Bariatric Surgery Should Not be the Last Resort

According to recent data, nearly 80 million Americans are obese. Obesity, which is currently believed to be a chronic disease, is associated with various health conditions and is associated with hypertension, high cholesterol, type 2 diabetes, coronary heart disease, stroke, asthma, osteoarthritis, gallbladder disease, sleep apnea And the risk of increasing some cancers In addition to these medical problems, obesity can also cause psychosocial and economic problems. Overweight and obesity, increasingly serious problem experts define overweight as a body mass index (body mass index, body mass index) of 25 to 29.

Regarding weight loss topics, it is also important to note that all major diabetes guidelines include weight loss surgery Bariatric surgery shows that it is applicable to T2DM and Adult Index (BMI)> 35 Weight , The guidelines of the American Clinical Endocrinology Association (AACE) stipulate that weight loss patients should be merged considering BMI ≥ 35 kg / m 2 25 In particular, other strategies are used to achieve therapeutic goals If not, symptoms 26. In obese people, obesity surgery results in a long-term weight loss and reduces morbidity and mortality of T2DM. The mechanism underlying these metabolic effects of obesity surgery is not clear, but 95% of patients have hyperglycemia that is normalized or close to T2DM remission. There is also evidence suggesting that obesity surgery is associated with a reduction in cardiovascular events and mortality.

There are many types of obesity surgery, collectively called obese surgery. Gastric bypass surgery is one of the most common weight loss measures in the United States. Many surgeons prefer gastric bypass surgery because they are usually less complicated than other obesity surgery. Your BMI is 35 to 39.9 (obesity) and you have serious weight-related health problems such as type 2 diabetes, hypertension or severe sleep apnea. In some cases, BMI is 30 to 34 and there are serious health problems related to body weight, it may be suitable for certain types of obese surgery.

After trying to lose weight (and leave it closed) for months and years, you may be considering bariatric surgery. In 2011, the total number of weight loss surgery performed in the United States was 158,000. By 2015, this number has increased to 196,000. Patients who undergo obesity surgery and follow all treatment guidelines can be expected to lose weight and improve the quality of life. More than 85% of patients lose 50% initial weight loss and are maintaining it. You may well understand the physical aspects of this procedure. But there are a few things that even the best surgeon can not tell you. I am talking about the emotional aspects of taking steps to change my life. When you decide to use obese surgery to control your life, the emotional roller coaster trying to lose weight and fail will not disappear. But when you know what will happen, and when you feel you are not alone, it will be easier

Weight loss surgery: everything you need to know (including what your doctor may not tell you)