Obesity surgery or bariatric surgery results in changes to the anatomy and physiology of the digestive system, limiting gastric capacity and/or the calories and nutrients that can be absorbed. Depending on the case, there are two types of procedures:
Bariatric surgery is not for cosmetic purposes nor does it have an immediate effect. It is clearly therapeutic and preventive of the multiple comorbidities associated with obesity. It is considered a tool for change, meaning it is not sufficient on its own but requires patient involvement with support from the professional team.
It results in an overall improvement in the patient’s quality of life through significant weight loss, changes in dietary habits, and regular monitoring to prevent medical complications. Multidisciplinary intervention and prolonged postoperative follow-up are essential to drive, maintain, and consolidate lasting change.
One observed phenomenon is that when patients are simply taken to surgery with no further interventions or specialist consultations, the failure rate significantly increases.
Psychological support for patients undergoing obesity surgery is justified by the comorbidity of psychological and psychiatric disorders, which in some cases contribute to the onset of obesity and in others are a consequence of it. Moreover, operated obese patients need to maintain a series of changes in eating habits and lifestyle in general, which require support and psychotherapeutic and psychopharmacological follow-up provided by mental health professionals (psychologists, psychiatrists), specially trained for this purpose.
After surgery, the patient’s social and psychological well-being determines the course of recovery (extent of long-term weight loss and adherence to treatment), so it is crucial to neutralize real or potential stressors in the patients’ lives to prevent anything from being an excuse to deviate from the path of recovery.
The general objectives are:
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