The many benefits of weight loss surgery outweigh its risks. Most patients lose 75 to 80 percent of their excess weight after the surgery. In a number of cases, the weight loss can be as much as 90 percent. Aside from weight loss, the following are the nine common advantages of weight loss surgery:

1. Lower chance of developing diabetes

Most obese or overweight people have blood sugar imbalances, which are difficult to deal with unless they lose weight. Studies have shown that diabetic patients who went through weight loss surgery had their blood sugar levels return to normal after the operation. About 90 percent of patients with type 2 diabetes are expected to live well without medications after going through weight loss surgery.

2. Reduced risk of hypertension and heart disease

Hypertension and heart disease are among the health problems linked to obesity. According to experts, weight loss surgery can help improve cardiovascular diseases and lessen their symptoms. Also, majority of weight loss surgery patients with hypertension may no longer need medications to treat their disease.

3. Lower chance of getting sleep apnea

A study has proved that sleep disorders associated with obesity can be easily treated with significant weight loss, and surgery plays a major role in improving a person’s quality of sleep. Poor sleep, which is usually caused by discomfort and breathing troubles, can cause anxiety, fatigue, and stress during the day.

4. Better joint function

With substantial weight loss comes reduction of stress on the joints, which is caused by obesity or excess weight. The surgery, which leads to weight loss, lowers the risk of damage to the joints and bones.

5. Improvement of other health problems

Aside from the health problems mentioned above, the surgery can also help improve the following conditions: arthritis, asthma, breathing problems, reflux, and fatigue.

6. Continuous weight loss

The most noticeable effect of the surgery is, of course, immediate and substantial weight loss. With proper diet and lifestyle adjustments, the surgery can lead to long-term weight loss and improved quality of life.

7. Improved mobility and physical abilities

Life after weight loss surgery is much better because it makes movements much easier and helps a person perform better when it comes to physical abilities.

8. Longer life

Because weight loss surgery helps reduce a patient’s risk of developing deadly diseases, it is able to extend a person’s lifespan. A study conducted in 2002 found that people who lost weight after undergoing the surgery have increased lifespan of up to three years.

9. Increased self-esteem

Weight loss surgery leads to not only health benefits, but also to a positive image of oneself. Losing excess weight definitely improves one’s appearance as well as the confidence to pursue what a person wants in his life. And with a self-esteem boost, one can have an improved quality of life and interaction with other people.

Gastric bypass surgery, with the many benefits it offers, is undoubtedly one of the best recourse to solve obesity problems.

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The results of the surgery are immediate—a patient may lose 50 to 60 percent of his weight within two years following the surgery. With healthy lifestyle (including proper diet and regular exercise), one can expect weight loss in the long run after the surgery. Those who are overweight will experience easier mobility and better quality of life after undergoing weight loss surgery.

But there’s more to this surgery than just weight loss. Aside from slashing off some figures from the weighing scale, the surgery also helps improve certain conditions that are often linked to obesity. These health problems include high blood pressure, type 2 diabetes, sleep apnea, high blood cholesterol, and gastroesophageal reflux disease. Thus, people who have gone through weight loss surgery are less likely to develop cardiovascular problems than those who have not tried the procedure. Also, the surgery can lessen a patient’s possibility of death due to heart ailment, diabetes, or cancer.

Now for the not-so good news. Weight loss surgery is not for the faint of hearts. As with other kinds of surgeries, weight loss surgery leads to several complications. If you will go through this procedure, you need to know the risks before you head over the clinic or hospital. Being aware of what to expect after the surgery helps a lot in your recovery process. The most common complications of the surgery include infection, bleeding, and swelling. Other complications are ulcer, low blood sugar, kidney stones, gallstones, iron deficiency anemia, and vitamin D and B-12 deficiency. After the operation, a patient may also experience vomiting, diarrhea, nausea, and dizziness especially when eating foods rich in sugar and fat. These are caused by a condition called dumping syndrome in which the contents of the stomach pass through the small intestine very fast.

There are certain postoperative risks that occur in rare cases but are severe and need immediate medical attention. The following are some of the complications and tips on how to deal with them.

1. Leak in the stomach

This is found at one of the staple lines in the stomach. The leak heals over time in most cases, though it can be treated using antibiotics. But severe cases require immediate surgery.

2. Thinning of the opening between the small intestine and stomach

This condition needs either a corrective surgery or a simple outpatient procedure wherein a tube is inserted through the mouth to make the opening wider.

3. Incision hernia or weakness in the incision

This complication happens if the surgery is an open procedure that involves a large incision on the abdomen. Incision hernia needs to be repaired through surgery depending on the severity of the condition.

4. Death

For every 200 to 300 weight loss surgeries, one case results in death. Although the risk of death has been linked to gastric bypass surgery, it still depends on many factors such as age and health and medical conditions.

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Actually, gastric bypass is just among the many similar operations to reduce obesity. To refer all of these procedures, bariatric surgery is the term. These operations intend to reduce accumulated fatty tissues by altering the physiological and psychological attitude of a patient towards food and eating.

How does it alter normal digestion?

What normally happens is that after eating, the food would go through the stomach and then proceed to the small intestine. The nutrients are absorbed in the small intestine before it goes to the large intestine where waste is eventually pushed out of the body. The most common gastric bypass procedure, the Roux-en Y gastric bypass, alters this process.

In the Roux-en gastric bypass, a small pouch is made on the top part of the stomach. The lower part of the stomach, which is much smaller now, is connected directly to the middle part of the small intestine. The stomach was made smaller and at the same time, the intestine was cut short, the upper portion of the small intestine was bypassed. Both the upper portion of the stomach and the small intestine no longer digest food.

Statistics showed that patients would lose 60%, on the average, of their weight after the gastric bypass surgery. There are even who would say that they have lost 80% of their weight. There are studies showing that about 90% of patient who have undergone gastric surgery were able to maintain their weight loss after ten years of having the surgery performed.

Having gastric surgery is not risk-free though. People who have undergone this procedure would report more cases of gallstones, in other studies, they would also report nutritional issues like anemia or osteoporosis.

Every year there are about 140,000 gastric procedure being performed in the United States alone. The results could really be successful, with people being able to get better weight-loss results, however, about 2% of patients would find it very fatal. In the 2%, one percent could be as a result of complications during surgery. The heart in unable to support the pumping it has to do to handle the excess weight or the complication brought by it.

The other one percent cause of fatality among people who gone through the procedure, would be about not following the dietary restrictions that should be followed after the surgery. After gastric surgery, the body could no longer handle too much intake of high-sugar and high-fat food. There is a special diet that those who have just undergone the surgery should follow. Bypass diet would usually include foods that are high in protein but low in fat, fiber, calories, and sugar. There are vitamins and mineral supplements that are required to be taken to avoid health and nutritional deficiencies.

With more and more people turning to gastric bypass surgery as a weight-loss option, it is important to understand not only the procedure and the benefits. It is also important to weigh the risks and if our lifestyle and our body would be able to handle the dramatic loss of weight.

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First of all, let’s talk about what exactly is a gastric bypass. Have you ever heard of a heart bypass? This is when surgeons stitch up you arteries to avoid the clogged vessels of the circulatory system around your heart. This is also what happens in a gastric bypass, although the operation involves your digestive system rather than your blood vessels. What the surgeons do is make your stomach smaller by making a pouch at the top of the stomach. This neatly halves your stomach capacity. Then, the surgeons would connect your small intestine to this pouch, skipping a part of it. These two changes contribute to increased weight loss by lower food capacity and lesser calorie absorption over all. Weight loss would accelerate over a three to six-month period, until your body manages to adapt to the lower energy intake.

The question that most doctors ask before they have someone undergo all of this is very simple: do you really need it? Most doctors advise patients seeking a gastric bypass to exhaust all other forms of weight-loss options before doing this operation. It may be the safest option but it is still major surgery on a sensitive part of your body. These is still a chance for complications to set in both during and after the operation. Doctors also screen any patient wanting to have a gastric bypass – you may not have a gastric bypass if you have not been obese for more than five years, are alcoholic, experiencing a psychiatric disorder and you have to be between 18 to 65 years of age.

If the patient has exhausted all other options and is eligible for a bypass then the doctor outlines exactly what happens after the bypass is done. After the surgery, the patient will stay in observation for the next three days to check for complications. He won’t be eating anything solid for awhile to let the pouch in his stomach heal. After discharge, he will also be under a rigid, progressive diet that would take him from liquid foods to solid foods in twelve weeks. The patient will also be experiencing the effects of lower energy intake: headaches and bodyaches, along with lower energy levels.

He will also have to take vitamin supplements since the part of the small intestine that is being skipped by the bypass is predominantly in charge of getting the appropriate vitamins and minerals from the food – not all, of course, but a significant portion of the recommended daily allowance. The long-term effects are also there. A lower stomach capacity means you may vomit or feel abdominal pains if you eat too much or too fast.

It sounds extreme, but still, a lot of gastric bypasses are done each year – it’s up to you to decide whether it is worth the risk.

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Getting a gastric bypass is a pretty simple process – you just have to go to your local hospital and consult with a surgeon. They obviously won’t just let you have one willy-nilly, of course, there are several guidelines that limit the administering of a gastric bypass procedure to someone. The main things that restrict any prospective recepient of the procedure are the following: the patient must have been obese for more than five years, the patient must also not have a history of alcoholism and psychological disorders.

Finally, the person should not be younger than eighteen years old and no older than sixty-five years old. If you fit all of these categories, you’ll also be judged if you have exhausted all other weight-loss measures for yourself. This is because it may be one of the safer surgeries that can be done, a gastric bypass is still a major operation and cannot be taken lightly.

If you do pass all of these tests, then you’ll be up for the procedure. Here’s a simple explanation of it: it is essentially, having your stomach capacity lessened and making your digestive tract skip a part of your small intestine. To go into the nitty-gritty of it, the procedure creates a small pouch in the upper part of your stomach, usually via surgical staples or a plastic band. This stomach pouch is usually small – it can get to the size a walnut for some procedures. After this pouch is created, the middle of your small intestine, the jejunum, is connected to it. This means your food will skip the main part of your stomach and your duodenum, the upper portion of your small intestine. The result is lower stomach capacity and a lower calorie intake. You will be able to satisfy your appetite more quickly and have less calories inside your system, creating a consistent and quick weight loss for you until your body has adapted to it.

It may sound easy but still it’s a long road after a gastric bypass. After the four-hour operation you will be under observation for the next few days, while being limited to liquids only so that your stomach can heal. After five days you can be released from the hospital but your ordeal won’t end there. For the next twelve weeks, you will be following a diet that will slowly progress you from liquids to solids, getting you new stomach used to the strain.

Even then, you will have to deal with some of the side-effects your whole life – lower energy intake can be detrimental to your health, while over-eating can cause you to vomit or feel great pain, so a gastric bypass should be a last resort for anyone who’s suffering from obesity.

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There are a lot of ways to shed all of those unwanted pounds: dieting and exercise are probably two of the simplest and easisest ways to do so. Those two choices only require an investment of some time and discipline to get you to a fighting trim. Unfortunately, sometimes people don’t have the time to do so, or are suffering from conditions that make exercise or dieting a bit of a no-no or, at worst, make these approaches totally ineffectual. So, if you’ve been failed by these options, what are the choices that you have left? Well, there’s surgery.

When we think of weight-loss surgery, we usually think of liposuctions. That would be a complete misrepresentation of the process. Weight-loss surgery is a lot different from weight-reduction surgery, which is what liposuction is – liposuction is actually not even actual surgery. Operations or procedures that reduce weight do only a temporary reduction of your body weight – while weight-loss surgery aims to make changes in your body that would make weight loss a possibility and something that can be maintained. A gastric bypass can do this, as long as it is combined with behavioral changes.

What exactly happens during a gastric bypass? Well, in simple terms, a doctor finds a way for your stomach to be made smaller. The complicated explanation is that a doctor creates a small pouch for you near the opening of your stomach and connects that pouch directly to your small intestine – essentially making your food skip over a large part of your stomach and small intestine. This makes it so that you don’t absorb that much calories from your food, and it also makes your stomach hold a lot less food. Less calories and smaller intakes are what essentially drives you to lose weight after a gastric bypass. After the procedure, you’ll be in the hospital for three to five days, though there are some variations of the procedure that make that already short stay, even shorter.

Sounds all right doesn’t it? However, like all surgeries, it is still a major surgical operation that can affect the way you live. It should not be understaken unless it has been fully considered. You won’t be eating anything for three days after the surgery and you’ll be on a strict diet afterwards – eating too much will literally hurt you. Your body adjusting to the lower energy intake also takes its toll.

A gastric bypass is not a miracle cure-all but it can help a lot. So think long and hard before you do it.

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Gastric bypass surgery is not the popular among the young population though. About 1% of those who undergo the procedure are teens according to the survey reported in Archives of Pediatric and Adolescent Medicine in March 2007. There is a relative increase on the number of teens undergoing the procedure, but still remains unpopular or uncommon.

Sadly, obese children think that they are living a kind of life like those who have cancer and undergoing chemotherapy, according to the survey done by the Journal of the American Medical Association. Teens suffering from obesity would deal with being teased, socially not accepted, and unable to participate in social activities.

Not all obese teens are recommended to undergo gastric bypass surgery. According to the American Academy of Pediatrics in 2004, there are guidelines that should be considered before a teen or an adolescent is recommended for gastric bypass or any weight-loss surgery:

• Failed to lose weight by any organized attempt of weight management for the last six or more months, with an assistance of a doctor.

• Have reached a physiological and skeletal maturity. Adolescents that have reached an age (or older) of 13 years old for girls and 15 years old for boys have reached this level of maturity.

• Has a body mass index (BMI) of more than 40 associated with severe obesity-related problems. Has body mass index of more than 50 even though there are no serious obesity-related problems.

• There are medical and physiological examinations and evaluations performed before the surgery, the teen undergoing that should be prepared to handle these evaluations.

• In general, those who have undergone gastric bypass surgery are advised to avoid pregnancy at least two years after the surgery. This is to avoid any complications and increasing risk to the fetus because of drastic weight loss. Anybody, not only teens, should be aware and agree on this.

• Prepared to follow strict dietary regulations after the surgery. There is a strict diet that patients should follow like low sugar, low fat, low-carbohydrates, and low-calories meal plans.

• Have a supportive environment. Because of the dramatic change in their lifestyle, teens should have supportive family environment that will be able to guide them to the different changes. Often times, there are patients of weight loss surgeries who would suffer from different physiological and psychological side-effects, like depression. Families should be prepared in helping their children through these stages.

There are doctors who would say that conducting gastric bypass or other bariatric surgery on teen-agers are safer than conducting the procedure with adults. Teens have not developed any case of obesity-related problems like high blood pressure and heart disease which are common among adults and also increases the risks of surgeries. Teens also heal faster and required less time spent in the hospital.

There are many benefits by undergoing gastric bypass and weight-loss surgeries. Some patients would even report losing 5% of their weight within the first month and about 50 to 60% within a year. Associated obesity related problems are also reduced by having the surgery. However, not everybody is recommended to undergo the procedure.

Even a teen is required to have be able to make sound decisions, before undergoing surgery. Afterall, maturity does not come with age.

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But unfortunately, regaining weight is possible several years after the weight loss surgery. Most patients keep on losing weight until achieving their ideal weight within one to three years after the procedure. Have you undergone weight loss surgery? It is likely that you lose much weight in one year, only to have the excess weight back. That usually happens to patients who do not follow the recommended food intake and the necessary lifestyle changes following the surgery. Good thing, there are several steps you can do to avoid gaining weight ever again. Read on the following tips to get the most out of your weight loss surgery.

* Stop eating when you are full. Eating more food than your stomach can hold will result in not only weight gain, but also pain in the abdomen, vomiting, nausea, and dizziness. Also, avoid eating when you are not really hungry.

* Avoid going back to your old, unhealthy habits. Binging or comfort eating are just some of the causes of weight gain and obesity. Sure, old habits die hard. But if you cannot resist the urge to overeat, then your weight loss surgery is as good as useless.

* Find some ways to deal with stress, anxiety, loneliness, and other emotions that lead to binge eating. Seek help from a professional such as a psychotherapist to be able to curb negative emotions that trigger incessant food cravings.

* Make sure to follow the diet plan designed for you. The diet recommended for people who have undergone weight loss surgery includes foods that are low in fat and sugar. Now, if you eat sugar- or fat-rich foods, then expect your weight to increase again.

* Follow an exercise program. Regular exercise can help you maintain a healthy weight. You can do yoga, Pilates, aerobics, walking, jogging, and other physical activities to keep your body and mood in great shape.

* See your doctor. If you notice that you are gaining weight at any point after your surgery, it is best to consult your doctor to determine the reasons for your weight gain. Your weight gain may be due to medical causes such as a disease, and the doctor can help you find solutions to stop the problem. On the other hand, some instances of weight gain after surgery are caused by a patient’s diet or fitness routine. Your doctor can also help you determine those problems and suggest changes or adjustments to your eating habits and regular workouts to stop your weight gain.

Remember, nothing beats a healthy diet and consistent exercise regime to make sure that you maintain an ideal healthy weight years after your gastric bypass surgery. Do not forget to always consult your doctor whenever you encounter health problems. Doing so gives you the peace of mind that you will not have to deal with obesity problems ever again.

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Those who have undergone weight loss surgeries, lose about 50 to 60% of their body weight, a year after the surgery. Along with the weight loss, they would also be losing ailments associated with obesity like high blood pressure, diabetes, stroke, heart diseases and even cancer.

The Procedure

The most common gastric bypass performed is called the Roux-en Y gastric bypass. In this procedure, a small pouch is created on the top of the stomach. It is stapled, to seal it off from the rest of the stomach. This small pouch will no longer digest any food. The upper part of the small intestine, the duodenum, is attached to this small pouch.

When eating, the food would bypass the small pouch in the stomach and the upper portion of the small intestine. The food would go directly to the middle section of the intestine called the jejunum. Since it is the small intestine that does the absorption of minerals, vitamins and calories, the body will absorb limited calories only. A Y formation is formed just below the stomach.

Incisions are made in the abdomen to perform the procedure. Surgeons will be using the laparoscope or a small, tubular instrument with a camera. This will enable the surgeon to see the abdomen and perform the surgery. The laparoscopic gastric bypass actually makes the stay in the hospital and the recovery period shorter and quicker.

There are still “open” gastric bypass performed, however, there could be wound-related problems with this kind of procedure. The laparoscopic gastric bypass surgery is performed under general anaesthesia. The procedure lasts for about four hours. Patients who have undergone the procedure stay in the hospital for about two to six days to be monitored for any complications.

After the Surgery

Having a smaller stomach has effects on how much food the patient can eat. There are special diets that a patient recovering from gastric bypass surgery follows. Every food that the patient would eat will be important for his nutrition. There are times that they are also recommended nutritional supplements to avoid deficiencies like anemia or vitamin deficiency.

There are patients reporting weight loss of as much as 50 to 60 percent a year after the surgery. There are even some who would report an astounding 80% weight loss. However, it is still possible for patients to stretch their stomachs and have that large size again. There is still a possibility of getting back those lost pounds. That is why doctors would recommend dietary restrictions and exercise plant that would keep the pounds away.

There are also tendencies that gastric bypass patients would develop gallstones, stomach ulcers, hernia or nutritional deficiencies. The part of the stomach which was bypassed can get enlarged, it could cause bloating and hiccups. There is also the Dumping syndrome which happens when the food moves quickly to the small intestine. This can happen after eating foods high in sugar or fat.

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Well, that’s the time when you think about getting a surgical option. Liposuctions are a good stopgap option and they can often do the trick – all it takes is a good push and maintaining weight is a lot easier. However, sometimes even that is not enough. The fat keeps on coming back, whether it’s just a genetic predesposition to it or something similar. Some people really need help to get them out of obesity’s tight embrace. That’s where a gastric bypass comes in.

A gastric bypass, or as medical professionals call it a “Roux-en-Y gastric bypass”, is a surgical weight-loss procedure that enables the patient to lose weight on a constant and regular basis. It is one of the more safe options and is because of this the preferred option when any weight-loss surgery is being considered. What it does is essentially make a small pouch in the upper part of the stomach, and connect it directly to the middle of your small intestine. This severely cuts down on your caloric intake by skipping most of the intestinal tract and also reduces your appetite by making your stomach handle less food.

The procedure may sound like an easy thing but a gastric bypass is still a major surgical operation and has its own risks. You’ll be under general anesthesia for this operation and tubes will be inserted via your nose and your abdomen to make sure you recover completely after the operation. The operation itself will only take a few hours.

It may even be shorter if you under go a laparoscopic bypass, a procedure which uses a laparoscope instead of opening your abdomen completely for the operation. This results in less infection and accelerates healing time. After the operation, your doctor will probably keep you in the hospital for three to five days for observation.

Of course, immediately after the operation you will be experiencing a few changes. First of all, in the first three days after the bypass, you’ll be on an IV drip – no eating until your stomach heals. Then it’s twelve weeks of reginemnted diet as you progress to solid foods again. You’ll also be feeling the effects of the gastric bypass. When you eat a lot of food or eat quickly, it may cause you to vomit or pain. You will feel yourself losing weight in the next few months but will also have to suffer the side-effects like weakness, hair loss and body aches.

This is why you should never undertake a gastric bypass unless it’s truly necessary.

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