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How Does Weight Loss Surgery Work

What Should I Expect Before The Surgery

Weight Loss with Bariatric Surgery | Sleeve Gastrectomy & Gastric Bypass | theSITREP

Your doctors may ask you to lose some weight before surgery to show your commitment to change, and to improve your health. Some surgeons ask people to try to lose 15 pounds to 30 pounds before surgery.

If you smoke, your doctor will likely tell you to quit, both for your long-term health and to cut the chances of problems from your operation. Smokers are more likely to have complications, such as pneumonia, from surgery.

You may also meet with a nutritionist about changing the way you eat. When people start building better food habits before surgery — eating smaller portions, eating slowly, paying closer attention to the nutritional makeup of meals — they often adapt better to life after surgery.

The process may also require a psychological evaluation.

How Does Revision Weight Loss Surgery Work

In the case of a band to bypass procedure, this is usually done in one procedure. The weight loss outcome is similar to, but usually just a little below, that for a primary bypass. Revision surgery is more complex than primary surgery because the first procedure will have disturbed the anatomy in the abdomen. For this reason, complication rates for revision surgery are higher than for primary procedures. Its still safe and effective but outcomes will be superior when you have surgery with an experienced revision surgeon, and ideally one who does revisions in the NHS as well as their private practice. There are occasions when we undertake band to sleeve revisions but these are fewer in number as we consider outcomes are better with bypass. If you want to find out which conversion would be best for you, contact us today.

Why The Procedure Is Performed

Weight-loss surgery may be an option if you have moderate to high-risk obesity and have not been able to lose weight through diet and exercise.

Doctors often use the body mass index and health conditions such as type 2 diabetes and high blood pressure to determine which people are most likely to benefit from weight-loss surgery.

Gastric bypass surgery is not a quick fix for obesity. It will greatly change your lifestyle. After this surgery, you must eat healthy foods, control portion sizes of what you eat, and exercise. If you do not follow these measures, you may have complications from the surgery and poor weight loss.

Be sure to discuss the benefits and risks with your surgeon.

This procedure may be recommended if you have:

  • A BMI of 40 or more. Someone with a BMI of 40 or more is at least 100 pounds over their recommended weight. A normal BMI is between 18.5 and 25.
  • A BMI of 35 or more and a serious medical condition that might improve with weight loss. Some of these conditions are obstructive sleep apnea, type 2 diabetes, and heart disease.

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How Do I Get Approved For Weight Loss Surgery

If you want to put the weight back on, or never lose any weight in the first place, you can make that happen by eating anything and everything you like. If you want to be thin and healthy, you must eat in a certain way and exercise in ways that help you lose weight. You can be thin and healthy and it is easy to do, but only if you follow certain rules. This is a list of the things that can and will keep you from reaching your goal:.

How Can I Be Sure Weight Loss Surgery Will Work

Weight Loss Surgery in Mexico, Tijuana (Bariatric)

If you’re considering weight loss surgery, clinically referred to as bariatric surgery, you may be wondering how effective it is. Perhaps youve known or heard of people who had a bariatric procedure and lost weight only to regain the pounds they shed. This might make you skeptical about weight loss surgery. Does it really work? Will it work for me?

These are good questions. When it comes to bariatric surgery, Success is in the user, says Christian Birkedal, MD, bariatric surgeon at AdventHealth Weight Loss and Bariatric Surgery.

According to Dr. Birkedal, “Bariatric surgery is a tool that sets people up to lose weight. However, they must commit to a lifestyle that will transform the way they look at food, vitamin supplementation and exercise.”

Dr. Birkedal says that 85% of the patients that he treats lose weight and keep it off long-term. That translates to about 5 out of 6 patients. If the same patients tried to lose weight through diet and exercise without the extra boost from bariatric surgery, the chance they would lose weight and keep it off would be less than 4%, or 4 in 100 patients.

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How Fast Do You Lose Weight Bariatric Surgery

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What Happens Before Weight Loss Surgery

Ahead of any weight loss surgery, you’ll go through an evaluation that includes counseling and various tests.

All types of weight loss surgery have pros and cons. Those that involve more cutting, sewing up, and rearranging things inside your body may give slightly better results, but they also may come with more side effects.

You may want to ask:

How Much Weight Do You Have To Lose Before Weight Loss Surgery

Weight Loss Surgery: Robotic Bariatric Procedure

In general, you may be required to lose

The cost of weight loss surgery ranges from $10,000 to $20,000. In some cases, it might be more or less than this amount.

The exact cost depends on several factors, including:

  • the type of surgery
  • your specific needs

Your health insurance may cover some or all of the costs. The amount youll need to pay out of pocket depends on your specific insurance provider and plan.

Medicare covers some weight loss surgeries. Youll still need to meet certain requirements set by your Medicare plan. Visit the Medicare website to learn how to estimate your weight loss surgery costs.

If youre thinking about getting weight loss surgery, talk with your primary care doctor. They can let you know whether youre a good candidate for the procedure.

When talking with your doctor, consider asking the following questions:

  • Do I qualify for weight loss surgery?
  • How might weight loss surgery benefit me?
  • Are there any nonsurgical methods I should try first?
  • Do I have any health conditions that increase my risk of postsurgery complications?
  • Which type of weight loss surgery is best for me?
  • What does weight loss surgery involve?
  • What do I need to do before and after surgery?
  • How much weight can I expect to lose?

If your insurance provider covers weight loss surgery, youll also need to meet certain guidelines. You may need to provide proof of:

If youre not a good candidate for weight loss surgery, or if you dont want the procedure, there are some alternatives.

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What Is Gastric Bypass Surgery

In a gastric bypass , a surgeon creates a small pouch at the top of the stomach. This pouch becomes the new stomach. Surgeons then connect the pouch to the middle part of the small intestine, bypassing the upper part of the small intestine.

After the surgery, the stomach pouch holds a lot less food than a normal-sized stomach. A person will eat less, feel full sooner, and be less hungry. And fewer calories and nutrients are absorbed because the small intestine is shorter.

People who get gastric bypass tend to lose more weight than people who get the gastric sleeve, but there can be more problems too. The gastric bypass procedure is not reversible.

Which Type Of Weight Loss Surgery Is Best

All types of weight loss surgery can help you lose a significant amount of weight, but they each have advantages and disadvantages.

For example:

  • you usually lose weight more quickly after a gastric bypass or sleeve gastrectomy than after gastric banding
  • more people tend to achieve significant weight loss with a gastric bypass or sleeve gastrectomy than with a gastric band
  • the risk of serious surgery complications is generally higher for a gastric bypass or sleeve gastrectomy
  • gastric bands are removable, so the operation can be reversed if it causes serious problems

If you’re considering weight loss surgery, talk to your surgeon about the different techniques to decide which is best for you.

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Why Is Bariatric Surgery Done

Bariatric surgery is the most successful long-term treatment for class III obesity. According to the National Institutes of Health , it is nearly impossible for people with class III obesity to sustain weight loss through diet and exercise alone. Once your body has registered your higher weight as normal, it continues to try to return to that weight. Bariatric surgery works by changing how your body manages what you eat, allowing healthy diet and lifestyle changes to be effective for sustained weight loss and health.

What Are The Risks

17 Best images about Sleeved  Vertical Sleeve Gastrectomy on Pinterest ...

All surgeries carry some risk of infection or blood clots. Being obese makes complications more likely, particularly if you have early signs of diabetes or heart disease.

You should get a thorough checkup to find any potential problems before surgery. Using an experienced and qualified surgeon is also critical.

Thereââ¬â¢s also a chance of getting medical problems due to nutritional deficiencies such as anemia. Your doctor will want to monitor your nutritional health with regular checkups as well as have you follow a healthy diet and exercise plan that may include taking supplements.

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Who Can Get Weight Loss Surgery

Figuring out if an overweight teen can get weight loss surgery requires a team approach. This includes the teen and his or her family, doctors, dietitians, exercise specialists, and psychologists.

Teens can be considered for weight loss surgery if:

  • They have a high body mass index with serious medical problems caused by weight, like diabetes, heart disease, liver disease, or sleep apnea.
  • They have a BMI of 40 or more, or are 100 or more pounds over their ideal body weight.

Teens must be committed to making the lifestyle changes needed for success and have the support of their families to help them do so.

What Are The Types Of Weight

Depending on whether your weight-loss surgery is to make your stomach smaller or to change the path of your intestine, your doctor will perform one of these procedures:

Adjustable gastric banding.

The doctor wraps a band around the upper part of the stomach to make the stomach smaller.

Gastric sleeve.

The doctor removes more than half of your stomach, leaving a thin vertical sleeve, or tube.

Gastric bypass.

The doctor uses a small part of your stomach to create a smaller stomach. This is connected to the middle part of the small intestine. Food skips the rest of the stomach and part of the small intestine. This surgery is called a Roux-en-Y gastric bypass.

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Is It Covered By Insurance

In the United States, most health insurance companies understand that obesity is a risk factor for other health conditions that can lead to serious medical problems. For this reason, many insurance companies pay for gastric sleeve surgery if you have a qualifying condition.

According to the Centers of Medicare & Medicare Services , Medicare will pay for gastric sleeve surgery if you meet the following conditions:

  • your BMI is 35 or higher
  • you have one or more obesity-related health conditions
  • you were unable to lose the weight by changing your diet and exercise habits or by taking medication

Medicare doesnt cover gastric sleeve surgery if youre obese but dont have an obesity-related health condition.

Without health insurance coverage, the cost of gastric sleeve surgery can vary widely from one region to another, and even from one facility to the next in the same geographic area. On average, the cost could range from $15,000 to more than $25,000.

Given this wide variation, its best to research and talk to several surgeons and operative centers to find one youre comfortable with and one that fits your budget.

What Happens Before The Surgery


Before the surgery, you will be seen by a team including a number of different healthcare professionals. For example, a surgeon, an anaesthetist, specialist nurses, dieticians, a psychiatrist, a hormone specialist , etc. It is important that you have full discussions with the team so that you can decide which is the best type of surgery for you, and what the surgery will entail. You will also discuss the risks and benefits of the surgery in your situation, and changes that you will have to make to your diet and lifestyle afterwards.

You may like to ask the surgeon about their experience. How many operations of this type have they done? What is their success rate: how much weight do people generally lose and how long do they keep the weight off for? What complications have people undergoing this type of surgery had? What support and follow-up will you have afterwards?

You may also need to have some investigations to make sure that it is safe for you to have the surgery. For example, these may include tests of your heart and lungs.

You may find it helpful to join a support group and meet up with other people who are waiting for, or who have been through, weight loss surgery. This will give you the opportunity to discuss with other people their experiences surrounding weight loss surgery.

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What Is Adjustable Gastric Banding

Gastric banding, usually done laparoscopically, is a less invasive and the only adjustable and reversible obesity surgery available. During this procedure, surgeons place an inflatable silicone band around the upper stomach to create a new, tiny pouch that limits the amount of food that can be consumed and slows its progression into the stomach and intestines. The patient feels full sooner and satisfied with smaller amounts of food, ultimately losing up to 40 to 60 percent of his or her excess weight over three years.

This procedure usually requires a one-day hospital stay, and normal activities can be resumed in two to four weeks.

The band itself is adjustable by adding or removing fluid from the band’s interior through a small port that is placed beneath the patient’s skin. Adjustments can be made as necessary in the surgeon’s office, where the surgeon can adjust the band via the port with minimal discomfort to the patient. If the band ever needs to be removed, the stomach will return to its original form and function.

On Surprises Harms And Complications Of Surgery

Nanette Adams, a 38-year-old professional counselor in New Orleans, LouisianaWeight presurgery in 2009: 353 poundsWeight today: 180 pounds

My first surgery was a lap band . Within about three to four years, I got food poisoning from oysters. For five days, I wasnt able to keep food down. At the hospital, I found out the lower portion of my stomach protruded through the band to the top, so I was basically choking on my stomach. My doctor didnt want to . So my band was taken out, and I gained weight. I couldnt fit into my wedding dress.

I did pretty well with the band I had lost 180 pounds. Then I had it out for 14 months and gained five pounds a month. My highest weight was 300 pounds.

my approach was quality over quantity. In a typical day now, I try to eat four to five small meals. In the morning, I get up and have coffee and whole milk and a granola bar. I get to work and have a protein shake. At noon, I get whatever the healthy choice meal is that day fish, protein, vegetables. Around 3 pm, Ill have a protein bar or fruit. At dinner, I cook. Two nights a week, we have fish and vegetables.

I’m very happy with . No regrets, not even that it took me three surgeries to get to a maintenance weight.

Kevin Brown*, a 63-year-old retiree in Seattle, Washington Weight presurgery in 2013: 358 pounds Weight today: 247 pounds

NatalieLaforce, a 52-year-old medical office coordinator in Baltimore, Maryland Weight presurgery in 2015: 270Weight today: 150

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