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Surgery » Bariatric Surgery
 

Bariatric Surgery

Bariatric Surgery: Introduction

Bariatric surgery is a type of procedure that can be used to achieve significant weight loss in individuals who are very obese (morbidly obese). A thumb-sized stomach pouch is created (using a stapling or banding technique) then the outlet of the pouch is connected directly to the intestine, essentially bypassing the lower stomach. After the surgery, the amount of calories your body can intake is reduced which leads to weight loss....more »

Medical Costs Report

Surgery Costs Report for Bariatric Surgery

Bariatric Surgery: Related Terms

Other medical terms related to medical conditions and procedures for Bariatric Surgery include:

Bariatric Surgery: Overview

Bariatric surgery, also called gastric bypass surgery, is one type of procedure that can be used to cause significant weight loss if you are very obese. Gastric bypass surgery reduces the amount of food that enters and passes through the digestive tract and promotes weight loss by restricting the amount of food the stomach can hold.

There are a number of risks associated with gastric bypass surgery including infection, bleeding, stomach leaks, and respiratory complications....more »

Profile: Patient Candidates for Bariatric Surgery

Who are candidates for Bariatric Surgery? Gastric bypass surgery may be recommended if you are morbidly obese. Morbid obesity is defined as being more than 100 pounds overweight or having a body mass index (BMI) of greater than 40. Bariatric surgery is an option only after other treatments such as diet and exercise have been unsuccessful or in the case where you are suffering from complications of obesity. You should discuss your particular risks with your doctor.

Because you must commit to major behavioral lifestyle changes after the surgery, you will be screened for depression, alcoholism, and other mental or behavioral disorders prior to the surgery that could interfere with the post-operative outcomes....more »

Bariatric Surgery: Treatment Options

What are alternatives to Bariatric Surgery? Alternative treatments to bariatric surgery include strict weight loss and exercise programs that are monitored by your doctor and other health professionals....more »

Bariatric Surgery: Preparing for Surgery

How do you prepare for Bariatric Surgery? Prior to any surgery, your doctor will give you a complete medical examination and evaluate your overall health and your health history. You may be required to get additional tests such as X-rays and lab tests. Your doctor will also review with you the potential risks and benefits of the operation and will ask you to sign a consent form. It is important that you ask questions and be sure you understand the reason for the surgery as well as the risks.

It is important that you inform your doctor if you have allergies to any medications, what medications you are taking, and if you have bleeding problems. It is also important to inform your doctor if you are pregnant.

Your doctor will also give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly.

Depending on the circumstances of your surgery, you may be instructed to do the following:

  • Completely empty your colon and cleanse your intestines prior to surgery. You may be requested to drink clear liquids only for one or several days prior to surgery.
  • Stop eating or drinking after midnight the night before the operation except medications that your doctor has told you are permissible to take with a sip of water the morning of surgery.
  • Plan for your care and recovery after the operation. Find someone to drive you home after the surgery. Allow for time to rest and try to find people to help you with your day-to-day duties.
  • Stop smoking at least six to eight weeks prior to surgery as smoking delays wound healing. Smokers are also more likely to have breathing problems during surgery.

Prior to any weight loss operation, a psychological evaluation will be given to you. This will determine whether you are ready to adhere to a healthier lifestyle. You will also receive extensive nutritional counseling before (and after) your surgery....more »

Bariatric Surgery: Recovery After Surgery

What is the Bariatric Surgery recovery process? Most people typically stay in the hospital for a few days or less after gastric bypass surgery. Some may need to stay four to five days. Your doctor will approve your discharge home once the following is true for you:

  • You can move without too much discomfort.
  • You can eat liquid and/or pureed food without vomiting.
  • You no longer require pain medication given by injection.

You will remain on liquid or pureed food for several weeks after the surgery. Even after that time, you will feel full very quickly, sometimes only being able to take a few bites of solid food. This is because the new stomach pouch initially only holds a tablespoonful of food. The pouch eventually expands. However, it will hold no more than about one cup of thoroughly chewed food (a normal stomach can hold up to one quart).

Upon follow up, your doctor will determine if you need replacement of iron, calcium, vitamin B12, or other nutrients. Supplements, such as a multivitamin with minerals, will be prescribed to provide any nutrients that you may not be getting from your diet. A lack of nutrients can occur because you are eating less and because the food moves through your digestive system more quickly.

Other recommendations you should follow:

  • Once you are eating solid food, remember to chew each bite very slowly and thoroughly.
  • Eat small meals frequently throughout the day, rather than large meals that your stomach cannot accommodate. Your new stomach probably won't be able to handle both solid food and fluids at the same time. So, you should separate fluid and food intake by at least 30 minutes and only sip what you are drinking.
  • Avoid high fat, high sugar foods and alcohol.
  • Resume physical activity six weeks after the operation. Once you are fully recovered, you should strive for daily physical activity in order to maintain weight loss after the surgery.
  • Seek social support from others who have undergone weight loss surgery.

The weight loss results of gastric bypass surgery are generally good. Most patients lose an average of 10 pounds per month and reach a stable weight between 18 and 24 months after surgery. Often, the greatest rate of weight loss occurs in the very beginning (that is, just following the surgery when you are still on a liquid diet)....more »

Bariatric Surgery: Costs of Surgery

What is the cost of Bariatric Surgery? A variety of factors may influence the cost of the surgery. They include:

  • Insurance coverage
  • Pre-existing health
  • Insurance co-pay
  • Location of the facility

These factors vary depending on you and your situation.

Patients should be aware that there are out-of-pocket expenses, and insurance policies may cover one type of weight loss surgery and not another type of surgery. The patient expenses can vary. Patients should contact their insurance company to confirm their policy benefits for weight loss surgery. Most insurance plans cover surgery, especially the hospitalization portion but may not cover any or all the surgeon's fees.

The cost of each procedure can vary dramatically based upon age, location, gender, and insurance coverage. HealthGrades provides detailed cost estimates which include the costs of the procedure, drugs, hospital stay, and more. Each cost estimate is easy to understand and provides medical terms you need to know.

The detailed cost estimate for Bariatric Surgery, includes costs for:

  • Gastric restriction without gastric bypass (only the stomach size is reduced)
  • Gastric Bypass with Short Limb (only the lower stomach and a small part of the intestine is bypassed)
  • and Gastric Bypass with Small Intestine (more of the small intestine is bypassed).

Surgery Cost Report for Bariatric Surgery

Bariatric Surgery: Find a Surgeon or Specialist

Where can I find a Bariatric Surgery doctor or surgeon? Bariatric Surgery is typically performed by doctors specializing in Bariatric Surgery, General Surgery, and Surgery - Other. Nationally, there are 54183 practicing Bariatric / Gastric Bypass Surgeons, General Surgeons, and Surgeons. HealthGrades offers detailed physician reports to help you find a qualified Bariatric Surgery doctor or surgeon in your area, which includes disciplinary actions, patient feedback, background information, and more. Start your search now!

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