![]() If they had shared their decision to pursue surgery, they are more likely to hear questions about the surgery itself and whether they “should” be eating certain foods. If they kept it private, they are more likely to hear questions about how they lost weight and concerns about whether they are eating enough. Other social reactions depend on whether they had been open beforehand about their decision to pursue surgery. ![]() The patient might have to field questions about how much weight they lost, what they weighed before, and other questions they may not want to answer, especially if they are embarrassed that they had to “resort” to surgery to lose weight. It’s very common for patients to be asked invasive questions after they lose weight. The short-term improvement in metabolic effects may be related to markedly reduced caloric intake and hepatic insulin sensitivity.”īut this weight loss can invite a lot of unwanted attention from family and friends and acquaintances of the patient, according to Kasey Goodpaster, PhD, a psychologist in the Bariatric & Metabolic Institute at Cleveland Clinic. “But any interval of diabetes remission is good since it will provide a longer interval of the potential to avoid complications related to T2DM. Rothberg, MD, PhD, associate professor of internal medicine in the Division of Metabolism, Endocrinology and Diabetes (MEND) and director of the MEND Investigational Weight Management Clinic at the University of Michigan in Ann Arbor. “Bariatric surgery is highly effective and although there is weight regain, the weight loss associated with bariatric surgery still surpasses weight loss with other conventional methods and the weight regain that is reported is usually 10% to 15% (although we see more weight recidivism post sleeve and it’s occurring earlier on post-surgery),” says Amy E. And that’s not to mention the weight loss itself. The surgery can help resolve hypertension and let patients discontinue the medications they take for high blood pressure. Bariatric surgery can even mean remission of pre-diabetes and type 2 diabetes. People with obesity are at a higher risk for several comorbid conditions, including diabetes and heart disease, and the short-term benefits of bariatric surgery are marked improvements in these conditions. And while most obesity experts are aware of what’s at stake for patients undergoing bariatric surgery, it’s important to keep in mind the physical and psychological toll these surgeries can have on these patients. This again points to the continuing obesity epidemic in the U.S., and while most experts say more people are becoming obese because of increased calorie intake and increasingly sedentary lifestyles, obesity is a physiological disease, and it’s often more complicated to control than “eat less and move more.” Lifestyle changes remain the first line of treatment, but for many patients, bariatric surgery is the most effective for long-term weight loss.īut weight loss surgeries – Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (most centers no longer perform laparoscopic adjustable gastric banding because it’s not as effective) – are procedures that carry both short-term and long-term effects, some of which can be harmful without proper treatment. One statistic in particular that raised eyebrows and grabbed headlines – the prevalence of obesity was as much as 35% or more in seven states (Alabama, Arkansas, Iowa, Louisiana, Mississippi, Oklahoma, and West Virginia). ![]() Last month, the Centers for Disease Control released updated statistics on adult obesity in the U.S. Thorough psychological assessment before the surgery and careful follow-up post-surgery are necessary for bariatric patients.Physicians and patients should be aware of the physical and psychological side effects that can occur after bariatric surgery. ![]() Bariatric surgery is an effective tool for long-term weight loss in patients with obesity however, it is a major surgery that does carry with it some short- and long-term side effects.However, there are myriad side effects to be concerned about other than weight regain that range from addiction to possible suicide risk. As new statistics reveal an alarming rate of obesity in the U.S., more and more people are opting for weight loss surgery to combat this disease. ![]()
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