Bariatric surgery in Islamabad has emerged as a life-changing solution for individuals struggling with obesity and its associated health complications. These surgeries offer hope to those seeking a healthier and more fulfilling life by helping them achieve significant weight loss. 

In this blog, we will delve into the four main types of bariatric surgery available in Islamabad, shedding light on their benefits, risks, and suitability for different individuals.

Gastric Bypass Surgery:

It is also known as Roux-en-Y gastric bypass and is one of the most commonly performed bariatric procedures. This surgery involves creating a small stomach pouch by dividing the top portion of the stomach from the rest. The small intestine is then rerouted to connect to this pouch, bypassing the more significant part of the stomach and a portion of the small intestine.

Benefits:

• Gastric bypass surgery typically results in significant and rapid weight loss within the first year after the procedure.
• Patients often experience improvements in obesity-related conditions such as type 2 diabetes, hypertension, and sleep apnea.
• The surgery combines restrictive and malabsorptive mechanisms, reducing food intake and decreasing calorie absorption.
  

Risks:

• Patients may be at risk of vitamin and mineral deficiencies due to reduced nutrient absorption.
• Some individuals may experience dumping syndrome, characterized by nausea, vomiting, and diarrhoea after consuming sugary or high-fat foods.
• Gastric bypass surgery requires lifelong monitoring to prevent complications and nutritional deficiencies.
  

Sleeve Gastrectomy:

It, often referred to as the gastric sleeve, involves the removal of approximately 80% of the stomach, leaving behind a tube-like structure. This smaller stomach restricts the amount of food a person can eat, leading to weight loss.

Benefits:

• Sleeve gastrectomy has demonstrated impressive weight loss results, with many patients experiencing a reduction in excess body weight.
• The surgery reduces the production of ghrelin, a hormone that stimulates hunger, leading to decreased appetite.
• It is a relatively safe procedure with fewer complications than other bariatric surgeries.

Risks:

• Unlike gastric banding, sleeve gastrectomy is irreversible as a portion of the stomach is removed.
• While sleeve gastrectomy is effective in the short term, long-term data on weight maintenance and health outcomes are still being studied.

Adjustable Gastric Banding:

It is commonly known as Lap-Band surgery, a less invasive bariatric procedure that involves placing an adjustable band around the upper part of the stomach. This band can be tightened or loosened as needed to control food intake.

Benefits:

• Lap-band surgery is reversible, making it a suitable option for individuals uncertain about permanent alterations.
• It generally has fewer immediate complications and a shorter hospital stay than more invasive procedures.
• Weight loss with Lap-Band surgery is typically gradual, allowing patients to gradually adapt to their new eating habits.

Risks:

• The weight loss achieved with Lap-Band surgery may be slower and less significant compared to other bariatric surgeries.
• There can be complications related to the adjustable band, such as band slippage, erosion, or infection.

Biliopancreatic Diversion with Duodenal Switch:

Biliopancreatic diversion with duodenal switch, often called BPD/DS, is a complex and less common bariatric surgery in Islamabad. This procedure involves two main components: a sleeve gastrectomy and a significant rerouting of the small intestine.

Benefits:

• It is known for producing substantial and sustained weight loss, making it a suitable option for individuals with severe obesity.
• Patients often experience significant improvements or remission of obesity-related conditions like type 2 diabetes and sleep apnea.
• The procedure combines both malabsorption and restriction mechanisms for weight loss.

Risks:

• It is associated with a higher risk of nutritional deficiencies due to reduced nutrient absorption in the intestines.
• This surgery is technically demanding and carries a higher risk of complications during and after the procedure.
• Patients may have a more extended recovery period and require frequent follow-up visits.

Choosing the Right Bariatric Surgery:

Selecting the most suitable bariatric surgery in Islamabad depends on several factors, including an individual’s BMI (Body Mass Index), overall health, and personal preferences. Patients must consult a qualified bariatric surgeon and a multidisciplinary team to assess their needs and goals.

• BMI: The patient’s BMI is often used to determine eligibility for specific procedures. Gastric bypass and BPD/DS are typically recommended for individuals with higher BMIs, while sleeve gastrectomy and Lap-Band may be options for those with lower BMIs.

• Health Conditions: The presence of obesity-related health conditions, such as type 2 diabetes or hypertension, may influence the choice of surgery.
• Availability in Clinic: Last but not least, it is necessary to discuss the surgery, including whether they are providing the chosen surgery.
   

The Bottom Line!

Bariatric surgery offers a range of options for individuals struggling with obesity, each with its own set of benefits and risks. These surgeries can transform lives by promoting significant weight loss and improving obesity-related health conditions. However, choosing the right procedure requires careful consideration of individual factors and consultation with a knowledgeable healthcare team.

It is essential for individuals considering bariatric surgery to seek guidance from experienced bariatric surgeons at Enfield Royal Clinics Islamabad and undergo thorough evaluations to determine the most appropriate surgical option.