How Dangerous Is Bariatric Surgery?

1/06/2020 RAWAT 0 Comments

Bariatric surgery is very beneficial for people struggling with very high BMI and pathological conditions which are worsened by obesity. For people who have failed to reduce weight despite strict diet and exercise, bariatric surgery is the final recourse. Bariatric surgery results in an average weight loss of over 60% excess weight and improves a host of medical conditions such as hypertension, type 2 diabetes, sleep apnea, asthma, etc.

However, every surgical procedure has some risks involved with it and the same is the case with bariatric surgery. But an experienced and skilled bariatric surgeon like Dr. Sanjay Choudhary, who is theSenior Surgical Gastroenterologist and Bariatric Surgeon at Koda International Hospital Dubai will minimize the risks considerably and ensure that the patient does not suffer from complications. The rate of serious complications due to bariatric surgery is less than 5%. The modern laproscopic surgical procedure is minimally invasive which reduces the risk factors.

Some major risks associated with the bariatric surgery have been discussed here.

Dumping syndrome

Dumping syndrome may manifest in people who have undergone gastric bypass surgery. In this syndrome, the food particles are dumped into the small intestine from the stomach without digestion. Symptoms of early dumping syndrome include nausea, heart palpitations, sweating, fast heartbeat, abdominal cramps, bloating, dizziness and fainting. Early dumping happens within 15-20 minutes after eating. Symptoms of late dumping manifest 1-3 hours after eating. The symptoms include fatigue, hunger, sweating, confusion, tremors and heart palpitations.

Dumping syndrome can be treated by altering the diet in consultation with the doctor and nutritionist.

Anastomotic leaking

Anastomosis is the connection created between the stomach pouch and the intestine by gastric bypass surgery. When the connection does not heal, it starts leaking. This is known as anastomotic leaking. Digestive enzymes, acids and partially digested food to leak through the anastomosis.

 The leaking can start within 3 days after surgery or can develop over many weeks have elapsed since the surgery.

Anastomotic leaking causes fever, stomach pain, nausea, vomiting, drainage from the surgical wound, low blood pressure, rapid heart rate or tachyardia, pain in the left shoulder and low urine output. Anastomotic leaking can cause bleeding and infection. It can also lead to the development of ulcers. Pneumonia can develop if the digestive juices reach the lungs.

The leak is either repaired or a new connection is created after treating the infection. A temporary stent can also be placed over the leak through an endoscope. Antibiotics are administered intravenously and the patient is fed through a tube connected to the intestine till the leak has healed.

Stomal Stenosis 

Stomal stenosis, which means the narrowing of the opening between the stomach and intestine can occur due to gastric bypass. Stomal stenosis causes vomiting after eating or drinking.
You can also ask these questions to your doctor before go to surgery.