Is Weight Loss Surgery Worth It?



(Photo: Daniel Becerril/Reuters)

A beautiful female influencer wowed her followers by posting before and after photos and a video of herself following a sleeve gastrectomy, a weight loss surgery. In her video, the influencer said her previous weight was 86kg, but she lost 18kg in three months after the surgery.

The post garnered a lot of attention online, especially from dieters. However, many people objected to the post, commenting that since sleeve gastrectomy is a major surgery, the influencer should have also provided details of the side effects that occurred.

She originally posted that she was not planning to have a sleeve gastrectomy, leading to speculation that her surgery was sponsored by the clinic. But a call from the clinic changed her mind. She explained that she had tried various methods to lose her weight, but none had been successful. She eventually chose to have surgery because she was suffering from pain in her knees, snoring and shortness of breath. All these conditions improved after her surgery.

Surgical treatment for obesity has been available in Western countries for 70-80 years, Dr. Preedha Sumritpradit, Surgeon, Mahidol University School of Medicine, Ramathibodi Hospital, explained. Some patients undergoing these surgeries recover from diabetes and no longer need medication or insulin. Therefore, bariatric surgery has become more widely accepted in the last decade, and the number of patients undergoing bariatric surgical treatment has increased accordingly.

“I haven’t seen any reviews about sleeve gastrectomy yet, but I shouldn’t emphasize beauty or appearance. It was developed to treat obesity, which can lead to a variety of medical conditions such as syndrome: “I was intended to encourage patients who do not meet the eligibility criteria to undergo sleeve gastrectomy.” I disagree with any review, but sleeve gastrectomy may be an alternative for eligible patients,” Dr. Prieda said.

(Photo: Finbar O’Reilly/Reuters)

A 2020-2021 health screening survey of Thai citizens conducted by the Ministry of Public Health found that 42.2% of Thais aged 15 and over were obese, and 39.4% were abdominally obese. Obesity prevalence among people in Bangkok was highest at 47% for her, and prevalence of abdominal obesity was highest for women in Bangkok at 65.3% for her. Overweight is a risk factor for non-communicable diseases such as diabetes, hypertension and hypercholesterolemia.

Many people can lose weight, so I don’t understand why some obese patients ultimately decide to undergo weight loss surgery, which is considered major surgery. Dr. Prieda explained that obese people have several abnormal health conditions, including insulin resistance. When insulin resistance develops, the body’s cells are unable to effectively use insulin to take up glucose from the bloodstream. This can contribute to the development of various health problems such as type 2 diabetes and obesity.

“We found that 3 out of 4 obese people had tried to lose weight, but their bodies were unable to overcome the urge to eat. As a result, they resumed eating later. “I weighed myself successfully,” Dr. Priida said.

Most obese patients are unable to lose weight on their own, so they utilize more effective treatments such as surgery, also known as metabolic surgery. To be eligible for this type of surgery, the patient’s age must be between her 18 and him 65. Another criterion is that the BMI is above her 37.5.

“Obese patients must have a BMI of 37.5 or greater to undergo metabolic surgery. Patients are considered candidates for surgery, they must understand the surgical guidelines and be willing to exercise and eat after surgery,” said Dr. Prieda.

Currently, the two main metabolic surgeries are sleeve gastrectomy and gastric bypass, both of which are laparoscopic. A sleeve gastrectomy removes the part of the stomach that produces hunger hormones. Gastric bypass is a more complex procedure that separates the stomach into a small section and a large section and connects the small section to the small intestine where nutrients are absorbed. Both of these surgeries help limit the amount of food eaten, making patients feel full quickly and leading to consistent weight loss.

“Both surgeries had similar success results, with 80-90% of patients successfully losing at least 50% of their excess weight. After surgery, patients need to change their diet, which leads to insulin secretion. Potential carbohydrate and sugar intake should be controlled and reduced.” To achieve even better results, patients should exercise to build muscle as they lose not only fat but also muscle mass. There is a need. ” he said.

People may become interested in these surgeries if they get good results. However, patients will need to make significant lifestyle adjustments. Many patients posted on social media that they experienced hair loss after surgery and even vomited after eating.

“Many patients experience hair loss because the body prioritizes nutrition to more vital organs. Hair loss usually decreases when weight stabilizes. In some cases, patients may still experience occasional symptoms.” “Vomiting can occur even years after surgery. You need to take vitamins for the rest of your life because you may not get them,” explained Dr Priida.

In addition to this beautiful influencer who sparked interest in sleeve gastrectomy, many patients posted positive reviews of their surgery. Dr. Prieda recommends that obese people interested in metabolic surgery consult with a medical professional at a hospital.

“Patients with a BMI of 32.5 or higher, which is considered obese, and who wish to undergo surgery should consult with a medical professional to see if surgery is indicated. Take your pick.” This approach involves a team of medical professionals, including surgeons, doctors, nutritionists and nurses who coordinate between the medical team and the patient,” Dr. Prieda said.

“After surgery, patients should be followed for at least one year. I personally follow patients every three months for two years and then check in once a year. Patients should check to see if the hospital has a specialist surgeon.” Patients are welcome to ask for information.

“The procedure is effective, but patients need to understand the process.”



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