Obesity is costing the U.K. over £100 billion every year, from the strain of treating its many complications to loss of jobs due to being unfit for work. And at the alarming rate it’s going, the National Health Service (NHS) predicts that 60% of adult males, 50% of adult females, and 25% of children under 16 will be obese by 2050.
As of this writing, there’s much talk about weight loss jabs being the key to avoiding such a bleak future. Some users are even swearing by their effects, with one user reportedly losing four stones (56 lbs/25.4 kg) within a year of regular use. However, studies show that jabs alone aren’t enough, and access to them under an NHS-funded program remains limited.
Like other health conditions, managing obesity involves a series of treatments and lifestyle changes. Severe cases often undergo more invasive treatments, one example being single anastomosis gastric
bypass surgery. Read further to learn everything you need to know about this effective weight loss surgery procedure.
Combines Two Means of Surgical Weight Loss
Experts state that weight loss surgery generally works in one of two ways:
• Restrictive: The surgery initiates weight loss by reducing the stomach’s capacity and rate of food intake, leading to eating less food to feel full. One example is laparoscopic sleeve gastrectomy (also called gastric sleeve surgery).
• Malabsorptive: The surgery initiates weight loss by shortening the food’s journey along the digestive tract, giving the body less time to derive calories and nutrients from it. The procedure also involves some degree of stomach reduction.
Opting for one over the other carries risks. Restrictive procedures may help patients lose weight without sacrificing nutrients, but without self control, people can regain their lost weight. Meanwhile, malabsorptive procedures have been shown to be more effective in weight loss but are more complicated to perform and carry a higher risk of malnutrition.
Single anastomosis gastric bypass Sydney, more popularly known as single loop gastric bypass Sydney, combines both mechanisms. By creating a stomach pouch and rerouting parts of the small intestine, the surgery achieves longer-lasting weight loss effects. This makes it ideal for cases involving poorly managed diabetes or abnormal fat levels.
These changes in the digestive pathway also affect the production of hormones related to hunger. A 2024 study published in the International Journal of Surgery reported that ghrelin and resistin levels dropped by 15% and 71%, respectively, a year after the surgery. Ghrelin is known for inducing hunger, while resistin is linked to insulin resistance.
Not for Everyone
Despite the promise of long-term weight loss, single anastomosis gastric bypass isn’t for everyone with unhealthy weights. At the end of the day, it’s still an invasive procedure that needs to consider the patient’s state carefully.
The National Institute for Health and Care Excellence (NICE) guidelines oversee a person’s eligibility for any form of weight loss surgery in the U.K. Medical practitioners are obligated to evaluate eligibility based on several criteria, not the least of which is their body mass index (BMI), which determines if a person’s weight is ideal for their height.
BMI Range |
Evaluation |
Less than 18.5 |
Underweight |
18.5 to 24.9 |
Healthy weight |
25.0 to 29.9 |
Overweight |
30.0 to 39.9 |
Obese |
40.0 and over |
Severely obese |
Note: The chart only applies to adults aged 18 and over. The NHS advises certain people (e.g., pregnant women, people with eating disorders) not to rely on BMI as a reference.
Under NICE guidelines, practitioners can offer a comprehensive assessment for weight loss surgery if the patient is severely obese and agrees to undergo a long-term follow-up after the procedure. The minimum BMI can go as low as 35.5 if the operation can improve the following conditions (list isn’t exhaustive):
• Cardiovascular disease
• Any form of hypertension
• Non-alcoholic fatty liver disease
• Obstructive sleep apnoea
• Type 2 diabetes mellitus (T2DM)
Meanwhile, obese patients are eligible for an expedited assessment if they’re diagnosed with T2DM within the past decade. Certain racial groups (e.g., Asians, African-Caribbean) can qualify with a BMI that’s lower than the standard threshold by 2.5.
Keep in mind that bariatric surgeons don’t decide solely on BMI, as it isn’t a perfect metric. One of its biggest disadvantages is that it can’t discern fat from muscle, meaning athletes and bodybuilders may get inaccurate readings. The assessment serves to delve deep into a
person’s medical history, which is a far more reliable source of information.
Nutritional Deficiency is a Risk
Single anastomosis gastric bypass isn’t without its drawbacks. As the surgery limits food intake and the absorption of calories and nutrients, patients may struggle to satisfy their daily vitamin and mineral intake.
Researchers at the Medical University of Vienna studied 120 patients who underwent the surgery and found that all developed at least one deficiency. The most common were in Vitamins A and D; others include
Vitamins B12 and E, calcium, ferritin, and folic acid. It should be noted that many of the patients already had deficiencies before the operation.
The study also indicates that these problems typically occur within the first two years after the surgery, which is also when the body loses the most weight. If not managed, nutritional deficiency can lead to a host of health problems.
Deficiency |
Health Effects |
Vitamin A |
Dry eyes, loss of vision, poor pregnancy outcomes |
Vitamin B12 |
Folate deficiency anaemia, problems with memory |
Vitamin D |
Various bone disorders, muscle weakness, heart problems |
Vitamin E |
Reduced night vision and senses, limb and truncal ataxia |
Calcium |
Same as the health effects of Vitamin D deficiency |
Ferritin |
Iron deficiency anaemia, restless legs syndrome |
Folic acid |
Megaloblastic anaemia, complications during pregnancy |
As such, it isn’t unusual for bariatric surgeons to work with dietitians. Planning a patient’s diet and nutrition after the procedure is a no brainer, whether by prescribing multivitamin supplements or developing a better diet plan.
Conclusion
The obesity crisis will continue to worsen unless everyone takes action. As the government enacts plans to avoid the 2050 prediction from becoming reality, the obese can turn to one anastomosis gastric bypass surgery Sydney to help get their life back on a healthy track. See a
bariatric surgeon right away to begin your journey toward a better quality of life.