Bariatric surgery has gained immense popularity in the last five years; surprisingly it was never invented for weight loss. It was originally devised to treat gastrointestinal malignancies and later on, was found to have weight loss as a side effect. After some research and modifications, medical science has come up with sleeve gastrectomy, gastric bypass, gastric banding etc.
Out of all the above, “SLEEVE GASTRECTOMY “and “GASTRIC BYPASS” are the most routinely performed and demanding procedures.
Now let me give a brief introduction about sleeve gastrectomy. In this procedure, the surgeon removes a part of the stomach and makes it like a sleeve. It’s a kind of restrictive surgery, where calorie restriction happens without abiding by any proper ratio of macronutrients.
Main side effects – During initial days patient is mostly kept on liquid diet and loses water weight, doesn’t feel hunger as fundus (a part) of stomach is removed. Many people end up in starvation ketoacidosis, as opposed to the nutritional ketosis where your main fuel is fat. I have seen patients barely consuming 700-800kcals, which in itself leads to a damaged metabolism and low metabolic rate. Over a period of time, when a person resumes normal eating habits, his stomach grows in size, as being smooth muscle it also undergoes hypertrophy(growth) and weight loss stalls due to a deranged metabolism.
Gastric bypass, as the name suggests, is a surgery done on your intestine where, a surgeon does a bypass in the small intestine. Our food and its nutrients get absorbed in the small intestine. After this surgery, about half of the food will not get digested and absorbed by the stomach. The micronutrient deficiency it creates cannot be solved by using oral supplements either; even these nutrients will not get absorbed by the intestine. To mitigate the deficiency, a lifelong intravenous (injecting into the veins) supplementation of these nutrients will be required.
These are the very basics of it which everyone can understand!
Now let’s come to the caveat.
Sleeve gastrectomy as a restrictive procedure doesn’t do any magic at all! It comes with many hidden complications starting from anesthetic complications to surgical and post operative. In later life, many nutritional deficiencies tend to occur which could be life threatening. They definitely result in weight loss, but at the cost of muscle mass, metabolic rate and the liberty to indulge once in a while. I have seen many of my patients with dumping syndrome where eating little amount of simple carbohydrates makes them feel terrible, with frequent diarrhea and hypoglycemic (low blood sugar) episodes.
India is witnessing an epidemic of obesity giving rise to such procedures being carried out. It doesn’t have strict regulations as compared to European countries where it has been offered as a last resort.
Remember, obesity is mostly a lifestyle disease which can be rapidly reversed with a good structured diet and workout. These bring along with them some added psychological benefits too where you get more disciplined and confident, which we are witnessing every day in S.Q.U.A.T. S..
MENTAL RESTRICTION WILL ALWAYS BE A BETTER BET THAN A SURGICAL ONE.
BE CAREFUL WITH YOUR CHOICES.
DO YOU REALLY NEED THE PAIN WHEN IT CAN BE DONE EASILY IN A SCIENTIFIC WAY??
Article Credits – Dr. Imran Noormohammad (Guest)