Misconceptions surround bariatric surgery

By Sundae Adkins, Midland Health

Weight loss surgery is a life-changing -- and potentially life-saving -- procedure that helps you lose a significant amount of weight by reducing the size of your stomach and reducing your food intake. 

Gastric bypass and gastric sleeve are the two of the most recognizable names in weight-loss surgery.

Weight loss surgeries have been on the rise in recent years as more people struggling with morbid obesity commit themselves to improving their health. However, there remains a significant number of the morbidly obese population who are unwilling to consider treatment for a variety of reasons. Many people have negative misconceptions about weight-loss surgery that keep them from choosing the procedure.

With that in mind, here are seven weight-loss surgery myths that you should ignore:
-- Myth: You will regain most if not all of your lost weight.

Although some weight-loss surgery patients regain weight, it’s not the norm. Up to 50 percent of bariatric surgery patients may regain weight, but it usually only amounts to 5 percent of the weight lost, according to the American Society for Metabolic and Bariatric Surgery. This is because most patients embrace the life-changing effects of weight-loss surgery by improving their diet and lifestyle habits.

-- Myth: Weight-loss surgery prevents you from regaining weight.

Weight-loss surgery is not a magic bullet. In order to get the full effects of treatment, it’s essential that you adopt a change in lifestyle and diet that helps to support healthy weight management.

Your surgeon may recommend a nutritionist or lifestyle coach who can help you to make the necessary adjustments. But you have a great deal of responsibility when it comes to making the treatment successful. The good news is, the vast majority of bariatric surgery patients do just that. So if you’re like most patients, you should be able to shed the weight and keep it off for life.

-- Myth: Your insurance will not cover weight loss surgery.

Although insurance coverage varies by state and provider, many companies now offer public and private options for weight-loss surgery deemed “medically necessary.” Insurance companies may cover upward of 80 percent of what is deemed “customary and usual” fees associated with your surgery.

Medicare also affords coverage to certain approved individuals for specific surgeries: Roux-en-Y bypass and sleeve gastrectomy. If you are considering weight- loss surgery, the best thing to do is speak with your insurance provider to evaluate your coverage options.

-- Myth: You will be unable to have children after weight-loss surgery.

It’s not advisable to get pregnant immediately after weight-loss surgery, but it’s simply not true that you will be unable to have children. It’s inadvisable to get pregnant immediately for a number of reasons, starting with the fact that your weight should stabilize first. Also, your surgery will cause hormonal changes and nutritional imbalances initially, as you adapt to the changes. On average, patients are advised to wait two years before getting pregnant.

-- Myth: Alcoholism is a common side effect of weight-loss surgery.

After weight-loss surgery you will be more sensitive to the effects of alcohol (in part due to the rapid weight loss), meaning that your previous drinking habits may cause you to become more inebriated than before. But it’s not true that alcoholism is in any way linked with weight-loss surgery itself. 

Only a “small percentage” of bariatric surgery patients have a problem with alcohol after surgery, according to American Society for Metabolic and Bariatric Surgery. And in most cases, the problem existed before the surgery
-- Myth: Weight-loss surgery is nothing more than a cop-out for people who are too lazy to diet and exercise.

Contrary to popular belief, diet and exercise isn’t the best weight-loss solution for everyone. A National Institutes of Health panel actually states that long-term, sustained weight loss for people who are severely obese is only achievable through a weight-loss procedure. That’s not to say that diet and exercise won’t benefit someone who is severely obese, or that they won’t be able to lose weight. But in order to shed the necessary amount of weight to make a life-changing, healthful impact, bariatric surgery may be the best option.

-- Myth: The risks of weight-loss surgery outweigh the risks of obesity.

Utterly false. Obesity is a disease linked with a number of serious health conditions, including heart disease, stroke, diabetes, high blood pressure and cancer. The National Institutes of Health list obesity as the second leading cause of preventable death in the United States.

Weight loss surgery on the other hand is an incredibly safe procedure. Studies have shown that bariatric surgery patients are able to reduce their mortality rate by up to 89 percent compared with severely obese people who avoid treatment.

It is best to consult a surgeon who specializes in bariatric surgery to determine your options for treatment. If you are significantly overweight and you have been unable to achieve or maintain a healthy weight with diet and exercise, or if your weight is causing medical problems, you may be a candidate for weight-loss surgery.

Dr. Van Husen of Midland Surgical Associates is an experienced bariatric surgeon at Midland Memorial Hospital. The Weigh to Success Bariatric Program can help you take control of obesity and your life.

Our highly trained team is committed to providing the highest level of patient care every step of the way. If you have tried non-surgical weight-loss therapies without success, weight-loss surgery may be your solution. Studies demonstrate that weight-loss surgery yields the longest period of sustained weight loss in patients who have failed other non-surgical therapies. For best results, we have found patients need to actively participate in a multi-disciplinary weight-loss program, which includes nutritional, emotional and exercise counseling.

Weigh to Success at Midland Memorial Hospital provides a team approach to helping you reach your weight -loss goals. We provide you with the education and lifelong support through our comprehensive program so that you will be successful. Your education class will teach you what you need to know before surgery, what to expect while in the hospital and how to take care of yourself when you are discharged .

If you are ready to start losing weight and get healthy contact me at 638-8081 or sundae.adkins@midland-memorial.com.

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