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Bariatric Weight Loss Surgery: No Need to Wait for Severe Obesity – A New Solution for Metabolic Syndrome

Bariatric Weight Loss Surgery: No Need to Wait for Severe Obesity – A New Solution for Metabolic Syndrome

While bariatric weight loss surgery has primarily been used for patients with severe obesity, current medical guidelines are beginning to broaden their scope to include individuals with a lower BMI who suffer from Metabolic Syndrome, such as diabetes, high blood pressure, or high cholesterol. This represents a new dimension of surgical treatment for obesity with bariatric surgery that focuses on “controlling metabolic disease” rather than solely on weight reduction.

Why Has Sleeve Gastrectomy Become “Metabolic Surgery”?
Sleeve Gastrectomy (SG), or the surgical reduction of the stomach into a tube shape, is the most popular bariatric weight loss surgery for obesity treatment worldwide due to its low risks and excellent outcomes. However, its remarkable mechanism is not limited to restricting food intake; it causes fundamental changes in the body’s internal systems:
  1. Hormonal Shift: Removing the majority of the stomach, which is the primary site for producing the hunger-stimulating hormone “Ghrelin,” drastically reduces appetite.
  2. Improved Intestinal Function: Physiological changes lead to increased secretion of gut hormones, such as GLP-1, which are involved in blood sugar regulation. These hormones enhance the body’s response to insulin, allowing it to effectively manage blood sugar, even before significant weight loss occurs.
What is Metabolic Syndrome and Why is Serious Treatment Necessary?
Metabolic Syndrome is a cluster of conditions resulting from the body’s internal imbalance, including high blood sugar, high blood pressure, low HDL (good cholesterol), and insulin resistance. It is a major risk factor for heart disease, Type 2 diabetes, and stroke.
This condition can occur even in people with a BMI below 35 (or even 27-32), particularly those with accumulated visceral fat in the abdomen. Traditional treatments like diet control, exercise, or medication may be insufficient for some individuals, making new approaches like Metabolic Surgery increasingly important.

Why is Sleeve Gastrectomy Suitable for Low-BMI Patients with Metabolic Syndrome?
Sleeve Gastrectomy is a laparoscopic bariatric weight loss surgery that removes a portion of the stomach, leaving a sleeve-like shape. It helps restrict the amount of food consumed and reduces the hunger-stimulating hormone Ghrelin, leading to continuous weight loss. Crucially, for low-BMI patients who do not require massive weight loss but need metabolic control, this surgery also improves the metabolic rate and blood sugar regulation system.
Research published in The Lancet Diabetes & Endocrinology (2023) found that patients with a BMI of 27-34 who underwent Sleeve Gastrectomy had a Type 2 diabetes remission rate as high as 72% within 12 months, without developing significant nutritional deficiencies.

Medical Evidence Supporting Metabolic Surgery in Low-BMI Patients
  1. Guidelines: A 2024 update from the American Diabetes Association (ADA) recommends considering safe weight loss surgery for Type 2 diabetes patients with a BMI of 30 and above (or 27 for Asian individuals) when pharmaceutical treatment is ineffective.
  2. Clinical Outcomes: A study in the Obesity Surgery journal (2023) stated that surgical treatment for obesity in low-BMI patients could reduce average HbA1c levels by up to 1.8\% and reduce insulin dependency in over 80%of patients.
  3. Safety: Evaluation of complications shows that the safety profile of bariatric weight loss surgery in the low-BMI group is comparable to the high-BMI group when performed at expert centers.
Considerations Before Undergoing Surgery
  • Multidisciplinary Assessment: Patients must be evaluated by a multidisciplinary team, including a bariatric surgeon, endocrinologist, and dietitian.
  • Goal Understanding: It is crucial to understand that the surgery’s goal is primarily “metabolic rebalancing,” not just weight loss.
  • Adherence to Post-Op Instructions: Patients must strictly follow post-operative guidelines, including taking high-protein foods, vitamin supplements, and maintaining continuous follow-up care.
For individuals with Metabolic Syndrome, even if their BMI is not severely high, Sleeve Gastrectomy can be a key to restoring health balance, controlling blood sugar, and safely and effectively reducing the long-term risk of chronic diseases, provided it is performed by a specialized medical team at a certified bariatric surgery center.
Free! Consultation with expert surgeons specializing in laparoscopic and bariatric (obesity) surgery. Feel confident with our dedicated team of obesity specialists who provide personalized treatment plans for the best possible outcomes.
  • FREE BMI calculation and online doctor consultation via Line: @doodeecenter
  • Our team of expert weight-loss surgeons provides comprehensive care, both before and after surgery, for every patient.
  • Surgery performed using a special 3-layer locking technique.
  • Utilizing high-resolution 4K endoscopic cameras.
  • Minimal incisions, less pain, faster recovery.
  • No hidden costs! Our package prices are all-inclusive.
  • Social Security holders can get gastric surgery for a special price of just 79,000 Baht.
Doodee Center: Weight Loss Surgery Location.
  • Sikarin Hospital Branch Hatyai.
  • Sikarin Hospital Branch Lasalle.
Free Online Consultation!.
  • Line: @doodeecenter
  • Website: www.doodeecenter.com
Social Security Holders. If you have Social Security benefits, please inform our staff to inquire about using your coverage for obesity treatment through surgery.