Surgery vs diet and exercise is tonight’s topic and is of interest to me because I know people who are doing it each of the possible ways.
What surgeries are we talking about? Well the 2 main ones at the moment are Gastric band and Gastric bypass and while the bypass is MUCH more dangerous, the band has its own list of problems…. as you will soon see.
Gastric Band/Lap band
Gastric banding consists of surgically inserting a band around the top section of your stomach, and cinching it into a small pouch. This is often touted as a simpler, less invasive procedure to gastric bypass, and whereas gastric banding is at least reversible, while gastric bypass is not, the complications are often so debilitating that patients opt to have the bands removed completely. Here’s the explaination for how it works….
Following band placement, in conjuction with band adjustment, inflation or fill, after the band is adjusted or filled, the resulting constriction of the stomach is achieved at the level of band placement. This constriction slows the passage of food to the stomach below – in the same way as sand flows through an hourglass.
When wound around the top of the stomach to create a small pouch, the band exerts very mild pressure after it has been inflated, or adjusted with saline.
Above the area of band placement a small ‘pouch’ is formed, and it is thought that for this reason the person with a well adjusted gastric band, is less likely to experience the sensation of hunger. Band adjustment allows the diameter through which the food passes to be widened or narrowed as clinically indicated.
It will also be evident, that swallowing insufficiently chewed food will lead to difficulties, and patients with a gastric band in place will need to carefully chew their food very well, and also eat smaller portions of food.
When the pouch is full, the patient also will have the feeling that their whole stomach is full- they feel satiated
Gastric Bypass
Gastric bypass involves stapling your stomach into a pouch that’s only a half-ounce in size, so it literally cannot hold much. The idea is that you’ll feel full faster, since your stomach will be unnaturally tiny, but this also means you’ll often be eating meals that are sorely lacking in nutritional requirements.
A small opening is also created to allow food to empty slowly from the pouch. Because the opening is so small (made this way deliberately to keep the small amount of food you’ve eaten in your stomach longer, making you feel “full”), food must be chewed very thoroughly or it won’t be able to fit through the opening, leading to vomiting.
You’ll also be instructed to eat the protein portion of your meal first, because you very well may get too full to fit in a vegetable or anything else. Even liquids must be restricted for up to 45 minutes before and after a meal, lest they take up what little space you have to consume actual food. As you might suspect, because bariatric surgery patients can consume very little roughage, constipation is often a problem. It is even described as “normal” to have a bowel movement only once every two or three days!
Snacking is also expressly forbidden after gastric bypass, as you’re only allowed three small meals a day, and you may have to write off certain foods entirely because your body just can’t digest them anymore. This includes red meats, skins of fruits and vegetables (where the bulk of the antioxidants are) and fibrous vegetables. This is simply NOT a healthy way of eating, and the long-term implications are just as severe as the short-term risks. Hair loss and muscle loss are common after the surgery — both signs that your body is not receiving proper nutrition.
The main thing I have learnt about this is that there is no such thing as an easy way to loose weight. It’s hard work, plain and simple, no matter which way you do it.
Here’s some facts about the so called easy ways out….
- Nearly half of weight loss surgeries result in MAJOR complications.
This includes: Band erosion, kidney stones, black-outs, malnutrition, bowel and gallbladder problems, infection, liver failure, abnormal band expansion and even death!
- 88% of weight loss surgeries result in minor complications.
This includes: Gastroesophageal reflux, Esophageal dilation, Leaking or twisted access port into the stomach, Band slippage and/or pouch dilation, Reduced esophageal function, Difficulty swallowing, Stomach obstruction and the band eroding into the stomach.
- The chance of dying from the procedure in the first 30 days is 1 in 50… the odds go up 4.7 times if the doctor has performed the surgery less than 20 times – due to inexperience.
- Half of patient need their band removing due to the complications
- 1 in 3 patients suffer from band erosion
- 60% of patients need to have further surgery
So tell me….. does it still seem like the easy way?