Reasons for Musculoskeletal disorders in obese people: 
In people who are obese, excessive weight applied to the joints and bones in high pressure points such as the back, knees and ankles causes corrosion and wear (arthritis) and slippage of these joints.
In addition, with the increase in the size of the belly, the Gravity Center of the body changes and over time, with increasing pressure in the spine, it will cause deformities and various injuries of the spine and spinal cord, and even short stature.
Inflammatory substances in fats (lepton) act as toxins for joints and can lead to joint rheumatism.
On the other hand, people who are obese and overweight have a much lower amount of vitamin D than people with normal weight, which happens due to retention of vitamin D in excess fat tissue and leads to severe osteoporosis.
Obese people suffer from ankle sprains more than normal weight people, which causes more weakness of ankle tendons and ligaments.

By reducing the weight, the pressure on the high pressure points of the body such as knees, ankles and back is reduced and the wear of the joints is reduced.


The effect of weight loss on knee arthritis
According to studies and reviews, weight loss of 5 kg can reduce the probability of knee arthritis by 50%. 

 

Bone health after bariatric surgery: 

Is it possible to develop Musculoskeletal disorders  after bariatric surgery?

 

Bariatric surgery is an effective treatment for morbid obesity and its accompanying complications. But due to factors such as rapid weight loss and reduced absorption of nutrients, patients may be at risk of developing metabolic bone disease.

Patients who undergo Malabsorptive surgical procedures are more exposed to bone health problems after bariatric surgery than patients who undergo restrictive procedures.

 

Consequently, preventive strategies and nutritional care may be necessary to reduce bone loss after bariatric surgery.

Overall, despite the known advances in obesity-related diseases, increasing evidence suggests that bariatric surgery contributes to the onset of adverse skeletal health outcomes.

A multifactorial clinical management approach including regular BMD assessment (bone mineral density test) is recommended for the prevention of osteoporosis after bariatric surgery.

A bone mineral density (BMD) test is the best way to measure your bone health. This test can show if you have osteoporosis or not.

 

Prevention of osteoporosis after weight loss surgery
Factors that can prevent osteoporosis after bariatric surgery include:

Calcium Intake :
Adequate intake of vitamin D and protein in the diet.
Doing regular exercise as prescribed by the doctor.
The data obtained in the studies show that following the bariatric surgeon's recommendations regarding diet and especially the consumption of supplements and minerals as well as doing exercises play an important role in minimizing bone and Musculoskeletal disorders post surgery.

Does bariatric surgery cure type 2 diabetes?
Yes. Doctors have found that metabolic surgery or bariatric surgery can treat type 2 diabetes by controlling blood sugar levels.

Obesity is an important factor in diabetes. Obese people are about 10 times more likely to develop diabetes. The reason for this is that fatty and high-carbohydrate foods cause fat to accumulate in the liver and muscles. This increases insulin resistance.

Because glucose is able to enter the cells by a hormone called insulin, if your body does not produce enough insulin, the glucose cannot reach the cells and remains in the blood.

If this situation lasts for a long time, it can cause an increase in the level of blood sugar or glucose, resulting in diabetes. (Diabetes is a disease that occurs when blood sugar is too high).

Every year, in addition to the high cost of diabetes-related drugs, many costs are paid for the complications caused by diabetes and related diseases.

Bariatric and metabolic surgery is the most definitive and effective method of treating type 2 diabetes in obese and overweight people.

 

Does bariatric surgery cure insulin resistance?
After bariatric surgery, insulin levels decrease before weight loss occurs.

Studies show that bariatric surgery improves and even cures type 2 diabetes by improving insulin resistance.

 

Diabetes recovery rate after bariatric surgery:
Blood sugar improvement may begin immediately after metabolic surgery.
The recovery rate of diabetes after bariatric surgery or bariatric surgery is more than 80%, and these 80% recover completely, and in the rest of the cases, the amount of medication and the type of medication taken by a person with type 2 diabetes is reduced, so that After obesity surgery, there is no need to prescribe insulin and the hormones effective in regulating blood sugar are released in a sufficient amount from the person's new digestive system.
Also, with bariatric surgery, the possibility of heart and brain stroke, heart and kidney failure, sleep apnea, and fatty liver is reduced.
 

If you follow the dietary guidelines given by your bariatric surgeon (including time and amount of food) after weight loss surgery, you will lose weight in the short and long term.

After the operation, you will first have a liquid diet, then the diet will gradually change to solid food as determined by the bariatric surgeon and nutritionist.

 

Low blood sugar after bariatric surgery
Hypoglycemia or low blood sugar can be a complication after bariatric surgery.

The good news is that it is possible to control this problem.

 

 

Some pointers regarding classical bypass surgery (Roux-en-Y) : 
Classic bypass surgery(Roux-en-Y) is a surgical treatment for people who have reflux grade B or higher (that is, people who have reflux grade B or higher on endoscopy and history).
If he has severe reflux disease, other bariatric surgery methods such as gastric sleeve and mini gastric bypass cannot be performed for him, and the operation of choice for these patients is classic bypass.
Can a person with severe reflux have weight loss surgery? A person with severe reflux can only do one type of weight loss surgery, and that is the classic bypass operation.

Causes of weight gain after mini bypass surgery:
The mini-bypass method has many advantages, which we have discussed in detail in the article on the advantages of gastric mini-bypass surgery. But weight gain after mini bypass surgery is one of the side effects of this surgery, which can occur for various reasons, including:

 

Continuing the habit of snacking: The most important cause of weight regain after mini bypass surgery is snacking and eating sweets after surgery. By doing this, you will provide a lot of calories to your body. Although the absorptive part is bypassed, after a while, with a large amount of junk food, the other parts of the intestine get used again and absorb the same calories again.
Failure to comply with diet and physical activity: these two factors are the most important factors that can lead to weight regain. One of the biggest challenges after mini bypass surgery is the patient's non-compliance with the post-surgery diet. Many people cannot make serious changes in their diet and easily return to their old eating pattern. However, for best results, patients should follow a healthy, limited diet and exercise regularly after mini bypass surgery.
Psychological factors: Psychological factors such as stress, anxiety and depression can also lead to weight gain.
Genetic factors: Some studies show that genetic factors can also play a role in weight regain after surgery.
Surgical complications: In some cases, surgical complications such as fistula or leakage can lead to weight regain.
Surgical defects: Sometimes surgical defects may cause problems such as chronic swelling of the stomach or digestive problems that contribute to weight regain. In this case, it is necessary to consult your doctor and take the necessary measures.
 

 

Strategies to prevent weight gain after mini bypass surgery
 

To prevent weight gain after mini bypass surgery, patients should do the following:

 

Adhering to a healthy and limited diet: Patients must follow the diet prescribed by the surgeon or nutritionist exactly. This diet usually includes low-calorie, high-protein and low-volume foods. They should also include healthy and varied foods in their diet.
Regular physical activity: Patients should be physically active for at least 30 minutes a day. Regular exercise is a key factor in maintaining weight after mini bypass surgery. Many people after surgery think that their weight will be reduced only by surgery, but exercise strengthens muscles and increases the body's metabolism level.
Controlling stress and anxiety: Stress and anxiety can accelerate weight regain. For this reason, psychological support and counseling can help people cope with the psychological problems associated with this surgery. Patients should find solutions to manage stress and eat from their stress and anxiety.
Regular visits to the doctor: Patients should visit the doctor regularly to follow up on their health status and progress.
 

Treatment strategies for weight regain after mini bypass surgery
If weight returns after mini bypass surgery, the bariatric surgeon may do the following to help the patient:

 

Dietary changes: The doctor may change the patient's diet to reduce his caloric intake.
Increase physical activity: The doctor will probably advise the patient to increase his physical activity.
Drug therapy: In some cases, the doctor may prescribe drugs to reduce appetite or increase the feeling of fullness.
Bariatric reconstructive surgery: In severe cases, bariatric reconstructive surgery may be performed to correct the problems caused by the initial operation.
 

Conclusion
Weight loss with gastric mini bypass can be a very effective method. However, weight regain after this surgery is a serious concern and a common challenge that many people face.

Patients should follow a healthy and balanced diet, exercise regularly, and have psychological support to prevent weight gain after mini bypass surgery.

If the weight returns, patients should consult with their bariatric surgeon and nutritionist to take the necessary measures for treatment.

Complications of surgery by mini-bypass and classic bypass and sleeve methods:   
Short terms   :
0.2% probability of embolism 0.3% probability of bleeding 0.7% probability of leakage 0.1% risk of death in all surgeries  
Long terms  In case of timely visits and intermittent follow-up, it does not have any long-term side effects. If these operations are performed with appropriate specialized equipment, in hospitals equipped by a skilled and compassionate surgeon with a degree and approval of laparoscopic subspecialty, the total complications are the same as other surgeries such as gallbladder surgery.    
Advantages : The highest rate of weight loss between bariatric surgeries The lowest recurrence rate of obesity compared to the sleeve and gastric band. Unlike Slave, this action is reversible. Greater effects on obesity complications such as type 2 diabetes or hyperlipidemia It responds better than other actions on small eaters, sweet eaters and sedentary people. Although obesity surgery has been proven to be the only permanent treatment for obesity, you should know that obesity surgery is a tool if you use it well and carefully follow the instructions and guidelines provided and the recommendations made in the visit sessions, Results will be miraculous