Psychological Problems After Bariatric Surgery

Bariatric surgery is surgery performed to help you lose weight. This procedure is usually performed on obese people who are difficult to overcome only with diet and exercise.

Obesity or being overweight is a health problem that can increase the risk of disease, such as heart disease and stroke.

In obese sufferers who are threatened with health problems and fail to lose weight after trying routine exercise, dieting, or taking drugs, doctors may require bariatric surgery.

This operation supports the amount of food that can be stored by the stomach or reduce the intake of nutrients in the small intestine.

Types of Bariatric Operations
There are several types of bariatric operations that are commonly performed, namely:

1. Gastric bypass

In this procedure, the surgeon will cut the part in half, the upper part is smaller and the lower part is bigger. The small intestine will also be cut shorter and be directly connected to the part that was added earlier.

The aim is to reduce food space in the stomach and reduce the nutrients from food in the small intestine.

2. Gastrectomy of the arm

This method is done by removing about 75-80% of the stomach. The remaining part of the stomach is slim and elongated like a banana. That way, capacity is reduced and the patient will become more quickly satisfied after the operation is repaired.

3. Adjustable stomach tape

In this type of bariatric surgery, the stomach will be bound with a special instrument that forms a ring. The doctor can install this tool, then tighten or loosen it as needed. This bond will increase the amount of food that can be eaten and make full quickly.

4. Biliopancreatic transfer with duodenal switch

In this procedure, the stomach is cut and connected directly to the end of the small intestine. After recovering from this procedure, food will still be mixed with stomach acid, bile, and digestive enzymes in the large intestine, but the nutrients absorbed by the body will be much reduced.

Of all types of bariatric surgery, this method is most at risk of causing malnutrition.

Each type of bariatric operation has its advantages and risks. To determine the most suitable and effective type of bariatric surgery, the doctor will conduct a medical examination on the patient first, then determine the choice of bariatric surgery according to the patient's needs.

Benefits of Bariatric Operations

Bariatric surgery can provide a variety of benefits, both physically and psychologically. Among others are:

• Able to produce weight loss that lasts for a long time. Research shows that more than 90% of obese sufferers who undergo bariatric surgery experience weight loss, and the results persist for at least 1 year.
• Able to increase life expectancy. Research shows that obese people who have undergone bariatric surgery have a higher life expectancy compared to obese people who have not had surgery.
• Able to prevent or assist the process of treating other health problems related to obesity. Examples are type 2 diabetes, high blood pressure, sleep apnea, knee pain due to arthritis (arthritis), stomach acid disease, high cholesterol, and fatty liver.
• Able to improve general quality of life and improve psychological conditions. Confidence, social interactions, depressive symptoms, and anxiety disorders have been reported to improve after obese sufferers undergo bariatric surgery.

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