Top 5 Questions to Ask Your Bariatric Surgeon about Weight Loss Surgery

July 30, 2009 · Filed Under Weight Loss Surgery · Comment 

Q1. What types of bariatric surgery do you perform? There are two primary types of bariatric surgery plus the newer gastric banding surgery. Bileopancreatic diversion bypass is the most extreme surgery and the least used. In this surgery, up to three-quarters of the stomach is removed, and a bypass is connected to the illium. This results in a large permanent scar and carries a high risk of nutritional deficiencies. This technique is used primarily in patients who are extremely heavy (BMI over 50.) Roux-en-Y-gastric bypass can be performed either through a large incision or laparoscopically. No parts of the stomach are removed. Again, a portion of the small intestine is rerouted to bypass the duodenum. This is a less invasive surgery than the bileopancreatic diversion bypass, and the laparoscopic version of the surgery has a shorter recovery time than the others. In both bariatric bypass surgeries, a small pouch is created by stapling a portion of the stomach. The small intestine is then attached to the stomach so that food bypasses the upper part of the small intestine (the duodenum). This results in significantly reduced food intake and the patient also feels full sooner. With both of these techniques, the patient loses most weight in the first year, and weight loss is usually complete by the end of the second year. Both procedures are permanent and cannot be reversed. Gastric banding involves placement of a silicone band around the upper stomach to restrict food intake. This slows the passage of food to the lower stomach, resulting in the patient feeling full sooner. This band can be inflated or deflated to reduce or increase the size of the passage between the two stomachs. This surgery is done laparoscopically and has the least recovery time. In some cases, this surgery can be done on an outpatient basis. While the two bypass surgeries may limit the foods the patient can tolerate, the banding procedure only limits quantity. Over time, patients who undergo gastric banding may be more likely to regain the weight lost. Read our Bariatric Surgery Glossary for additional information. Q2. If you prefer one bariatric procedure over the others, could you explain why? What are the factors you use in deciding which to perform? The Roux-en-Y procedure is the most commonly performed bariatric procedure and produces good weight loss, usually up to 50 to 60 percent of excess weight in the first two years. It is less invasive than the bileopancreatic diversion surgery, can be done laparoscopically in some cases, and recovery time is usually quicker. It has a lower risk of complications and nutritional deficiencies. In patients who have an extreme amount of weight to lose the bileopancreatic surgery has been shown to produce more weight loss. However, it has a higher risk of complications, including malnutrition, and may not be the right choice if you have heart failure, sleep apnea, or other serious health risks. It cannot be done laparoscopically and results in a large scar. The time for recovery is longer as well. Laparoscopic banding (also known as lap band) is the least invasive but requires a great deal of patient compliance to achieve maximum weight loss. Gastric banding also requires frequent doctor follow-up at to adjust the band. It is reversible when weight loss is complete. It is important to remember that you will need a local lap band post-operative care center for your adjustments. If you decide on medical travel (usually because of cost) instead of a local surgeon, be sure to discuss this post-operative care need with your doctor. Q3. Are there any things that might disqualify me for the surgery? Active substance abuse Active substance abuse is an immediate disqualifier. You must not be actively using any addictive substances, other than physician-prescribed medications, at the time of surgery. You must also be able to abstain from alcohol for a period of time before and after surgery. Untreated mental illnesses Personality disorders such as schizophrenia or depression, are also a cause for disqualification. You must be able to show that you understand the nature of the surgery and the lifestyle changes required, and that you are willing to comply. Life threatening disease If you have a life-threatening disease, such as cancer, that is not likely to improve with weight loss, you may not qualify for bariatric surgery. Non-compliance with other medical treatments A failure to address diabetes or other treatable conditions will also disqualify you. Q4. What types of ongoing support do you provide for your patients? Do you have support groups at your clinic or do you refer patients somewhere specific? As with other weight-loss programs, bariatric surgery requires significant lifestyle changes. A support group is important both before and after the surgery. There are support groups in the community, often offered by hospitals or clinics. Following surgery, the support group will provide you with tips as you learn new behaviors. It will also give you a place to find support for the physical and emotional changes you are going through from others who have also had the surgery. It is important to remember that you will need a local lap band post-operative care center for your adjustments. If you decide on medical travel instead of a local surgeon, be sure to discuss this post-operative care need with your doctor. Before surgery, you may have the opportunity to talk with patients who have undergone the surgery and hear honest accounts of their successes and challenges. This will help you decide if the surgery is right for you. Your doctor will have to have permission directly from those patients before releasing any information to new patients. Q5. How long have you been performing bariatric surgery and how many of that specific type of surgery that you are recommending has the doctor performed? Bariatric surgery is medical specialty that requires training and ongoing continuing education. Look for a doctor who has done many surgeries and don’t be afraid to ask his success rate, including his complication and mortality rates. Ask your doctor if he has done a residency or fellowship in weight-loss surgery.


For more information about Obesity” target=”_blank”>www.skinnywishes.com/experts/top-10-questions.php”>Obesity and Diabetes or to get in touch with a Bariatric” target=”_blank”>www.skinnywishes.com/entry/153/2195/article/?landingpage=wls-article”>Bariatric Surgeon Obesity and overweight issues affect over 100 million Americans.

Lap Band Surgery in Montana: No Weight Loss Surgery Matches Lap Band Surgery in Montana

July 28, 2009 · Filed Under Weight Loss Surgery · Comment 

Gone are the days when good looking personality used to be god gift only. People used to console their heart with the thought that it is god gift. But now the era has changed; only sky is the limit for medical sciences. Morbid obesity which occurs due to over eating can be cured without having a comma or full stop n your eating with the help of miracle of medical sciences called “Lap Band Surgery”. Lap Band Surgery in Montana is one of the weight loss surgeries which are easy and safe to use. Lap Band Surgery is easy to use because neither you need to work out nor you have to go on dieting which is a hassle for you. Lap Band Surgery is safe to use because all the post-operative complications like nausea, vomiting, gastro esophageal reflux, stoma obstruction, constipation, dysphagia, diarrhea, and abnormal stools etc. but they all can be cured.

 

Lap Band Surgery does not include cutting and stapling of the stomach and that’s why there is no loss of blood as well as it does not take you long to get discharged from hospital. A Liquid diet is prescribed after the Lap Band Surgery by the doctors so, that your body does not find it difficult to go with Lap Band. Some things which you like to eat very much are forbidden to you after the Lap Band Surgery like pretzels, chips, sweets, pastas and baked goods as well as alcoholic beverages, tea, coffee, etc. for some days only. You can enjoy a sound health and a slim body with Lap Band Surgery.       


 

After Lap Band Surgery you have to be in the touch of your doctor because Lap Band Surgery needs timely fills. “Fills” is the adjustments made by the doctor after Lap Band Surgery. Lap Band is a round, prosthetic device made up of silicon having an access port attached with it. Access port helps to adjust the Lap Band according to the patient’s requirements. Lap Band is designed in the shape of a belt which is placed around the stomach to divide it into two parts. Upper part of the stomach receives the food and then it is sent into the lower part through a pore. Stomach is divided with the help of Lap Band to reduce the holding capacity of the stomach. After Lap Band Surgery in Montana you feel full with the less amount of food because as soon as the upper part of the stomach is full, a message is sent to the brain that now it’s full and person stops having. This is a kind of dieting with full satisfaction without feeling hungry.

Alan-James is the researcher and writes articles for lap band surgery z com. He is writing about lap band surgery. He has been working about this topic for three years. He has completed his post graduation from Boston University. For more information about lap band surgery and any kind of lap band topic visit at http://www.lapbandsurgeryz.com

Weight Loss Weight Loss Surgery, Is It Worth the Money?

July 27, 2009 · Filed Under Weight Loss Surgery · Comment 

Are you interested in losing weight? If you are, how much weight do you like to lose? If you’re looking to lose eighty pounds or more in weight, do you aware that you could be an applicant for weight loss surgery?

Although it is good to hear that you could be an applicant for weight loss surgery, you could be wondering if weight loss surgery is right for you. Just as you importantly, you could be wondering if weight loss surgery is worth the cash. If that is a query that you want answered, you may wish to continue reading on.

In short, the question as to if or not weight loss surgery is worth the cash has a simple answer ; it all depends. While that won’t have always been the answer that you were looking for, it’s the truth. For many people, weight loss surgery is definitely worth it; however, there are others who don’t finish up benefiting from weight loss surgery. To establish if weight loss surgery is worth the price to you, personally, you will want to take a number of factors into consideration.

One of many factors that you are going to take under consideration, when determining if weight loss surgery is worth the cost for you, is your weight. You may find that many weight loss surgeons require that you are at least eighty pounds fat to go through weight loss surgery. With that in mind, you may be able you could be able to find a surgeon who will make an exception, but that doesn’t necessarily mean that you need to go for surgery. If you’re able to try and the weight on your own, thru the use of exercise, eating healthy, or diet pills, you can find it less expensive to do so.

Your health is another factor that you must take under consideration, when making an attempt to determine if weight loss surgery is suitable for you. Weight loss surgery is sometimes known as a lifesaving medical process. People that are severely overweight put their health at risk and may experience an early death. If you are severely obese, your doctor may recommend weight loss surgery. If that is the case, weight loss surgery is more than worth the costs, as you cannot put a price tag on your fitness and wellbeing.

Your capability to set targets and stay with them is another factor to consider, when determining if weight loss surgery is worth the pricetag to you. Weight loss surgery may assist you lose weight right away, but the surgery alone will not assist you lose weight. With a reduced stomach pouch, which is how most weight loss surgeries work, you should limit the amount of food that you eat. If you do so, you can gain your weight back and probably endanger your well-being. If you do not think that you can follow all of the instructions given to you, following a weight loss surgery, surgery won’t be the best option for you.

The above discussed factors are only a few of many that can help you decide if weight loss surgery is best for you or if it is worth the price. As a reminder, it is important that you take the time to first talk to your physician. Not all individuals are applicants for weight loss surgery.

For more information, go to Weight Mastery Guide for more weight loss tips.

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