Bariatric Surgery: Types & Requirements

Dr. Abdulsalam Al Taie

Many people opt for obesity surgery to get rid of excess weight, which results in a low quality of life: the digestive system changes during bariatric surgery, usually the stomach and sometimes the small intestine.

It controls how many calories you can eat and absorb. They can also lessen the signals your brain receives from your digestive system when you are hungry.

Who Can Get the Surgery?

Generally, this type of surgery is an option for the following types of people:

  • The body mass of the person is 40 or more than that. If it is, they are categorised as “extremely obese” and can get the surgery.
  • Your BMI varies from 35 to 39.9- if it does, it is obesity. Also, for such an extreme weight, you may have Type-2 diabetes, high blood pressure, and severe sleep apnoea. You can qualify for the surgery if you experience such extreme health issues.

Are There Any Exceptions to Getting The Surgery?

Some people who are severely overweight are not candidates for bariatric surgery. You may need to meet specific medical requirements to be eligible for weight loss surgery. You will probably undergo a lengthy screening process to determine whether you qualify. To lead a healthier lifestyle, you must also be willing to make permanent changes.

You may have to participate in long-term follow-up plans to monitor your health, including eating, behaving, and living. You can choose from various types of the best bariatric surgeon.

Pre Surgical Imaging

Your healthcare provider could demand specific imaging tests if you’ve had past medical procedures, including the gastrointestinal tract. That can assist with deciding the best weight reduction medical procedure for you.

Different Types of Bariatric Surgery

  • Gastric Sleeve

The most common type of bariatric surgery in the United States is the gastric sleeve, a sleeve gastrectomy. That may be because it is a relatively straightforward procedure that doctors can safely perform on most people with little risk of complications.

The surgery removes about 80% of your stomach, leaving behind a small, sleeve-like portion. That naturally makes it harder to overeat at once and makes you feel fuller faster. However, it also reduces the hunger hormones your stomach typically produces. Your appetite decreases, and it also controls your blood sugar and your metabolism as a result.

  • Gastric Bypass

The other for this is the “Roux-en-Y”, a French term for the phrase “in the form of the letter Y” This procedure refers to the shape of the small intestine. First, surgical staples are the best way to create a small pouch at the top of your stomach and separate it from the lower part.

After being divided, the doctors will bring up a new segment of your small intestine to connect to the stomach pouch. Food will now flow through the lower portion of your small intestine and the new, smaller stomach, avoiding the rest.

Your stomach has less capacity to hold food, and your small intestine also faces limited ability to absorb nutrients. This method is more effective than gastric restriction because it restricts the small intestine.

  • Biliopancreatic Diversion using Duodenal Switch

The duodenal switch is an operation that combines sleeve gastrectomy with intestinal bypass. It is similar to the “Roux-en-Y” surgery but much more extreme. The surgery bypasses around 75% of the small intestine. Your stomach and small intestine produce significantly fewer hunger hormones as a result.

It also significantly limits the amount of nutrients your small intestine can absorb. The duodenal switch is the most effective surgery for reducing weight and improving metabolic syndromes like diabetes because of this. However, it might also make it difficult for your body to absorb nutrients to stay healthy.

  • Stomach Intestinal Pylorus Sparing Surgery (SIPS)

The best bariatric surgeon can operate a new version of the duodenal switch on you that has fewer complications. It additionally goes by the names Loop Duodenal Switch or SADI-s. The doctors are still studying the early outcomes. So far, it seems promising that this form may ultimately supplant the first duodenal switch.

Like the first, it starts with a sleeve gastrectomy and then separates the initial segment of the small digestive tract soon after the stomach (the duodenum). This time, the surgeon will reattach the small digestive tract as a circle, which requires only one careful association (anastomosis) rather than two. It likewise implies more retention of supplements.

Recovering from the Surgery

You will probably take a couple of days recuperating in the clinic from the obesity surgery. Then, at that point, you have half a month recovering at home before feeling set back to work. You might have to avoid exhausting movement for about a month and a half, and it might require as long as 12 weeks to continue a typical eating regimen.

Conclusion

Consult with your healthcare provider to see if you qualify for the surgery. If you do, you must follow all the necessary steps that you must take to prepare your body for the surgery. Dr. Abdul Salam Al Taie is a highly experienced consultant in the UAE who specializes in complex cases of bariatric surgery, including those referred from both inside and outside the country. To know more you can contact us at [email protected]

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