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Bariatrics: Surgical Weight Loss Options
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Surgical Weight Loss Options

Surgical Weight Loss Options

Cadence Health Weight Management Services offers a wide variety of surgical procedures to help you lose weight. If obesity is putting your health at risk with complications such as diabetes, hypertension or sleep apnea, and lifestyle changes have been ineffective, surgery may be an option for you. While it is a very effective weight loss tool, surgery alone does not guarantee success. You also must be willing to commit to a lifetime of behavior and dietary modifications. To help you make these changes, Cadence Health offers an after-care program that provides the guidance and support you need to live healthier and make your weight loss permanent.

IS SURGERY RIGHT FOR YOU? Should you decide to consider surgery, you will receive a thorough medical, psychological, behavioral and dietary evaluation. Here are some of the factors that may be considered to determine if a surgical option is right for you:

  • Age between 18 and 65
  • Body Mass Index (BMI) of at least 40 kg/m2 (about 80 pounds overweight for women and 100 pounds overweight for men)
  • Patients with a BMI of 35 who have additional significant medical problems related to being overweight
  • A history of failed weight loss attempts, which may include diet, exercise and drug treatments

Roux-en-Y Gastric Bypass Surgery

The most common gastric bypass surgery, Roux-en-Y, helps patients lose weight by restricting the amount of food eaten and reducing the number of calories the body absorbs. The procedure, which often can be performed through tiny incisions (laparoscopically), involves making the stomach smaller by creating a small pouch at the top of it using surgical staples. The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine.

In the first 12 to 18 months after surgery, patients typically lose 50 to 80 percent of their excess body weight.

Laparoscopic Adjustable Gastric Banding (LAP-BAND®) Surgery

Using a silicone band placed around the top portion of the stomach, LAP-BAND® surgery works by restrict¬ing the amount of food entering the stomach. One of the advantages of this method is its ability to be customized to each patient. The diameter of the band can be adjusted post-surgically so the rate of weight loss suits your needs. Unlike bypass surgery and other bariatric procedures, LAP-BAND® is also reversible. LAP-BAND® surgery is performed using the minimally invasive laparoscopic method, which requires less recovery time and creates minimal scarring.

Patients can expect to lose 45 to 55 percent of excess body weight in the first two years after surgery.

Sleeve Gastrectomy

Sleeve gastrectomy helps you lose weight by reducing the amount of food you can eat. The procedure, which makes your stomach smaller, has helped many patients lose weight and improve their health.

On average, patients lose 50 to 65 percent of their excess weight. During the procedure, the stomach is reduced to a thin vertical sleeve that holds between 50 and 150 ml (about the size of a banana). A portion of the stomach is removed and the remaining sleeve is stapled together. The proce¬dure is permanent once the stomach has been reduced.

Sleeve gastrectomy does not affect digestion or how much nutrition you receive from the food you eat. Food passes through the digestive tract just as it did before, allowing it to be fully absorbed by the body. While there are no postoperative adjustments with sleeve gastrectomy, like all bariatric procedures, lifelong follow up with your healthcare professional is required.