Risk complication: Remaining Obese VS. Having Surgery
Comparing the risk of remaining obese to the risk of bariatric surgery is like comparing apples to oranges:
- Obesity risks are stretched out over a long period of time. Problems can take many years to develop and worsen. Ultimately, having obesity leads to a decreasing quality of life, increasing severity of many health issues, and an increasing risk of premature death.
- Bariatric surgery risks tend to fall within the first 30 days after surgery. For the more involved procedures that lead to the most weight loss, the mortality (death) rate is about 0.1% or 1 out of every 1,000 patients. However, 7% of these patients experience Weight Loss Surgery Complications. The less involved procedures have much less weight loss and a much lower risk of Weight Loss Surgery Complications.
Actions To Reduce The Risk Of Weight Loss Surgery Complications
You will be better prepared to make the right decisions if you know exactly what to expect before, during, and after surgery.
2-Educate Family and Friends:
Family and friends are often the deciding factor for whether you stay on track. For example, if your spouse or partner is snacking and eating junk food, you will be tempted to do the same.To avoid issues like this, educate your closest family members and friends before you have surgery by:
- Allowing them to be a part of the decision making process when selecting a procedure
- Asking them to come with you to your surgeon office visits
- Having them attend a patient support group with you after surgery
3-Lose Weight before surgery
The higher your body mass index (BMI), the more likely you are to have Weight Loss Surgery Complications.Most bariatric surgeons will not require you to lose weight before surgery, but some surgeons and insurance companies may require you to have a physician-observed bariatric diet and weight loss surgery exercise program before they approve your procedure.
4-Address Health Problem Before surgery
Obesity-related health problems prior to surgery are directly correlated with developing Weight Loss Surgery Complications in the first 180 days following surgery. Talk with your surgeon about how to reduce your risk if you have any of the following conditions:
- Sleep apnea and gastroesophageal reflux disease (GERD) are the prbe-operative conditions that result in the highest risk for Weight Loss Surgery Complications.
- If you have had deep vein blood clots (blood clots in legs or arms), a pulmonary embolism or blood clotting problems in the past, you have a higher risk of experiencing them following bariatric surgery.
- High blood pressure prior to surgery can increase your risk of blood clotting problems after surgery.
- Diabetes, sleep apnea and arthritis can determine your risk for sepsis.
5-Choose an Experienced Surgeon
Working with a more experienced surgeon significantly reduces your risk of Weight Loss Surgery Complications. For example:
- One study (over 15,000 patients) found these differences depending on how many procedures a surgeon performed over a 3-year period (7):
- Fewer than 100 procedures: 4% complication rate
- More than 250 procedures: 2% complication rate
- Another study (over 14,700 patients) found these 30-day complication rate differences (8) based on the number of procedures performed by the surgeon and their hospital:
- Fewer than 50 procedures at low-volume (under 125 procedures) hospitals: 0.98% complication rate
- More than 50 procedures at high-volume (300+ procedures) hospitals: 0.30% complication rate
6-Get Tested For Sleep Apnea Syndrome Before Surgery
Sleep apnea significantly increases both surgical and post-surgical risks. This is an easy problem to avoid since it can be diagnosed and treated well in advance of surgery.Unfortunately, according to a UC Davis School of Medicine study of over 1,300 prospective patients, as high as 25% of prospective patients have undiagnosed sleep apnea prior to surgery.Talk with your surgeon about conducting a sleep study to find out if you have sleep apnea.
7-Use Standard Methods To Prevent Deep Vein Thrombosis
Deep vein thrombosis (DVT) is include in Weight Loss Surgery Complications. It happens when a blood clot forms inside a deep vein (such as those found in the leg or pelvis).DVT can be life-threatening if the blood clot comes loose then travels to and blocks the the arteries in your lungs. It is especially concerning for patients with a history of blood clotting problems.Your surgeon should talk with you about standard preventive measures, including:
- Blood thinners
- Compression stocking
8-Exersice As Soon As Possible After Surgery
The quicker you can get up and moving after surgery, the lower your risk of Weight Loss Surgery Complications.Start as soon as possible after surgery by:
- Sitting up
- Hanging legs off the bed
- Breathing exercises
- Leg exercises
- Start walking as soon as your surgeon allows it
9- Follow Surgeon’s Advice
Many patients start to stray from their surgeon’s advice shortly after returning home. Unsurprisingly, weight-loss surgery patients who stick to a schedule of 3, 6, and 12-month follow-up visits with their doctors see greater improvements or remission of their diabetes, high blood pressure, and high cholesterol than patients who skip their visits.Don’t let yourself slip. Maintain contact with your surgeon and dietitian, and follow their advice to the letter to avoid Weight Loss Surgery Complications and side effects and to maximize weight loss and health improvements after surgery.
10-Have And Use Good Support System
It is nearly impossible to succeed without the support of those close to you, and your chance of long-term success increases greatly if you’re able to talk with others who understand and will listen without passing judgement.Successful patients have the following support, at a minimum:
- Supportive family and friends who help you avoid temptation and tell you when you start to slip
- A good weight loss surgery support group that you attend regularly
Other helpful support resources include:
- Online weight loss surgery forums and blogs
- Books written by weight loss surgery patients