What is bariatric surgery, and who should consider it for weight loss?

Question

I recently heard about bariatric surgery, and I was surprised to learn that it’s not just about losing weight but also about improving health conditions like diabetes. I don’t fully understand how it works or who qualifies for it.

What exactly is bariatric surgery, and how does it help with weight loss? I read that there are different types, like gastric bypass and sleeve gastrectomy—how do they differ, and which one is better? Also, does bariatric surgery permanently change digestion, or can the stomach stretch back over time?

I also want to know if bariatric surgery is safe. What are the risks and complications, and how difficult is the recovery process? Also, are there natural alternatives for weight loss that can provide similar long-term results without surgery?

If anyone has had bariatric surgery, what was your experience? Did it help with weight loss and health issues, and was it difficult to adjust to the new lifestyle after surgery?

Dr. Harsha Joy · Accepted Answer

Bariatric surgery is a procedure designed to help with weight loss by altering the digestive system. It works by either reducing the size of the stomach (as in sleeve gastrectomy) or rerouting the digestive tract (as in gastric bypass), limiting food intake and nutrient absorption. These surgeries are often recommended for individuals with severe obesity or related health conditions like diabetes, as they can lead to significant improvements in overall health. However, they permanently change how the stomach and digestive system function, though the stomach can stretch back over time, potentially affecting long-term results. Bariatric surgery does carry risks like infection, nutrient deficiencies, and complications from anesthesia. Recovery can be challenging and involves significant lifestyle adjustments, including changes in diet and exercise. As an alternative, Ayurveda promotes holistic weight management through a balanced diet, herbal remedies, yoga, and mindful eating, which can help with sustainable weight loss and overall health improvement without surgery.

Dr Sujal Patil · Answer

Bariatric surgery helps with weight loss by physically altering the digestive system.
It can also improve health issues like type 2 diabetes, high blood pressure, and sleep apnea.
Types of Bariatric Surgery:
Gastric bypass: Creates a small stomach pouch and reroutes the intestines. Highly effective but more complex.
Sleeve gastrectomy: Removes part of the stomach, limiting food intake. Simpler, but permanent.
Adjustable gastric band: Places a band around the upper stomach. Less common due to lower effectiveness.
Effects on Digestion:
Both bypass and sleeve surgeries reduce stomach size.
The stomach can stretch over time with poor habits.
Safety and Risks:
Risks: Infection, blood clots, nutrient deficiencies, or gallstones.
Recovery: Diet progression from liquids to solids over weeks, along with lifestyle changes.
Natural Alternatives:
Diet changes, exercise, medications, and behavior therapy may help, but results vary.

What is bariatric surgery, and who should consider it for weight loss? - #14700

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