Weighing the options: Help patients measure the risks and benefits of weight loss surgery-Weighing the options

Weighing the options

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The article from CMA Today, Nov-Dec 2015, titled "Weighing the Options" by John McCormack, addresses the complexities and considerations of weight loss surgery. Shari Lewis, a retired CMA from the Oregon Bariatric Center, highlights the unique challenges faced by patients seeking bariatric surgery as a last resort after repeated failures with other weight loss methods. The article stresses that weight loss surgery is not a quick fix but requires a thorough understanding of different procedures and a solid commitment to long-term lifestyle changes.<br /><br />Obesity is a growing concern, with over one-third of U.S. adults classified as obese. This condition is linked to numerous health problems and reduced life expectancy. Weight loss surgery can be a viable option when other methods fail, particularly for individuals with a BMI over 40 or those with obesity-related health issues and a BMI between 35 and 40.<br /><br />The article discusses various surgical options:<br /><br />1. **Gastric Bypass**: Creates a small stomach pouch to limit food intake and is effective for severe obesity and related conditions like diabetes.<br />2. **Adjustable Gastric Band**: Uses a band to control stomach size, suitable for patients with moderate obesity.<br />3. **Gastric Sleeve**: Removes most of the stomach, curbing hunger and is effective for those with absorption issues.<br />4. **Duodenal Switch**: A complex procedure that limits food intake and reduces nutrient absorption.<br /><br />Patients need to work closely with healthcare providers to determine the most suitable procedure. Considerations include the patient’s overall health, comorbidities, and the failure of previous weight loss attempts. Surgery candidates must also meet guidelines set by organizations like the National Health Service (NHS) and NICE.<br /><br />Post-surgery, patients must adhere to strict dietary and lifestyle changes for long-term success, with the support of a multidisciplinary team. Healthcare providers play a crucial role in patient education and ensuring compliance. The effort involved in weight loss surgery is significant but can lead to substantial health improvements and enhanced quality of life.

Keywords

weight loss surgery

bariatric surgery

obesity

gastric bypass

adjustable gastric band

gastric sleeve

duodenal switch

BMI

lifestyle changes

healthcare providers