Q. What is bariatric surgery, and how does it work?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Bariatric surgery is a medical procedure performed to help individuals with severe obesity lose weight and improve their overall health. It is often considered when other weight loss methods, such as diet and exercise, have not been successful or when obesity-related health issues are life-threatening.
There are several types of bariatric surgery, but they all aim to achieve weight loss through different mechanisms. Here are some common bariatric surgery procedures and how they work:
1. Gastric Bypass (Roux-en-Y): This procedure involves creating a small stomach pouch and bypassing a portion of the small intestine. It works by restricting the amount of food a person can eat and reducing the absorption of calories and nutrients, resulting in weight loss.
2. Sleeve Gastrectomy: In this procedure, a large portion of the stomach is removed, leaving a small, banana-shaped stomach. It works by reducing the stomach's capacity, which leads to a feeling of fullness with smaller meals and reduced calorie intake.
3. Adjustable Gastric Banding (Lap-Band): This involves placing an adjustable band around the upper part of the stomach, creating a small pouch. The band can be tightened or loosened over time. It works by restricting food intake and promoting a feeling of fullness.
4. Biliopancreatic Diversion with Duodenal Switch (BPD/DS): This is a complex procedure that involves a partial gastrectomy, rerouting of the small intestine, and a significant reduction in calorie absorption. It restricts food intake and reduces calorie absorption, leading to significant weight loss.
5. Gastric Balloon: A temporary balloon is inserted into the stomach and inflated, taking up space and reducing the amount of food that can be consumed. This is a non-surgical option, and the balloon is usually removed after six months.
Bariatric surgery works in multiple ways to help individuals lose weight. It primarily reduces the capacity of the stomach, making people feel full with smaller meals. Additionally, some procedures alter the digestion process, reducing the absorption of calories and nutrients. Weight loss achieved through bariatric surgery can lead to improvements in various obesity-related health conditions, such as type 2 diabetes, hypertension, sleep apnea, and more.
It's important to note that bariatric surgery is not a quick fix and requires significant lifestyle changes, including dietary modifications and increased physical activity, to achieve and maintain long-term weight loss and health benefits. It should only be considered after a thorough evaluation and consultation with a healthcare provider or bariatric surgeon.