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Is bariatric surgery right for you?

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Nearly one in three adults are overweight, and more than two in five adults have obesity. About one in 11 adults have severe obesity 鈥 all of this according to 2017鈥2018 data from the , which was released in February 2020.

The survey found the U.S. obesity prevalence was 42.4% in 2017 鈥 2018 and that in the roughly 18 years preceding the data鈥檚 collection, the U.S. obesity prevalence increased from 30.5% to 42.4%. During the same time, the prevalence of severe obesity increased from 4.7% to 9.2%.

With obesity rates on the rise, there鈥檚 no better time to bring awareness to the health risks of obesity and the proven benefits of bariatric surgery.

A person whose weight is higher than what is considered to be a normal weight for a given height is described as being overweight or having obesity, according to the .

鈥淥besity can have a direct association with serious health conditions such as blood clots, bone degeneration, cancer, heart disease, stroke and Type 2 diabetes. Bariatric surgery is an option many turn to so they can take control of their health and see long-term benefits,鈥 said , a board-certified general and bariatric surgeon at .

Bariatric surgery, or weight loss surgery, is a procedure to change the size and position of a patient鈥檚 stomach and small intestines. Benefits of this minimally invasive surgery can extend well beyond weight loss for obese patients鈥攊ncluding near-immediate resolution of several chronic conditions, a reduced need for medications, improved quality of life and increased longevity, .

鈥淔rom better mental health to a longer lifespan, bariatric surgery offers several benefits beyond weight loss,鈥 Dr. Pardo said. 鈥淏ut fewer than 20% of patients who qualify for bariatric surgery go through with it鈥攐ften due to misconceptions about the preparation, procedure, and ongoing maintenance.鈥

A 2003 study published on examined the years of life lost to obesity, and the researchers found that obesity reduces life expectancy in all adults, and especially in young adults. Other studies have shown that the risk of death from any health cause is 40% lower after bariatric surgery, Dr. Pardo said.

鈥淭he sooner we treat patients with obesity, the longer they鈥檒l live,鈥 Dr. Pardo said. 鈥淚f you are 18 or older and have obesity, get an evaluation for bariatric surgery before other medical conditions develop.鈥

More than 90% of patients sustain long-term weight loss after their procedure, Dr. Pardo said. Successful bariatric surgery results in a loss of more than 50% of your excess weight, she added.

鈥淎fter surgery, you鈥檒l be exercising more and eating healthier鈥攂ehaviors we鈥檒l help you develop and improve before surgery. And you鈥檒l have regular follow-up appointments with us so we can help you stay on track,鈥 Dr. Pardo said.

Choosing bariatric surgery could mean fewer health conditions that patients have to live with as well. Type 2 diabetes goes away completely in 85% of patients who undergo bariatric surgery, Dr. Pardo said. Other conditions like sleep apnea, high blood pressure, high cholesterol and fatty liver disease greatly improve or resolve after bariatric surgery, she added.

Additionally, a patient鈥檚 mental health can see a drastic improvement after bariatric surgery, Dr. Pardo said. Many people who are obese have depression or anxiety, and research shows that these conditions typically improve after bariatric surgery 鈥 especially in those patients with low self-esteem or body image concerns, she added.

Living with obesity can also lead to fatigue, keeping patients from experiencing activities they once enjoyed. After bariatric surgery, many patients can move and breathe better allowing them to participate more in their lives and thus improve their mental health, too, Dr. Pardo said.

鈥淓very patient interested in bariatric surgery at MedStar Health undergoes a mental health evaluation before surgery. While beneficial, having bariatric surgery is a major life change that can trigger more stress and anxiety,鈥 Dr. Pardo said. 鈥淏y identifying patients who might struggle with the change, we can closely monitor their symptoms and provide support as their mental health improves.鈥

Many patients report an improved quality of life after bariatric surgery, Dr. Pardo said.

鈥淥ne of the best parts of my job as a bariatric surgeon is seeing how happy patients are after surgery,鈥 she said. 鈥淚t feels good to take fewer medications, to play sports you鈥檝e been longing to try, to bike, run, or play with kids and grandkids.鈥

Bariatric surgery is safe and effective. For those struggling with obesity, the procedure can be life-changing鈥攁nd lifesaving, Dr. Pardo added.

Read more in a blog post with Dr. Pardo on the

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