need to be known by a patient who is both a candidate and willing to
loss surgery. The procedure is literally a life
changing process and careful consideration should be put into making
all other surgical procedures, bariatric surgery risks exist and health
dangers associated with it. Infact it is the differential between the
risk of surgery and the dangers of obesity that determine if one should
choose surgical intervention.
there are times that it is necessary to save a life
it should only be used as the very last resort. SO there is need ot be
well informed. For example
"Go Beyond Calories" (Get your FREE copy here)
looks not only at ricks but also likely hood of complications while at
the hospital and after; as well as what to do to get the best results
among other critical things.
Bariatric Surgery Risks
Bariatric risks include
mortality rates as high as 2% within the first 30
days, 3.5% within 90 days and while nearly five out of one hundred will
die in one year i.e. 5% risk.
arising from the procedure
are about 7 - 14 persons in a hundred i.e. 7% -14%.
rates of mortality and complications vary with a number of
include the degree of obesity of the patient, conditions of the
cardio-pulmonary system, existence of obesity related disease
(co-morbidities like diabetes, sleep apnea etc), age, type of weight
loss surgery, the hospital etc.
However, the most significant
of these factors point to the experience and expertise of the surgeon.
Problems of Bariatric Surgery
The problems commonly associated with bariatric surgery are as follows;
infections - There is a 5-10% risk that after weight loss surgery
you’ll get infection on the incision.
This is particularly with open surgery.
may not be such a big problem with laparoscopic
weight loss surgery. Usually with incisional infections the
wound is opened up and allowed to heal from inside. This may leave a
larger scar but will rarely become a big problem.
- Apart from incisional infection you can get other infections. These
include peritonitis which is the infection of the abdominal cavity.
This happens if there is leakage of the gastric system into the
abdominal cavity. Early detection is critical in this kind of
are also chances of bladder infection. This is because as you undergo
surgery you will need a catheter. This is a thin piped instrument that
is inserted directly into your urethra to directly empty the bladder.
Infections unfortunately are not rare with catheters, but it is easily
treated with antibiotics. Furthermore you will not be on a catheter for
infections you can get include pneumonia, kidney infection and blood
infection. Usually to mitigate most of these infections the patient is
encouraged to engage in activity within a few months after surgery.
- These occur as area in the abdomen fill with pass. As a result of the
surgical operation, fluids may collect in different parts of the
abdominal cavity. If bacterial is present, the fluids get infected and
form the abscess. This is corrected by draining the fluids and
- This occurs when the operated parts are not completely sealed. When
the weight loss staples break or the gastric banding erodes the
stomach, gastric fluids may be released into the abdominal cavity
resulting to peritonitis. Leaks have a 2% chance of happening in
- At times after surgery the blood vessels may not seal very well and
may continue to bleed. Sometimes sealed vessels break and begin to
hemorrhage again. Usually the problem can be corrected without having
to do a revisional surgery. This has a 5% risk of happening. Bleeding
can be encouraged by use of blood thinners used to treat other bariatric surgery
bowel obstruction - This is more likely to happen with the
laparoscopic procedure than open surgery. Has a 2-10% risk of
- Also referred to as stomal obstruction. This occurs at the point
where the new small pouch of stomach is attached to the intestines in
the weight loss surgery procedure. This is the passage that alters food
from the restricted stomach into the intestines, the passage is called
stoma. If the stoma during the healing forms a scar, the scar tissue
may end up blocking it. Treatment involves dilation of this passage.
- This is a condition where the intestines break through the abdominal
wall. This happens because the abdominal wall has been weakened by the
surgical incision. This condition is more likely with open surgery. To
avoid hernia patients are discouraged from strenuous activity for 2-3
months following surgery.
- There is an increased danger of developing ulcers with bariatric
Vein Thrombosis - If you have low mobility after surgery or
even prior, you could pool blood in the low extremities (legs). Pooled
blood encourages clots that can result to severe consequences. This
condition is prevented by encouraging activity few hours after surgery.
Patients who have restricted mobility can wear compressing stockings as
well as use blood thinners.
Embolus - This will occur if a clot forms and travels to the
lungs, preventing measures similar to those of deep vein thrombosis are
necessary. Surgeons are usually watchful of this.
deficiency - This is a major risk of bariatric surgery;
particularly the gastric bypass
procedures. Infact after weight loss surgery there is such a change in
dietary lifestyle often referred to as the weight loss surgery diet. If
you do not follow your surgeon’s instruction, you can suffer
some serious malnutrition to the extent of brain damage.
you face protein deficiency because of very small amounts of food you
can tolerate at a time. Proteins are particularly important during
healing and so extra effort is required to include proteins in your
daily post surgery diet.
you will need to water your micro-nutrients with bariatric surgery. You
have a lifetime of Vitamin and mineral supplementation. It includes
Calcium, Iron, Vitamin A, D, B12 and B9 (Thiamine). This will help
prevent Osteoporosis, Anemia, Brain damage etc. The deficiency of
thiamine has been linked to Wernicke’s syndrome, a form of
loss -This is temporary and particularly occurs in the early
days after surgery. Hair loss occurs because of low levels of protein.
Your body then chooses to sacrifice your hair which is made of proteins
to supply the more important functions like healing your scars.
intolerance - Due to the small size of the stomach created by
surgery, you will tend to react negatively to many foods initially. And
though this is temporary, you will most likely never go back to the
same variety and quantities of food prior to surgery.
For example you will likely be intolerant to red meat for some time so
chicken and fish will do.
with high sugar food you will experience dumping syndrome. Dumping
syndrome is a condition that occurs because the high sugar foods move
quickly into the intestines collecting a lot of fluid triggering
nausea, vomiting, etc.
risks of bariatric surgery are shown to be higher in men than in women.
They are also higher in older patients than the younger ones. So a
decision of whether or not to go under the knife to lose fat should be
very well informed.
see when it comes to losing alot of body fat, there are two primary
things you should do. But if
you want to lose belly fat and get a flat stomach or even a six pack;
you need to Go Beyond
You need to do more than your regular weight loss strategies.
this you need two things, just two things. These two are...
content is reviewed periodically and is subject to
change as new information on weight loss becomes
available. The information is intended for
educational purposes only. Please
consult your healthcare provider before beginning
any kind of weight loss program