Women living with PCOS often struggle with insulin resistance, hyperandrogenism and infrequent menstruation. Bariatric surgery provides weight loss through improved glucose metabolism while simultaneously normalizing hormone production.
Studies demonstrate that reproductive age women with PCOS who undergo LRYGB experience lower gestational diabetes rates, fetal macrosomia rates and cesarean deliveries than obese women without prior history of PCOS. These outcomes are comparable with those experienced by obese women without PCOS history.
Gastric Bypass
Surgery to create a small stomach pouch by stapling off the upper section of stomach and attaching it directly to an area of small intestine called Roux limb is one of the most popular weight loss surgeries performed in the U.S. It helps reduce calorie and fat absorption from food consumed and leads to rapid, long-term weight loss. Furthermore, this surgery also seems to diminish appetite while increasing satiety, leading people to consume smaller portions.
People undergoing gastric bypass surgery must abide by stringent eating rules in order to achieve weight loss, such as drinking plenty of water or clear liquids, taking small bites at a time and eating slowly. Failure to adhere to these guidelines could slow weight loss or cause it to even return; since laparoscopic procedures allow this surgery without general anesthesia being administered, so patients don’t require hospital admission for recuperation post-surgery.
After having gastric bypass surgery, most patients notice significant weight loss as a result. They also see improvements or resolution of obesity-related diseases like high blood pressure, acid reflux disease and sleep apnea. Furthermore, the surgery helps lower cholesterol, making your heart healthier overall.
One risk associated with weight loss surgery includes nutritional deficiencies as your body may not absorb all the necessary vitamins from food; this can be remedied by taking dietary supplements as directed by your physician. It may also cause backwash bile to backwash into the stomach, possibly leading to ulcers.
Patients undergoing gastric bypass surgery must follow the nutrition recommendations set by their physician for long-term nutrition, taking special care not to overexert themselves as this may lead to nutritional deficiencies. They should also avoid engaging in excessive physical exercise which may result in nutritional depletions.
Undergoing bariatric surgery may not be right for everyone who is severely overweight, and having the support of physicians, psychologists, endocrinologists, dietitians and nurses is key in order to increase your chance of success and live longer.
Gastric Sleeve
The gastric sleeve is the most frequently performed form of bariatric surgery and is highly effective for long-term weight loss, typically helping patients shed 70% or more excess bodyweight. While this surgery can make everyday activities and hobbies simpler to enjoy, in order to realize its full potential benefits patients must commit to regular physical exercise and a well-balanced diet as part of a successful outcome.
Note that the sleeve operation does not alter how your stomach works; rather, it simply reduces its size so you can only consume small portions at once. Laparoscopic surgery ensures minimally invasive results.
Once the stomach is reduced in size, it absorbs fewer calories and nutrients – making it much simpler to follow a low calorie diet. Furthermore, stomach sleeve procedures remove part of the stomach which produces appetite stimulating hormones; further helping reduce hunger.
After having the sleeve surgery, many patients report improved health issues or resolution, such as type 2 diabetes, high blood pressure and sleep apnea. Furthermore, it has even proven successful at relieving some cases of oedema.
Patients typically return home soon after surgery; however, recovery can take a month or longer. During this period it is important to rest and engage in gentle exercises like walking. Running or swimming should be avoided until your body has fully healed.
Early post-op recovery requires you to adhere to a liquid and soft diet, before gradually progressing onto solid food. Furthermore, you’ll be required to take multivitamin and calcium tablets twice daily while having monthly blood tests and medical check-ups until healing has taken place.
One of the major risks of sleeve surgery is leakage from staple lines created during surgery; although rare, this complication could prove life threatening. Another possible complication could include stricture or stenosis that requires endoscopic dilation procedures to correct. Finally, over time some patients may develop heartburn which can be treated using over-the-counter acid relief medication.
Gastric Gastric Balloon
Intragastric balloons are an effective weight loss solution, helping people shed approximately 10% of their bodyweight while experiencing relief from symptoms related to obesity. The procedure itself is relatively painless and low risk compared with many bariatric surgeries; patients typically keep the balloon in place for 6 months during which UC San Diego Health team will offer support and guidance in creating long-term healthy eating and exercise habits.
A gastric balloon is an inflatable, soft silicone balloon placed within your stomach without surgery to help curb appetite and prolong feelings of fullness by filling up space within it. Saline fills this balloon for about thirty minutes for filling and deflating processes to be complete.
Once the balloon has been implanted, you may experience mild discomfort for several days; nausea and abdominal pain are the most frequently reported side effects; these should usually be easily manageable through medications you can take at home. More serious adverse events are uncommon but should they arise it’s important to notify your physician immediately.
Your doctor will use an endoscope, a thin tube with a camera attached, to examine your throat, oesophagus and stomach for any ulcers or issues that might inhibit placement of a balloon. Once everything checks out as planned, he or she will insert and fill up a balloon with saline solution.
Some balloons feature tracking devices to alert your physician if they drift into your intestines, though this rarely occurs. Because intestinal blockages could require emergency surgery to address, reporting this immediately to your physician should always be reported immediately.
Studies suggest that an intragastric balloon could serve as a bridge to surgery for those suffering from class III obesity, who do not qualify for other weight-loss surgeries due to health risks. More research needs to be conducted as to whether this balloon could prevent further bariatric surgeries in the future.
Laparoscopic Adjustable Gastric Band
Surgery to create a gastric band involves implanting an adjustable, soft silicone band around the top part of your stomach to form a small pouch and regulate how much food can be eaten by using laparoscopic instruments inserted through small incisions.
Laparoscopic adjustable gastric band surgery is usually an outpatient process with quick recovery times; patients can return to work in approximately one week. Following strict low-calorie diet plans and regularly meeting with dieticians is necessary in order to maintain a healthy weight.
Surgery aims to help patients make healthier food choices and adopt lifestyle practices that support long-term weight loss and improved health. Without significant adjustments to eating and exercise habits, some weight may resurface after losing it initially.
After having surgery, for the first month afterward you are limited to liquids and semi-solid foods; thereafter you will be permitted to eat a variety of food in small portions at each meal. It is advisable that you meet with a dietitian to develop healthy eating habits and learn how to prepare healthy meals.
Within several months, your doctor will evaluate how well the gastric band is working for you. If weight is still being shed at an insufficient pace, they may alter its size by adding or withdrawing saline fluid via an access port under your skin on your abdomen.
The LAP-BAND system is an adjustable silicone band designed to flex with your body as you inflate or deflate it, connected by thin tube leading to an access port under your skin. Your doctor uses needle to add or subtract saline through this port to inflate or deflate your band for optimal restriction – neither so loose that hunger runs amok nor so tight that food cannot pass through digestive system efficiently.