Am I The Right Candidate for Bariatric Surgery?
May 21, 2019Bariatric surgery is a type of surgery that is used to cause weight loss. There are different surgical options that are used for causing weight loss in people who are not able to lose weight by using other methods. In Bariatric surgery, the function of the digestive system is altered. The digestive system includes different organs that help in the digestion and absorption of the food. Through this surgery, the amount of food that the stomach can hold is restricted and causes malabsorption of the food that we eat. There are different types of Bariatric surgical procedures that are offered depending on the needs of the people. What are the different types of Bariatric surgical procedures? The different types of Bariatric surgical procedures are: Gastric Bypass: It is the standard procedure of weight loss surgery. In this procedure, a small stomach pouch of approximately 30 ml in volume is created. The top part of the stomach is separated from the rest part of the stomach. Then, the first part of the small intestine is divided and the bottom part of the small intestine is connected to the newly created pouch of the stomach. Then the top part of the divided small intestine is connected down to the small intestine so that the acids from the stomach and the digestive enzymes from the newly created stomach pouch and the first part of the small intestine mix with the food. Sleeve Gastrectomy: In this procedure, about 80% of the stomach is removed. The remaining part of the stomach resembles a banana. This procedure causes weight loss in several ways. The smaller stomach holds a smaller volume of food than the normal volume of the stomach and thus reduces the number of calories consumed by the body. This procedure also causes hormonal changes that affect the hunger, satiety, and blood sugar level. Gastric banding: In this procedure, an inflatable band is placed around the upper part of the stomach. This helps in creating a small pouch above the band and another part below the band. This procedure works on the principle that eating a small amount of food will make the person feeling the fullness of the smaller stomach pouch. The feeling of fullness depends on the size of the part of the stomach above the band and below the band. The size of the opening can be reduced over time and repeated adjustments can be made. Biliopancreatic diversion with duodenal switch (BPD/DS) gastric bypass: In this procedure, a smaller tubular stomach is created by removing a part of the stomach. Then, a large part of the small intestine is bypassed. The upper part of the small intestine known as duodenum is divided just after the opening of the stomach. The second part of the small intestine is then connected upwards to the opening of the newly created stomach. When a patient eats food, it goes through the newly created tubular stomach to the last part of the small intestine. This procedure helps by reducing the amount of food consumed. It also helps in reducing the absorption of the food, thereby reducing the intake of calories. Am I right for the surgery? There are certain standards that one needs to meet to be able to qualify for the surgery. These include:
- Aged between 16 and 70 years with morbid obesity*
- BMI 35 or more and already existing comorbidities such as diabetes, heart disease, hypertension etc.
- Motivation to commit to an inveterate post-surgery care and changes in the style of living