be totally successful, the patient needs to understand that he/she has to embrace some lifestyle modifications to change old ways and implement some new ones as the doctor suggests. This will make sure the ongoing success of weight loss surgery. The patients need to stick to a strict follow up for themselves and report to their surgeon or doctor if any complication arises. Be regular with eating healthy foods and regular physical activities. You can consult Pristyn Care experts to know more about Bariatric surgery eligibility or you can write to us below.
Also read: Different Weight Loss Surgeries
Also read: Side-effects of Bariatric Surgery
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