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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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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The effects of the surgery would be most felt after a year, where most patients would report to be at their lowest weight. However, there could still be tendencies that the lost weight may be regained especially if the dietary and exercise recommendations are not followed. After all, reducing your food intake is not the only way to lose weight and maintain it.

Gastric bypass is a procedure done to address issues of severe obesity. There are associated conditions with obesity like diabetes, high blood pressure, high blood cholesterol, obstructive sleep apnea and the gastroesophageal reflux disease. There are about 80% of patients with hypertension will be off medication significant time after the surgery. The same goes for 90% of diabetic patients who will not be dependent on insulin.

It could even reduce the patient’s risk of having heart disease and cancer. Because of the weight loss, gastric bypass surgery could help a person improve mobility and flexibility. Gastric bypass surgery could lessen asthma attacks and reducing dependence to medication or inhaler. Arthritis, fatigue, joint pain and shortness of breath due to physical movements are also reduced by weight loss brought by surgery.

Being extremely overweight could have significant effect on the bladder and other organs of the body. They get too much pressure increasing stress incontinence. It could also cause hormonal problems which could lead to infertility. There are studies showing that after undergoing the bypass, 90% of infertility is restored.

Because of the weight-loss, there are patients who claimed that they increased their confidence and well-being is improved. There are studies showing that those who have undergone surgery would usually experience depression and anxiety. Counselling and support would help the individual to recover and the psychological effects could be lessened or could disappear.

The National Institute of Health, said that patients who have undergone bypass showed “dramatic and sustained” improvements in how they live their lives. They were able to go beyond the results of weight loss and improve their over-all life. They have higher self- esteem and higher energy levels after the surgery.

For example, gastric bypass surgeries that have been performed to obese teens were able to improve the quality of life within six months, some studies say. Aside from weight loss, their health improves and starts to become appropriate for their age. They were also able to socialize better and deal with peer pressure.

However, it is important to understand that aside from the numerous benefits you can get from gastric bypass surgeries, there are also risks just like any other medical intervention or surgery. Morbidly obese patients have higher risks in surgeries compared with those who are not morbidly obese. It is important to weigh our options before we proceed to any procedure.

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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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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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It is because this type of bariatric surgery is much safer and less risky than other weight-loss procedures. Compared with the other type of bariatric surgery (gastric banding surgery), this procedure does not easily lead to weight gain. And with consistent changes in a patient’s lifestyle and behavior, the surgery can result in a long-term and immediate weight loss, as well as other health benefits such as treatment of sleep apnea and type II diabetes.

How safe it is?

The technology used in the weight loss surgery makes the operation much safer than before. Majority of bariatric procedures take advantage of the new laparoscopic technology, which uses a tiny video camera and other instruments to make very small incisions on the abdomen. Whereas before, surgeries of the stomach involved creating large incisions that usually caused intense pain and inflammation to patients. Smaller incisions using the laparoscopic technique leads to less pain, less swelling, fewer scars, and faster recovery rate.

How does it work?

Usually performed within two hours, the surgery involves making the stomach smaller by creating a line of staples that is joined to an end of the small bowel.

Is this surgery right for you?

It depends on your body mass index (BMI). You are a candidate for the surgery if your BMI is not less than 40. But if you have any serious disease such as pneumonia, bronchitis, or diabetes, your BMI must be at least 35 in order to undergo a weight-loss surgery. Otherwise, the surgeon may not allow you to go through the procedure because of the complications. Aside from the right physical condition, you must be emotionally and mentally prepared for the surgery. For the operation to be successful, you should be properly motivated and aware of the risks or complications that may arise. Also, surgery should always be the last resort—meaning you use it only after you have tried dieting and exercise but to no avail.

What are the risks?

Of course, any kind of surgery entails some risks due to the incisions involved in the operation. Deaths resulting from the surgery are very rare (about 0.1 to 2 percent). The complications of the surgery are bleeding, respiratory dysfunction, stenosis or the obstruction of stomach, and leaking due to the staples.

How to find the right surgeon?

Choosing the best surgeon is one of the most important decisions to make when it comes to weight-loss surgery. The surgeon is the only person to entrust your life and limb with, so to speak. So he or she must not only be competent, but also a person whom you’re comfortable dealing with. Also, look for a surgeon with a vast experience in gastric bypass surgery, preferably someone who has performed hundreds of operations. That way, you can be sure that your surgery is safe and effective.

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How does one lose weight aside from diet, exercise, and medication? Gastric bypass surgery is a well-know solution for overweight people who need to shed at least 100 lbs. However, surgery alone is not enough to maintain an ideal weight. It must be accompanied by post-surgery lifestyle changes that involve diet, exercise, and mental and emotional adjustments.

The Right Diet after Weight Loss Surgery

The most important thing that a patient should watch out after the surgery is his diet. The surgery involves changing the structure of the stomach and small intestines. The reduced stomach volume following the surgery limits that amount of food that the stomach can hold, which is roughly about 1 ounce. Thus, the patient must be careful with the kind and amount of food he eats. The patient needs to eat small meals at regular intervals everyday. Weeks after the surgery, the patient is required to eat pureed or soft foods for better digestion and to avoid complications such as nausea and vomiting. Examples of foods that can be eaten after surgery are pureed fruits, pureed vegetables, soups, oatmeal, and steamed desserts.

Formal Exercise Program

A day following the surgery, the patient can do some light walking—but not regular exercises yet. Two to three weeks are needed for rest and healing, and a formal exercise program can start as soon as the patient has fully recovered. Usually, weight loss surgery patients can start low-impact aerobic workouts four to six weeks following the surgery. The recommended exercises for those who have undergone weight loss surgery include yoga, Pilates, water aerobics, resistance band exercises, speed walking, and light jogging.

Psychotherapy

While it seems that weight loss surgery involves only the physiological aspect of the patient, the mental and emotional aspects must not be overlooked. Most surgeons recommend psychotherapy that people who are considering weight loss surgery. Psychotherapy prepares a person’s mind and emotions before the surgery so that he could cope easily with the bodily and lifestyle changes after the procedure. Failure to undergo psychotherapy prior to the surgery may lead to post-procedure problems such as eating disorders, constant food cravings, and emotional troubles.

Stress Management

To many people, eating is a great stress reliever. The diet limitations after surgery can be very stressful for many patients. What’s the best way to beat stress after surgery? Not food, not drugs, and not treatments. Simple changes in lifestyle can turn stressful days into comfortable and worry-free ones. Stress management techniques for people who have gone through weight loss surgery include deep breathing and relaxation techniques, acupuncture, yoga, massage therapy, and meditation. Trying a new hobby and joining support groups in one’s community are also good ways to manage stress after weight loss surgery.

Gastric bypass surgery is the best remedy for obesity when diet, exercise, and medications fail. But even the most successful procedures won’t lead to weight loss without the right lifestyle changes. To help achieve a healthy lifestyle and effective weight loss, one must seek professional help from health care professionals, dieticians, and psychotherapists.

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