A doctor weighs in on what to do when diet and exercise aren’t working

Holiday indulgence not withstanding, the beginning of a new year is a terrific time to take stock of your heath and burden. If you have noticed that diligent diet plan and additional exercise simply don’t appear to be operating, perhaps it is time to consider bariatric surgery.

Don’t let that instant term — “operation” — frighten you. Bariatric procedures are a secure and effective method to get rid of weight when the conventional methods have ceased working.

Beneath, Dr. Sachin S. Kukreja, from the Methodist Weight Management Institute at   Methodist Dallas, breaks down exactly what people should know about bariatric operation. He also explains why it may be a good fit for some, especially if those with a BMI of 40 or greater, or a BMI of 35 with weight-related conditions such as hypertension, diabetes, sleep apnea, or joint pain.

What exactly is routine surgery?
These procedures trigger weight loss by limiting the total amount of food the stomach can hold. Most weight loss surgeries today are performed using minimally invasive methods (called laparoscopic surgery).

The most common bariatric surgery procedures are:

  • Gastric bypass: Often considered the “gold standard” of weight loss operation, the Roux-en-Y gastric bypass (its proper name) produces a smaller stomach pouch and also leads to fewer calories absorbed.
  • Gastric sleeve: This also operates by removing approximately 80% of the gut, with a tubular pouch staying.   It also influences gut hormones that manage hunger, satiety, and blood sugar management.
  • Adjustable gastric band: For this, an inflatable ring is placed around the top part of the gut, making a small stomach pouch. The dimensions of this opening is reduced gradually over time with repeated adjustments.
  • Biliopancreatic diversion with duodenal switch: A process with two components. First, a smaller, midsize stomach pouch is made by removing some of the gut (similar to the sleeve). After that, a large portion — approximately three-fourths — of the small intestine is bypassed.

How risky is bariatric surgery?
Patients tend to be surprised — and do not believe — how secure bariatric operation is. Whether you are speaking about sleeve, bypass, or duodenal switch, bariatric surgery is now considered safer than having your stomach removed. The reason is that patients undergoing weight loss surgery undergo thorough evaluations beforehand to make sure they are healthy enough to move.

Why is weight loss surgery also referred to as metabolic operation?
Metabolism is the process of how the body breaks food down to be utilized as energy or stored in the tissues, and so a metabolic disorder is when that approach is disrupted. Obesity may increase the risk of metabolic disorders such as diabetes, hypertension, and cholesterol.

Based on the patient, disease and operation, bariatric operation allows for diabetes remission up to 98 percent of the moment.

What’s more, metabolism can be measured. The 2,000-calorie principle that’s ingrained in us from the FDA doesn’t apply to all individuals, and physicians can figure out the caloric demands of a patient to either lose or maintain weight.

Are there any non-surgery options? What exactly are gastric balloons?
Gastric balloons are non-invasive, and do not require surgery for removal or positioning. In actuality, some may even be put in your physician’s office as you’re on your lunch break. The balloon is swallowed and then your doctor inflates the balloon.

The balloon helps facilitate weight loss by simply taking up space in your gut, so you consume less. In a clinical study, patients dropped twice as much weight than with diet and exercise alone.

As always, consult with your physician before embarking on any weight loss plan, surgical or otherwise. Need a doctor? Locate one here.