BMI Surgical Institute
Bariatric surgery is a surgical procedure that helps individuals with severe obesity achieve significant and sustainable weight loss. It involves making changes to the stomach or digestive system to restrict food intake or limit the absorption of nutrients.
Candidates for bariatric surgery typically have a body mass index (BMI) of 30 or higher (or a BMI of 30-39.9 with obesity-related health conditions) or BMI of 40 by itself. However, eligibility criteria may vary based on individual circumstances. Consulting with our bariatric surgeon can help determine if you meet the criteria and if bariatric surgery is the right option for you.
Common types of bariatric surgery procedures include gastric bypass, gastric sleeve (sleeve gastrectomy), Duodenal switch, adjustable gastric banding (lap band), Endoscopic sleeve Gastroplasty (ESG), and Gastric balloon.
Each procedure has its own advantages, mechanisms of action, and considerations. The choice of procedure depends on factors such as medical history, individual goals, and surgeon’s recommendation.
Bariatric surgery promotes weight loss through various mechanisms. These include reducing the stomach’s capacity to hold food, altering the digestion process, and influencing hormonal changes that affect appetite and metabolism. By limiting food intake and promoting feelings of fullness, bariatric surgery helps individuals consume fewer calories and achieve weight loss.
While bariatric surgery is generally safe, like any surgical procedure, it carries some risks. Potential risks and complications can include infection, bleeding, blood clots, leaks at the surgical site, gastrointestinal issues, nutritional deficiencies, gallstones, and changes in bowel habits. However, the risk of complications can be minimized through careful patient selection, thorough pre-operative evaluations, and post-operative follow-up care.
The recovery process after bariatric surgery varies based on the procedure performed and individual factors. Generally, patients can expect to be discharged the same day of surgery or spend 1 to 2 days in the hospital after surgery. They will gradually progress from a liquid to a soft and then a solid food diet over several weeks. Regular follow-up visits with the healthcare team will be scheduled to monitor progress and provide guidance.
Yes, lifestyle changes are an essential part of achieving long-term success after bariatric surgery. This typically includes adopting a healthy and balanced diet, portion control, regular exercise, and addressing any underlying psychological or emotional factors related to eating habits. Compliance with recommended dietary guidelines and ongoing support from healthcare professionals are crucial for maintaining weight loss and overall well-being.
Weight loss patterns vary among individuals, but most patients experience significant weight loss in the first six to 12 months following bariatric surgery. The rate of weight loss may gradually slow down after that initial period, and reaching your weight loss goal may take 18 to 24 months or longer.
Yes, bariatric surgery has been shown to improve or resolve many obesity-related health conditions, including type 2 diabetes, high blood pressure, sleep apnea, and joint pain. However, individual results may vary, and the extent of improvement depends on factors such as the specific health condition and the individual’s overall health.
? Although some patients maybe discharge the day of the procedure some patients may need hospital stays after bariatric surgery typically range from one to three days, depending on the procedure performed and individual factors. The healthcare team will monitor your recovery and ensure that you are ready to transition to the next phase of post-operative care before discharge.
Yes, following a special diet is an integral part of the post-bariatric surgery lifestyle. In the initial stages, you will start with a liquid or pureed diet, gradually progressing to soft foods, and eventually reintroducing solid foods.
Your healthcare team will provide specific dietary guidelines and may recommend working with a dietitian to ensure proper nutrition and help you adapt to a new way of eating.
Comprehensive support and follow-up care are crucial after bariatric surgery. This often includes regular check-ups with your surgeon and a multidisciplinary team, such as nutritionists, psychologists, and support groups. These follow-up appointments help monitor progress, address any concerns or challenges, provide guidance on dietary and lifestyle changes, and ensure long-term success and well-being.
Yes, bariatric surgery can impact the body’s ability to absorb certain nutrients adequately. As a result, lifelong vitamin and mineral supplementation are usually recommended. Common supplements may include multivitamins, vitamin B12, iron, calcium, and vitamin D. The specific supplementation regimen will be tailored to your needs and regularly monitored by your healthcare team.
Initially, there may be some restrictions on physical activities immediately following surgery. However, as you recover and progress, regular physical activity is encouraged and plays a vital role in weight management, overall health, and well-being. Your healthcare team will provide guidance on gradually increasing your activity level and incorporating exercise into your routine.
Bariatric surgery has shown long-term success in achieving significant and sustained weight loss in many patients. However, individual outcomes can vary, and success depends on several factors, including adherence to lifestyle changes, dietary habits, physical activity, and overall health. Regular follow-up appointments and ongoing support from healthcare professionals are key to maximizing long-term success.
Weight loss outcomes vary among individuals and depend on factors such as the type of surgery performed, pre-surgery weight, adherence to dietary and lifestyle changes, and individual metabolism. On average, patients can expect to lose a significant portion of their excess weight within the first 1-2 years after surgery, with some studies suggesting an average weight loss of 60-80% of excess weight.
]Significant weight loss, especially over a relatively short period, can result in loose or excess skin. The amount of loose skin varies among individuals based on factors such as age, genetics, pre-surgery weight, and overall skin elasticity. Depending on the extent of loose skin and individual preferences, additional procedures such as body contouring or plastic surgery may be considered.
Most bariatric surgery procedures are intended to be permanent. While some procedures can be revised or converted to a different type if necessary, the decision to reverse or revise a bariatric surgery procedure is typically evaluated on a case-by-case basis, considering the individual’s specific circumstances and consultation with a bariatric surgeon.
Psychological evaluations are commonly included as part of the pre-operative assessment for bariatric surgery. This helps assess the individual’s mental and emotional readiness for the procedure, identify any underlying psychological factors related to eating behaviors, and determine the necessary support and resources needed to ensure a successful outcome. Counseling or support groups may also be recommended before and after surgery.
Insurance coverage for bariatric surgery varies depending on the insurance provider and policy. Some insurance plans provide coverage for bariatric surgery, particularly if it is deemed medically necessary for the treatment of obesity-related health conditions. However, specific criteria, documentation, and pre-authorization may be required. It is important to consult with your insurance provider to understand your coverage and any requirements for approval.
Preoperative work-up requirements before bariatric surgery may vary depending on the specific surgical center, surgeon, and individual patient factors. However, here are some common preoperative assessments and tests that are typically included: Medical History and Physical Examination, Psychological Evaluation, Nutritional Assessment, Blood Tests,
upper gastrointestinal endoscopy, Cardiac and Pulmonary Evaluation, It’s important to note that these requirements may vary, and your surgeon will provide you with specific instructions and guidelines for your preoperative work-up. It’s crucial to communicate openly with your healthcare team, disclose your complete medical history, and follow all preoperative instructions to ensure a safe and successful surgery.