Should I Consider Bariatric Surgery for My Long-Term Obesity Struggles?

excuse me?

Hello, doctor.
I have been overweight since childhood due to genetic factors and a lack of exercise.
Whenever I'm feeling down, I tend to binge eat.
Since middle school, my weight has been around 103 kg, and recently it has increased to 121 kg.
For over nine years, I have maintained a weight above 100 kg, and I have tried many methods to lose weight (such as weight loss centers, medications, herbal remedies, etc.) but have not been successful.
Recently, I saw a television report about successful cases of "gastric bypass surgery," which is very appealing to me.
I really want to try it, but I'm hesitant to take action without proper guidance.
Should I consider undergoing the surgery, or are there other methods I should pursue to lose weight? The issue of obesity has troubled me for many years, and I truly want to lose weight!

Chaoji Xiang Shou De Ren, 20~29 year old female. Ask Date: 2003/09/24

Dr. Cai Xiuwen reply Nutrition

Hello! There are many factors related to obesity, including genetics, diet, social and behavioral aspects, psychological factors, diseases, and endocrine issues, among others.
A good weight loss program requires a comprehensive assessment and examination to effectively identify appropriate weight loss methods.
It is also important to evaluate the reasons for weight loss failure, whether it is due to lack of implementation or inability to execute the plan.
The weight loss process must be adjusted to find the most suitable and effective methods.
Surgical intervention is often used for individuals with severe obesity, defined as having a weight exceeding their ideal weight by 45 kilograms or a body mass index (BMI) greater than 40.
Whether a person is suitable for surgery requires a professional evaluation by a surgeon.
However, undergoing surgery does not mean that dietary control and exercise are no longer necessary.
I hope you will undergo a complete examination and assessment, and listen to the advice of doctors and nutritionists.
Where there is a will, there is a way; with effort, success is possible, but without effort, there is no hope!

Reply Date: 2003/09/24

More Info

When considering bariatric surgery for long-term obesity struggles, it is essential to evaluate several factors, including your medical history, current health status, and the potential benefits and risks associated with the procedure. Bariatric surgery, such as gastric bypass or sleeve gastrectomy, is often recommended for individuals who have not achieved significant weight loss through traditional methods, such as diet and exercise, and who have a Body Mass Index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions.

Given your history of obesity, starting from a young age and maintaining a weight above 100 kg for over nine years, it seems you have faced significant challenges in managing your weight through conventional means. The fact that you have tried various weight loss methods, including weight loss centers and medications, without success indicates that you may be a candidate for bariatric surgery. This surgical option can provide a more permanent solution to obesity by altering the digestive system to limit food intake and nutrient absorption.

Before making a decision, it is crucial to consult with a healthcare professional who specializes in bariatric surgery. They will conduct a thorough evaluation, including a physical examination, medical history review, and possibly psychological assessments to ensure you are mentally prepared for the changes that come with surgery. It is also important to discuss your motivations for surgery, as well as your expectations regarding weight loss and lifestyle changes post-surgery.

Bariatric surgery can lead to significant weight loss and improvement in obesity-related conditions such as type 2 diabetes, hypertension, and sleep apnea. However, it is not a quick fix; it requires a commitment to lifestyle changes, including dietary modifications and regular physical activity. Post-operative care is also essential, as patients need to adapt to a new way of eating and may require nutritional supplements to prevent deficiencies.

In terms of risks, like any surgical procedure, bariatric surgery carries potential complications, including infection, blood clots, and adverse reactions to anesthesia. Long-term risks may include nutritional deficiencies, dumping syndrome (a condition that can occur after gastric bypass), and the need for further surgeries. Therefore, it is vital to weigh these risks against the potential benefits of improved health and quality of life.

If you are hesitant about surgery, consider exploring other weight loss options, such as working with a registered dietitian or a weight management specialist who can help you develop a personalized plan that fits your lifestyle. Behavioral therapy may also be beneficial in addressing emotional eating patterns and developing healthier coping mechanisms.

In conclusion, bariatric surgery can be a life-changing option for individuals struggling with obesity, especially when other methods have failed. However, it is essential to approach this decision thoughtfully and with the guidance of healthcare professionals. If you decide to pursue surgery, ensure you are prepared for the commitment it entails, both before and after the procedure. Ultimately, the goal is to achieve sustainable weight loss and improve your overall health and well-being.

Similar Q&A

Understanding Bowel Resection Surgery for Weight Loss: Is It Right for You?

I have a long-standing habit of trying to lose weight, but despite numerous attempts, I have not been able to reach my ideal weight. Although I know that many hospitals offer weight loss programs and clinics, I am not interested in these options because the weight loss process is...

Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! Typically, colorectal surgery or gastric partitioning surgery is performed on patients with severe obesity (usually weighing over 100 kilograms) who have been unable to lose weight through dietary control or exercise. Rapid weight loss can lead to maladaptive physiological...

Is Gastric Surgery an Effective Weight Loss Solution? Key Insights and Considerations

Is gastric surgery really effective for weight loss? What does the procedure involve, and what are the potential side effects? How long does one need to rest before returning to normal activities, and what is the approximate cost of the surgery?

Dr. Lin Kecheng reply Surgery
Mr. QQQ: What you mentioned refers to individuals who are overweight and undergo "sleeve gastrectomy" to reduce their food intake for weight loss. If someone is severely overweight (i.e., morbidly obese) and meets the criteria for health insurance coverage, the insuranc...

Surgical Options for Long-Term Appetite Control: Costs and Considerations

Hello, doctor. I would like to ask if there are any surgeries that can help me control my appetite long-term, considering I am 157 cm tall and weigh 98 kg, and I can eat up to 4 meals a day. What would the approximate cost be? Thank you.

Dr. Ke Fangxu reply Surgery
Taiwan's National Health Insurance (NHI) coverage for weight loss surgery is primarily based on the standards published by the National Institutes of Health (NIH) in 1991, which must meet the following criteria: 1. BMI ≥ 40, or BMI ≥ 35 with obesity-related comorbidities. 2....

Is Bariatric Surgery Safe for Obese Patients with Heart Conditions?

Hello Dr. Huang: A while ago, I was hospitalized at your facility, but I feel that my treatment was not very effective. During my over one-month stay, I only saw a doctor 3 to 4 times, was advised to eat meal replacements, and did not undergo any specific tests. The reasons are s...

Dr. Huang Jianling reply Family Medicine
A person without dreams: Height 147 cm, weight 145 kg, has reached the level of morbid obesity. It is recommended to visit a family medicine clinic to evaluate whether there are endocrine issues, dietary habits, exercise deficiencies, or poor lifestyle choices contributing to the...