Weight loss surgery primarily used to help obese people especially with a BMI over 35 has proven to be an effective method/ tool of reversing certain type of chronic diseases such as Diabetes, Hypertension, Sleep Apnea and PCOS in obese patients.
With Bariatric weight loss Surgery, people suffering of obesity can lose significant amount of weight. On average someone who has undergone bariatric surgery can lose between 60 to 80 % of their excess weight within the first 3- 6 months from the surgery. However, the impact of weight loss surgery on the management and reversal of chronic disease has significant health benefits.
Mini gastric bypass is the weight loss surgery procedure performed on diabetic obese patients with a BMI over 35. The procedure resets the body’s hormones and decrease insulin resistance which in turn increases the health of the pancreas. This procedure reverses diabetes (type2) in 60 to 70 % of patients that have been living with diabetes for less than 5 years. For patients experiencing diabetes for 5 to 10 years, the reversal percent drops to 50, while for the rest a significant improvement in the management of diabetes will be achieved allowing patients to use less insulin or medication.
“During my 30 plus years of my careers I have treated hundreds of patients with diabetes with obesity & helped them in reversing/ improving their diabetes. Diabetes reversal is the most common reversal of chronic diseases through weight loss surgery. The results can be seen, within 24 to 48 hours of surgery, patient’s blood sugar improves significantly. This is due to the release & activation of sugar controlling hormones GLP1 and GIP which are triggered by the weight loss surgery and which regulate the blood sugar.” – Dr. Girish Juneja Director of Weight Loss solutions at Al Zahra Hospital Dubai.
“Bariatric surgery has a big impact on the body’s hormone production& resetting them back to normal. It is not just decreasing the size of the stomach to lose significant weight, but rather rewiring the digestive system which in turn will trigger various reactions to benefit chronic health conditions. Below is a brief explanation on how bariatric surgery works for hypertension, sleep apnea and PCOS.” Adds Dr. Girish Juneja.
Hypertension or high blood pressure– Fat secretes a lot of chemicals called adipokines which increase the sympathetic tone & contract the blood vessels. When fat goes down, blood vessels start relaxing so blood pressure improves and remains stable . The famous GATEWAY trial study showed that month >80% of the subjects with obesity & hypertension in the surgery group had been able to stop or reduce their antihypertensive medication compared with only ∼13% in the medication group.
Sleep Apnea or heavy snoring – With decreased weight the chest expansion becomes easier, air and oxygen entry becomes better, the neck muscles and the tongue muscles which fall back and block the airway will not be happening anymore.
PCOS – Weight loss surgery reduces insulin resistance which is a known factor in Polycystic Ovary Syndrome for females.
Although bariatric surgery is not for everyone, these surgical weight loss solutions for people suffering from obesity with BMI over 35 (160 height and over 90 kilos weight for example), it could provide them with a significant improvement in the quality of life.