Weight loss surgery – myths and facts

In my line of work, I often field questions from patients, neighbours, concerned relatives and strangers, and it never cease to amaze me how little people understand about bariatric surgery ( weight loss surgery). In this column, I intend to answer the common misconceptions about this type of surgery.

Weight loss surgery is in the news almost daily. In my line of work, I often field questions from patients, neighbours, concerned relatives and strangers, and it never cease to amaze me how little people understand about bariatric surgery ( weight loss surgery). In this column, I intend to answer the common misconceptions about this type of surgery.

Weight Loss Surgery Helps People Shed Those Extra 20 Kilos

Many people don’t realize that gastric banding, Sleeve Gastrectomy and gastric bypass are not cosmetic procedures to be taken as lightly or performed as frequently as Botox or Nose Job. Weight loss surgery is a definitive and final step for people weighing at least 40Kgs over their ideal body weight. These people have a BMI of 32.5 to 37 or higher, and have unsuccessfully tried many a fad diets, taken so called “weight reducing pills” and attempted other means of weight loss.

There is consideration, conversation and qualification before a procedure. After the operation, patients must keep to a rigorous follow-up schedule. People who are 10-15 kilos overweight have a host of tools and approaches available to them that can assist them in regaining health, managing their appetite and keeping weight off.

Obese People Get Surgery Because They’re Lazy

On a personal level, this misperception annoys me the most. By the time these people come to my outpatient clinic, they have tried every diet available. They have suffered immense social, emotional and psychological stress, and they want nothing more than to rid themselves of the excess body weight they carry. Due to an individualized interplay between genetics, environment and behaviour, these patients have realized that their best chance of living a normal life is to resort to a band, sleeve or bypass.

It’s Dangerous

As part of my job, I literally get inside of people and either reroute their digestive tracts or slip a lap band over the top of their stomachs. Sounds dangerous, right? As with any surgery, weight loss surgery carries risk. But modern technology has made bariatric procedures relatively safe. In a study of 66,000 obese people over five years, those who elected to have bariatric surgery lived longer than those who did nothing.

It has been shown repeatedly that it’s far more dangerous to live life morbidly obese than to undergo a bariatric procedure. I’ll put it in perspective: In most programs, the risk of bariatric surgery is in line with the risk of having one’s gallbladder removed.

You can’t get pregnant after weight loss surgery

Many patients have trouble getting pregnant prior to surgery and find that they’re very fertile following surgery. This is good news if you want to have children — or it may be bad news if you don’t!!

Contrary to popular belief, pregnancy following weight loss surgery is very possible. Patients are much less at risk during pregnancy because their other health problems have lessened or disappeared. After your weight is back to normal, and assuming you don’t have any other health problems, you can expect to have a normal delivery.

If you’re a woman of childbearing age, use two forms of birth control for one year following surgery. During that first year, you aren’t eating enough to nourish yourself plus a growing fetus, so you don’t want to get pregnant then. Besides, you want to concentrate on your own weight loss during that first year. Better safe than sorry.

You’ll never be able to enjoy a real meal again OR Now you can eat everything you want!

Patients who undergo bariatric surgery can, in fact, celebrate their birthday with a little cake, they just can’t eat the whole thing anymore! People learn new, reasonable, healthy eating behaviors. Trying to eat too much at one time would make it hard to keep the food down. With those caveats, a person can live an unrestricted life following surgery. They can go out to restaurants, take a cooking class and host the family Diwali dinner in a few weeks from now!!

Bariatric patients undergoing Surgery have a very restricted lifestyle

Bariatric surgery has a significant impact on the patient’s personal life. Men and women who are morbidly obese deal every single day with deep, core issues of self-esteem and pride. For example, there are physical repercussions of being so overweight (like an inability to control the bladder) that can be embarrassing, if not humiliating. Bariatric surgery can help restore dignity.

About sixty percent of my patients are women. Many obese women have suffered not only emotional abuse because of their weight, but actual physical abuse as well, perpetrated by our society that didn’t respect them and convinced them they were unworthy of love and affection. Dramatic weight loss over time often brings these women a new self-confidence and a new beginning to a more fruitful life.

Weight Loss Surgery is a tool, not a magic pill. Patients get as much out of it as they’re willing to put in. If they treat it with respect, it will do well by them for the rest of their lives; lives they might not even be living if they hadn’t had the surgery. Bariatric surgery can provide an opportunity to do something. Bariatric surgery can help put together lives that have been broken by obesity.

The Author is Dr. Atul Peters, Director of Advanced Laparoscopy,Weight loss surgery and Bariatric Surgery, Primus Super Speciality Hospital.

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