Bariatric Surgery (Weight Loss Surgery) Before, During, and After‌
Our Informational Materials ď ˝ This
article is not intended to guide you to have surgery and it should NOT be considered while taking medical advice ď ˝ Only you, your family, your medical doctor, and your surgeon knows if opting for bariatric surgery is appropriate for you or not ď ˝ Further information regarding the appropriate surgery should be discussed in person with the surgeon during your first visit
Choosing a Surgeon You
may choose a specific surgeon from our pool of experienced bariatric surgeons to see. The surgeon that you select may require additional personal or medical information in order to schedule an appointment. Once you have established a relationship with our surgeon, you should then follow only their advice and educational materials
Different Perceptions of Society
In the Past: Obesity was prior seen as a weakness or failure of an individual Diet and exercise were known to be prescribed treatments Weight loss surgery was viewed as dangerous and extreme Now in the Present: Obesity is considered as a disease and found to be the cause of many serious health conditions Surgery has gained acceptance as the only proven method to treat this disease
What are the impacts of Obesity?? Social Implications Unfortunately,
still an acceptable form of social
discrimination Economic Implications Personal cost = $15,568 per year (diets, food, prescriptions) National cost = $200 billion $93 billion in medical bills $33 billion on weight-loss products/services
Continue Medical and Health Implications With BMI > 30 70% increase in coronary artery disease 75% increase in stroke 400% increase in diabetes 55% increase in mortality
Co-Occurring Diseases with Obesity High Blood Pressure
Heart Disease Congestive Heart Failure Swelling (legs, feet) Diabetes Sleep Apnea Degenerative Joint Disease DVT (Blood Clots) Shortness of Breath Acid Reflux Stress Incontinence Depression Irregular Menstrual Cycles Gallbladder Disease
What are your options??
1. Diet, Exercise and Behavioral Changes -up to 10% loss of excess body weight -ineffective long-term, less than 5% sustain significant weight loss 2. Weight Loss Drugs -minimal sustained weight loss -side effects prevent long-term use 3. Weight-Loss Surgery -55 to 75% loss of excess body weight
Characteristics of Potential Candidates
100 pounds above your Ideal Body Weight Body Mass Index: -40 or greater with no co-occurring diseases -35 or greater with co- occurring diseases Age of 18 to 65+ (assessed on individual basis) Failed attempts at weight loss Health complications related to obesity No psychological contraindications Understanding of the surgery/risks Compliance with diet/exercise requirements
Most Common Surgical Options
Restrictive and mal-absorptive
Restrictive
Roux-en-Y Gastric Bypass
Advantages Rapid initial weight loss Laparoscopic approach is accessible Longer experience Takes around 1-2 hours Disadvantages Stomach cutting, stapling and intestinal re-routing required Portion of digestive tract is bypassed, resulting in nutritional deficiencies “Dumping syndrome” can occur Non-adjustable Extremely difficult to reverse the procedure
The LAP-BAND System
Advantages Lowest mortality and complication rate Least invasive surgical approach No stapling, cutting, or intestinal re-routing Adjustable Reversible Low malnutrition risk Takes around 1 hour/ outpatient surgery Disadvantages Slower initial weight loss as compared to Gastric Bypass procedure Regular follow-up critical for optimal results: Need adjustments Requires implanted medical device
What Surgery is Right for Me?
REMEMBER….. All surgeries have their own sorts of risks Not all patients are appropriate candidates for surgery You can discuss your options with your surgeon
Possible Risks and Complications Remember: There are risks associated with any surgery Your surgeon will discuss specific details regarding each surgical option at your first appointment.
Your Appointments With the Surgeon and the Surgery Practice
You will have three visits with your surgeon before your surgery. Your first visit is called your “New Patient Visit”. At this visit, you will do the following: - Talk with the surgeon about the procedure - Explore financial and insurance requirements - Have brief information regarding physical exam - Determine preoperative evaluations you may need - We will remind you to STOP NICOTINE PRODUCTS!!! You must be nicotine- free 3 months prior to surgery, as well as after surgery!!!! - Have an opportunity to complete a few tests before going home.
How Much Weight Can a Patient Expect to Lose after the Surgery? Depends on the surgery and the follow-up 75%
of excess weight -with Gastric bypass at the end of one year 45% of excess weight with Band but increases to 65% at 2-3 year follow up with adjustments Amount of weight loss varies from person to person Must be compliant with follow-up!!!!!
Follow-Up after Surgery
Gastric Bypass Lifelong commitment Every 2 weeks for first month after surgery Every 3 months for the first year after surgery Yearly for a lifetime Lab work is checked at every visit Lap Band Lifelong commitment 2 weeks and 6 weeks after surgery At 6 weeks, you may have your first adjustment Monthly for first year After first year, surgeon will decide how often to see you Lab work checked every 3 months
Cost of bariatric surgery Cost of bariatric (Weight loss) Surgery in India
Surgery
USA
Laparoscopic Gastric Banding $18,500 Surgery
Singapore
UK
India
$10,000
$15,000
$5490
Roux-en-Y Surgery
$28,000
$15,000
$24,000
$7970
Sleeve Gastrectomy
$20,000
$13,000
$21,000
$7180
Conclusion
Thank you for reviewing our informational material. We look forward to working with you in the future, and we are available to answer any questions you may have. We look forward to seeing you soon! Thank You!!
Contact Us For more details logon to https://www.lazoi.com/Member/ViewArticle? A_ID=1245 Like us on Facebook https://www.facebook.com/LazoiTheLife/ Follow us on Twitter https://twitter.com/lazoithelife For Health Related Videos https://www.youtube.com/c/LazoiTheLife Call us at +91 8010335566, +91 9711034003