Friday, April 19, 2024

Should I Have Weight Loss Surgery

Misconception: You Still Need To Take Insulin And Blood Pressure Medication After Surgery

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

Fact: There’s a good chance you’ll be able to ditch those meds. Along with reducing your weight, bariatric surgery helps change your body chemistry.

“After bypass surgery, 80 percent of patients with diabetes and 60 percent of patients with high blood pressure go into remission and that means no more medication,” Torquati says.

In addition, 70 percent of those with sleep apnea no longer need their CPAP machines at night after weight loss surgery.

Gastric Sleeve Surgery Positives

Gastric sleeve has earned its place as the most popular procedure for several reasons:

  • Compared to Lap-Band surgery:
  • Risk of long-term gastroesophageal reflux disease is lower with gastric sleeve
  • Risk of esophageal dilation, pouch dilation, and food trapping is much lower with gastric sleeve
  • No risk of external-device-related issues like Lap-Band erosion, band slippage, or port problems with Lap-Band surgery
  • Much lower risk of long-term complications than Lap-Band surgery
  • Fewer follow up doctor visits required than after Lap-Band surgery
  • More expensive overall than Lap-Band surgery. Similar cost if you have insurance that covers weight loss surgery.
  • No dumping syndrome Dumping syndrome is experienced by up to 7 out of 10 gastric bypass patients, although many patients report this being a good thing since it helps them keep their diet on track. Dumping syndrome is uncommon after gastric sleeve surgery.
  • Cost With Insurance The cost of gastric sleeve for patients with insurance is ~ $3,500 , which tied for the lowest with gastric bypass, duodenal switch, and Lap-Band surgery .
  • How Do I Get Ready For Gastric Sleeve Surgery

    Your healthcare team will need to make sure that gastric sleeve surgery isa good option for you. Weight-loss surgery isnt advised for people whoabuse medicines or alcohol, or who are not able to commit to a lifelongchange in diet and exercise habits.

    Before having surgery, youll need to enroll in a bariatric surgeryeducation program. This will help you get ready for surgery, and life aftersurgery. Youll have nutritional counseling. And you may have apsychological evaluation. Youll also need physical exams and tests. Youwill need blood tests. You may have imaging studies of your stomach, orhave an upper endoscopy.

    If you smoke, you will need to stop several months before surgery. Yoursurgeon may ask you to lose some weight before surgery. This will help makeyour liver smaller, and make surgery safer. Youll need to stop takingaspirin, ibuprofen, and other blood-thinning medicines in the days beforeyour surgery. You shouldnt eat or drink anything after midnight beforesurgery.

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    Why Choose Cleveland Clinic

    Cleveland Clinic’s Bariatric and Metabolic Institute is widely respected, recognized, and awarded for our revolutionary work in weight loss surgery.

    Our board-certified bariatric surgeons meet the highest standard of qualifications and credentialing for bariatric surgery and have performed hundreds of bariatric procedures. Active members of the American Society of Bariatric Surgeons to American Society for Metabolic and Bariatric Surgery, our surgeons emphasize minimally invasive or laparoscopic procedures for 90 percent of bariatric surgeries performed at Cleveland Clinic, thus minimizing complications and speeding recovery.

    Cleveland Clinic is ranked as one of the nation’s top hospitals by U.S. News & World Report. Cleveland Clinic also is one of only 72 hospitals throughout the entire United States to achieve Magnet status for excellence in nursing services. Cleveland Clinic is accredited by the Joint Commission on Accreditation of Health Care Organizations .

    Weighing The Pro And Cons

    Tangie lost 72 pounds

    All surgeries have risks and benefits to consider. For some patients, having a bariatric procedure, like gastric bypass, is worth it.

    For a committed patient, weight loss surgery is an effective tool for losing weight. Patients may be able to lose 60% to 77% of their excess weight in the first year after surgery.

    It has also shown to be effective at reducing the impact of many obesity-related conditions, such as:

    But it’s also important to do your homework before surgery and have reasonable expectations about what your life will be like after the surgery. It often helps to speak with someone who has had a bariatric procedure to gain unbiased insights. Many surgeons will also give their patients three months or more to prepare for the physical and psychological changes ahead.

    It’s also essential to know the price of bariatric surgery. Bariatric surgery can cost between $15,000 and $25,000. Sometimes, it can cost even more.

    The total cost depends on the specific type of weight loss surgery you undergo. The costs add up even more if you have any surgical complications or need additional surgeries after your initial surgery.

    If you are considering weight loss surgery, learn as much as you can about the procedure itself and the changes you’ll have to make to your life. Talk to friends and family, your primary care provider, and a board-certified surgeon before making a final decision.

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    Misconception: Surgery Is A Cop Out Willpower Plus Good Diet And Exercise Regimens Work Just As Well

    Fact: Most patients who see a bariatric surgeon have already tried diet, exercise and medications to control their weight for years, even decades.

    “When someone is 20 or 30 pounds overweight, diet and exercise are prescribed and can work,” Torquati says. “But once you cross the threshold of being 50 or 60 pounds overweight, the failure rates for controlling weight with exercise and diet are close to 90 percent.”

    The reason: Losing and keeping off 50 pounds or more requires an intense commitment to diet and exercise that very few people can maintain. Bariatric surgery helps make extreme weight loss more achievable by eliminating the food cravings that can derail your diet.

    That said, good diet and exercise regimens are crucial for shedding pounds after surgery not to mention for weight maintenance. “Surgery is a tool it’s not a magic bullet,” Torquati says. “At Rush, it’s just part of the patient’s weight loss journey.”

    Torquati and the team at the Rush Center for Weight Loss & Bariatric Surgery build a vital support system for the patient, including their surgeon, primary care doctor, nutritionist and psychologist.

    Patients must also attend classes before and after surgery to help them make the lifestyle changes such as eating right and starting an exercise program that improve the chances of long-term success.

    How Will Eating And Drinking Be Different

    You will be on a liquid or puréed foods diet for 2 or 3 weeks after surgery. You will slowly add soft foods and then regular foods to your diet. You will likely be eating regular foods by 6 weeks.

    At first, you will feel full very quickly, often after just a few bites of solid food. The reason is that your new stomach pouch or gastric sleeve will hold only a small amount of food soon after surgery. Even when your pouch or sleeve is larger, it may not hold more than about 1 cup of chewed food. A normal stomach can hold up to 4 cups of chewed food.

    Once you are eating solid food, each bite must be chewed very slowly and completely, up to 20 or 30 times. Food must be a smooth or puréed texture before swallowing.

    • The opening for your new stomach pouch will be very small. Food that is not chewed well can block this opening and may cause you to vomit or have pain under your breastbone.
    • Each meal will take at least 30 minutes.
    • You will need to eat 6 small meals throughout the day instead of 3 big meals.
    • You will need to avoid snacking between meals.
    • Some foods may cause some pain or discomfort when you eat them if they are not chewed well. These include pasta, rice, bread, raw vegetables, or meats, and any dry, sticky, or stringy foods.

    You will need to drink up to 8 glasses of water or other liquids that do not have calories every day.

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    Is Bariatric Surgery For Me Ask Yourself These Questions

    Disclaimer: It is important to talk with your healthcare provider before making or starting any treatment decision. This blog post does not reflect the views of the OAC, the National Board of Directors or staff. Information contained in this blog post is not based on scientific research and has not been validated. The OAC does not endorse any merchandise mentioned in this blog post.

    The struggle with obesity can go on for a long time. Over the years, you may try all kinds of diets to try to control your weight. They may work in the short term, if at all. However, you may be looking into other possible weight-loss options if the pounds just refuse to come off and stay off.

    Bariatric surgery may be worth considering if diet and exercise havent worked for you. It is a big step, however, and you are certainly not alone if you are having trouble deciding whether it is right for you. The questions below are some that you might want to ask yourself before deciding on whether to have bariatric surgery.

    Who Gets Bariatric Surgery?

    Bariatric surgery is an increasingly popular choice. The American Society for Metabolic and Bariatric Surgery estimates that in the U.S., 158,000 patients received bariatric surgery in 2011, and 196,000 received it in the year 2015. That is an increase of 24 percent in just four years!

    Do I Qualify for Bariatric Surgery?

    The standard criteria for bariatric surgery includes the following:

    What Are the Risks and Benefits?

    What Will You Tell People?

    Types Of Weight Loss Surgery

    Should I have weight loss surgery?

    When you get weight loss surgery, your surgeon makes changes to your stomach or small intestine, or both. Here are the four methods surgeons typically use:

    Gastric Bypass: Your doctor may call this “Roux-en-Y” gastric bypass, or RYGB. The surgeon leaves only a very small part of the stomach . That pouch can’t hold a lot of food, so you eat less. The food you eat bypasses the rest of the stomach, going straight from the pouch to your small intestine. This surgery can often be done through several small incisions using a camera to see inside . Doctors can also perform a mini-gastric bypass, which is a similar procedure also done through a laparoscope.

    Adjustable Gastric Band: The surgeon puts a small band around the top of your stomach. The band has a small balloon inside it that controls how tight or loose the band is. The band limits how much food can go into your stomach. This surgery is done using a laparoscope. This procedure is rarely performed in the U.S.

    Gastric Sleeve: This surgery removes most of the stomach and leaves only a narrow section of the upper part of the stomach, called a gastric sleeve. The surgery may also curb the hunger hormone ghrelin, so you eat less.

    With any type of weight loss surgery, you still must focus on eating a healthy diet and becoming more active as part of your lifestyle.

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    Are You Tired Of Feeling Tired

    Energy sapped? If youre obese, thats no surprise. It takes a lot of energy to carry excess weight, and just walking to the end of the block can make you feel winded. Take the stairs? Forget about it. You may also struggle to get a good nights sleep. After patients lose the excess weight, though, many say theyve never felt better.

    Key Points To Remember

    • Being very overweight makes you more likely to have serious health problems, such as heart disease and type 2 diabetes.
    • Surgery may be an option if you haven’t been able to lose weight with diet and exercise and if:
    • You are an adult with a BMI of 40 or higher.
    • You are an adult with a BMI of 35 or higher and you also have another health problem related to your weight.
  • How much weight people lose after surgery varies. It depends on the type of surgery you have and how well you follow your plan for lifestyle changes and follow-up appointments. Some people lose almost all of their extra weight.
  • Weight-loss surgery is not cosmetic surgery. It will not remove fatty tissue. And after a lot of weight loss, you may have excess skin. Some people choose to have more surgery to remove skin from the belly, thighs, upper arms, or breasts.
  • After surgery, you will need to make big, lifelong changes in how you eatincluding smaller portions and different foods. Regular exercise is also important for losing weight and keeping it off. Some people gain weight again after a few years because they don’t make these permanent changes.
  • Weight-loss surgery has risks, including a risk of death. You need to compare the risks of being very overweight with the risks of surgery.
  • What is surgery for obesity?

    Surgeries for weight loss can be restrictive or a combination of restrictive and malabsorptive.

    Examples of restrictive surgeries include:

    Examples of restrictive and malabsorptive combined include:

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    On The Benefits Of Surgery

    Chloe Greenlee, a 22-year-old trivia and karaoke host in Columbus, OhioWeight presurgery in 2015: 322 pounds Weight today: 192 pounds

    I met a friend at Ohio University in my first semester there, and she had had the bariatric sleeve when she was in high school. It worked amazingly well for her. I had been trying to lose weight for about two years by that point, and got the surgery when I was 20.

    After the surgery, I went back to the restaurant where I was working and started working there again. It was so much easier to maneuver around. I didnt feel I was taking so much space. It felt easier to walk around and provide good service. I also went back to the day care where I had been working and noticed a big change in how I could play with the kids.

    In the past, I didnt really date at all. I think it had something to do with my weight. But I can tell you since I lost weight, its been a completely different story.

    I get asked out often, and Im not usually the one who instigates anything. Ive never had that kind of experience before, where Id be walking down the street and someone would be asking for my number. Its really weird. Nobody really prepares you for that kind of attention. And I got a lot of it especially now that Im getting closer to my goal weight.

    Kevin Brown

    Before surgery, I weighed over 350 pounds. I had Type 2 diabetes, and it was progressing to having to do insulin shots. I was on two kinds of diabetes medications and a blood pressure medicine.

    On Surprises Harms And Complications Of Surgery

    Tiana lost 90 pounds

    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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    Weight Loss Surgery Quiz

    1. Have you unsuccessfully tried to lose weight through conventional methods such as exercise, calorie-controlled diets, food journals and/or one-on-one counseling?

    Yes No

    Surgery is appropriate only for people who have failed to lose weight through nonsurgical methods. People who have not seriously tried to lose weight without surgery need to do so before considering the procedure. Surgery should be considered only when there is no other healthy way to lose weight.

    2. Are you prepared to make a lifelong commitment to following a special diet, exercising regularly and routinely seeing your doctor?

    Yes No

    3. Do you suffer from an obesity-related medical condition or an obesity-induced physical problem that interferes with your ability to walk, work or care for your family?

    Yes No

    4. Are you 100 or more pounds over your ideal weight, or do you have you a Body Mass Index of 40 or greater?

    Yes No

    Typically, only people who are 100 or more pounds overweight, or who have a BMI of 40 or greater, are considered candidates for weight loss surgery. Exceptions are sometimes made for people who do not meet these requirements if they have a life-threatening medical condition that is obesity-related.

    You may be a candidate for weight loss surgery.

    Benefits Of Weight Loss Surgery

    After weight loss surgery, most people lose weight for 18-24 months. At that point, many people start to regain some of their lost weight, but few regain it all.

    If you had any medical conditions related to obesity, those usually improve after weight loss surgery. Some conditions, such as diabetes, can improve quickly. Others, such as high blood pressure, may take a little longer.

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