How Effective Is Weight Loss Surgery?
For severely overweight individuals that have failed to
see results from diet and exercise alone, weight-loss surgery has
become the safest and most effective means of achieving significant
weight loss. In fact, studies have shown that with diet and exercise
alone, nearly 95% of obese patients will gain all the lost weight
back within 5 years. On the other hand, long-term success rates for
weight-loss surgery - including the LAP-BAND procedure - are
remarkably high, allowing patients to maintain a loss of between
50-70% of their excess body weight. Though there are many factors
that can impact an individual patient's weight-loss success,
weight-loss surgery is simply the most effective long-term weight
loss and healthy lifestyle solution for severely obese patients.
Studies show that most patients that undergo weight-loss
surgery will lose between 50-70% of their excess body weight within
the first three years following their procedure. Those that undergo
gastric bypass surgery will lose excess body weight more rapidly in
the first 12 months than those that choose LAP-BAND surgery. However,
gastric bypass patients typically experience a greater number of
complications and side effects than LAP-BAND patients, as the
LAP-BAND procedure allows for more gradual and natural long-term
weight loss.
From a clinical perspective, a weight-loss surgery is
considered successful when the patient loses at least 50% of their
excess body weight and keeps the weight off for at least five years.
While important lifestyle changes need to be made to ensure that the
weight loss is maintained in the long term, studies have shown that
most weight loss surgery patients are able to maintain a 50-60% loss
of excess body weight 10 years after the surgical procedure. However,
it is important to note that a weight loss of just 10% of total body
weight can begin to have positive health effects in resolution of
obesity-related condition like asthma, gastric reflux (GERD), and
diabetes. As weight-loss surgery is usually performed on patients
that are at least 75-100 pounds overweight or have a Body Mass Index
(BMI) of at least 35 with a health condition, overall weight loss can
range anywhere from 40 pounds to over 100 pounds. But the patient is
really the leader behind achieving these results.
While patients will certainly look and feel better after
weight-loss surgery, there are also numerous health benefits
associated with successful weight loss. In most cases, health
conditions that develop as a result of excessive body weight or are
worsened by obesity can be improved upon or, in some cases, remedied
by weight-loss surgery.
But there are other ways to measuring success with
weight-loss surgery, like the LAP-BAND System. For instance, many
weight loss surgery patients take great pride in being able to
perform certain activities that may not have been possible for a
number of years, like crossing their legs, bending over to tie a
show, walking up stairs without being easily winded or sitting
comfortably in an airplane seat.
While most patients that undergo weight-loss surgery
experience incredibly positive results, there are many factors that
can impact the overall success of an individual patient's procedure
and follow-up treatment. Here are some important factors to consider
as you try to determine whether weight loss surgery is right for you.
Pre-surgery
Weight
Generally speaking, the higher a patient's pre-surgery
weight or BMI, the more excess weight the patient can lose after
surgery. However, recipients of weight-loss surgery with less excess
body weight will eventually come closer to their ideal weight when
committed to long-term diet and exercise. Also, resolution or
improvement in obesity-related diseases can occur with even moderate
amounts of weight. Often many diseases can become closer to cured
than improved with earlier intervention at a lower weight.
Overall
Health
While pre-existing health conditions can impact the
overall success of weight-loss surgery (for instance, patients with
type 2 Diabetes typically lose less excess body weight after
surgery), studies have shown that many ailments linked to obesity are
either improved upon or fall into remission after a successful
procedure. For instance, a 2000 study performed on 500 weight loss
surgery patients showed that nearly 96% of health conditions
associated with obesity - such as high blood pressure, depression,
sleep apnea, back pain and diabetes - improved greatly following loss
of excess weight and long-term commitment to diet and exercise.
Surgical
Procedure
As there are potential risks and complications
associated with any surgical procedure, potential patients should
always seek to have their weight-loss surgery performed by a trusted
medical staff. Prospective patients should inquire about their
surgeon's success rates with weight-loss surgery and listen to the
experiences of former patients. Additionally, a patient's weight-loss
success may also be impacted by the quality of post-surgery care and
counseling provided by their bariatric outpatient facility.
Diet and Exercise
As diet and exercise are two of the most important factors in any weight loss plan, patients with the physical ability to exercise after weight-loss surgery have increased chances of meeting their goals. To maintain the weight loss achieved by surgery, both exercise and healthy eating habits must become integral parts of a patient's lifestyle.
Commitment
The ability to remain committed to suggested dietary
guidelines, exercise regimens and any follow-up care recommended by
the bariatric outpatient facility is important for both short-term
weight loss and long-term weight management.
Motivation
Patients that are motivated to lose weight and willing
to follow through with diet and exercise prior to receiving weight
loss surgery may experience greater levels of success immediately
following the procedure and in the long term. Most people did not
find themselves severely obese overnight. It took years to reach that
weight and therefore patients should be patient with the weight-loss
process, which will also not occur overnight. Successful patients
find small victories along the way to celebrate and stay motivated.
Support
As weight-loss surgery will require some time away from
everyday activities, it is important to have the support of family,
friends and coworkers before undergoing any surgical procedure.
Furthermore, as the ongoing weight-loss process following bariatric
surgery may require a certain level of emotional support, prospective
patients may want to establish a support network - including friends
and family members that can join in on exercise and healthy eating.
Considering that significant weight loss can not only
remedy many health concerns, but also improve an individual's quality
of life, the potential benefits of weight-loss surgery are plentiful.
For severely overweight individuals that are unable to lose weight
via diet and exercise alone, weight-loss surgery is the most
effective method of losing weight - and keeping the weight off.
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