Surgical options to losing weight when one has PCOS
Since the trend of losing weight with the help of surgery started, the technology has advanced a lot. Weight Loss Surgeries or WLS are available at much cheaper, affordable and pocket friendly options. Even though it is known that every surgery there is some risk involved, research in the area has helped in reducing risks and recovery time has also decreased.
If you are suffering from PCOS and have a BMI (body mass index) of above 40, only then you should consider going for a surgery. There is no need of surgery if the BMI is below 40 as you can lose weight by making some basic changes in your lifestyle. In either case consult your doctor and make sure you discuss every pro and con before you go ahead.
Who needs surgery?
If your BMI is above 40 and despite trying many non-surgical options to reduce weight, you are unable to succeed, you can choose to have surgery. But before that, make sure to check with a good surgeon and understand all risks involved along with the cost.
Not everyone with PCOS is eligible for surgery. In case your insulin levels are not in control or you have any other medical issue which may cause problems during or after surgery, the doctor may decline to perform the procedure. If you have BMI index above 40, only then the doctor will consider checking for the surgical options. BMI below 40 is still considered controllable with few lifestyle changes. The doctor may prescribe WLS in case it is medically required even in the case of BMI below 40 but it is quite rare.
There is two main forms of Bariatric Surgery or Weight Loss Surgery:
Laparoscopic Roux-En-Y Gastric Bypass is the most widely performed weight loss surgery around the world. In the procedure, the surgeon rearranges the gastrointestinal (GI) tract so that food bypasses a majority of the stomach and small intestine. He creates a small pouch on the top of the stomach and makes a second incision on the lower part of the small intestine which is then connected to the pouch.
There are some risks involved in the procedure. It carries high risks of malabsorption of many nutrients. Other risks may include gallstones, blockage, leakage through the sutures or staples, and dumping syndrome which is an unpleasant condition where certain foods or drinks cause severe cramping and diarrhea.
Also known as Laparoscopic Adjustable Gastric Banding or LAGB, Lap Band is a much shorter procedure in comparison to Roux-En-Y. In this procedure, the doctor places a silicone band around the top of the stomach which can be progressively inflated and tightened to restrict food intake. The tightening and inflation are done with the help of a port of reservoir placed under the skin of the abdomen.
There is one more procedure known as Sleeve Gastrectomy but it is the newer procedure and there are very less number of studies done on the patients who have gone through the procedure. In this procedure, the surgeon changes the shape of the stomach from the pouch to the slim sleeve. Also, a small portion of the stomach is removed. This results in a decrease of the volume of the stomach. Complications are supposed to be lesser in this procedure as it does not involve any surgical bypass and no implants are required.
WLS has many complications which may differ from patient to patient. It is very important to keep check with the doctor before and after the procedure to avoid any long term problems.