What Happens to People After Gastric Bypass Complications and Who Needs and is Eligible for Bariatric Weight Loss Surgery
WHAT KIND OF CONDITIONS IN OBESE PEOPLE SUGGEST THEY COULD BENEFIT FROM WEIGHT LOSS SURGERY?
How do they determine who is eligible, who needs and who should have a gastric bypass and what happens to people who had a gastric bypass or other bariatric weight loss surgery? Guidelines recommend optional bariatric surgery for those who have BMIs (what is BMI see below) greater than 40 kg per m2 and obesity-related comorbidities (e.g., hypertension, diabetes, obstructive sleep apnea) but who could not lose weight with dietary drugs, diet, or exercise. There are four types of weight loss operations that are commonly offered in the United States. People are wise to analyze the risks and benefits when they think about having weight loss surgery (bariatric) such as gastric bypass surgery.
WHAT ARE SOME GUIDELINES FOR WEIGHT LOSS SURGERY?
According to a medical report in 2006 "American College of Physicians (ACP) guidelines recommend optional bariatric surgery for those who have BMIs greater than 40 kg per m2 and obesity-related comorbidities (e.g., hypertension, diabetes, obstructive sleep apnea) but who could not lose weight with dietary drugs, diet, or exercise".
Video Says Gastric Bypass Might Improve Diabetes
Body Mass Index (BMI) is a number calculated from a person's weight and height. BMI provides an indicator of body fatness for most people and is used to screen for weight categories. Comorbidity means the presence of other medical problems in addition to one a particular medical problem. So for example, a person has diabetes but also high blood pressure.
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HOW MANY TYPES OF BARIATRIC SURGERY ARE COMMON IN THE UNITED STATES?
There are four types of weight loss operations that are commonly offered in the United States:
"Published studies may help the physician decide whether or not the procedure would be in the patient's best interest. A national study of bariatric surgeries showed several trends:
However, the increase in bariatric surgeries was seen mostly in patients 50 to 64 years of age. The number of patients 65 years and older undergoing bariatric surgery remained stable, accounting for 0.6 to 1.3 percent of procedures from 1998 to 2002".
Here are two videos and a web site where you can read, watch and hear thoughtful advice about weight loss and gastric bypass surgery. Obesity especially what's called "morbid obesity" can increase the risk of health problems. For example, many very obese people can have high blood pressure which is itself an increased risk for stroke and heart attack. On the other hand, weight loss surgery or any surgery also has risks such as reaction to anesthesia and complications from surgery.
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"Some common short-term complications of bariatric surgery are wound infections, stomal stenosis, marginal ulceration, and constipation. Wound infections are more common in open than in laparoscopic procedures and may occur in up to 20 percent of patients...In addition to the above-mentioned complications, which also can occur in the long term, special attention should be given to symptomatic gallstones in the gallbladder, dumping syndrome, persistent vomiting, and nutritional deficiencies. Cholelithiasis aka gallstones, is a common consequence of rapid weight loss in the postoperative period".
The National Institutes of Health has brought together the Longitudinal Assessment of Bariatric Surgery researchers with expertise in bariatric surgery, obesity research, internal medicine, endocrinology, behavioral science, outcomes research, epidemiology, and other relevant fields to collaboratively plan and conduct studies that will ultimately lead to better understanding of bariatric surgery
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