As bariatric changes health: we explain risk of death, addiction and other complications

bariatric surgery risks 400x800 0317marina_ua / shutterstock

Some believe that it is easy to lose weight after weight reduction surgery, but this is far from true. Despite being an efficient and pretty fast method to lose weight, the procedure is related to various risks, both physical and psychological. But do they always occur? Find out below which are consequences of bariatric surgery.

Risk of death after bariatric surgery

According to endocrinologist Maria Fernanda Barca, a member of the Brazilian Society of Endocrinology and Metabolism (SBEM) and the European Society of Endocrinology (SEE), open surgery in which large incisions were made, had a 50% risk of death. "Complications arose due to weak muscles and the large layer of fat that made the points were opened, creating serious infections"He explains.

Precisely because of the complications of the open method, currently the most widely used type for bariatric surgery is laparoscopy, a procedure in video made by some holes in the abdomen. According to the doctor, in these cases the death rate drops to 1.5% and may be varied according to age, weight and initial follow-up with the surgeon.

laparoscopic surgery 0217 400x800marina_ua / shutterstock

Some believe that it is easy to lose weight after weight reduction surgery, but this is far from true. Despite being an efficient and pretty fast method to lose weight, the procedure is related to various risks, both physical and psychological. But do they always occur? Find out below which are consequences of bariatric surgery.

Risk of death after bariatric surgery

According to endocrinologist Maria Fernanda Barca, a member of the Brazilian Society of Endocrinology and Metabolism (SBEM) and the European Society of Endocrinology (SEE), open surgery in which large incisions were made, had a 50% risk of death. "Complications arose due to weak muscles and the large layer of fat that made the points were opened, creating serious infections"He explains.

Precisely because of the complications of the open method, currently the most widely used type for bariatric surgery is laparoscopy, a procedure in video made by some holes in the abdomen. According to the doctor, in these cases the death rate drops to 1.5% and may be varied according to age, weight and initial follow-up with the surgeon.

laparoscopic surgery 0217 400x800

There are different types of bariatric, but the doctor does not rate as no more or less safe.

Check out what are the Side effects of bariatric surgery laparoscopically:

Risks of bariatric surgery

pulmonary embolism

Radiography of the lung 0317 400x800thailoei92 / Shutterstock

In January 2017, the Rio 19 years Amanda Rodrigues died 11 days after performing surgery, as released the G1 news website. Pulmonary embolism attested report, problem characterized by blockage of the lung arteries by a piece of fatty tissue that fell off as a result of surgical manipulation. The frame prevents the irrigation agency, bringing death and respiratory sequelae.

In cases of thrombosis caused by piston fat, drugs such as anticoagulants, do not work to soften the picture. Treatment involves giving support to the patient and wait for the natural evolution of the frame.

Bowel obstruction

The total or partial impairment of passage of food into the intestines is another possible risk surgery for weight reduction. Involvement is the creation of adhesions or fibrous tissue after surgical manipulation and, if untreated, can lead to organ necrosis.

According to endocrinologist Maria Fernanda Barca, poorly made sutures and incorrect surgical techniques provide the framework.

digestive bleeding

ilustracao bowel cancer 400x800 116thailoei92 / Shutterstock

In January 2017, the Rio 19 years Amanda Rodrigues died 11 days after performing surgery, as released the G1 news website. Pulmonary embolism attested report, problem characterized by blockage of the lung arteries by a piece of fatty tissue that fell off as a result of surgical manipulation. The frame prevents the irrigation agency, bringing death and respiratory sequelae.

In cases of thrombosis caused by piston fat, drugs such as anticoagulants, do not work to soften the picture. Treatment involves giving support to the patient and wait for the natural evolution of the frame.

Bowel obstruction

The total or partial impairment of passage of food into the intestines is another possible risk surgery for weight reduction. Involvement is the creation of adhesions or fibrous tissue after surgical manipulation and, if untreated, can lead to organ necrosis.

According to endocrinologist Maria Fernanda Barca, poorly made sutures and incorrect surgical techniques provide the framework.

digestive bleeding

ilustracao bowel cancer 400x800 116

Some types of bariatric surgeries manipulate not only the stomach but also the intestine. This is the case of gastric bypass and biliopancreatic bypass surgery, make a detour in the intestine of the patient. Complications related to this aspect include digestive bleeding.

According to the expert Maria Fernanda Barca, this problem also stems from poor surgical technique.

Leaking seams

The condition occurs when the clips used in stomach surgery rupture, causing leakage of digestive material, such as bile, feces and gastric juice to the abdomen.

This picture is called fistula and occurs mainly by the lack of medical experience in surgical technique. As a consequence, may occur serious and widespread infections.

Thrombosis

thrombosis legs redness 016 400x800Hriana / Shutterstock

In March 2017, the weight-loss reality of former contestant Pepe died after bariatric surgery. The physicians suspected thrombosis, which is the formation of clots in the vessels of a body part, especially in the legs.

According to an endocrinologist, venous thrombosis is a risk of various operations, not only the weight reduction, since the medical manipulation affects the circulatory system. However, the incidence is even higher due to the high bariatric patient weight, still more committed circulation.

The alternative to avoid the risk of death from bariatric surgery thrombosis involves the use of anticoagulants, compressive stockings and massagers postoperatively. Hiking also reduces the chance of developing the disease, which is mainly manifested by pain in the legs and edema.

Late complications of bariatric surgery

Lack of nutrient absorption

tiredness energy vitamin 0816 400x800Hriana / Shutterstock

In March 2017, the weight-loss reality of former contestant Pepe died after bariatric surgery. The physicians suspected thrombosis, which is the formation of clots in the vessels of a body part, especially in the legs.

According to an endocrinologist, venous thrombosis is a risk of various operations, not only the weight reduction, since the medical manipulation affects the circulatory system. However, the incidence is even higher due to the high bariatric patient weight, still more committed circulation.

The alternative to avoid the risk of death from bariatric surgery thrombosis involves the use of anticoagulants, compressive stockings and massagers postoperatively. Hiking also reduces the chance of developing the disease, which is mainly manifested by pain in the legs and edema.

Late complications of bariatric surgery

Lack of nutrient absorption

tiredness energy vitamin 0816 400x800

Imagine that a person who was used to eating everything and in large quantity, now reduce their food capacity and insert liquid or pasty foods for a few months. The result is a nutrient deficiency. It impairs the normal course of the organism, causes tiredness, lack of energy and diseases like anemia.

This deficiency can be prevented by oral or injectable nutritional supplementation, which is recommended by itself bariatric surgeon or a nutritionist.

addictions

alcohol beer beverage 116 friends 400x800Kzenon / istock

Most people who go through bariatric surgery was obese because of an eating disorder, a mental state where there is no control pulse to eat, even when there is no hunger. However, liquid and pasty diet imposed postoperative bariatric surgery can cause the patient to develop another form of compulsion to replace the old, such as alcoholism and drug use.

So the ideal is to undergo psychological and psychiatric evaluations before and after the procedure. The nutritional education and healthy habits also help.

osteoporosis

bones with osteoporosis 0317 400x600Kzenon / istock

Most people who go through bariatric surgery was obese because of an eating disorder, a mental state where there is no control pulse to eat, even when there is no hunger. However, liquid and pasty diet imposed postoperative bariatric surgery can cause the patient to develop another form of compulsion to replace the old, such as alcoholism and drug use.

So the ideal is to undergo psychological and psychiatric evaluations before and after the procedure. The nutritional education and healthy habits also help.

osteoporosis

bones with osteoporosis 0317 400x600

A study on bariatric surgery and osteoporosis published in the British Medical Journal reveals that patients undergoing bariatric surgery are more likely to fracture bones due to the emergence of osteoporosis after surgery.

This is due to nutritional deficiency elements that are essential for the bones as calcium and vitamin D. To avoid such risk, it is necessary to conduct medical tests before the procedure, such as bone densitometry, review the family history of disease and incorporate supplementation nutrition in the postoperative diet.

Depression, anxiety and more

tiredness depression grief 0317 400x800KieferPix / shutterstock

In addition to the sudden weight loss, change of diet, habits and social visibility can be somewhat complicated for patients of metabolic surgery. Often they believe that much of their problems will be solved after weight reduction, which is not true. As a result of frustration, arise psychological consequences after bariatric surgery, such as depression and anxiety disorder.

The endocrinologist Maria Fernanda Barca notes that these frameworks is essential to make psychological treatment and unite it to drugs to control the compulsion

Indications and contraindications of bariatric surgery

Who can?

According to the Federal Council of Medicine (CFM), bariatric surgeries are indicated for individuals with BMI calculation between 35 and 40 kg / m².

Further in accordance with CFM, patients with the following comorbidities have even more precise indication to perform the procedure, as it may be the result of overweight: type 2 diabetes, sleep apnea, high blood pressure, cardiac or coronary disease, osteo-articular diseases, hernias, severe asthma, reflux presence of high levels of blood fats, gallbladder inflammation, recurrent pancreatic inflammation, fatty liver disease, varicose veins, polycystic ovary syndrome, hemorrhoids, depression, among others.

"I point especially when the patient is resistant or poorly adherent to the weight-loss drugs and when there is risk of death by obesity"Explains endocrinologist Maria Fernanda.

Obesity 0916 400x800KieferPix / shutterstock

In addition to the sudden weight loss, change of diet, habits and social visibility can be somewhat complicated for patients of metabolic surgery. Often they believe that much of their problems will be solved after weight reduction, which is not true. As a result of frustration, arise psychological consequences after bariatric surgery, such as depression and anxiety disorder.

The endocrinologist Maria Fernanda Barca notes that these frameworks is essential to make psychological treatment and unite it to drugs to control the compulsion

Indications and contraindications of bariatric surgery

Who can?

According to the Federal Council of Medicine (CFM), bariatric surgeries are indicated for individuals with BMI calculation between 35 and 40 kg / m².

Further in accordance with CFM, patients with the following comorbidities have even more precise indication to perform the procedure, as it may be the result of overweight: type 2 diabetes, sleep apnea, high blood pressure, cardiac or coronary disease, osteo-articular diseases, hernias, severe asthma, reflux presence of high levels of blood fats, gallbladder inflammation, recurrent pancreatic inflammation, fatty liver disease, varicose veins, polycystic ovary syndrome, hemorrhoids, depression, among others.

"I point especially when the patient is resistant or poorly adherent to the weight-loss drugs and when there is risk of death by obesity"Explains endocrinologist Maria Fernanda.

Obesity 0916 400x800

The endocrinologist Maria Fernanda points out that the degree of obesity should also be put in check. "The higher it is, the greater the risks. The doctor also said that one should be cautious about the performance of the procedure in people with atherosclerosis plaques and circulatory problems. "In these cases, it is to be done prior treatment with drugs that help decrease vascular risk"Argues.

Postoperative bariatric surgery

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