Bariatric Surgery: Is It Right for You? - Surgery

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Bariatric surgery for small intestine resection?


I heard that obesity can be treated with bowel resection, but I'm not very overweight, about 165 cm and 56 kg.
However, this is because I only eat a small amount of food every day, which I find quite painful.
If I don't control myself, I feel like I will keep gaining weight endlessly.
How much does this type of surgery cost, and which specialty should I consult? Would a doctor consider performing this surgery on someone who isn't technically overweight? I really wish I could eat freely!

Gu Zui, 20~29 year old female. Ask Date: 2001/05/20

Dr. Li Junde reply Surgery


Hello Miss Gujui:
1.
According to your information, you should not consider yourself as obese.
The standard weight for adults is calculated as follows: for males: [(height in cm) - 80] × 0.7; for females: [(height in cm) - 70] × 0.6.
Based on this standard, your ideal weight is = (165 - 70) × 0.6 = 57 kg, which is almost perfect.
I believe you must be very beautiful, and you should have confidence in your weight.
2.
The perception of body beauty is a result of societal trends and can change over time and across cultures.
We should aim for a healthy body and not harm our health in pursuit of perfection, as that would be counterproductive; after all, health is beauty.
3.
Surgery is only indicated for morbid obesity and carries many unpredictable complications.

Reply Date: 2001/05/20

More Info


Bariatric surgery, often referred to as weight loss surgery, is a medical procedure designed to help individuals who struggle with obesity achieve significant weight loss. However, it's important to understand that this type of surgery is typically recommended for individuals who are classified as obese, which generally means having a Body Mass Index (BMI) of 30 or higher, or a BMI of 27 or higher with obesity-related health conditions. Given your height of 165 cm and weight of 56 kg, your BMI is approximately 20.5, which is considered to be within the normal weight range. Therefore, bariatric surgery may not be appropriate for you.

The primary goal of bariatric surgery is to reduce the size of the stomach, which limits food intake and promotes weight loss. There are several types of bariatric surgeries, including gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Each of these procedures has its own indications, benefits, and risks.
1. Cost of Bariatric Surgery: The cost of bariatric surgery can vary widely depending on the type of procedure, the surgeon's fees, the facility where the surgery is performed, and whether or not insurance covers the procedure. In the United States, the total cost can range from $15,000 to $25,000 or more. It's crucial to check with your insurance provider to see if they cover bariatric surgery and under what conditions.

2. Consultation with a Specialist: If you are considering bariatric surgery, you would typically consult with a bariatric surgeon or a specialist in obesity medicine. They will evaluate your medical history, current health status, and weight loss goals. They may also conduct psychological evaluations to ensure you are mentally prepared for the lifestyle changes that accompany the surgery.

3. Surgery for Non-Obese Individuals: Given your current weight and BMI, it is unlikely that a surgeon would recommend bariatric surgery for you. Surgeons generally reserve these procedures for individuals who are significantly overweight and have not had success with other weight loss methods, such as diet and exercise. If you are struggling with the psychological aspects of eating and weight management, it may be more beneficial to seek help from a nutritionist or a mental health professional who specializes in eating disorders or weight management.

4. Alternative Approaches: Since you mentioned feeling pain and discomfort related to your eating habits, it might be worthwhile to explore other options. Behavioral therapy, nutritional counseling, and support groups can provide you with strategies to manage your eating habits and develop a healthier relationship with food. These approaches can help you learn to enjoy food without the fear of gaining weight.

5. Long-Term Considerations: Bariatric surgery is a significant commitment that requires lifelong changes in diet and lifestyle. Patients must adhere to strict dietary guidelines and often need to take vitamin and mineral supplements to prevent deficiencies. Additionally, there are risks associated with surgery, including complications during and after the procedure.

In summary, while bariatric surgery can be an effective solution for those struggling with obesity, it is not typically recommended for individuals who are not classified as obese. Given your current weight and height, it would be advisable to explore alternative methods for managing your eating habits and achieving your health goals. Consulting with a healthcare professional who specializes in nutrition or mental health may provide you with the support you need to address your concerns.

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