What No One Tells You About Weight Loss Surgery
This Surgery is Only for the very Obese!
"We sometimes get inquiries from
people who might be just 50 pounds overweight, or even 20 or 30,” says Daniel
Herron, M.D., chief of bariatric surgery at Mount Sinai Hospital in New York
City. Although some unscrupulous doctors may operate on such people, the American
Society for Bariatric Surgery guidelines say patients should have a body mass
index (BMI) above 40 (which is about 100 pounds overweight), or a BMI above 35 plus
serious obesity-related medical problems like type 2 diabetes.
It
won’t necessarily make you thin.
Bypass patients typically drop 50 to
75 percent of their excess pounds within a year of surgery. After that, weight
loss levels off and some patients, while no longer morbidly obese, are still
overweight. Take someone who’s 200 pounds overweight, after
losing 75 percent of that, or 150 pounds, she would still need to lose 50 extra
pounds to get to a healthy BMI. What’s more, some patients gain back 10 to 20
percent of the lost weight within three to five years. While weight loss
surgery has helped some patients, doctors agree cutting your stomach in half
isn’t an ideal solution. Some severely obese people simply can’t lose enough
weight through diet and exercise alone, but the goal is to
lose weight without surgery. And it is possible for anyone!
Complications
are the Norm
One in 200 patients die after
gastric bypass surgery, the most common weight loss operation, in which a
surgeon seals off most of a person’s stomach, drastically reducing the amount
of food she can eat. Although those considering surgery are counseled about
such risks, complications may be more common than many women believe. A new
study found that about 40 percent of patients had problems ranging from
diarrhea after eating fatty foods to hernias and intestinal leaks. And because
gastric bypass shrinks the areas of the digestive tract that absorb nutrients,
patients can develop deficiencies that must be supplemented for Life.
Surgical
Complications
There
are two common types of weight
loss surgery. Gastric bypass surgery involves stapling off the lower
part of
the stomach and connecting the upper part to the small intestine. This
procedure has more risks because it requires larger cuts and
re-connections with
stitches. The other type, gastric banding, is usually done
laparascopically,
involving just a few cuts in the skin. During the procedure a band or
balloon
is placed snugly around an area of the stomach like a belt. This method
also
results in a small pouch with a capacity of just a few ounces. Risks for
any surgery include heart attack or stroke during the operation,
infection in the incision or in the lungs and excessive blood loss.
Dangers
specific to gastric surgery are injury to the stomach or intestines
during the
procedure. These are more likely with gastric bypass surgery than with
laparoscopic banding.
Post-Surgical
Complications
After gastric bypass surgery there
is the risk of leaking through the staples in the stomach, which may require
emergency repair. After gastric band placement, there can be erosion of the
band into the stomach, esophageal spasm and inflammation of the esophagus or
stomach. With either method rapid weight loss leads to gallstones and gall
bladder attacks at a higher rate than in the normal population.
Mechanical
Complications
Over time, a patient who underwent
weight loss surgery could experience a narrowing of the passage from the
stomach to the intestine or breakdown of the pouch, both of which may require
surgical repair. Vomiting and/or dumping syndrome are side effects that can
happen from the change in the digestive anatomy. After a gastric band or
balloon is inserted some patients have nausea or vomiting from eating too much
at one time, blockage of the stomach outlet and constipation.
Malabsorption
and Malnutrition
Anemia from iron or vitamin B12
deficiency is a risk, because the healthy stomach is normally involved in the
absorption of these nutrients. After any gastric weight loss procedure the
drastic decrease in food consumed brings danger of inadequate nutritional
intake. After months of eating so little, patients sometimes experience
symptoms of malnutrition. All patients are prescribed multivitamins and some
are prescribed protein supplements as well. Protein malnutrition can lead to a
weakened immune system, hair loss and fatigue. The American Society of
Bariatric Surgery lists symptoms to watch for that may indicate nutritional
deficiencies, such as poor wound healing, easy bruising, numbness and tingling
in the hands and feet or bone pain.
One Woman's Story, from Self Magazine
Patsi Parker felt fat and was eager to find a solution. She
thought
she'd found it when she decided to have her stomach surgically stapled,
drastically reducing its size. But there is mounting evidence that some
doctors are performing weight-loss
surgery on patients who are not obese enough to require it. Parker soon
discovered that she was one of them. Before the surgery, Parker stood 5
feet 6 inches tall and weighed 218
pounds. The attractive 45-year-old brunette had tried the standard
weight-loss
tactics, including diets and aerobics, but she couldn't stick to any of
them. Then Parker ran into two colleagues who had undergone gastric
bypass
surgery. Once very overweight, both women were now remarkably slim.
Parker immediately asked the name of their weight-loss surgeon, made the
call and prepared for her own operation. In order to qualify for the
procedure,
she actually put on additional weight. Recently, however, Parker was
featured in Self magazine's investigative
report on the dangers of weight-loss surgery — especially for those who
undergo
it for cosmetic reasons.
Struggling with abdominal pain, vomiting and an inability to gain
weight,
she wishes she had stuck with her old body. Patsi like so many believed
the hype about surgical options for the obese from the media attention
given to celebrities like pop singer
Carnie Wilson who had it done and began trumpeting her success on
television and in
magazines. Wilson lost 150 pounds in the 18 months after weight-loss
surgery (also
called WLS). Prior to that, she weighted 300 pounds and suffered from
sleep
apnea, a potentially deadly breathing disorder, so she was an
appropriate
candidate for the procedure. despite the undesirable consequences.
Parker, however, feels she was not. Within a week of her surgery, she
felt awful and was vomiting constantly. "I started having complications
almost immediately post-op," she
says. "I've had two surgeries since to remove adhesion's, and
unfortunately, they're back again."
After the operation, patients are
supposed to slowly begin eating spoonfuls of solid food, but sometimes
they
cannot digest certain foods and may experience vomiting, explosive
diarrhea, or
cramping and faintness (known as "dumping"). Patients have to take
vitamin and mineral supplements, because they are
prone to deficiencies. Complications from the procedure include chronic
malnutrition, osteoporosis, infections and intestinal leaks. According
to the National Institutes of Health, a candidate for WLS should
suffer from "clinically severe obesity," with a body mass index (BMI)
of 40, or higher. BMI measures the weight to height ratio, and is used
by
doctors to calculate obesity.
Parker had a BMI of 37 when she got the operation.
"No Going Back"
Dr. Edward Livingston, director of the
University of California at Los
Angeles Bariatric Surgery Program, says the weight-loss surgery should
be
reserved for people who have problems that result from obesity. "You do
this once and there is no going back," he told ABCNEWS'
Good Morning America. "They have to be emotionally prepared to change
their eating habits for good." The American Society of Bariatric Surgery
says weight loss surgeries have
increased from about 20,000 in 1995 to an estimated 45,000 in 2001. It
estimates a 7 percent complication rate. But Livingston's own study of
800 patients found complication rates of 20 to
40 percent, with everything from intestinal leaks to nutritional
deficiencies. Gastric bypass surgery entails shrinking the stomach from
about the size of
a small melon to the size of an egg. Doctors reroute the intestinal
track so
that patients eat less, absorb fewer calories and lose weight — fast.
Obesity and Surgery Surgeons recommend the procedure for patients whose
obesity is
life-threatening and who can't lose weight any other way. For that
group, the dangers are real: Every year about 280,000 obese people
die from illnesses related to their excess weight, including diabetes,
heart
disease and sleep apnea.
My Personal Take on Weight Loss Surgery
Any one below
500 pounds can lose that weight without weight loss surgery! We have
all seen it time and again on the Biggest Loser and show like it. And if
you have spent any time on this looking through the posts on my blog,
you know the answer. First you need to consume, and be able to absorb,
the critical nutrients that your body is screaming for. Second, and the
most important element behind every weight loss show, coaching. You have
to be guided through this process by some one who knows, and cares
enough to get you through it. And lastly you have to have a community of
people who have been, or are going through the same journey as you are.
You have to have fellowship, and you will accomplish your goals.
Whether you are trying to find a safe, comfortable and healthy way to lose
weight and keep it off for life, or trying to maintain your current weight, and
increase your energy level and overall Health, I would like to show you how
simple this journey can be. Please use the following link to leave me a comment
regarding your needs, and I will get right back with you. “Contact John”
Thank you.
John Cardinal
Copyright Healthy Weight Loss for Life 2012