Friday, April 12, 2024

How To Qualify For Weight Loss Surgery

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How to Qualify for Bariatric Surgery

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Who Is Eligible For Va Weight Loss Surgery

According to VA regulations, to be eligible for bariatric surgery, extremely obese Veterans must have demonstrated prior attempts at weight loss and compliance with weight loss measures before being scheduled for surgery, as a predictor of post-operative success.

Is the VA paying for lap band surgery?

Will VA pay for lap band surgery or gastric bypass surgery? Lap band surgery is not an approved procedure for the VA, nor is it approved if performed in your community. The VA does offer gastric bypass surgery for those veterans who meet the necessary criteria however, not all VA medical facilities perform this surgery.

How To Know If You Qualify

If you are still unsure if bariatricsurgery is right for you, make an appointment with your provider. They can helpyou explore all of the options available to lose weight and determine whatsbest given your age, BMI score, comorbidities , and support system.

For more information on how to qualify for bariatric surgery in Mexico or to find out if it is right for you, speak with Dr. Jalil.

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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.

Who Is A Candidate For Bariatric Surgery

Mexico Bariatric Center: Health Problems Reduced by Gastric Sleeve ...

Qualifications for bariatric surgery in most areas include:

  • BMI 40, or more than 100 pounds overweight.
  • BMI 35 and at least one or more obesity-related co-morbidities such as type II diabetes , hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease.
  • Inability to achieve a healthy weight loss sustained for a period of time with prior weight loss efforts.
  • For example, an adult who is 511″ tall and weighs 290 lbs would have a BMI over 40. Calculate your BMI.

    The NIH, as well as the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery also recommend that surgery be performed by a board certified surgeon with specialized experience/training in bariatric and metabolic surgery, and at a center that has a multidisciplinary team of experts for follow-up care. This may include a nutritionist, an exercise physiologist or specialist, and a mental health professional. In addition, some insurance companies require that the surgery be performed at a facility that meets the ASMBS-approved quality standards . Facilities which meet high standards or quality, like those outlined in MBSAQIP, are preferable choices for patients.

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    Do I Qualify For Weight Loss Surgery

    Patients with the following BMI can be candidates for bariatric surgery*:

    • Your BMI is greater than or equal to 40
    • Your BMI is greater than or equal to 35 and you have weight-related medical problems that can include the following:
    • High blood pressure or heart disease
    • High cholesterol or high levels of fats in your blood
    • Breathing difficulty during sleep
    • Joint pain or arthritis

    How To Prepare For Weight Loss Surgery Success

    Weight loss surgery is major surgery, so you may feel uneasy about whatâs to come. But you wonât have to do it alone. Weâre here for you.

    Our caring team will make every effort to ensure your safety and comfort through this process. And we will teach you how to prepare for your weight loss surgery. You can do a lot to help ensure a smooth surgery experience and weight loss surgery success, too.

    In the months before your surgery, you should:

    • Manage your medications: At your pre-operative visit, your physician will discuss any changes you need to make to the medications you take in the weeks before surgery. In general, you should avoid any aspirin and aspirin-containing medications for at least 10 days before surgery.
    • Quit smoking: We require all bariatric surgery patients to quit smoking three to four months before surgery. Smoking impairs wound healing and increases the risk of complications after surgery, such as blood clots. We can direct you to smoking cessation aids to help you quit.
    • Practice healthy habits: Getting your body in the healthiest state possible helps ensure successful outcomes. Make smart food choices and exercise regularly. If you get sick in the days leading up to surgery, call our office immediately. Your physician may need to evaluate you to see if youâre healthy enough for surgery.

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    The Advantages Of Sleeve Gastrectomy Surgery

    Obesity-related diseases such as type 2 diabetes, hypertension, and sleep disturbances improve. A sense of fullness is provided by the lowered stomach capacity. The majority of foods are safe to eat. After a sleeve gastrectomy operation, there is no postoperative dumping disorder. The production of a hunger-stimulating hormone in a portion of the stomach is decrease. Its an approach thats easier to put into practice following surgical treatment. And, unlike a gastric band, there is no foreign body impact. The effectiveness of the sleeve gastrectomy procedure is irreversible after the procedure. After this process, losing weight is simple.

    Confusion Over Who Qualifies For Surgery

    BARIATRIC QUALIFICATIONS | Who is a Candidate for Weight Loss Surgery?

    Today, many patients and their doctors are confused about who qualifies for surgery and who doesn’t.

    “It’s a mess,” said Dr. Ali Aminian, who was involved in drafting the new guidelines.

    At last count, before the pandemic, 42% of Americans met the definition for having obesity and about 10% have diabetes, which increases the risk for a wide range of medical problems, from heart disease to amputations. More than 200 diseases have been tied to excess weight.

    Weight loss operations that used to require five to seven days of hospitalization and several months of recovery are now done with keyhole incisions, often with robotic assistance, Aminian said.

    Patients routinely go home the next day and can resume their normal lives, without post-surgical pain, in two or three days, he said. Death rates from surgery have fallen 20- to 30-fold, from 2 or 3 per 100 patients to about 1 in 1,000.

    Changing the guidelines won’t remove the lack of public awareness, stigma or fear around bariatric surgery or guarantee insurance coverage, but it will remove one barrier to care, said Aminian, who directs the Bariatric and Metabolic Institute at the Cleveland Clinic.

    “Even if you have simply failed conventional means, regardless of your comorbidity status, we think surgery should be considered,” said Kothari, also chair of surgery at Prisma Health in Greenville, South Carolina.

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    You May Be A Candidate For Bariatric Surgery If You Have:

    • Body Mass Index greater than 40 , or
    • Body Mass Index greater than 35 with certain obesity-related health problems, such as diabetes, high blood pressure, high cholesterol, sleep apnea, degenerative joint disease, or other obesity-related health problems
    • Are at least 18 years of age
    • Have tried more conservative weight loss measures such as dieting, exercise programs, or medically supervised weight loss programs
    • Are committed to abstaining from tobacco and illegal substances
    • Have a healthy support system that can help you succeed after surgery
    • Are committed to eating healthier, staying physically active, and living a healthier lifestyle
    • Are committed to following up with our bariatric program after surgery, so that we may work together to help you achieve the best results!

    Frequently Asked Questions: Qualifying For Weight Loss Surgery

    See below for common questions about how to qualify for bariatric surgery:


    If your BMI is between 30-34:

    • You qualify for the gastric balloon procedure
    • You may qualify for other procedures like gastric sleeve or gastric bypass if you have health issues related to your weight, also known as comorbidities. Your odds of qualifying will increase if you have a combination of conditions. A few of themost common obesity-related health conditions include diabetes, hypertension, joint problems, and sleep apnea.
    • Some surgeons will not accept patients with BMIs below 35, and most insurance companies, including Medicare, will not cover bariatric procedures for patients with BMIs below 35.

    If your BMI is between 35-39:

    • You qualify for gastric balloon and AspireAssist.
    • You qualify for gastric sleeve, gastric bypass, LAP-BAND®, and duodenal switch only if you have a serious obesity-related health condition like diabetes, sleep apnea, hypertension, or many others.
    • If your insurance covers bariatric procedures, your policy will only include coverage for gastric sleeve, gastric bypass, Lap-Band, and duodenal switch. However, you may be able to get some of the costs covered for gastric balloon and AspireAssist on a case-by-case basis.

    If your BMI is 40 or above:

    See our Types of Weight Loss Surgery page for more information.

    I know I qualify for weight loss surgery, but is it the right choice for me?

    To decide whether its right for you, ask yourself:

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    Are You Emotionally Prepared To Have Surgery

    The decision to have weight loss surgery is a serious commitment. Even though bariatric surgery is life-changing for many patients, many patients have mental and emotional challenges during their recovery.

    You must also be willing to do the following:

    • Attend these consultations:
    • Diet evaluation and education with a dietitian
  • Undergo medically supervised weight loss
  • Understand health risks during surgery
  • Commit to long-term follow-up care and recovery
  • What To Expect During Weight

    Bariatric Weight Loss Surgery Qualifications &  Testimony

    Bariatric surgery is performed under general anesthesia, so you will be unconscious. Although not everyone is a candidate for laparoscopic surgery, it is the most commonly performed.

    Your bariatric surgeon will insert a small, tubular instrument with an attached camera into small incisions in your abdomen that allows the surgeon to operate without having to make a large incision.

    Surgery will last approximately 1-3 hours, and patients are monitored in the hospital for a few days to make sure there are no complications.

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    Who Is Ineligible For Bariatric Surgery

    But why is it possible that a patient may not be a good candidate for bariatric surgery? BMI: First and foremost, they might not have a BMI that is high enough. Surgery is required if your BMI is 35 or higher and you have one or more obesity-related conditions, or if your BMI is 40 or higher and you dont have any obesity-related conditions.

    What Are The Benefits Of Weight Loss Surgery

    Weight loss surgery is a proven method for reducing weight and improving health in patients with clinically severe obesity.

    • Diabetes/Pre-diabetes
    • Osteoarthritis / joint pain
    • Mental health issues
    • Even reduce risk of certain cancers
    • Increased quality of life

    Choosing bariatric surgery is a significant step that requires a long-term lifestyle commitment. Before we set your surgery date, we work with you to ensure you are prepared for the transition to a healthier you. But once you commit, you can begin losing weight after your very first appointment. We take the time to prepare you and teach you all the tools to be successful.

    To get started, schedule a consultation to meet with a member of our team or call 570-886-9491 to learn more.

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    The Disadvantages Of Sleeve Gastrectomy Surgery

    Before surgery, there is a chance that the staple line will escape. Losing weight may be less than with a gastric sleeve. In a tiny percentage of patients, there is a risk of gaining lost weight. If you eat quite so much food after surgery, you may have morning sickness. Certain foods may cause reflux and allergy in some people, although this is unusual.

    However, surgeons who offer gastric surgery to obese patients prefer to overlook the most fundamental nutritional and dietary regulation. The ramifications of their insistence on performing the three monkeys are unfathomable. The reality that weight reduction procedures are exceedingly risky does not alter, regardless of how advanced procedures are. Whether you implant a balloon inside a persons tummy or a section of the belly.

    Usually media reports on people who died as a result of such a procedure. But this is only a small portion of the iceberg that is expose above the sea. Because it is feasible to link persons who died soon after undergoing surgical treatment to this procedure. All problems resulting from the procedure are indicate, and they are show as overall mortality.

    Is It Possible To Gain The Weight Back After Surgery

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

    Bariatric surgery has an excellent long-term track record for helping morbidly obese individuals lose weight. However, there are no guarantees with any method of weight loss, even surgery. Success is possible only if you are committed to making lifestyle and dietary changes for the rest of your life.

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    Bariatric Surgery Evaluation Process

    Before your first appointment with the UCSF Bariatric Surgery Center, please do the following:

    • Ensure you’re up to date with all your routine preventive health screenings. Your primary care provider can assist you with this.
    • Submit your medical history questionnaire to the UCSF Bariatric Surgery Center.

    Is Bariatric Surgery For You

    Bariatric surgery is not without risk, and long-term weight-loss success demands adherence to lifestyle changes. If you are ready to commit to a new weight-loss program and do not have any limiting psychological or physical conditions, then it may be worthwhile to schedule an appointment with your physician to discuss your options. Less than 1.1% of people who qualify for weight-loss surgeries end up signing up for the procedure. Get the conversation going, and the right weight-loss solution for you is bound to follow.

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    What Bariatric Surgical Procedures Are Performed By Surgeons At Cleveland Clinic

    Cleveland Clinic offers many surgical options for patients who are interested in bariatric surgery.

    The most commonly performed malabsorptive procedure is called the Roux-en-Y gastric bypass. This method makes the stomach smaller and alters digestion. Less food can be eaten and fewer calories can be absorbed. The bariatric surgeon creates a small pouch by dividing the upper end of the stomach. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum , as well as the first portion of the jejunum . The procedure creates a direct connection from the stomach to the lower segment of the small intestine, literally bypassing portions of the digestive tract that absorb calories and nutrients.

    We can also perform the sleeve gastrectomy as a laparoscopic procedure. This involves making five or six small incisions in the abdomen and performing the procedure using a video camera and long instruments that are placed through these small incisions. During the laparoscopic sleeve gastrectomy , about 75% of the stomach is removed leaving a narrow gastric tube or sleeve. No intestines are removed or bypassed during the sleeve gastrectomy. The LSG takes one to two hours to complete. We have an animated video of a sleeve gastrectomy procedure available as well.

    In select patients, depending on their situations and needs, Cleveland Clinic bariatric surgeons can perform other surgical options such as duodenal switch.

    What Are The Dietary Restrictions Following Weight Loss Surgery

    WLS Before and After Pictures

    Following surgery, you will need to follow specific eating guidelines. Registered dietitians at Cleveland Clinic work directly with bariatric surgery patients to help plan healthful, appropriate meals. Additionally, you will need to stop smoking and discontinue use of NSAIDS.

  • A list of NSAIDS is available for you to reference.
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    Is Weight Loss Surgery For Me

    Although you may meet the physical qualifications, you should only have bariatric surgery if you are well-informed and motivated. In order to have bariatric surgery, you must:

    • Understand and be willing to accept surgical risks.
    • Change your diet and eating habits.
    • Commit to long-term follow-up care.

    There are also several types of bariatric surgery. Learn what weight loss surgery is best for you.

    Does Medicare Cover Bariatric Surgery

    Medicare covers some weight-loss surgeries, including laparoscopic banding surgery and gastic bypass surgery.

    You need to meet requirements and deemed severely obese. You and your doctor need to get pre-approval for weight-loss surgery.

    Similar to other insurers, Medicare will likely require a BMI of at least 35, your weight must also be causing serious health issues and youve attempted for years to lose weight through diet and exercise.

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    Q: What Is Metabolic Surgery And Surgery For Diabetes

    A: There are two operations that are classified by metabolic surgery and that is the gastric bypass and the sleeve gastrectomy. These surgeries alter hormones in your body to help make you healthier by tackling metabolic syndrome . These surgeries help your health prior to any significant weight loss has started. Surgery for diabetes is metabolic surgery in that the procedure is performed to improve your insulin and glucose function.

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