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Home Blogs Bariatric Surgery Bariatric Surgery Side Effects, Risks & Complications: Key Facts

Bariatric Surgery

Written By Anha Wahid Ansari

Bariatric Surgery

6 mins read

21/04/2025

Bariatric Surgery Side Effects, Risks & Complications: Key Facts

If you’re considering bariatric care, then you might be curious about whether or not to expect any complications after weight loss surgery.

The surgery is usually safe. However, like any surgery, it can have complications and side effects, and sometimes may require another operation.

Furthermore, early complications and side effects can appear in the first week to months after surgery; on the other hand, late complications and side effects generally occur within a month to a year, yet the risk of developing some complications persists for life.

Read this article and learn about the possible complications and how to prevent them.

Understanding Bariatric Surgery

Bariatric surgery, commonly known as weight loss surgery, includes various surgical procedures aimed at helping individuals with obesity achieve weight loss. Healthcare providers may recommend this surgery if other weight loss methods have failed. Bariatric surgery functions by modifying the digestive system, primarily affecting the stomach and, in some cases, the small intestine.

How much weight can you expect to lose with weight loss surgery?

With bariatric surgerymost people loose about 90% of their excess weight, yet different procedures can lead to different results like gastric bypass leads to a weight loss of about 70%, and the duodenal switch usually results in an 80% weight loss and with gastric sleeve surgery, weight loss varies between 30% and 80%.

What are the Side Effects of Bariatric Surgery?

It's a weight loss surgery involving various procedures such as gastric sleeve, gastric bypass, adjustable band, etc, however, each procedure has different side effects and complications. Let’s learn about the procedure and its side effects as well.

What is the Gastric Sleeve?

Gastric sleeve surgery, also called sleeve gastrectomy, is a weight-loss surgery designed to help people by making their stomachs smaller. In this procedure, doctors remove most of the stomach, leaving just a narrow tube or sleeve. This smaller stomach can help limit how much food you can eat and may also reduce feelings of hunger, making it easier to lose weight.

What are the Side Effects of the Gastric Sleeve

This procedure removes a large part of the stomach and leaves a narrow, sleeve-like shape that limits how much food you can eat. However, there are some common side effects to be aware of.

○ Dyspepsia (indigestion)

○ Abdominal distension (swelling or bloating)

○ Vomiting 

○ Constipation 

○ Diarrhea 

○ Gastroesophageal reflux (GERD)

○ Abdominal pain

○ Nausea 

In rare cases, surgery can cause:

○ hypoglycemia

○ hernia

○ stenosis (narrowing of the stomach)

○ gastrointestinal blockage (obstruction)

What is Gastric Bypass Surgery?

It’s a type of weight loss surgical procedure that creates a small pouch from the stomach and connects the newly created pouch directly to the small intestine.

What are the Side Effects of Gastric Bypass

This surgical procedure involves creating a small pouch that attaches directly to the small intestine, allowing food to skip over a large section of the stomach and digestive system. 

While this can aid in weight loss, gastric bypass surgery has a higher risk of a condition known as dumping syndrome compared to other weight loss surgeries. Early dumping syndrome can lead to symptoms like nausea, weakness, and sweating shortly after eating.

‣ Bloating 

‣ Cramps 

‣ Dizziness 

‣ Palpitations (rapid heartbeat)

‣ Fainting

‣ Nausea 

‣ Vomiting 

‣ Diarrhea 

‣ Flushing 

Late dumping syndrome develops 1 to 3 hours after eating and may lead to:

‣ Fatigue 

‣ Tremors  (shaking)

‣ Weakness 

‣ Palpitations 

‣ Fainting 

‣ Sweating 

‣ Flushing 

‣ Dizziness 

If it's left untreated, it may lead to malnutrition, and other complications include:

‣ Stenosis can cause dysphagia

‣ Marginal ulcers

‣ Cholelithiasis

‣ Small bowel obstruction

What is Gastric Band Surgery?

It's a device that is surgically implanted to help patients with obesity lose weight, and it's one of several types of bariatric surgery that restricts how much you can eat at one time.

What are the Side Effects of a Gastric Band?

This surgery involves putting a flexible band around the top part of the stomach, which creates a small pouch that helps control how much food you can eat at a time. Possible complications and side effects of the surgery include:

⦾ Nausea and vomiting

⦾ Constipation

⦾ Difficulty swallowing

⦾ Gastroesophageal reflux

⦾ Port problems

⦾ Outlet obstruction

⦾ Band sippage

⦾ Esophageal dilation or pouch dilation

⦾ Band erosion

⦾ Band intolerance 

What is Biliopancreatic Diversion with Duodenal Switch (BDS-DS)?

It's a complex weight loss surgical procedure that helps to reduce your ability to absorb calories, vitamins and minerals. However, you can lose more weight with the duodenal switch than with the gastric bypass or the sleeve gastrectomy.

What are the Side Effects of Biliopancreatic diversion with duodenal switch (BPD-DS)

It's a mixed surgical procedure that involves removing a large portion of the stomach and rerouting the intestines to reduce the absorption significantly, and here are some minor side effects, which include:

⦾ Diarrhea 

⦾ Reflux 

⦾ Bloating 

⦾ Increased  flatulence

Additionally, it is also associated with deficiencies in:

⦾ Vitamin A (retinol)

⦾ Vitamin E (tocopherol)

⦾ Zinc

⦾ Iron

⦾ Calcium

⦾ Vitamin B1 (thiamin)

⦾ vitamin B12 (cobalamin)

⦾ Vitamin B9 (folate)

However, if it's left untreated, ongoing deficiencies may lead to malnutrition. Yet, other common complications include:

⦾ Anemia

⦾ Osteoporosis (bone loss)

⦾ Gallstones

In rare cases, it can cause:

⦾ Bowel obstruction

⦾ Hernia

⦾ Anastomotic leak

Tips to Manage the Side Effects of Bariatric Surgery

To prevent the side effects, you need to follow the given guidelines, which will help you to understand what you should do and what you should not do:

  • You need to follow dietary guidelines as advised.
  • You need to exercise daily to maintain your weight.
  • Drink plenty of water to stay hydrated, and also drink water between meals, but also during them.
  • Tale supports navigating challenges and staying motivated.

Conclusion

Bariatric surgery is a life-changing procedure for individuals struggling with obesity and its related health conditions. However, it's important to be aware of the potential risks and how to overcome them. However, proper care, lifestyle changes, and regular follow-ups are important to minimise the risks and achieve long-term success.

Furthermore, by understanding these potential complications and how to take care of them, you can make informed decisions about the role of bariatric surgery in weight loss.

FAQs

What is bariatric surgery?

It’s a weight loss surgery that involves various weight loss procedures such as gastric bypass surgery, gastric band, gastric sleeve, etc, to help patients with weight loss and its related health conditions.

What are the common side effects of bariatric surgery?

Side effects include nausea, vomiting, diarrhoea, dumping syndrome, low blood sugar, malnutrition, etc. However, long-term risks include gallstones, hernias, and ulcers.

How do nutritional deficiencies occur after bariatric surgery?

Malnutrition deficiencies after weight loss surgery occur due to a combination of factors such as reduced food intake, changes in digestion and absorption and inadequate supplementation. However, these deficiencies can affect both macronutrients, like vitamins and minerals.

What is dumping syndrome, and how does it happen after bariatric surgery?

Dumping syndrome is a condition that can happen after someone has weight loss surgery, like bariatric surgery. It occurs when food moves too quickly from the stomach into the small intestine.

Is hair loss a common side effect following weight loss surgery (bariatric surgery)?

Yes, hair loss is a common problem after bariatric surgery, which is often due to rapid weight loss and nutritional deficiencies.

How to overcome the side effects of weight loss surgery?

To overcome the side effects of weight loss, you need to focus on dietary adjustments, staying hydrated and addressing potential complications such as dumping syndrome or nutritional deficiencies. You need to follow your surgeon's instructions carefully and have regular follow-up appointments to manage side effects.

Can weight loss surgery help with mobility issues?

Yes, weight loss surgery can significantly improve mobility by relieving stress on joints and the musculoskeletal system due to excess weight.

Is it possible to regain weight after bariatric surgery?

Yes, it's possible to gain weight even in 12 or 18 months, which can occur due to multiple reasons, such as overeating or a lack of regular exercise.

Are there age restrictions on bariatric (weight loss) surgery?

For adults, the age should be 18 to 65 years, and for adolescents, the surgery is only considered in cases of severe obesity or when other treatment options have failed to achieve desirable results.

How long do you need to follow a proper diet?

After surgery, a special diet is recommended that is easy to digest:

‣ Weeks 2-4 : You can have pureed foods such as soft proteins, blended vegetables and yogurt, which are gradually introduced.

‣ Week 4 : You can have solid foods such as cooked vegetables, soft fruits, and tender meats can begin to be incorporated.

‣ Post 8 weeks : You can start eating regular solid foods that are protein-rich and low in fats and sugars.

Written By

Anha Wahid Ansari

I'm a content writer at Mejocare.com, where I create easy-to-understand and informative healthcare content. With 4+ years of experience, I help people learn about important health topics and connect with healthcare providers through clear and engaging writing.

I focus on making complex medical information simple and useful, ensuring that readers can easily find the answers they need.


What I do:

  • Writing helpful articles, blogs, and website content on health-related topics.
  • Explaining medical topics in an easy-to-understand way.
  • Making healthcare content interesting and relatable.
  • Creating content that improves Mejocare’s search rankings and attracts more readers.
  • Using insights to write content that people find useful and relevant.
  • Ensuring all content matches Mejocare’s voice and values.
  • Finding accurate information and writing clear, well-structured articles.

I’m committed to helping Mejocare share reliable health information with its readers.

SOURCE

HISTORY


At Mejocare, we prioritize accuracy and reliability. Our content is based on peer-reviewed studies, academic research, and medical associations. We avoid tertiary references. Learn more in our editorial policy. Trustworthy health information for you.

https://www.healthline.com/health/side-effects-of-obesity-surgery para no 2,3,4,5 https://www.mainlinehealth.org/blog/everything-you-need-to-know-about-side-effects-of-bariatric-surgery para no 1 https://mydoctor.kaiserpermanente.org/ncal/structured-content/possible-complications-and-side-effects-of-weight-loss-surgery-2490383 para no 1 https://my.clevelandclinic.org/health/treatments/bariatric-surgery para no 2, 9 https://my.clevelandclinic.org/health/treatments/22931-gastric-sleeve-surgery para no 1 https://my.clevelandclinic.org/health/treatments/17163-lap--band-surgery para no 2, 15 https://anandgastrosurgeon.com/common-side-effects-after-weight-loss-surgery-and-how-to-manage-them/ para no 10

CURRENT VERSION

21 April, 2025
Reviewed by
Dr. Aryan Malhotra
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