Bariatric Surgery: The Basics

What is Bariatric Surgery?

Bariatric surgery refers to a variety of procedures aimed at helping individuals with severe obesity lose weight. These surgeries alter the digestive system, either by restricting the amount of food the stomach can hold, reducing the body’s ability to absorb nutrients, or both. Bariatric surgery is not just about weight loss—it’s a powerful tool for improving or resolving obesity-related health conditions such as type 2 diabetes, high blood pressure, and sleep apnea.

Types of Bariatric Surgery

Several types of bariatric surgery are available, each with its unique approach and benefits:

1. Gastric Bypass (Roux-en-Y): This is one of the most common bariatric procedures. It involves creating a small pouch at the top of the stomach and connecting it directly to the small intestine, bypassing a large portion of the stomach and the first section of the small intestine. This limits food intake and reduces nutrient absorption, leading to significant weight loss.
2. Sleeve Gastrectomy: In this procedure, about 80% of the stomach is removed, leaving a tube-like structure (the sleeve). This limits the amount of food you can eat and also reduces the production of ghrelin, the hormone that stimulates appetite.
3. Adjustable Gastric Banding: This less invasive procedure involves placing an adjustable band around the upper part of the stomach to create a small pouch. The band can be tightened or loosened over time to control the amount of food the stomach can hold.
4. Biliopancreatic Diversion with Duodenal Switch (BPD/DS): This complex procedure combines a sleeve gastrectomy with a significant bypass of the small intestine. It results in both reduced food intake and reduced nutrient absorption. This leads to the most significant weight loss among bariatric procedures.

Who is a Candidate for Bariatric Surgery?

Bariatric surgery is typically recommended for individuals who have:

• A Body Mass Index (BMI) of 40 or higher (severe obesity).
• A BMI of 35 or higher with serious obesity-related health conditions, such as type 2 diabetes, heart disease, or severe sleep apnea.
• Tried and failed to lose weight through diet, exercise, and other non-surgical methods.

Candidates must also be prepared to make lifelong changes to their eating habits and lifestyle. This specific type of surgery is a tool, not a cure, and its success depends on the patient’s commitment to a healthier lifestyle.

Benefits of Bariatric Surgery

Beyond weight loss, bariatric surgery offers numerous health benefits, including:

• Improvement in Obesity-Related Conditions: Many patients see a significant reduction. Some see a complete resolution of conditions like type 2 diabetes, hypertension, and sleep apnea.
• Enhanced Quality of Life: Patients often experience improved mobility, increased energy levels, and a greater ability to engage in daily activities.
• Increased Longevity: Studies show that individuals who undergo bariatric surgery may live longer due to the reduction in obesity-related health risks.

What to Expect Post-Surgery

Recovery from surgery depends on the procedure. Most patients can expect to stay in the hospital for 1-3 days. After surgery, patients must follow a strict diet, starting with liquids. Over several weeks, they will gradually transition to solid foods. Regular follow-up visits with your surgeon are crucial to monitor your progress and address any concerns.

Is This Surgery Right for You?

If you are struggling with severe obesity and its related health conditions, bariatric surgery may be a life-changing option. At Surgical Associates of Tulsa, our experienced bariatric surgeons offer personalized care tailored to your unique needs. We commit ourselves to helping you achieve your weight loss goals and improve your overall health.

For more information or to schedule a consultation, fill out a contact form with us.