Is bariatric surgery a good option for treating obesity?

Question

Hello doctor,

I am a 50-year-old man struggling with obesity, and I have tried numerous diets without success. My BMI is 38, and I am concerned about developing related health issues. Are there any new medications or surgical options you would recommend for someone in my situation? How can I determine if I am a good candidate for bariatric surgery, and what are the potential risks and benefits?

Kindly suggest.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

There are newer medications that are effective for weight loss:

GLP-1 (glucagon-like peptide-1) receptor agonist that helps control appetite and leads to significant weight loss.
Liraglutide: This medication works by controlling hunger and can be used along with diet and exercise for weight loss.
Phentermine or Topiramate: A combination that reduces appetite and may help with weight loss, particularly for short-term use.

For people with a BMI over 35 who have struggled to lose weight through other means, bariatric surgery may be a suitable option. Bariatric surgery can be done upon physical examination by a doctor if-

Your BMI is 40 or higher.
Your BMI is 35 or higher, and you have diabetes or hypertension.
You have tried medications, without success.

Types of bariatric surgery:

1. Gastric sleeve: The surgeon removes a large portion of the stomach, leaving a smaller, sleeve-shaped stomach that restricts how much food you can eat and reduces hunger hormones.

2. Gastric bypass: In this procedure, a small pouch is created at the top of the stomach and connected directly to the small intestine. It reduces the amount of food you can eat and limits how many calories and nutrients are absorbed.

3. Adjustable gastric band: A band is placed around the upper part of the stomach to create a smaller stomach pouch. This method is not as effective as other surgeries.

Benefits of bariatric surgery:

You can lose 50 to 70 percent of your excess body weight within the first two years.
Improvement in diabetes, high blood pressure, and sleep apnea (a sleep disorder in which a person’s breathing repeatedly stops and starts during sleep).
Improved quality of life.

There are risks, including infection, bleeding, or complications related to anesthesia. Nutritional deficiencies and eating certain foods can cause nausea, vomiting, and diarrhea.

You must consult a bariatric surgeon or a dietitian. Regular physical activity is a must.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.