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How Effective Is Weight Loss Surgery?
For severely obese individuals who 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 regain all the weight lost 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. Although there are many factors that can affect 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 who undergo weight loss surgery will lose between 50-70% of their excess body weight within the first three years after their procedure. Those who undergo gastric bypass surgery will lose excess body weight faster in the first 12 months than those who 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, weight loss surgery is considered successful when the patient loses at least 50% of their excess body weight and maintains the weight for at least five years. While important lifestyle changes must be made to ensure that weight loss is maintained 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 only 10% of total body weight can begin to have positive health effects in the resolution of obesity-related conditions such as asthma, gastric reflux (GERD) and diabetes. Since weight loss surgery is usually performed on patients who are at least 75-100 pounds overweight or have a Body Mass Index (BMI) of at least 35 with a medical condition, total 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 excess body weight or are aggravated by obesity can be improved or, in some cases, corrected by weight loss surgery.
But there are other ways to measure weight loss surgery success, such as the LAP-BAND system. For example, many bariatric surgery patients take great pride in being able to perform certain activities that may not have been possible for a number of years, such as crossing the legs, bending over to tie a show, climbing stairs without becoming easily pulled off or sitting comfortably in an airplane seat.
While most patients who undergo weight loss surgery experience incredibly positive results, there are many factors that can affect the overall success of an individual patient’s procedure and follow-up care. Here are some important factors to consider when trying to decide if weight loss surgery is right for you.
Weight before surgery
In general, it can be said that the higher a patient’s weight or BMI before surgery, the more excess weight the patient can lose after surgery. But weight loss surgery recipients with less excess body weight will eventually get closer to their ideal weight when committed to long-term diet and exercise. Furthermore, resolution or improvement of obesity-related diseases can occur with even moderate amounts of weight gain. Often, many diseases can become closer to cure than improved with previous interventions at a lower weight.
While pre-existing health conditions can affect the overall success of weight loss surgery (for example, patients with type 2 diabetes typically lose less excess body weight after surgery), studies have shown that many disorders associated with obesity either improve or go into remission after a successful procedure. For example, a 2000 study of 500 weight-loss surgery patients found that nearly 96% of health conditions associated with obesity—such as high blood pressure, depression, sleep apnea, back pain, and diabetes—improved greatly after weight loss and long-term commitment to diet and exercise.
Since there are potential risks and complications associated with any surgical procedure, prospective patients should always seek to have their weight loss surgery performed by a trusted medical professional. Prospective patients should inquire about their surgeon’s weight loss surgery success rates and listen to past patients’ experiences. In addition, a patient’s weight loss success can also be affected by the quality of post-surgical care and counseling provided by their bariatric outpatient clinic.
Diet and exercise
Since 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 reaching their goals. To maintain the weight loss achieved by surgery, both exercise and healthy eating habits must become an integral part of a patient’s lifestyle.
The ability to remain committed to suggested dietary guidelines, exercise regimens, and any follow-up treatment recommended by the bariatric clinic is important for both short-term weight loss and long-term weight control.
Patients who are motivated to lose weight and willing to follow through with diet and exercise before undergoing weight loss surgery may experience greater levels of success immediately after the procedure and in the long term. Most people did not find that they were severely overweight overnight. It took years to reach that weight, so patients should be patient with the weight loss process, which also won’t happen overnight. Successful patients find small victories along the way to celebrate and stay motivated.
Since weight loss surgery will require some time away from everyday activities, it is important to have the support of family, friends and colleagues before undergoing a surgical procedure. Furthermore, since the ongoing weight loss process after bariatric surgery may require some level of emotional support, potential patients may want to establish a support network—including friends and family members who can participate in exercise and healthy eating.
Considering that significant weight loss can not only alleviate many health problems but also improve a person’s quality of life, the potential benefits of weight loss surgery are plentiful. For severely obese people who are unable to lose weight through diet and exercise alone, weight loss surgery is the most effective method of losing weight – and keeping it off.
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