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Weight Loss Surgery: A Boon or a Bane?

Obesity is now a common and chronic problem throughout the United States. According to the latest statistics published by the Center for Disease Control and Prevention, about 65 percent of American citizens are obese. What is even more alarming is that more than 12.5 million children between the ages of 2 and 19 are affected by this terrible disease, according to the US Surgeon General.

Being overweight, while debilitating, increases the risk of other health conditions such as heart disease, high blood pressure, diabetes, osteoporosis and sometimes even shortened life expectancy. Although there are many diet and exercise plans on the market, they are rarely effective in treating obesity. Hence the trend towards surgical intervention. More and more people are opting for weight loss or bariatric surgery that helps limit the amount of food (restrictive surgery) or interrupts the process of digestion (malabsorptive surgery). There are both benefits and risks involved in these procedures.

Advantages:

1. Effective weight loss

Patients lose weight quickly after surgery and the process continues gradually for 18 to 24 months. Although some patients regain their weight to some extent, few gain it completely.

2. Improvement of other health conditions

It has been observed that there is a general improvement in other obesity-related conditions such as high blood pressure, sugar levels etc. after weight loss surgery.

The results of bariatric surgery:

1. Malnutrition

Patients who undergo weight loss surgery may develop nutritional deficiencies such as anemia, osteoporosis and metabolic bone disease. These deficiencies can be prevented if the intake of vitamins and minerals is maintained.

2. Tumor stones

More than a third of morbidly obese patients who undergo gastric bypass surgery develop stones. Gallstones are aggregates of cholesterol and other substances that form in the gallbladder. During rapid or significant weight loss, the risk of diarrhea increases. Sometimes this can be prevented by taking extra salt for the first six months after surgery.

3. Nausea and vomiting

Common side effects that all patients experience are nausea, vomiting, diarrhea, bloating, dizziness and excessive sweating.

4. Delaying pregnancy

Women should avoid pregnancy until they gain weight because rapid weight loss and malnutrition can harm the developing fetus.

5. Changes in lifestyle

Patients undergoing normal digestion not only need close monitoring, but also changes in diet and exercise and vitamin and mineral supplementation.

6. Other Difficulties

Some patients who undergo weight loss surgery require follow-up surgery to correct other complications. There may be hernias in the abdomen, infection, incision of the base line (used to reduce the size of the stomach), and gastric emptying (when the stomach returns to its normal size).

There is no doubt that weight loss surgery is a serious undertaking and therefore it is important to discuss the pros and cons with your doctor before making a decision.

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