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Topic: Is weight loss surgery safe?

Updated: Nov 8, 2022

Bariatric Surgery for weight loss

Before having bariatric surgery, you must know about its risks and make sure it is safe. If you are overweight, you may need to read this article.

Safety concerns are typical when considering bariatric surgery or any surgical procedure. We examine the benefits and risks to help you decide whether weight-loss surgery is right for you.

Risks of Bariatric Surgery

Bariatric surgery has comparatively low risks compared to the risks associated with obesity, such as diabetes complications, sleep apnea, hypertension, and premature death.

Several risks are associated with bariatric surgery, including dumping syndrome, kidney stones, and not losing or gaining the desired weight.

Most patients who lose weight after bariatric surgery improve their health. Getting rid of excess weight improves your health and reverses sleep apnea, type 2 diabetes, and hypertension.

One of the safest surgeries is bariatric surgery.

While bariatric surgery is relatively safe, some risks are associated with it. Compared to laparotomy and Roux-en-Y gastric bypass, laparoscopic procedures have fewer complications.

A laparoscopic procedure involves inserting a laparoscope through a minor incision in the abdomen. With minimally invasive techniques, you can recover faster, stay in the hospital less, have fewer scars, and experience less postoperative discomfort.

Weight-loss surgery is also performed most frequently by our bariatric surgeons in Philadelphia. In addition, volume is essential. A surgeon with experience is less likely to suffer surgical complications.

Weight loss surgery risks:

In terms of weight loss surgery, there are two aspects: the risk of having surgery vs. the chance of staying obese. Next, we look at the safety profile of different weight-loss operations considered relatively standard in terms of death risk and other complications.

Let's take a closer look at this objectively.

There are two risk factors involved, one is the risk associated with surgery, and the other is the risk associated with remaining obese. In addition to the safety profile, we can examine various weight loss procedures' potential complications and hazards.

In addition to smoking, obesity is the second leading cause of premature death. Heart disease is the leading cause of sudden death among people under 75. A person who has been smoking for 15 years and smoking 15 cigarettes a day has the same risk of morbid obesity as a person who is obese or morbidly obese; that is when the BMI is higher than 35.

Compared to smoking years, your risk increases by one year for every point above 35 on your BMI. Diabetes increases the risk of obesity-related death. Diabetes affects every part of the body. In women, breast cancer, uterine cancer, and prostate cancer, as well as ischemic heart disease, appear to be associated with obesity. Obesity treatment, whether through weight loss surgery or other means, can increase both lifespan and quality of life and the length of life.

Weight loss surgery reduces cancer mortality by 60% (death caused by cancers). There is a 90 percent reduction in diabetes-related deaths and a 50 percent reduction in heart-related deaths. Surgical weight loss remains a powerful, effective, and durable tool when the BMI exceeds 35, and we discuss the benefits of weight loss.

How Safe is Surgery?

Any surgery comes with risks, including bariatric surgery.

Generally, bariatric surgery is considered safe in appropriately selected patients. Since the NIH published its report on bariatric surgery a decade ago, risks have been significantly reduced, and it is not more dangerous than gallbladder surgery or hip replacement. Over the last decade, there has been a safety improvement.

Compared to the long-term risks of heart disease, diabetes, and other illnesses caused by carrying too much weight, the chances are lower.

Stanford University and the Cleveland Clinic, Florida, have tested Sleeve gastrectomy and gastric bypass surgeries for their safety. Both procedures showed lower than 1% rates of severe complications within 30 days and less than 0.5% rates of gastrointestinal leaks. For sleeve gastrectomy and gastric bypass, re-operation rates were low at 1.5% and 7.7%, respectively.

In other words, for most patients, the risk of remaining obese and experiencing their negative impacts is far more concerning than the minimal and controlled risks associated with surgery.

Considering weight loss risks based on some reviews:

  • According to the American Diabetes Association (ADA), are weight loss surgeries safe?. If lifestyle changes and pharmacologic therapy fail to control type 2 diabetes in adults with a BMI of 35 kg/m2, bariatric surgery should be considered. The support and monitoring of type 2 diabetic patients following bariatric surgery must last a lifetime. Bariatric surgery is not recommended for patients with a BMI over 35 kg/m2, despite small trials showing a glycemic benefit in type 2 diabetics. A well-designed, randomized controlled trial comparing weight loss surgery with optimal medical and lifestyle therapy should determine the long-term benefits, cost-effectiveness, and risks of weight loss surgery in individuals with type 2 diabetes

  • How Safe Is Weight Loss Surgery According to the American Heart Association (AHA). Among [the obese] population, lifestyle modifications and drug therapy have failed to achieve meaningful long-term success. The effects of surgical intervention on excess weight and comorbidities can be sustained over the long term when indicated. Many diseases can cause cardiovascular dysfunction, such as diabetes mellitus, dyslipidemia, liver disease, hypertension causing systemic effects, obstructive sleep apnea, and lipid abnormalities. It has also been shown that bariatric surgery prolongs survival in severely obese people in clinical trials that are prospective, nonrandomized, observational, or case-control studies. Bariatric procedures can be classified into a variety of types. More recent data do not exceed 1% for operative mortality, which historically ranged between 0.1% and 2.0%. Among the most common early complications, anastomotic leaks constitute 1.0% to 2.50% of all complications, pulmonary embolisms comprise 0.50%, and bleeding comprises 1.0%). Complications of the late anastomosis can include strictures, ulcers, hernias, band slippage, and behavioral abnormalities. Medical needs and improved surgical techniques and guidelines have led to an increase in bariatric operations. If medical treatment for obesity fails, only those who can afford the risks should consider bariatric surgery.

  • Is Weight Loss Surgery Safe According to The International Diabetes Federation (IDF)? Apart from behavioral and medical treatments, various types of stomach surgery, initially developed for morbid obesity ("bariatric surgery"), offer powerful options to treat diabetes in severely obese patients, particularly in reducing or eliminating the need for medication and potentially improving outcomes. When medical therapies fail to achieve recommended treatment targets for type 2 diabetes and obesity, bariatric surgery is an appropriate treatment, primarily when other severe comorbidities exist. Type 2 diabetics with a BMI of 35 or greater should consider surgery. Suppose an optimal medical regimen does not adequately control diabetes. In that case, especially if other major risk factors for cardiovascular disease are present, patients with a BMI between 30 and 35 may benefit from surgery. A reduction of 2.5 kg/m2 is possible in Asians and some other ethnicities of increased risk. Prioritizing surgery access may be necessary to ensure that those most likely to benefit can access the procedures. According to current evidence, bariatric surgery can reduce the cost of managing type 2 diabetes in obese patients.

  • Is Weight Loss Surgery Safe According to the National Heart Lung and Blood Institute?. In cases where other treatments have not worked, weight loss surgery may be an option for people who are highly obese (BMI over 40). Besides people with a BMI of 35 and more, weight loss surgery is also an option for those with severe obesity-related problems, such as severe sleep apnea (a condition in which you breathe shallowly or stop breathing for a while during sleep), Severe type 2 diabetes.

  • Is Weight Loss Surgery Safe According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)?. Bariatric Surgery for Adults. Adults with severe obesity may benefit from bariatric surgery. To determine obesity levels, the body mass index (BMI) is used. Clinically obese people have a body mass index over 40 or over 35 and suffer from health problems related to obesity. Several health problems contribute to sleep apnea, type 2 diabetes, and heart disease. Bariatric Surgery for YouthThe obesity rate among youth is high. Young people with extreme obesity may benefit from bariatric surgery. Bariatric surgery can help teens lose weight, but many questions remain regarding the long-term effects on teens' developing bodies and minds.

If you want to know more about weight loss, you can read some articles here.

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