The global obesity epidemic affects millions. A junk diet, a sedentary lifestyle, and long hours are significant causes. Lack of sleep is another issue. Heart disease, high blood pressure, and high blood sugar can result. It restricts mobility and creates uncomfortable circumstances. When morbidly obese, diet and exercise cannot reduce weight. Only bariatric surgery can fix this. No other option works.

What is Bariatric Surgery?

The surgery targets highly obese patients. This category includes several therapies that shrink stomach volume by removing part of it or prohibiting food from going through. If necessary, the first part of the gut may be omitted. This reduces hunger and ensures early meal satisfaction, resulting in weight loss and improved or remission of linked disorders.

It’s the only cosmetic device that can treat extreme obesity and cause long-term weight loss, especially if monitored.

Benefits of Bariatric Surgery:

The following are the benefits:

• No incisions or scars result from the operation.
• This therapy is less rigorous and traumatic than most others.
• There are a few side effects and issues.
• Rapid Recovery after surgery, with a two- to three-day hospital stay if needed.
• A fast, effective, and elegant resolution

Ideal Candidate:

The surgery is a significant body intervention; hence, it is only suggested for BMIs over 35–40% kg/m2. The patient is obese and has developing chronic illnesses. Unfortunately, the therapy methods did not help the patient.

The operation is not indicated in the following situations, as with any surgical intervention:

• Existence of mental illness
• Patient’s alcohol or drug addiction
• Low body mass index 
• Both pregnancy and breastfeeding
• Worsening consumption problems

How to Prepare Before Bariatric Surgery:

The pre-operative assessment and preparatory process typically includes these steps:

• Discuss your medical history with your doctor. 
• Initial medical testing may involve blood tests and other diagnostics. 
• Try to avoid alcohol and smoke. 
• Avoid taking blood thinner drugs.
• Keep your good nutrition and hydration.

How is the Surgery Done?

The following are the general steps of a bypass stomach procedure, one of the most common types of bariatric surgery:

• First, general anesthesia is administered, followed by surgery.
• The surgeon will use small abdominal incisions, after which they will proceed to the intestines and stomach. Occasionally, a big incision is necessary.
• The surgeon will use a surgical stapler. This limits food intake and hunger hormone production.
• In the fourth step, the surgeon will reattach the little intestinal tract to the stomach base.
• Now, the surgeon will connect a small piece of the intestine to the stomach pouch. 
• The surgeon will join the remaining small intestine to the fresh relationship point before proceeding to the sixth step.
• Then, the orthopedic doctor would close the cuts with a suture or staple and follow with dressing.

Care & Recovery after surgery: 

Post-operative care and recovery often involve the following steps:

• It would help if you watched for complications, including bleeding and infection. 
• Eating healthy according to your doctor’s advice. 
• Patients should start light activity immediately following surgery to speed healing and limit blood clot risk. Such exercises include walking.
• The surgeon will schedule monthly follow-up meetings to assess your progress and address any concerns. 
• If you have a significant reaction, notify your surgeon immediately.

Results:

Bariatric surgery shows results within six months. Patients usually lose weight rapidly for two years after surgery. They track treatment for 14 years following surgery. In six months, you can lose 50% of your weight. Cancer risk, diabetes, depression, back discomfort, ulcers of the stomach, and elevated blood pressure have decreased due to the surgery.

What is The Riskiest Bariatric Surgery?

In the majority of cases, the riskiest surgery is known as the duodenal switch with biliopancreatic diversion (BPD/DS). This surgery includes major changes in the digestive system, which involve stomach removal and bypass of a major portion of the small intestine. However, there are higher levels of complications than other bariatric surgeries, such as gastric bypass or gastric sleeve, which can lead to significant weight loss. Such complications are sometimes caused by weakness, vitamin deficiency, dumping syndrome, and gastroenteric problems.

Cost of Bariatric Surgery in Islamabad:

The average cost of bariatric surgery in Islamabad is PKR 400,000 to PKR 800,000. The average procedure cost is this. The type of surgery, surgeon, and hospital may affect the pricing. Your surgeon can only provide an accurate pricing estimate during your initial appointment after a thorough evaluation.

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