Which Bariatric Procedures to Choose for PCOS?

June 21, 2021

There is an undeniable relationship between obesity and Polycystic Ovarian Syndrome (PCOS). Since PCOS patients show resistance to weight loss, getting back to a healthy body is challenging. While people can shed off weight when propelled towards healthy living and medication, medical experts say it can be difficult for obese patients to keep the weight off despite the efforts. In such a case, bariatric surgery with a few lifestyle changes is the most efficient way out. It reduces the BMI, alleviates insulin resistance in the body, and normalizes androgen secretion for people suffering from PCOS.

Nonetheless, it can be complicated for women to choose an appropriate bariatric procedure for PCOS. Thus, consulting an expert surgeon and making the right choice is essential. Here are a few bariatric procedures for PCOS that you can opt, under medical vigilance, advice and guidance:

Roux-en-Y
This bariatric procedure is the most widely performed these days. It involves the following:

  • Rearranging the gastrointestinal tract to bypass food to a majority of the stomach and small intestine.
  • Creating a tiny pouch on the top of the stomach.
  • Connecting this pouch to the small intestine by making the second cut in the lower part of the small intestine.

Roux-en-Y helps women with PCOS to reverse insulin resistance. Although keeping an eye on your body’s nutritional status post this procedure is essential. It is compensated through supplements since the risk of malabsorption increases.

Sleeve Gastrectomy:
Also called Laparoscopic Sleeve Gastrectomy (LSG). It is relatively a new procedure but has become one of the most popular bariatric procedures.

It involves:

  • Removing a portion of the stomach.
  • Closing the remaining amount using staples, making a sleeve-like or banana-like stomach.

It also reduces insulin resistance and improves other metabolic functions of the body.

Lap Band:
Also called the Laparoscopic Adjustable Gastric Banding (LAGB) requires reduced time in hospital and short operative time. It involves:

  • Placing an adjustable silicone band with a circular balloon around the top part of the stomach.
  • Adjusting the size of the opening from the pouch to the rest of your stomach. This is done by injecting or removing saline solution into the balloon through a small device (port) placed under the skin.

Patients will need follow-ups and constant guidance to get the band size adjusted or see if it shall be removed if there is a problem.

Though an expert can only tell what procedure works best for you, in general, Roux-en-Y and LSG have shown better weight loss results than LAGB. Nonetheless, your PCOS symptoms and severity are unique to you and cannot be dealt with how it is for another. Keep your research strong, your goals clear, and be wise to talk to someone who is a bariatric expert. To understand more, you can call us on 6232012342.

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