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Introduction to Bariatric Weight Loss Surgery

Bariatric surgery, gastric bypass, gastric lap band surgery is a term derived from the Greek words: ''weight'' and ''treatment.'' Bariatric gastric bypass, gastric banding surgical procedures are major gastrointestinal operations that (a) seal off most of the stomach to reduce the amount of food one can eat, and (b) rearrange the small intestine to reduce the calories the bodies can absorb. There are several different types of bariatric weight loss surgical procedures like gastric bypass and gastric banding, but they are known collectively as 'bariatric surgery'.

Bariatric Surgery is Not a Magic Solution for Weight Loss

Bariatric gastric bypass, gastric lap band surgery is not an easy option for obesity sufferers. It is a drastic step, and carries the usual pain and risks of any major gastrointestinal surgical operation.

Bariatric Surgery Involves New Eating Habits

Bariatric gastric bypass, gastric lap band surgery compels patients to change their eating habits radically, and makes them very ill if they overeat. And after bariatric gastric bypass, gastric lap band surgery is performed, patients remain at a lifelong risk of nutritional deficiencies.

Bariatric Surgery Typically Leads to Major Weight Loss

Some patients who undergo bariatric gastric bypass, gastric lap band gastrointestinal surgery lose more than 100 pounds in weight - some lose as much as 200 pounds weight. Some reach a normal weight, while others remain overweight, although less overweight than before.

Candidates for Bariatric Weight Loss Surgery

Some bariatric surgeons accept patients in their 60's, and some even operate on teenagers. But because bariatric gastric lap band, gastric bypass surgery is a last-gasp solution to weight loss, to be used when other more conventional weight loss programs have been tried and failed, candidates must generally have severe obesity-related health problems.

Must be Morbidly Obese for Bariatric Surgery

In general, in order to qualify for bariatric gastric bypass, gastric lap band surgery you must be 'morbidly obese', which usually means being overweight by 100 pounds (man) or 80 pounds (woman) with a Body Mass Index (BMI) of 40+. Alternatively, bariatric gastric bypass, gastric lap band surgery may be appropriate if you are 80 pounds overweight and have a serious obesity-related condition like type 2 diabetes or life-threatening cardio-pulmonary problems such as severe sleep apnea or obesity-related heart disease.

Hospitalization Before Undergoing Bariatric Surgery

Some people who are suffering from extremely severe obesity (End Stage obesity syndrome) may have to be hospitalized before undergoing bariatric gastric bypass, gastric lap band surgery in order to lower the risks of surgery.

Bariatric Surgery and Patient Attitude

The higher the motivation of patients to lose weight, and manage the post-operative requirements of dietary modification and behavioral therapy, the more successful Bariatric surgery is likely to be, in solving their obesity and weight problems. This may influence the selection of candidates for bariatric surgery.

Cost of Bariatric Weight Loss Surgery

In the U.S. and Europe, bariatric gastrointestinal surgical operations cost about $25,000 USD or more, although insurers are slowly beginning to accept that this kind of weight loss surgery can deliver powerful medical benefits that will save them money in the long run, especially where convention weight loss remedies have consistently failed to reduce obesity.  In countries outside the U.S. and Europe bariatric bypass and lap band surgeries is as low as $5,300 total price. 

Inform Yourself About Bariatric Surgery

Do not believe everything you read about bariatric surgery. Talk with patients who have undergone this form of weight loss surgery. Find out about bariatric surgery yourself. Find out about the risks and what's involved

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What You Need to Know
about Weight Loss Surgery

Weight loss surgery is a serious surgical procedure that modifies the size of the stomach, reduces food intake, and can significantly reduce weight. It is a permanent procedure that requires a lifetime commitment to maintaining a healthy lifestyle. Weight loss surgery not only helps you to lose weight, but can help improve your overall health, wellbeing, and self-esteem.

Types of Weight Loss Surgery

Gastric bypass surgery and Lap-Band surgery are the two most widely used types of weight loss surgery. During gastric bypass surgery, the weight loss surgeon staples the smaller, upper part of the stomach, separating it from the rest of the stomach and reducing the amount of food you can eat. The small intestines are re-routed and connected to the smaller stomach pouch. Lap Band surgery uses a silicone gastric band placed around the top of the stomach which creates a very small stomach pouch. When you eat, you feel full very quickly. Food slowly empties from the smaller pouch into the lower part of the stomach and into the rest of the digestive tract.

Weight Loss Surgery Consultation

It is best to consult a surgeon who specializes in bariatric surgery to determine your options for treatment. If you are significantly overweight, have been unsuccessful or unable to achieve or maintain a healthy weight with diet and exercise, or if your weight is causing medical problems, you may be a candidate for weight loss surgery.

A doctor will also evaluate existing medical conditions that may complicate surgery, what medical conditions will be improved after surgery, and if you are ready to adopt a dietary lifestyle change.

A bariatric surgery consultation also provides an opportunity for you to learn more about the procedure and what you can expect to feel, physically and emotionally, after the surgery. Prior to the consultation, you may want to make a list of questions to ask your doctor, such as:

  • What type of bariatric surgery is best for me (gastric bypass or lap-band)?
  • What is the recovery time for weight loss surgery?
  • What are my dietary guidelines after surgery?
  • How will my health improve after surgery?
  • How much weight can I expect to lose after surgery?

Asking questions like these can help you feel more comfortable with the procedure and help you prepare to make long-term lifestyle changes to ensure your long-term outcome is successful.

How is Weight Loss Surgery Performed?

Weight loss surgery is performed under general anesthesia and can take one to four hours for gastric bypass surgery and thirty minutes to one hour for Lap Band Surgery. A hospital stay may be required.

After Weight Loss Surgery

After weight loss surgery, resuming your normal life can be a challenge. The most significant change is the amount of food you will be able to eat. Most bariatric weight loss surgeries reduce stomach capacity to once ounce or a few ounces of food or liquid. At first, you may have less energy for daily activities. Recovery time varies, but many people are able to return to normal activities within six weeks of the surgery.

Both gastric bypass and Lap-Band surgeries limit the amount of food you can eat, which can help you lose a significant amount of weight. Many people who lose a lot of weight are left with loose or excess skin. To remove the excess skin and improve body contour, some people undergo cosmetic body procedures such as body lift, abdominoplaty, or panniculectomy. A body lift removes excess skin and fat from the abdomen, hips, thighs, and buttocks. Abdominoplasty is a procedure that tightens muscle and removes excess abdominal skin. Panniculectomy removes excess fat and skin from the abdomen, but does not tighten muscles like abdominoplasty.

Cheap Gastric Bypass Surgery

The latest statistics covering weight loss surgery between 1998 and 2004 have just been published and the figures for the growth in the number of surgeries performed each year are truly staggering. Perhaps most surprising however is what happened to the cost of gastric bypass surgery over this period. It is common knowledge that obesity surgery is on the rise but the latest statistics make chilling reading. Perhaps most surprising though is the fact that the same report, issued by the United States Department of Health and Human Services, shows that the cost of gastric bypass surgery is actually falling.

In 1998 there were a total of 13,386 bariatric surgeries performed and this figure rose to a staggering 121,055 procedures by 2004 – the most recent year for which figures are available. By contrast however the average cost of surgery fell from $10,970 to $10,395 in the same period. These figures are quoted at 2004 levels adjusted for inflation and represent the cost of inpatient care but do not include physician fees.

The vast majority of surgeries were seen between the ages of 55 and 64 (which accounted for about 85% of all surgeries) and was far more common amongst women than men, with women accounting for some 82% of surgeries.

The report also reveals that during this period gastric bypass surgery (in which the stomach is reduced in size and a section of the intestine is bypassed to reduce food absorption) remained the most popular form of surgery and accounted for some 94% of all procedures.

The report covers all forms of bariatric surgery including gastric bypass operations, vertical banded gastroplasty and gastric banding banding or 'lap band' surgery and also takes into account many newly introduced techniques such as laparoscopic adjustable gastric banding and robotic surgery. As however some of the latest weight loss surgical techniques have only recently gained approval from the FDA it is likely that the next set of statistics to be released will show a drop in gastric bypass surgery in favor of such procedures as lap banding.

In 1998 the overall hospital costs for bariatric surgery amounted to $147 million and, by 2004, this figure had risen to $1.3 billion. In 2004 approximately 78% of surgeries were paid for by private insurance, 7% were funded by Medicare and 5% were funded Medicaid. Most surprisingly only 5% of surgeries were uninsured which would seem to finally lay the myth to rest that it is virtually impossible to get your insurance company to meet the cost of gastric bypass surgery. As obesity continues to grow at an alarming rate and overall costs soar it will be interesting to see just how the cost of gastric bypass surgery will met over the next few years. GastricBypassFacts.info is a substantial resource center providing information on all aspects of surgery .


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