Surgery: Archives

Hip Replacement November 25, 2023

What to Expect While Preparing for Total Hip Replacement Surgery?

Are you tired of that nagging hip pain that seems to follow you everywhere you go? Do simple tasks like walking or climbing stairs feel like daunting challenges? If you find yourself nodding in agreement, you are not alone. Many individuals around the globe struggle with debilitating hip conditions that can severely impact their quality of life. However, there is a ray of hope in the form of Total Hip Replacement (THR) surgery. This transformative medical procedure has been a saviour for countless people, offering them relief from chronic pain and the gift of restored mobility. This article will be a guide that will elaborate on the preparation and recovery of Total Hip Replacement, providing invaluable insights on what to expect.

What is Total Hip Replacement?

Total Hip Replacement (THR) is also known as hip arthroplasty. THR is a surgical procedure in which a damaged hip joint is replaced with a prosthesis or an artificial joint. The primary purpose of THR is to alleviate pain, improve joint function, and enhance overall mobility. The surgery can be performed on individuals suffering from various hip conditions, including osteoarthritis, rheumatoid arthritis, avascular necrosis, hip fractures, and other degenerative joint diseases. As one of the most successful orthopaedic surgeries, THR has offered relief and enhanced mobility to millions of Indians.

Total Hip Replacement (THR) surgery is often considered when other non-surgical treatments, like medication and physical therapy, fail to provide sufficient relief. The treatment offers numerous benefits to patients:

It significantly reduces pain, enabling individuals to engage in daily activities comfortably.
The procedure restores joint function, leading to improved mobility and flexibility.
THR enhances the overall quality of life, allowing patients to regain their independence and participate in activities they once enjoyed.

Steps to Undertake Prior to Opting for Total Hip Replacement Surgery

A. Initial Consultation with an Orthopaedic Surgeon
The journey towards total hip replacement begins with an initial consultation with an orthopaedic surgeon. During this visit, the surgeon will thoroughly examine the patient’s hip, assess their medical history, and discuss their symptoms and concerns. The surgeon will also explain the procedure, potential risks, and expected outcomes. It is essential for patients to be open about their symptoms and expectations to ensure the best possible treatment plan.

B. Medical Evaluation and Diagnostic Tests
Following the initial consultation, a comprehensive medical evaluation will be conducted. This evaluation may include blood tests, X-rays, MRI scans, and other diagnostic tests to assess the hip joint’s condition and the patient’s overall health. These tests are crucial in determining the best course of action and identifying any potential issues that need to be addressed before surgery.

C. Discussing Medical History and Current Medications
Patients must provide their complete medical history to the surgical team. This includes details of any past surgeries, allergies, chronic medical conditions, and current medications. Some medications may need to be adjusted or temporarily stopped before the surgery in order to reduce the risk of complications.

D. Addressing Concerns and Questions about the Surgery
It is natural for patients to have concerns and questions about total hip replacement surgery. The surgical team is there to address these concerns and provide the necessary information to ease any anxieties. Clear communication between the patient and the medical team is vital to ensure a smooth and successful surgery.

Pre-Surgery Preparations

A. Lifestyle Adjustments Before Surgery
In the weeks prior to the surgery, patients may be advised to make some lifestyle adjustments to improve their overall health and prepare for the procedure. This might include maintaining a healthy diet, engaging in low-impact exercises to strengthen the surrounding muscles, and quitting smoking if applicable.

B. Stopping or Adjusting Medications as Advised by the Doctor
The doctor may advise stopping or adjusting certain medications before the surgery based on the medical evaluation and the patient’s current medications. This is done to minimize the risk of complications and ensure a safe procedure.

C. Planning for Post-surgery Recovery and Support
It is essential to plan for the post-surgery recovery period in advance. Patients should arrange for a support system that may include family members, friends, or home care assistance during the initial days or weeks after the surgery. Preparing the home environment to accommodate mobility aids, such as walkers or crutches, is also recommended.

D. Final Instructions from the Medical Team
The day before the scheduled surgery, the medical team will provide final instructions to the patient. These instructions may include fasting guidelines, specific guidelines on medications to take (if any), and arrival time at the hospital or surgical centre.

E. Pre-surgery Fasting and Guidelines
Fasting is typically required before the surgery to prevent any potential complications during anaesthesia. The medical team will provide clear instructions for stopping eating and drinking before the scheduled surgery.

Recovery and Rehabilitation

Post-surgery recovery in the hospital typically lasts for a few days and involves close monitoring by the medical team to ensure healing, and manage pain. Effective pain management, including medication and techniques, and proper wound care to prevent infection are crucial during this period. Physical therapy is introduced to improve strength, flexibility, and joint mobility, accelerating overall recovery progress.

Conclusion

Total Hip Replacement Surgery is a transformative procedure that offers renewed hope to individuals suffering from debilitating hip conditions. By understanding the process and adequately preparing for the surgery, patients can look forward to an improved quality of life and increased mobility. Remember to communicate openly with the medical team, adhere to pre-operative and post-operative guidelines, and actively engage in rehabilitation to make the most of this life-changing procedure.

FAQs

Q: What can I expect on the day before Total Hip Replacement surgery?
A: The day before the scheduled surgery, you will receive final instructions from the medical team. This will include fasting guidelines, specific guidelines on medications to take (if any), and the designated arrival time at the hospital or surgical centre. Following these instructions diligently is crucial for a smooth and safe procedure.

Q: What is the recovery process like after Total Hip Replacement surgery?
A: After the surgery, you will spend a few days in the hospital for post-operative care and monitoring. The medical team will manage your pain and ensure proper wound care. Early rehabilitation will begin, including physical therapy and mobility exercises to improve strength and flexibility. Your active participation in rehabilitation will significantly impact your overall recovery progress.

Q: How long does it take to resume normal activities after Total Hip Replacement surgery?
A: The time it takes to resume normal activities varies from person to person and depends on several factors, such as the individual’s overall health, adherence to post-operative instructions, and commitment to rehabilitation. While some patients may begin to walk with assistance soon after the surgery, it can take several weeks to months to fully recover and return to regular activities. It’s essential to follow your doctor’s guidance and gradually progress through the rehabilitation process to achieve the best possible outcome.

Bariatric November 10, 2023

Healthy Beginnings: Your Comprehensive Guide to Bariatric Surgery in India

Introduction

When prioritizing health, we make room for a healthy beginning for healthy living ahead. Each problem has a solution, and overweight or obesity is no exception. Obesity is one of the common ailments and is on a constant upward trend in India and globally. Reports show that in India, nearly 100 bariatric surgeries are performed daily, with the year 2022 reporting about 39,949 surgeries.

With high emergence cases of obesity and overweight cases, medical professionals expect and recommend the need for effective measures to curtail them. These measures include non-surgical treatment options to start with and subsequent surgical intervention if the former does not yield the desired results.

Bariatric Surgery, the most effective and successful treatment for obesity and weight loss, is in much demand. Understanding the purpose, types, and advantages of this surgery helps patients and their caregivers form an informed decision while deciding the course of treatment for addressing the problem of obesity and weight loss. A detailed discussion in this blog serves this specific purpose.

What is Bariatric Surgery?

Bariatric Surgery is, also known as weight loss or metabolic surgery, performed to treat obesity and weight loss through surgical intervention. The surgeon resizes the stomach and intestinal tract of the patient to restrict food intake and nutrient absorption in the body. Surgery, along with treating obesity, also helps treat diabetes, high cholesterol, high blood pressure, and other related health problems through diet control when accompanied by healthy lifestyle habits and physical activity.

Types of Bariatric Surgery

Bariatric Surgery comes with various options depending on the needs of individual cases. Each has its benefits and potential shortcomings. The different types of Bariatric Surgery are-

Gastric Sleeve Surgery- This sleeve gastrectomy creates a banana-sized and shaped functional portion of the stomach. Nearly 80% of the stomach portion is removed. Reducing the stomach’s capacity to hold food and fluid affects the body’s metabolism. It reduces hunger-producing hormones and provides the fullness of the stomach with less food. It is a simple procedure and hence safe and does not involve any complications of intestinal bypass. However, the surgery is non-reversible.
Gastric Bypass Surgery- Gastric Bypass Surgery is called Roux-en-Y surgery, which means ‘in the form of a Y’. The surgery reduces the stomach into a small egg-sized pouch. The surgeon staples the small, pouched stomach, separating it from the rest of the stomach. The small intestine is also divided. The lower portion of the small intestine is brought up and connected to the newly created stomach pouch. The bypassed stomach and upper portion of the small intestine are attached further down the small intestine. This creates a ‘Y shape’. The food passes from the new pouch to the small intestine for digestion, bypassing the major portion of the stomach and the upper portion of the small intestine. The modified course of the digestive tract enables less food consumption, fullness experience, and reduced nutrient absorption. The patients can have effective and long-lasting solutions for weight reduction when accompanied by healthy lifestyle changes, physical activity, and doctor-recommended weight control and management. It is considered the gold standard for weight reduction. It has long-lasting weight loss results if accompanied by proper weight control and management.
Duodenal Switch Surgery- Duodenal Switch surgery combines Gastric Sleeve and Gastric Bypass surgeries. The stomach is reduced to a banana size and shape after removing nearly 80% of the stomach portion. The newly created sleeve-shaped portion is attached to the lower portion of the small intestine, thus bypassing its upper portion. The food passes directly from the newly created stomach to the small intestine’s lower portion. This results in less food consumption and less nutrient absorption. It is a highly effective treatment for obesity and type 2 diabetes. It creates high malabsorption and possibilities of vitamin and mineral deficiencies post-surgery that need to be addressed through nutrient supplements.

Who is a Good Candidate for Bariatric Surgery?

The surgery is recommended for people who-

Have body mass index (BMI) >40, or
Have a BMI >35 but <40 with comorbidities like type 2 diabetes, high cholesterol, high blood pressure, sleep apnea, or heart problems, or
Are 45 kgs more than the ideal body weight (when BMI is between 18.5 to 24.9).

Advantages of Bariatric Surgery

This surgery offers many benefits, the foremost being weight loss to treat obesity. The others on the list are-

Improves cardiovascular health with the control of high cholesterol, blood pressure, and type 2 diabetes, enabling the control of heart diseases like heart stroke, myocardial infarction, and peripheral vascular diseases.
Relieves depression by treating obesity, one of the causes of anxiety, stress, and social, emotional, and physical embarrassment in obese people.
Relieves joint pain and eliminates chances of knee joint replacement by reducing excess weight on joints.
Prevents other medical conditions like the risk of miscarriage in women, pregnancy complications, gall bladder disease, and other metabolic syndrome.

What to Expect in Bariatric Surgery

Pre-surgery evaluation for patients

Bariatric Surgery could be a life-changing procedure that helps patients achieve weight loss, treat obesity, and enable healthy living with overall well-being, with proper diet and weight loss control and management.

For the successful outcomes of the surgery and better patient care, it is crucial to identify the barriers that need to be addressed and post-operative instructions to be followed. A multidisciplinary team of experts does a preoperative evaluation to rule out the chances of complications and adverse surgical results in patients.

Preoperative evaluation focuses on the issues unique to the patient. The evaluation includes:

The patient’s medical history.
Physical examination.
Various tests for psychological, psychosocial, behavioral, nutritional, and anatomical assessment.

Each assessment evaluates a specific aspect of the patient to ensure effective risk management, surgical performance, and efficient patient care.

Preoperative requirements

The patient who qualifies for the surgery needs to –

Commit to the doctor’s recommended diet plan. This may require a reduction in calorie consumption, the type of food intake, and quitting smoking and alcohol.
Exercise and perform physical activity as part of the doctor-recommended health plan.
Either continue or stop medications as advised by the doctor.
Stay positive and participate in preoperative education and counseling sessions, if any, provided by their healthcare providers.
Explore and discuss the various surgical options and stay informed about the risks, benefits, and complications to make an informed decision.
Gather information about the cost of the surgery, hospital stay, insurance coverage, and other incidental medical expenses.

During the surgery

The patient is put under general anesthesia, and the surgery may be done traditionally or laparoscopically. The duration of the surgery depends on the type and method of surgery.

In the case of traditional surgery, there is a large incision on the abdomen to gain access to the surgical site. While under laparoscopic surgery, small incisions are made. A laparoscope with a tiny camera attached to its tip is inserted through the incision. The camera enables the surgeon to view and operate through a small incision. The healing and recovery depend on the method, with laparoscopic surgery providing faster healing and recovery compared to traditional.

Post-operative care

After a few days of post-operative hospital stay, the patient is discharged with doctor-prescribed medications, pain control, and management guidelines. Weight loss is not a one-time fix but requires regular follow-up visits with the doctor, monitoring the weight changes, and reporting the same to the doctor if severe. A controlled diet, routine exercise, healthy lifestyle, stress management, and patient commitment to adhere to the same consistently is a must.

Conclusion

Bariatric Surgery is a healthy beginning towards achieving desired weight loss goals and treating obesity, the root cause of various cardiovascular diseases. India is preferred for Bariatric Surgery for its low operative cost, prompt and timely medical attention, and intervention by expert and qualified professionals.

Although the most effective weight loss treatment, Bariatric Surgery needs post-surgical constant and consistent patient commitment, regular checks, and diet control, accompanied by routine physical activity, positive lifestyle changes, and stress management to make it a long-term success story with desired results.

References

https://asmbs.org/patients/bariatric-surgery-procedures
https://health.clevelandclinic.org/7-bariatric-surgery-benefits-besides-helping-you-lose-weight/
https://www.ncbi.nlm.nih.gov/books/NBK594256/#:~:text=The%20preoperative%20assessment%20helps%20identify,and%20improves%20weight%20loss%20outcomes.
https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258
https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258

Sinusitis October 28, 2023

Understanding Sinus Health: Debunking Common Myths

Say No to Myths

Separating facts from fiction is the first step towards creating awareness about any disease for advancing its prevention, timely diagnosis, and treatment. Myths, as misconceived, misinformed, false, or misleading information about any medical condition, are barriers to achieving the much-needed medical intervention and controlling the spread of diseases. Debunking such myths helps-

Promote awareness and correct information and knowledge about diseases and
Curtail the aggravation of the condition and prolongation of the associated discomfort, pain, and agony arising through proper and timely treatment.

This blog discusses a common disease of sinus inflammation, known as Sinusitis and some of the sinus misconceptions that need to be debunked.

Understanding Sinus Health

Sinusitis is a condition of inflammation of the tissue lining in the sinus (cavities or spaces in the forehead, nose, and cheeks that are filled with air). Common colds, virus or bacterial infections, fungi, or allergies cause blockage in the sinuses that get filled with fluid. The pressure of these blocked fluids causes pain in the forehead, face, and nasal congestion.

Types of sinus infection- Depending on the duration and severity of the infection, it may be Acute (lasts for four weeks or less), Subacute (lasts between four to twelve weeks), Chronic (lasts for a minimum of twelve weeks), or Recurrent (comes and goes four times a year and lasts for less than two weeks each time).
Symptoms – Some common symptoms are stuffy or runny nose, toothache, pressure or pain on the face, cough, fever, headache, or fatigue.
Risk factors- People with allergies, asthma, polyps, nasal structural deformity, and weak immune systems are at a higher risk of having this infection.
Treatment- The treatment and medication (decongestants, pain relievers, intranasal steroids) depend on the type of sinus infection. However, home remedies (humidifiers or vaporizers, steam inhalation, saline nasal spray, warm compress application, or plenty of fluid intake) are the first preference for treating sinusitis. In severe cases, surgery may be recommended.

Sinus surgery treats the disease, relieving symptoms, and related discomfort by removing the blockages and opening the air pathway. The surgery removes nasal polyps, tiny bones, diseased tissue, or tumor growth, blocking the nasal passage. The surgeries to treat sinusitis are-

Functional Endoscopy Sinus Surgery (FESS): Using an endoscope, an otolaryngologist examines the inside of the nose and sinuses and accordingly conducts the surgery to remove the polyp, bone, or tissue obstructing the drainage of the mucus.
Sinus Balloon Dilation Procedure: This minimally invasive procedure uses an endoscope and a catheter to guide a balloon to the site of nasal blockage. The balloon at the tip of the catheter is inflated, opening the blocked nasal passage.
Turbinate Reduction Surgery: Turbinate is a tiny structure in the nose that cleanses the air passing through the nostrils. The surgery reduces the size of the turbinate using a needle-like instrument, thus making space in the nasal passage.

Myths and Facts

The treatment for sinusitis requires awareness of the condition, including but not limited to the causes, symptoms, risks, types, different treatment options, post-operative care, and recovery. Any misconception or misinformation about the condition may hamper its timely treatment and aggravate it. To this end, one must not buy into any myths surrounding the disease. Some of the common myths relating to the disease are-

Myth- Sinusitis is contagious.
Fact- It is not contagious. It is not a communicable disease, but if one gets a viral infection, it can lead to sinusitis.

Myth- Antibiotic is a must for sinusitis.
Fact- Every type of sinus infection does not require an antibiotic. The need for an antibiotic depends on the severity and duration of the condition. Generally, it can be managed by home remedies, rest, nasal spray, or pain medication. Antibiotics are prescribed if the condition does not improve for a week or more.

Myth- Sinusitis can resolve on its own.
Fact- Though a common condition like a common cold, sinusitis requires proper treatment and attention through home remedial measures, medications, and, in chronic or recurrent cases, when these do not work, through surgery.

Myth- Green or yellow mucus is a sign of bacterial infection.
Fact- Green or yellow mucus may be due to the death of infection-fighting white blood cells. It is not the colour but the duration of this mucus drainage that indicates whether it is a sinus or bacterial infection.

Myth- Headaches in the sinus areas are caused by sinus infection.
Fact- Sinus headaches may result from common colds, migraines, allergies, or other neurological conditions.

Myth- Decongestant spray cures breathing problems.
Fact- Decongestant spray temporarily relieves stuffy nose but does not permanently cure breathing. Long-term use of these sprays adversely affects the heart and may lead to other health problems.

Conclusion

Sinusitis, though a common health problem, needs proper attention and care to avoid its aggravation and further complications. It can be managed with home remedies, medications, and, in severe cases, through surgery. Stay away from misleading information and avoid basing your medical decision on myths. It is always wise to stay informed, aware, and updated with the correct information and knowledge about one’s health and related treatment therapies. The right information empowers the right decision.

References

https://houstonadvancedsinus.com/debunking-5-common-myths-about-sinusitis/#:~:text=Myth%202%3A%20%E2%80%9CAll%20Sinus%20headaches%20are%20caused%20by%20sinusitis.%E2%80%9D&text=Common%20cold%20at%20times%20may,lead%20to%20bacterial%20sinus%20infection.&text=Migraine%20attacks%20are%20one%20of,that%20result%20in%20sinus%20headaches.
https://www.healthshots.com/preventive-care/self-care/common-sinus-myths/
https://www.indiatvnews.com/health/here-are-some-common-sinus-myths-you-shouldnt-believe-get-your-facts-correct-latest-health-news-2023-02-21-849197

Contraception October 23, 2023

IUD Insertion- How to Prepare and What to Expect

While planning parenthood, caring for a woman’s reproductive and sexual health should be paramount for every couple. Family planning means timing one’s pregnancy and the subsequent, with proper spacing between pregnancies. It could be to prevent pregnancy or treat infertility in women.

Prevention of pregnancy in women could be achieved through various contraceptive methods that may include implants, intrauterine devices (IUDs), use of oral contraceptive pills, sponges, injectables, condoms, patches, vaginal rings, male and female fertilization, and fertility awareness to name. These methods are long-acting reversible, short-acting reversible, or permanent methods.

This blog discusses one such contraceptive method, the IUD insertion procedure, and how women planning an IUD insertion should prepare themselves and what they can expect from the procedure to arrive at an informed decision and remove any apprehension.

How to Prepare for IUD Insertion?

Though a simple and safe contraceptive method with a short procedural time, women undergoing IUD insertion may experience anxiety and stress with a host of questions about the pros and cons of the procedure, which is normal. It is better to talk with the healthcare provider to address this concern and ensure a healthy state of mind while preparing for the treatment. One needs to know the following to make an informed decision about the procedure.

What is an IUD?

An intrauterine device is a small T-shaped birth control device an obstetrician, gynecologist, or healthcare professional inserts in the woman’s uterus to prevent her pregnancy. It is one of the long-acting reversible contraceptive methods (LARC). An IUD can be removed anytime a woman wants to conceive or stop using it. An IUD has a string at the bottom that extends to the vagina, enabling the health provider to remove the device when required.

What are the different types of IUDs?

The IUDs come in two types- A copper IUD and a hormonal IUD.

Copper IUDs – Copper IUDs release copper ions into the uterus. This copper acts as a spermicide. The IUDs are solely used for contraceptives and contain no hormones.
Hormonal IUDs- Hormonal IUDs release progestin-like hormone, levonorgestrel (LNG), a synthetic form of progesterone hormone that prevents ovulation. With no egg, sperm cannot contribute to fertilization. In cases of chance, the body ovulates, and this hormone thickens the cervical mucus, thus preventing the sperm from reaching the egg for fertilization. These IUDs also help in controlling menstrual bleeding or cramps.

The difference between the progestin-like hormone LNG and progesterone is that LNG is an artificial hormone similar to progesterone. Progesterone is a steroid hormone secreted by a woman’s reproductive system.

How does IUD insertion work?

IUD insertion is a simple procedure to insert an IUD in a woman’s uterus who is planning contraception. The professional healthcare provider uses a small speculum, an instrument to widen the vagina walls to examine and insert an IUD. The procedure takes a few minutes and may cause a little pain to the woman undergoing it while the procedure is taking place. Patients may experience varied levels of pain.

Know if you are the right candidate for the treatment

Pregnant women or women with a history of vaginal or cervical cancer, vaginal infection, or sexually transmitted infection (STI) cannot have IUD insertion. Those with cardiovascular health issues must inform their doctor before planning an IUD. The healthcare provider may, if required, ask for a pregnancy or STI test to know if one is eligible for IUD insertion.

How to address anxiety?

Working with a healthcare professional for help and guidance to ease and relieve stress through proper education and consultation will make the procedure less painful and more successful.

What to Expect from IUD Insertion?

Understanding what to expect from the treatment before going to the doctor or the clinic is advisable to have a stress-free and relaxed mindset to avoid unresolved questions and related anxiety. In the case of IUD insertion, one may expect the following-

A simple procedure

IUD insertion is a simple procedure that takes a few minutes. IUDs can be inserted only by a healthcare professional.

Several benefits

IUDs have the following benefits: –

IUDs are safe and effective contraceptive methods with a high success rate.
They are cost-effective and reversible options. One may get them removed when deciding to become pregnant.
They are easy to use without interfering with the routine activities.
They are less bothersome than contraceptive oral pills since once inserted, one does not have to worry about adhering to any regular timetable of having contraceptives.

Some side effects

Some of the expected side effects of IUDs may include-

Headaches, mood swings, nausea, breast tenderness, in the case of hormonal IUDs.
Initial changes in menstrual bleeding that may go away after some time.
Painful periods and an increase in bleeding with copper IUDs.
With hormonal IUDs, ovarian cyst growth is also expected in some cases when women ovulate or release an egg every month that does not fertilize.
Irregular periods and frequent spotting are expected in cases with hormonal IUD insertion, during the first few months.

Prevent pregnancy but do not protect against STIs

IUDs only protect against pregnancy; hence, one must use condoms to protect oneself from STIs.

Safe and effective

Copper IUDs are effective immediately upon their insertion. The effectiveness of hormonal IUDs depends on where one is in their menstrual cycle. Till the hormonal IUDs provide protection, one must use alternative control methods.

Conclusion

Intrauterine devices are safe and effective measures to prevent pregnancy, ensuring a healthy reproductive and sexual life for women. As a long-acting reversible contraceptive, they provide a long-term birth control solution until removed. For a successful and satisfying medical outcome of the procedure, every patient must stay informed and be aware of the treatment, the types of IUD options, how the device works, the associated risks and benefits, the pre and post-procedural care, the preventive measures if any, and any issue of concern relating to the procedure and/or the device.

References

https://www.medicalnewstoday.com/articles/325097#Preparation
https://my.clevelandclinic.org/health/treatments/24441-intrauterine-device-iud
https://www.acog.org/womens-health/faqs/long-acting-reversible-contraception-iud-and-implant
https://www.webmd.com/sex/birth-control/iud-intrauterine-device#:~:text=for%20their%20recommendation.-,How%20Soon%20Do%20IUDs%20Start%20Working%3F,7%20days%20to%20be%20effective.

Bariatric October 14, 2023

Curtailing Cardiovascular Risks with Bariatric Surgery: Exploring the Connection

Introduction

Bariatric Surgery, for all good reasons, has been in increasing demand as an effective weight reduction alternative by people struggling to lose those extra pounds through non-surgical methods without any positive outcome. When at the peak of one’s weight, apart from the social, emotional, and physical embarrassment, the cardiovascular risks weighing on these obese people are the real cause of concern. One of the studies conducted by the American College of Cardiology reviewed the role of Bariatric Surgery in lowering CV risks in obese and suggested that it significantly lowered CV mortality and reduced heart failure, myocardial infarction, and stroke incidences.

Weight Loss Surgery or not, is always a difficult decision to make for people trying to lose weight. However, when no non-surgical treatment works, people often resort to this surgery as their final call.

In this blog, let us explore the connection between Bariatric Surgery and cardiovascular risks. For this, we need to understand how this treatment works and affects the cardiovascular health outcomes in a patient.

Understanding Bariatric Surgery

Bariatric Surgery treats obesity. But many of us feed on the misconception that surgery removes fat from your body. No, it does not. The surgery aims to reduce the size of your stomach and re-route the intestine track to restrict the food intake and the body’s ability to absorb nutrients. The smaller the stomach size, the fuller one feels with less food. The re-routing of the digestive tract limits digestion and absorption of the nutrients. Thus, it leads to considerable weight loss in a shorter span, when combined with proper diet, exercise, and lifestyle changes.

Obesity is the Root Cause of Cardiovascular Diseases (CVDs).

Obesity is an excessive or abnormal accumulation of fat in the body that risks one’s health. It is a chronic and complex medical condition and has become common in people of all ages. It is the root cause of CVDs, often leading to death if left unaddressed. Obese are at a high risk of developing various heart-related issues like-

High Cholesterol – A high amount of fat in the body causes blockages in the blood vessels, increasing the chances of stroke or heart attack.
Type 2 Diabetes- Excessive storage of fat results in the muscles and tissues becoming more resistant to insulin, leading to the risk of developing type-2 diabetes. This impairs the circulatory, immune, and nervous system and leads to stroke or heart attack.
High blood pressure- The amount of pressure the blood flow exerts on the inner walls of the arteries increases with the accumulation of fatty tissue. The heart needs to work hard to pump blood throughout the body.
Heart Diseases- Buildup of fatty substances in blood vessels leads to atherosclerosis, impairing cardiac function. Fat accumulation may cause the heart to pump blood more rigorously, and when it fails, the blood gets collected in parts of the body, like the lungs, legs, or feet.

With weight reduction, a person is at a lower risk of these diseases and discomfort associated with managing excess body weight and can enjoy a healthier and fuller life.

Bariatric Surgeries to Treat Obesity

Bariatric Surgeries aim to treat class III obesity, also known as morbid obesity. People with a BMI of 40 or more, or 35 or more in people with any co-morbidity fall under class III obesity. Though weight reduction is not a one-time solution or a quick fix to obesity, proper diet checks, regular exercise, and positive lifestyle changes help achieve it sustainably.

Gastric Sleeve Surgery- Known as Sleeve Gastrectomy, the surgery reduces the stomach size by approx. 80%, thus leaving behind a tubular sleeve that is banana-shaped. The reduced stomach size makes one feel fuller with less food intake. The surgery also reduces the amount of hunger hormones the stomach produces, thus restricting the impulses to eat more.
Gastric Bypass Surgery- Gastric Bypass Surgery is also known as Roux-en-Y surgery. It is common bariatric surgery and is performed when diet and exercise fail to reduce weight. The surgeon creates a small pouch from the stomach and staples it. The small pouch gets separated from the rest of the stomach. This new pouch becomes the functional portion of the stomach. The newly created pouch is attached to the lower part of the small intestine, bypassing the upper portion. The swallowed food will go to the small pouch of the stomach, and then directly to the lower portion of the small intestine. The new route bypasses a major part of the stomach, and the upper portion of the small intestine.
Duodenal Switch Surgery- The combination of Gastric Sleeve and Intestinal Bypass surgeries, this surgery removes a major portion of the stomach and attaches the smaller pouch to the lower intestine, creating a shorter path for the food to pass from the stomach to the intestine.

Bariatric Surgery -Lowering CVD Risks

By treating excess weight, the cause of CVDs, Bariatric Surgery lowers the future risk of these diseases. When excess weight is treated, the associated diseases are either prevented or eventually treated. When a person has to carry less weight, the heart has to put in less effort to pump blood and, hence, is at a lower risk of heart-related problems. For obese people already having CVD, studies show that those who had the surgery were at a lower risk of adverse outcomes than those with similar conditions who did not undergo the surgery. It reduces the incidence of heart failure, myocardial infarction, and stroke in obese patients. Without weight loss management or surgery, morbid obesity sooner or later leads to cardiovascular health issues. These chances could be reduced if one undergoes Bariatric Surgery. The surgery is a long-term treatment solution for weight loss and curtailing the associated health issues of high cholesterol, high blood pressure, type 2 diabetes, heart attack, stroke, and congestive heart failure.

Conclusion

Obesity is complex and chronic. It is not an aesthetic concern to be ashamed of or feel embarrassed about, but a medical concern that requires a proper line of treatment combined with a sustained diet plan, exercise routine, and positive lifestyle changes. Bariatric Surgery is the best long-term solution, safe and effective, with most patients experiencing losing excess weight, post-surgery. However, the outcome of each surgery varies and depends upon the post-operative care and weight management. The benefits outweigh the associated risks and complications that this surgery carries of a typical surgical procedure.

References

https://www.acc.org/Latest-in-Cardiology/Journal-Scans/2022/03/14/15/47/Bariatric-Surgery-and-CV-Disease
https://my.clevelandclinic.org/health/treatments/17285-bariatric-obesity-surgery
https://www.heart.org/en/news/2021/04/05/for-heart-patients-bariatric-surgery-may-lower-risk-of-future-cardiovascular-problems
https://www.acc.org/Latest-in-Cardiology/Journal-Scans/2022/03/14/15/47/Bariatric-Surgery-and-CV-Disease