Why don’t more family doctors recommend bariatric surgery?
With the dismal long term statistics of diet and exercise alone, and the excellent statistics of surgery, why don’t more GP’s recommend surgery to their morbidly obese patients.
I know that their are complications, but the risk of those complications seems to be outweighed by the risks of staying obese.
Any links to articles on this specific question would be fantastic.
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Part of the reason that Bariatric Surgery is not more widely used or suggested by doctors is it is a procedure that is generally reserved for the seriously obese. And although most people consider themselves seriously obese they could just as easily solve most health concerns with dietary and long term lifestyle changes. Moreover this surgery does small to deal with the psychological conditions that lead to obesity. It is kinda like giving someone who has been poor their whole life a million dollars. There is no sense of accomplishment or an understanding of what has really happened to them. It is not suppose to be a cosmetic procedure but many people view it as one and expect their insurance companies to foot the bill.
OR as Wikipedia states:
Complications from weight loss surgery are frequent. A study of insurance claims of 2522 who had undergone bariatric surgery showed 21.9% complications during the initial hospital stay and a total of 40% risk of complications in the subsequent six months. This was more common in those over 40 and led to increased health care expenditure. Common problems were gastric dumping syndrome in about 20% (bloatedness and diarrhoea after eating, necessitating small meals or medication), leaks at the surgical site (12%), incisional hernia (7%), infections (6%) and pneumonia (4%). Mortality was 0.2%.[22] As the rate of complications appears to be reduced when the procedure is performed by an experienced surgeon, guidelines recommend that surgery is performed in dedicated or experienced units.[2]
So it is not a small path to happiness or a quick fix it is a major medical procedure that was designed for serious cases not for people who don’t want to exercise and eat right.
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