Weight Loss Surgery

After Weight Loss Surgery

2010-07-29T20:06:00.000-07:00

With obesity affecting more than sixty million American, weight loss surgery is becoming more common place. Although weight loss surgeries are certainly no fix-all or cure-all for obesity, but it can literally be a lifesaving procedure for those who are morbidly obese and who cannot lose weight by any other means. In order to be triumphant in weight loss goals following surgery, however, appropriate after care and lifestyle chances are required, and a lifelong commitment to modifications in behavior and eating is needed. Let’s look at what to expect following surgery.

Recovery

Gastric bypass weight loss surgery is done with a laparoscope, which allows for tiny incisions to be used. This reduces the amount of time that is needed for recovery. Most people who have laparoscopic weight loss surgery remain hospitalized for around three days or so and they are able to resume their traditional daily activities in as little as three weeks, on average. Weight loss surgery that is performed in a traditional manner (without the use of a laparoscope) will necessitate a longer healing and recuperative time frame.

Results

The results achieved with weight loss surgery are nothing short of fantastic. Most people will lose (with gastric bypass) around 60% of their added weight. Gastric banding surgeries have a slightly lower result with around 50% of surplus weight being lost. Most obesity-induced medical conditions are drastically improved following weight loss surgery, including diabetes, sleep apnea, high blood pressure, degenerative joint problems, gastric reflux disease, and more.

Problems Following Weight Loss Surgery

As with any type of surgery, weight loss surgery has its fair share of risks and possible complications, too. Although the majority of weight loss surgery patients experience no serious problems, around one in ten do undergo minor complications, and around one in twenty experience potentially life-threatening serious complications.

Wound infections
Constipation
Bleeding in the stool
Blood clots or pulmonary embolism
Leakage
Gall stones
Dumping syndrome

Lifestyle and Nutrition Changes

Following weight loss surgery, the body’s methods of absorbing food are changed. It is harder for the body to absorb vital nutrients, like calcium, vitamins B12 and D, iron, and others. Many patients experience anemia or low blood count. Taking vitamins and supplements is required, and may be required for life.

The smaller stomach that is created during weight loss surgery requires that the person receiving the surgery eats smaller meals on a frequent basis. They must also make a commitment to nutrition to avoid serious malnutrition. Working with a dietitian can help the recent weight loss surgery patient to create a meal plan that they can stick with.

And last of all, weight loss surgery will help the person to lose the weight that needs to be lost, but it is not a magic cure-all. Exercise is needed in order to maintain the weight loss, and to help tone the body to reduce the need for plastic surgery procedures, like torso lifts and tummy tucks that are used to reduce the excess skin that is left behind following dramatic weight loss. Even with exercise, however, some people may still need to plan for and budget for these cosmetic procedures that are typically not covered by health insurance.

In sum, life after weight loss surgery is definitely an improvement for most people, especially those who are morbidly obese, but it is certainly an uphill struggle that requires commitment and determination.

Alternatives to Weight Loss Surgery

2010-07-28T16:39:00.000-07:00

Millions of Americans are considered morbidly obese. Many people that suffer from this health condition may not realize there are many different treatment options that can help their condition, but in fact there are a variety of effective treatments available. Some people look into weight loss surgery only to find that it is not a good choice for them, for one reason or the other. Because obesity is reaching near epidemic proportions it might be good to examine the causes and treatments for this very serious health condition.

Causes of Obesity

There are many different causes of obesity; certainly our modern day environment has a great deal to do with the rise of obesity. Most of us have an extremely sedentary lifestyles, if we need to go somewhere we drive instead of walking, it is simply more convenient. We work at our desks all day long, rarely getting a chance to exercise.

Another factor is habits, it is very easy to get into a bad habit, and eating habits are not an exception. It may not even be that overeating is the only culprit, but bad food choices may be just as much, if not more to blame. Basically we have started taking in more calories, with less nutrients and are less active. All of this adds up to major weight gain. Another cause is genetics. Research is still new in this area, but some people do seem to be pre-disposed to obesity.

Treatments

The good news is that this is a reversible condition. There is myriad of treatment options that can help individuals wanting to overcome this health problem. It is best to discuss treatment options with a physician, as they can diagnose the weight issue and give valuable advice.

One option that is becoming increasingly popular is the many commercial programs available. Jenny Craig, Weight Watchers and Nutrisystem are all examples of these programs. Some of these programs offer pre-packaged foods, which works very well for some. They also offer counselors and support groups and are usually very nutritionally sound.

Physician-supervised weight loss is another approach that has helped many on the road to a healthier lifestyle. This type of treatment usually takes place in a clinic and offers the services of medical doctors, dietitians and psychologists.

Behavior Changes

This is basically done by making better food choices, avoiding processed and fast foods and keeping portion sizes under control. A good place to start is to swap sugary drinks for water; often small changes made gradually can really pay off in the end. Being more physically active is important, again start with small changes and then build from there. It is also important to seek support; there are many different weight loss support groups that can give encouragement and advice.

Other Options

Besides nutritional changes, there are many new supplements that help to speed along the weight loss process, but it is important to have a doctor's advice on which ones are best.

Keeping the main goal in mind will help, as well. Change is never easy but, there are many benefits to losing weight. Health is improved and the quality of life is improved with every pound lost.

Understanding Bariatric Surgery

2010-07-28T16:36:00.000-07:00

There is some confusion with the term bariatric surgery; it is often confused with gastric bypass, which is partially correct. Bariatric surgery actually refers to any weight loss surgery that is performed on individuals who are considered morbidly obese, to help them lose weight. Generally this is done by reducing the size of the stomach. The three main types of bariatric surgery are gastric bypass surgery, gastric banding and sleeve gastrectomy. All of these surgeries have shown to be successful at helping patients with weight loss and thereby alleviating many related health conditions.

Gastric Bypass Surgery

Gastric bypass has been the most common of bariatric surgeries performed in the United States. There are a few different types of gastric bypass, but the one that is most often performed is the Roux-en-Y gastric bypass. In this surgery a stomach pouch is created by stapling off part of the stomach, part of the small intestine is bypassed as well. This procedure can be performed either as open surgery or laparoscopically.

Gastric bypass is generally a very successful surgery in regards to fast weight loss. Most patients undergoing this surgical procedure will generally lose 50% to 70% of their excess weight in the first year.

As with all surgeries there are certain risks involved, including various complications, and the risk of death. Other risks include a leak into the abdominal cavity from the stomach, an infection at the incision site or possible blood clot. It is also estimated that anywhere from 5% to 15% of bypass patients develop ulcers.

Gastric Banding

Another common bariatric surgery is gastric banding. This procedure also restricts the stomach by using a silicone band and is the second most common bariatric surgery in the United States. This procedure is performed laparoscopically and is reversible.

This weight loss surgery is not considered as risky as gastric bypass. While it is a very effective surgery, weight is not lost quite as quickly as with gastric bypass. It does have risks also, but they are considered relatively low.

Sleeve Gastrectomy

Sleeve Gastrectomy is a procedure that reduces the size of the stomach to about 15% of its original size, by removing a large portion of the stomach. The open edges are then surgically stapled together. This procedure is also performed laparoscopically and cannot be reversed. This surgery is generally done as a two part procedure for patients who are considered to high risk to undergo one of the other bariatric procedures. Once the patient has lost a certain amount of weight, and then either gastric banding or gastric bypass can be performed

Candidates for Bariatric Surgery

None of these surgeries are for those who only need to lose a few pounds. In order to be a candidate for weight loss surgery, certain guidelines must be met. They should only be considered by the morbidly obese, or individuals having a BMI of 40 or higher, and are struggling with weight related health issues. In most cases these surgeries are very effective in helping with weight loss. Lifestyle changes will also have to be made to ensure weight loss success, as well.

Celebrities and Weight Loss Surgery

2010-07-28T16:32:00.000-07:00

Obesity is a major problem for many people in the United States and those in Hollywood are no exception. If fact, there are many celebrities that have had weight loss surgery. Some have opted for gastric banding, while others have chosen gastric bypass to help them control their weight. Some celebrities have been very forthcoming about their surgeries, while others have preferred to keep it more private.

Celebrity Gastric Bypass Surgery

Al Roker decided to have gastric bypass in 2002, weighing in at 320 pounds when he decided to have the surgery and he did lose 100 pounds over a period of eight months.

Star Jones has also undergone gastric bypass surgery in 2003, weighing in at 307 pounds; she has lost an estimated 160 pounds.

Carnie Wilson dropped 150 pounds, after having gastric bypass, but did regain some of the weight.

Celebrity Gastric Banding

Ann Wilson underwent gastric banding in 2002 and successfully lost more than 75 pounds.

Sharon Osbourne, also, had gastric banding and lost 125 pounds.

Each celebrity has had a varying degree of success after their surgery. For some it has been a complete success, others have had struggles and some have had their operations reversed. While the various weight loss surgeries are an excellent tool those struggling with obesity, they should not be entered into without serious consideration.

Comparing Gastric Banding and Gastric Bypass

The two most sought after weight loss surgeries are gastric bypass and gastric banding. Both surgeries work by limiting the amount of food that can be eaten.

Gastric bypass usually produces faster weight loss, but the surgery has carries a somewhat higher risk. With gastric bypass most will experience very fast weight loss usually 50% to 70% of excess weight is gone, in the first year. Maximum weight loss results are usually achieved within 2 years. This is partly due to part of the small intestine also being bypassed as well as the stomach, so fewer calories from the food that is eaten are absorbed.

Gastric banding participants usually lose 40% to 50%, and maximum weight loss results are usually achieved in 3 to 5 years. Gastric banding does not bypass the small intestine, so all the calories from any food eaten are absorbed. This can also be an advantage, since nutritional deficiencies are more common with gastric bypass. While weight loss is not as fast, the hospital stay is shorter and there are fewer complications with gastric banding. Gastric banding does requires more effort on the patients part.

Both surgeries require lifestyle changes. Diet and exercise are an important part of achieving success. Yet the advantages of losing weight are many. Not only due most individuals who undergo these surgeries end up losing large amounts of weight. They also will have more energy and a better quality of life. There are also numerous health benefits as well, including the reduced risk of heart disease, diabetes and high blood pressure. If you think that weight loss surgery may be right for you, talk to your doctor to schedule an appointment with a bariatric specialist.

What is Sleeve Gastrectomy?

2010-07-28T16:28:00.000-07:00

Sleeve gastrectomy is a type of weight loss surgery, in which the size of the stomach is reduced to about 15% of its original size. The procedure is performed by surgically stapling the largest part of the stomach to form a sleeve. It is performed laparoscopically and is not reversible. Like all weight loss surgeries, it has many benefits, but also has a number of risks as well. The particular weight loss surgery is well suited to extremely obese and might not want to risk surgery otherwise. Sleeve gastrectomy does not usually produce the more extreme weight loss that other surgeries, such as gastric bypass or gastric banding, will. It also carries a lesser risk than other options. In some cases this surgery is a prelude to the other surgeries, helping the individual to lose enough weight that the other procedures can be performed with less risk to the patient.

The procedure time varies, usually between 1.5 to 3.5 hours and the average hospital stay is 2 to 5 days.   Normal activities can be resumed in 2 to 3 weeks

Advantages for Sleeve Gastrectomy

While the size of the stomach is reduced, thus reducing the amount of food that can be eaten, the stomach will function normally. The hormones that are produced in the stomach, which stimulate hunger are also reduced.   Problems with vitamin deficiencies and dumping syndrome, which can be experienced with gastric bypass, are avoided. The risk of ulcers is reduced. Because the intestine is not bypassed, the types of foods that can be eaten after this surgery are not as limited.

This may also be a good choice for individuals that have Crohn's disease or other medical conditions that make the other weight loss surgeries too risky.

Many individuals are able to lose a significant amount of weight with this procedure. Most patients can lose as much as 55% of their excess weight. There is also a reduction in the cravings for sweets, as well.

There are many benefits that come with weight loss, including a lowered risk of heart disease, diabetes and high blood pressure.   Many other health benefits come from weight loss, as well.   In addition to the many health benefits, individuals will have more energy and generally experience a much better quality of life.

Disadvantages for Sleeve Gastrectomy

The surgery does not usually produce the weight loss results of other weight loss surgeries. There is the risk of not losing enough weight or regaining the weight. Although it is very effective in helping the extremely obese achieve a healthier weight and then undergo a more effective surgery. Stomach stapling can cause complications. This procedure is not reversible. Because it is still considered experimental it may not be covered by insurance. This procedure is not widely available in all areas, so finding a surgeon or doctor that performs the procedure is tricky in some instances.

Risks for Sleeve Gastrectomy

As with any surgery there are risks and potential complications with this procedure. Because this surgery involves stomach stapling there is a risk of leakage. Other risks, though relatively low, are death, pneumonia, and pulmonary embolus.

Men and Weight Loss Surgery

2010-07-28T16:25:00.000-07:00

While men only make up about 15% of weight loss surgery patients, as the procedures become safer and the rate of morbid obesity rises, the number of men seeking these surgeries is rising. In general the effects of obesity are harder on men than women, so they have more to gain as far health benefits go.

Why have the amount of men, in the past, opting for surgery been so much lower than women? It is perhaps that obesity is viewed as a women's disease and as such, a social stigma is attached to weight loss surgeries. As more is learned about obesity and its effects on the body, this stigma is slowly changing. And more and more men are undergoing weight loss surgery.

The Adverse Effects of Obesity

Obesity negatively affects almost every system in the body. Not only does it increase the risk of heart disease and diabetes, it shortens life expectancy, impairs breathing, can cause sleep apnea, high blood pressure and can lead to erectile dysfunction and may cause a decrease in male fertility. Many other issues can be related to morbid obesity, as well. The risk of developing certain stomach cancers and skin disorders are increased. Plus back problems and joint problems are common in the morbidly obese. It is estimated that over 400,000 people die due to obesity related issues, in the United States, alone. Obesity is obviously, very hard on the body. So what are the benefits to losing excess weight?

Benefits to Weight Loss

There are a multitude of health benefits experienced with losing weight. Just a few of these benefits are, increased energy levels, improved breathing, better mobility, reduced aches and pains, reduced blood pressure and the decreased risk of developing heart disease and diabetes. Problems with sleep apnea are often resolved with weight loss. Plus there is often an increase in emotional well-being and self-esteem. Obviously the benefits to weight loss are numerous.

Why Weight Loss Surgery?

Even though men tend to lose weight more quickly than women, there are still many men out there that have struggled to lose weight. Years of dieting and exercise have produced little success and whatever weight was lost often comes right back.

For those who are morbidly obese (having a BMI of 40 or higher) and who struggle with the adverse effects of obesity, gastric bypass surgery may be a good tool in losing the weight for good.

The success rate for the different weight loss surgeries is quite high. Most people will begin to lose weight almost immediately. Usually within one to two years 60% of the excess weight is gone

There are many different types of weight loss surgeries, gastric bypass and gastric banding are two of the most popular and effective. Again, weight loss surgery is not a cure all, but it is a very effective tool in fast weight loss. Lifestyle changes will have to be made in order to reap the benefits and the risks associated with the various surgeries will have to be considered.

Weight Loss Plastic Surgery

2010-07-28T16:21:00.000-07:00

Many people find that after losing a significant amount of weight following weight loss surgery they have to deal with the issue of excess skin. When a person gains weight their skin and other tissues expand. Sometimes during the process of expanding, these tissues are damaged. So the damaged tissues do not retract with weight loss, causing excess skin. The amount of excess skin that a person has to deal with after losing weight depends on many factors. Age, skin color and the amount of weight lost all help determine how much excess skin a person has after weight loss.

Regardless of how much excess skin a person is left with, there are many cosmetic procedures that can help get rid of the excess skin. Weight loss plastic surgery should only be considered after the person has reached their weight loss goal, usually in 12 to 24 months after bariatric surgery.

Body Lift

This procedure effectively deals with excess skin and cellulite in several areas of the body, all at once. A body lift involves abdominoplasty or a tummy tuck, and a thigh and buttock lift, as well. There is quite a lengthy scar, but it is usually hidden under the bikini line.

Arm Lift

The arms are a big area of concern after weight loss; the individual may feel uncomfortable wearing tank tops or short sleeved shirts. There are several different options for improving the arm area. Just having liposuction may be an option for some, if the tone of the arms is good. For situations where the excess skin is moderate, a combination of liposuction and a modified brachioplasty, or arm lift, with a very well-concealed scar may fix the situation. For others, with more excess skin to deal with, a regular brachioplasty with liposuction can be performed. There is a longer, more noticeable scar along the inner arm with this surgery.

Face Lift

Weight loss can make the face look older, wrinkles and other lines might become more noticeable. There is also the problem of excess skin and fat in the neck. A face lift combined with a neck lift will alleviate both these problems. While a face will leave some scarring, they will not be easily detectable.

Breasts

There are several different plastic surgeries that can be performed after weight loss on the breast area. In some cases an implant may be enough to restore the desired shape. At other times a breast lift or mastopexy is needed. Depending on the desired outcome sometimes, a lift and an implant are used. The amount of scarring will depend on the operation.

Men require a somewhat different approach. Liposuction is used in the beginning to remove excess fat and tissue. A waiting period is then recommended to let the skin retract. After the waiting period is over, a mastopexy can be performed to deal with excess skin. Scarring is generally less evident in men.

Not all these procedures can be performed at one time, it is recommended to wait three months before scheduling another procedure.

Teens and Weight Loss Surgery

2010-07-27T17:21:00.000-07:00

With more and more teens being overweight, many parents and teens are looking at weight loss surgery as a viable option that can help them lose weight and live a fuller life. Weight loss surgery is uncommon among teens - due largely to the fact that there are a limited number of surgeons in the U.S. who will perform a weight loss procedure on individuals under the age of eighteen. Nonetheless, there are some surgeons that offer weight loss for teens, and weight loss surgery can be a viable option in some instances.

When a Teen Might Qualify for Weight Loss Surgery
There are valid reasons that weight loss surgery should not be performed on teens, and likewise there are good reasons that weight loss surgery is the best option. In 2004, the American Academy of Pediatrics established guidelines that doctors and surgeons can use when determining if weight loss surgery is a good choice for obese teens. To meet the criteria for a weight loss procedure, the teen should:

Have previously attempted weight management in an organized program for at least six months or longer, under the assistance of their doctor.
Have reached skeletal maturity, which is typically considered age thirteen or older for females and age fifteen or older for males.
Be severely obese with a body mass index greater than 40 and have obesity-related problems that are considered serious, or have a body mass index of 50 or greater obesity-related problems that are less serious.
Undergo psychological evaluations prior to and following surgery.
Commit to avoiding becoming pregnancy for at least a year following surgery to reduce risks.
Live in a supportive family environment.

Weight loss surgery is not an option for those teens that have a medically correctable cause behind their obesity, for teens that have undergone substance abuse in the year prior to the evaluation, or who exhibit an inability to comprehend the procedure and the consequences of the procedure.
The two most popular types of weight loss surgery for teens are gastric banding and gastric bypass.

Benefits of Weight Loss Surgery for Teens

There are many benefits for teens that undergo weight loss surgery. Other than the most obvious benefit, increased self-esteem, teens who suffer from diabetes, heart problems, bone and joint problems, and other obesity-related illness and disease can benefit from increased good health that accompany weight loss.

Finding a Weight Loss Surgeon for Teens

Since there are few doctors willing to perform weight loss surgery in teens, finding a surgeon is often an obstacle that teens and their parents will face. Many times the patient will have to travel to another state to locate a surgeon who offers this procedure in their age group. The best way to find a surgeon is to meet with a bariatric pediatrician or bariatric specialist who can refer you to the nearest qualified surgeon that will consider performing the procedure if the qualifications are met.

Weight Loss Surgery-What to Expect

2010-07-26T20:34:00.000-07:00

Weight loss surgery requires a great deal of commitment. Generally the decision stems from having tried various other methods to lose weight and not having had much success. If you have been considering weight loss surgery, it is important to know what to expect. Keep in mind the steps may vary depending the recommendations of your regular doctor and the bariatric treatment center.

Insurance Approval

Weight loss surgery can be costly; knowing whether or not your insurance will cover, at least, some of the cost is a good first step. You will want to contact your regular doctor and have documentation sent in, chronicling your struggle with weight loss. Often insurance companies will want proof of psychological counseling, as well.

If you don't have insurance, there is the option of financing the procedure yourself. Many bariatric treatment center offer payment plans or you can go through a 3rd party for financing. After arranging financing you will have the initial consultation with your bariatric surgeon.

Initial Interview

At your first appointment, you will of course, have to fill out all the forms with your medical history and insurance information. You will also be counseled in the different weight loss surgery procedures available and the various risks associated with the procedures. You will meet with your surgeon and arrangements for any tests required will be made at this time.

Weight Loss Support Group Meeting

Many bariatric treatment centers will require you to attend at least one weight loss surgery support group meeting before scheduling surgery. You will be able to learn more about the surgery and meet people who have been through the surgery. After the necessary test results are in and you have attended a meeting, surgery can be scheduled.

Pre-op

Generally you will have a complete physical exam a few weeks before the surgery. You may sign consent forms and have another counseling session at this time.

Surgery

You will probably check in two hours before the surgery is scheduled to be prepared for your particular surgery. Actual times in surgery vary depending on the procedure that is being performed. After surgery, you will be in the recovery until you wake up. Then you will be taken to your room unless there are complications

Recovery

Your hospital stay will also vary depending on the different operation. In some cases you may be able to go home after a few days, other times recovery can take up to a week. A clear liquid diet is recommended for the first two weeks. Then you will slowly move to pureed foods and on to normal foods. It is a good idea to slowly try new foods after having weight loss surgery.

Long Term Results

Weight loss surgery does have definite risks, but it can also produce excellent results. Many people are able to lose as much as sixty percent of their excess weight within the first year following their surgery. It does take effort on your part, however. It will be necessary to make good food choices, stick to your doctor's orders and exercise.

Incision Free Weight Loss Surgery

2010-07-26T20:31:00.000-07:00

There may soon be other options for those struggling with morbid obesity other than traditional weight loss surgery types, such as gastric banding or gastric bypass. One of the biggest benefits to these new surgeries is that they do not require any incisions. One of the most promising of these techniques is transoral gastroplasty or TOGA.

What is TOGA?

The purpose of this new procedure is to eliminate some of the problems experienced with other bariatric surgeries. This surgery is performed with special instruments that pass through the mouth, into the stomach, without any incisions. Direct endoscopic visualization is used to allow the surgeon to see where to place the flexible stapling devices. A restrictive pouch is then created; this pouch will help the patient’s loss weight by feeling fuller on less food. The surgery is performed under general anesthesia and takes one to two hours.

Benefits

While all the long-term benefits are not yet known, there are many advantages to this surgery so far. There is less pain and a quicker recovery time and shorter hospital stay with this procedure than other weight loss surgeries. There is also the advantage of no scarring and fewer complications. In time, this may be an excellent alternative for patients who cannot go through the more invasive surgeries.

Results

So far studies have shown that patients can lose up to 40% of their excess weight in the first year. Patients undergoing the standard gastric bypass have lost more weight in the first year, but this procedure may be safer and less painful.

Who is a candidate for TOGA?

This surgery is not yet approved for widespread use by the FDA yet. There are however clinical trials going on for individuals who qualify. Some basic guidelines to qualify are having a BMI or body mass index of 35 or above and having had little success with other weight loss methods. Other restrictions may apply, as well.

Other Procedures

There are other, incision free procedures that are showing promise. EndoBarrier Gastrointestinal Liner is another new device that is inserted and removed through the mouth. This procedure takes only 30 minutes to perform and is done on an outpatient basis. The liner is removed after 3 months and removal only takes 15 minutes. This method is showing a great amount of promise in treating type 2 diabetes as well as jump starting weight loss. This may be a good prelude to another more drastic surgery.

Another method that is not yet available in the United States is the gastric balloon. In this procedure a gastric balloon is inserted through the mouth and then inflated in the stomach reducing the amount of food that can be eaten. The balloon must be removed in 2 to 6 months.

These new techniques all show promise in helping those struggling with morbid obesity. As with all methods of surgical weight loss it is important to realize that lifestyle changes will have to be made. Diet and exercise will be required to achieve good results.

Gastric Bypass Support Groups

2010-07-25T19:43:00.000-07:00

Finding a gastric bypass support group is an important step in the recovery process. While the support of family and friends is necessary, there is a big advantage to being able to talk with others who have had the same experience is very valuable. There are times you may feel very isolated, especially right after surgery, a support group can provide both advice and encouragement. One important element in achieving successful weight loss results is long term support. Your bariatric treatment center may offer an on-site group or will be able to make recommendations for other local groups.

On-line or In Person

One of the advantages to on-line, is of course you remain anonymous. Being able to vent, within the rules of the forum, can be very useful. Also, you probably have access to your computer most of the time. A little encouragement or advice is just a click away.

In person has many advantages as well, the Internet forums a great, but nothing beats real human interaction. Seeing people face to face helps us to make a real, genuine connection with each other, and may serve as a motivation for staying on track with weigh loss goals.

There are advantages to both on-line and in person support groups. Neither is mutually exclusive. The best idea would be to give both a try.

Informational Support before Surgery

There are groups for individuals just considering gastric bypass surgery or are waiting to have the procedure. These groups will usually take place in hospital or bariatric treatment center. Often you will hear a previous patient’s success story, but they will also discuss their struggles as well. Basic information on surgical weight loss will be discussed. These groups are very helpful, as it is important to get all the facts before having the gastric bypass surgery. It is also helpful to talk with others who are struggling with morbid obesity and see what their views are.

Emotional Support and Encouragement

There are lifestyle changes needed to make gastric bypass surgery a success. Changes of any kind, even if they are positive changes, tend to cause stress. Having someone to talk to who has walked the same path can be a big advantage. Support groups can also help you deal with temptation. Learning to eat moderately and giving up some favorite foods may be hard, particularly if others around you can still eat whatever they want. It is good to be able to talk to someone who has been through the same thing and can help you get over some of the hard spots. Support groups are also great for keeping you motivated. As you progress in your weight loss, you can get advice on plastic surgery and what to expect there. Support groups can, also offer advice on what to eat and what types of exercise works best.

Recovering from gastric bypass surgery can be somewhat frightening. There are so many unknown struggles you may encounter. It is not a journey you should have to travel alone.

Laser Weight Loss Surgery - Laser Liposuction and Zerona Laser Treatments

2010-07-25T17:01:00.000-07:00

There are many new techniques to help individuals lose unwanted pounds and re-sculpt their body. Two of these techniques are Laser Liposuction and Zerona Laser treatments. Both of these techniques offer a good weight loss solution for those looking to lose those last few inches and pounds, particularly for those who have experienced dramatic weight loss, such as following weight loss surgery.

What is Laser Liposuction?

This is a plastic surgery technique that utilizes a laser to dissolve fat and tighten the surrounding skin. Performed as an in-office procedure, it does not require general anesthetic. It is considered a very minimally invasive procedure, with only tiny incisions required.

Laser liposuction usually only takes a few hours to perform and most people can resume regular activities with 24 hours. Pressure garments may be required for a short period after treatment.

This type of laser surgery is very effective in treating small areas, such as double chins and upper arms and thighs. Within 6 to 8 weeks patients will notice the treated areas re-sculpting and tightening. There is minimal pain with very little bleeding or bruising. This technique is very precise and will result in a very natural look. Laser liposuction is generally more affordable than traditional liposuction.

Although rare, some patients make experience excessive bleeding or bruising in the treated area. Some swelling may occur well. This is a relatively new procedure, so there are no studies available for long term results.

What are Zerona Laser Treatments?

Technically, Zerona Laser is not surgery at all. The Zerona low level laser has only been on the market a few years. It works by emitting cold laser energy into the body tissues, this causes the body fat to be broken down and then it is passed out of the body. This technique is pain free and totally non invasive.
The laser does not affect the surrounding skin or tissues.

There is no hospital stay with this laser technique. Treatments take place in a clinic and only take about 40 minutes each. They will need to be administered three times a week for two weeks. Patients can listen to music or simply relax while having the treatment. There is no downtime with this technique.

Most patients will lose 2-3 inches; however, some have lost as much as 9 inches after treatments. Results are often visible in 14 days and so far there are no known side effects. There are no incision marks left from these treatments. Fat loss has been reported for weeks after the treatments have ended.

This is a very new procedure and there are no long term studies. There is no guarantee of the amount of inches that will be lost. This procedure is not for those wishing to lose a significant amount of weight. It is mainly for those wishing to lose a few extra pounds and to improve body contour. It is important to sustain a healthy diet and moderate exercise program to maintain weight loss.

Liposuction for Weight Loss

2010-07-25T16:59:00.000-07:00

In the battle of the bulge, there are many weight loss methods to consider. Certainly a healthy diet and moderate exercise program are important. There are many of other tools available to help with fat loss. When considering the many weight loss methods available, individuals needing to lose only moderate amounts of weight, might want to consider large volume liposuction.

What is Liposuction?

Liposuction is a method of fat removal, beneath the skin, using a cannula (a small stainless steel tube) and a powerful vacuum. The tumescent technique of liposuction works by having a medicated fluid injected into the area where the fat is being removed. The fluid is a mixture of an anesthetic, a drug that helps limit blood loss and a salt solution. This is the method of liposuction that is most often used for large volume liposuction. The procedure is usually performed under general anesthetic, but depending on the area and amount of fat removed can be done under local anesthesia and heavy sedation, as well. A short, overnight hospital stay is normally all that is required for this procedure. The most commonly treated areas are the abdomen, hips, buttock area and upper thighs.

Until recently, liposuction has not been considered a weight loss method, but was only intended for body sculpting. However there are now surgeons that offer liposuction as a method of weight loss.

Benefits

The actual weight lost with liposuction will vary; it is not uncommon in large volume liposuction to lose 10 to 30 pounds. Because it is also a body sculpting technique, it may give the body an appearance of having lost more weight that what the scales shows. This technique has the advantage of being able to take fat from specific areas, while other areas are left alone.

Liposuction can be a great diet motivator as well, which will produce many long term health benefits. Losing weight decreases the risk of diabetes and heart disease. Often problems with sleep apnea, high blood pressure and high cholesterol are reduces if not alleviated with weight reduction.

Risks

Liposuction is a surgery and has potential risks and side effects. It is important to note that the risks are increased in large volume liposuction. Some of those risks are the formation of blood and fat clots, loss of body fluids, skin and nerve damage and a negative reaction to the fluid mixture. Individuals with poor circulation, lung or heart disease are not considered good candidates for liposuction.

Liposuction Following Weight Loss Surgery

Following a dramatic weight loss, such as after weight loss surgery, liposuction is often chosen to help remove unwanted fat deposits from specific areas, such as the abdomen, buttocks, knees, hips, chin, neck, cheeks, and hips – areas of the body that tend to retain fat despite diet and exercise. Typically, liposuction following weight loss surgery, including LAP-band, gastric bypass, and other procedures, is not performed until the person has reached their goal weight and been unable to lose the pockets of fat and fat deposits that are left behind. Liposuction after weight loss surgery is often done in conjunction with a tummy tuck or “torso” tuck that is used to get rid of the flap of fat that is left behind in the abdominal region among those who were once morbidly obese.

Finding a Weight Loss Surgery Doctor

2010-07-25T16:56:00.000-07:00

Choosing the correct weight loss doctor can seem like an overwhelming task, but there are some basic guidelines, that can help guide your choice. There are many excellent bariatric weight loss clinics, both nationally and internationally that provide quality care. One good place to start your search would be with your regular medical doctor. Most medical doctors will be able to at least make a recommendation for an experienced weight loss doctor. The Internet also has a wealth of information on weight loss doctors.

Experience Counts

There are different types of techniques used for weight loss surgeries, finding a doctor versed in the most minimally invasive techniques would be a great advantage. All bariatric surgeons and doctors must be certified, but some will have more experience than others. It would be a good idea to review the individual doctor's education and experience. If you are considering gastric bypass surgery, gastric banding or a sleeve gastrectomy, you will want to choose a surgeon that has a good success rate. The clinic or doctor should give this information freely after being asked to provide it. Choosing a more experienced surgeon with a good success rate will help minimize the risks of the surgery.

Pleasant Atmosphere

The atmosphere of the bariatric treatment center or doctors office should be pleasant. You will probably be spending a significant amount of time there, both before and after surgery. Feeling comfortable with the staff and doctor is important.

Financing Options

The cost for weight loss surgery can be quite high, so understanding the different financing options is a good idea. You will want to contact your insurance company and see if the doctor and procedures you have chosen are covered. If can greatly reduce out of pocket expenses if your insurance company will cover at least part of the cost. If you don't have insurance or your insurance company won't cover the procedure you feel is best for you, many bariatric treatment center offer financing options and payment plans. There is also the option of third party financing as well.

Be Sure you are Aware of the Risks

Even with the safer, modern procedures, weight loss surgery involves risk. You want to talk over the various risks with a bariatric surgeon. Be sure that you understand exactly what the downside of weight loss surgery is.

Ongoing Treatment

On-going support is very important after surgery. A treatment center should help you choose a healthy weight loss program to maximize your results. While weight loss surgery is a helpful tool, it also requires many lifestyles changes, to achieve the most weight loss. Many bariatric treatment centers offer support groups and often the staff and doctors will be involved in your recovery.

Finding the right doctor will greatly increase your chances for weight loss. This is a very big step and it is important to do your homework. Taking the time to educate yourself about the different weight loss options available will help you make an informed decision.

What is Tummy Tuck Surgery?

2010-07-24T19:59:00.000-07:00

When considering any type of plastic surgery, it is important to be aware of the benefits, as well as risks involved, Abdominoplasy or a “tummy tuck” is no exception. Of course, the best advice will ultimately come from a plastic surgeon, but it doesn't hurt to some basic information before hand.

This procedure will make the abdomen firmer by removing excess skin and fat from the lower and mid abdomen. This is a popular surgery for patients who have lost large amounts of weight, or have sagging in the abdominal region after pregnancy. There are different types of abdominoplasty operations available

Types of Abdominoplasty

There are several different types of tummy tuck surgery and each will give varying results. The types of abdominoplasty are, complete, partial, extended, high lateral tension and circumferential. An experienced plastic surgeon can advise you on the best choice of surgery for your circumstances.

Risks

Although tummy tucks are considered safe procedures, certain risks, some more serious than others may arise. Following doctors orders can help reduce the risk involve. Pulmonary embolism, heart attack and stroke are a few of the more serious problems, though these are very rare in this type of surgery. A more common complication for abdominoplasty is the accumulation of fluid under the skin after the drain has been removed. The fluid can be removed with a needle and generally stops in about a month. Other possible risks are poor wound healing, pain, swelling of legs, suture rupture and scarring.
The scars for this surgery are permanent and will vary depending on the surgery; however they are generally placed under the swimsuit line, so they are easy to conceal.

Recovery

The recovery time will depend on the technique that was used, but one to four weeks is common. Heavy physical activity will need to be avoided during this time. It is highly recommended that patients do not smoke during recovery. A compression garment may need to be worn during healing time, as well.

Benefits

The biggest benefit of abdominoplasty is the dramatic and long lasting results. The appearance of the stomach will be trimmer and firmer. The sagging skin will be gone and the abdominal muscles will be tightened. Stretch marks are greatly diminished. Clothing will fit better and there is often a big boost in self confidence.

Candidates

Not everyone wanting to have a tummy tuck will be considered a good candidate. The individuals overall health must be good and they should have realistic expectations. While the surgery can dramatically alter your waistline, there will be a permanent scar.

This surgery is a good option for women whose families are complete. Some women may find the abdominal muscles resistant to exercise after pregnancy and abdominoplasty can help return the abdominal area to a more regular flat appearance. This surgery is not recommended for women who are planning on having children.

Women are not the only candidates for this procedure. In fact, anyone desiring to have a trimmer, tighter waistline may want to consider abdominoplasty.

What is Gastric Band Surgery?

2010-07-23T11:13:00.001-07:00

Gastric band surgery is more commonly known as lap band surgery. It is a type of baratric surgery that helps with weight loss. Similar to gastric bypass surgery, it works by reducing the size of the stomach, which in turn will help the person feel fuller on less food. By consuming less food, a person naturally loses weight.

Types of Gastric Band Surgery

There are two main types of gastric band surgery. The most common is laparoscopic adjustable gastric banding. Vertical banded gastroplasy is less common as it has a higher complication rate. Few bariatric surgeons will perform vertical banded gastroplasy in the U.S.

What does Gastric Banding Surgery Involve?

A bariatric surgeon will place an adjustable silicone band around the upper part of the stomach. The stomach forms a pouch with an inch wide outlet. Food flows slowly from the upper pouch into the lower part of the stomach and it normally from there. This procedure is performed with laparoscopic tools.

The band can be tighten or loosened through a small port device placed just under the skin. Saline is injected or extracted, making the band tighter or looser as needed. This is very useful in reducing side effects.

Benefits of Gastric Banding

As compared to other weight loss surgeries, gastric banding is considered the safest and least invasive. It is fully reversible and does not require cutting of the stomach or stomach stapling. Vitamin deficiencies are rare, unlike gastric bypass. The hospital stay is quicker and so is recovery time.

Weight loss is a little slower than gastric bypass, but over time, usually within five years, the results are similar. Most patients lose an average of 1 to 2 pounds a week.

Healthy weight loss has its own benefits. The risk of heart disease and diabetes are reduced. Losing weight can also, help control high blood pressure and high cholesterol.

Band Surgery Risks

Even though gastric banding is a safer surgery compared to other weight loss surgeries, it does still carry certain risks. Common complications can include nausea and vomiting, these can usually be managed by adjusting the band. Surgical complications including problems with device adjustment, minor bleeding and infection are rare, occurring less than 10% of the time. Deaths associated with the surgeries are 1 in 2000.

Who Qualifies for Gastric Banding?

Like other weight loss surgeries, gastric banding is not a good choice for everyone looking for weight loss solutions. To qualify for the surgery, the individual must be considered as morbidly obese, or having a BMI of 40% or more, have a history of obesity, and are between the ages of 18 and 65. There are bariatric surgeons who will work with patients who are younger or older than the recommended age range. Other qualifications may apply, as well.

Weight Loss Surgery Cost

Gastric banding surgeries range in price from $17,000 to $30,000. Cost can vary depending on location, type of band and method used. Many bariatric surgeons and bariatric weight loss centers do offer payment plans, they can also help arrange for insurance coverage.

The Cost of Gastric Bypass Surgery

2010-07-23T11:12:00.001-07:00

Weight loss surgery cost, like any medical treatment, can be quite expensive. Gastric bypass surgery will generally range from $18,000 to $35,000. Cost varies greatly and is dependent not only on location of the surgery, but also on the method used and recovery time.

While this type of weight loss surgery can be expensive, there can be surprising benefits to having this type of surgery. Not only are there long term health benefits, but recent studies have shown that many former bariatric patients go on to advance in their careers and earn more money.

Insurance

Some health insurance companies will cover some or all the cost for weight loss surgery. Medicare and Medicaid will, in some cases cover some of the cost, as well. The chances that insurance will cover the surgery costs are increased, if a case is made for the medical necessity of the surgery. Some insurance companies require a letter of necessity from your primary care doctor and your bariatric surgeon.

While most weight loss treatment centers will contact the insurance company and get the ball rolling, it is also a good idea for you to speak directly with the insurance company.

It is also important to find out what the insurance company will cover as far as follow ups and possible complications go. Some after care costs may include, but are not limited to, trips to a dietitian and nutritional supplements.

While insurance may cover part of the cost, it is important to factor in co-pays and deductibles.

If the insurance company denies the surgery an appeal can be filed. Generally most insurance companies allow 30 to 60 days for an appeal to be filed. Letters of appeal are required from the patient, primary care physician and bariatric surgeon.

Other Costs

Not only should the cost of the surgery be taken into consideration, but other factors as well. These include missed wages at work and follow-up procedures. Plastic surgery, including liposuction and tummy tucks may be necessary within a few years after the surgery has taken place. Your doctor or surgeon should be able to give you an idea of the additional costs.

Self-Pay

It is hard to put a price tag on good health. If you don't have insurance or your insurance won't cover the cost of the surgery, many bariatric treatment centers offer financing through companies like Care Credit. Or you can choose to look into other financing options, such as credit cards, personal lines of credit or a home equity line of credit. All are options worth considering.

The Bottom Line

If other weight loss solutions haven't worked for you, gastric bypass surgery may be a good alternative. It is a very effective way to lose weight fast. You will also learn new eating methods that can keep you on track for weight loss maintenance. If obesity is seriously affecting your health and lifestyle, gastric bypass surgery can be well worth the cost.

Laparoscopic Weight Loss Surgery

2010-07-23T11:11:00.001-07:00

For many individuals, morbid obesity is a very real problem. Often obesity affects many areas of a person’s health and quality of life. For those suffering from obesity, weight loss surgery may be a good option, especially if the individual has tried other weight loss methods without success. It is important to understand, when considering a surgical weight loss procedure what is involved. There are several different types of laparoscopic weight loss surgeries. Each type has its own set of benefits and risks.

What is Laparoscopic Surgery?

Laparoscopic surgery, is not just limited to weight loss operations, it is a method that can be applied to many different types of surgery. This type of minimally invasive surgery works by inserting a small telescope and a tiny, high resolution video camera into a pencil sized hole made on the abdomen wall. Other small incisions are made for the instruments that perform the surgery. The biggest benefit to laparoscopic is the smaller incisions and less discomfort, than traditional surgery methods. Generally the recovery time is quicker, the stay in the hospital is shorter, and there is less stress on the body.

Laparoscopic Gastric Bypass Surgery

Recent developments have produced a wide variety of laparoscopic instruments, including stapling and suturing devices. Any procedure in which the stomach or bowel is cut and re-connected is referred to as “Advanced Laparoscopy”. Many bariatric surgeons have become skilled at this technique for gastric bypass.

In gastric bypass the stomach is divided into two pouches, a smaller upper and larger lower pouch. The small intestine is then attached to the upper pouch. The laparoscopic method has a slightly longer operation time, but a shorter hospital stay and recovery time. Other benefits include reduced pain and suffering, discomfort and hernias. There are also cosmetic advantages, as well. However, it should be mentioned that, this method does not reduce the other risks of gastric bypass surgery.

The results of this weight loss surgery are usually excellent. Most patients can expect to lose 50% to 80% of excess body weight. Most of this weight is lost in the first year, so this is really a very fast weight loss method.

Laparoscopic Adjustable Silicone Gastric Banding

This type of surgery uses a silicone band to produce a small upper stomach pouch with a narrow opening into the lower stomach. There are many advantages to this type of surgery. The hospital stay is very short. The band is adjustable and the surgery is fully reversible. This method has a somewhat less risk than gastric bypass, but the weight loss is not as fast either.

Benefits of Weight Loss

While the decision to have weight loss surgery, is not an easy one, there are many benefits to consider. Once the weight is lost many other weight related conditions will improve as well. High cholesterol, high blood pressure and sleep apnea problems are all at least partially relieved within one year of having weight loss surgery.

Gastric Bypass Surgery Risks

2010-07-23T11:10:00.002-07:00

Gastric bypass surgery may be a good option for those individuals who have suffered from morbid obesity for several years. While this surgery can be an excellent weight loss option, the best results will only be achieved if there are lifestyle changes made, such as proper diet and exercise. Patients that don't stick to a healthier lifestyle may experience more complications than those who make the needed changes. Because gastric bypass is major surgery, there are risks involved, and though rare, some can be quite serious.

Serious Risks of Bypass Surgery

Certainly the most serious risk to consider with gastric bypass surgery is the possibility of death. Statistics show that 1 patient in 200 will die due to complications from bypass surgery. Certain factors can affect this risk of death; age and general health patient are examples.

Blood clots pose another serious risk to patients. Overweight individuals have a higher risk of blood clots occurring in the legs. If these blood clots travel to the lungs, a serious condition can occur that is known as a pulmonary embolism. This condition can damage lungs and lead to death. Patients will, often times be given blood thinners and compression hose to help circulation after surgery.

A leak occurring at one of the staple lines is another potential risk. Antibiotics can be used to treat this complication and in most cases they will heal on their own. The leak can become very serious requiring emergency surgery.

Other Possible Weight Surgery Complications

Vitamin and mineral deficiencies are sometimes a problem after having gastric bypass surgery. It is very important to take supplements as prescribed. Left untreated, vitamin deficiencies can cause serious health risks. Dehydration, stomach ulcers and kidney stones, are all other possible risks with bypass surgery.

Dumping syndrome is a common complication arising from gastric bypass surgery. This syndrome takes place when food particles move to quickly through the small intestine. This causes dizziness, vomiting, sweating, and diarrhea.

When considering any weight loss surgery it is important to find an experienced bariatric surgeon and quality bariatric treatment center. Finding the right professionals can help reduce risks.

Benefits of Gastric Bypass Surgery

After taking a look at the risks and potential complications of gastric bypass, it is important to take a look at the benefits as well.

Over the long term, gastric bypass surgery lowers the risk of premature death; this seems to be especially true in patients under 40. Another big benefit to consider is the fast weight loss that is directly related to this surgery. Most patients lose between 50% and 80% of their excess body weight in the first year. It is not uncommon for patients to lose around 20% of the excess body weight within 2 months of having the surgery. Most patients also experience an improvement in weight related, health problems, including high blood pressure and diabetes. Patients who lose a significant amount of weight, experience health improvements in back and joint pain, sleep apnea and high cholesterol.

Gastric Bypass Surgery Complications

2010-07-23T11:10:00.000-07:00

The health risks involved in weight loss surgeries are reasonably small, especially when compared to the long term benefits weight loss can have on your health. It is good to understand what exactly gastric bypass surgery is and what some of the potential complications can be. This way an informed decision can be made about gastric bypass surgery.

What is Gastric Bypass Surgery?

Bariatric or weight loss surgeries work by limiting the amount of food you can eat. In gastric bypass, this is accomplished by dividing the stomach, usually with staples, into two sections, a smaller, upper pouch and a larger lower pouch. The small intestine is then connected to the smaller, upper pouch. This is often what is referred to as stomach stapling. This procedure is generally performed by bariatric surgeons.

Common Complications

One of the most commonly occurring complications, after this type of surgery, is what is known as dumping syndrome. This occurs when a surgery patient eats to much sugar. The sugar will pass quickly into the bowel and cause the patient to feel shaky, dizzy and sweaty. Patients may experience rapid heartbeat and diarrhea. While this syndrome does not pose a serious health threat to patients, it is very upsetting. Gastric bypass patients are therefore advised to avoid high sugar foods.

Another complication that can come about after gastric bypass surgery is nutritional deficiencies. It is estimated that nearly 30% of patients participating in this surgical weight loss procedure, will have problems absorbing important vitamins. This particular complication arises from food bypassing certain parts of the stomach and intestine where important vitamins and minerals are absorbed. The risk of the complication rises when patients do not stick to their nutritional supplements after surgery.

Leakages can sometimes be a problem after gastric bypass surgery. Sometimes a leak can occur in the stapled part of the stomach. This allows fluid from the intestine to escape into the stomach. These leakages can often be treated with antibiotics; occasionally they can be more serious and require emergency surgery to be repaired.

Other Complications

There are other serious complications that can follow bypass surgery. While these more serious complications are rare, they should be considered. As with any surgery there is a risk of death. The death rate in gastric bypass varies between .2 and 1 percent of patients. Age and health condition before surgery can be a determining factor in the death rate. Other serious problems to be aware of are blood clots, incision infection and pneumonia. Finding the proper bariatric treatment center can lower the risk of serious complications.

Benefits

For individuals that struggled with obesity and weight related health conditions, gastric bypass and the ensuing weight loss has a multitude of benefits. Fast weight loss is one major benefit to this surgery. Most patients experience a whopping 50% to 80% loss of excess weight after surgery. Add to that improvement in many weight related health issues such as high blood pressure and diabetes, this surgery can be part of an effective weight loss system.

Gastric Bypass Diet

2010-07-23T11:09:00.000-07:00

Gastric bypass though very effective at helping people lose weight fast is not a cure all, certain lifestyle changes are necessary. The guidelines for the first few weeks after gastric bypass surgery will vary from the different physicians and methods used. Here are some basic guidelines for diet recommendations after gastric bypass surgery, although your own surgeon and doctor may recommend a different diet regimen for you.

Basic Guidelines Post-Surgery

Generally an all liquid diet is recommended for the first week or two after the surgery. Then you can slowly start adding soft of pureed foods to your diet. Finally you will move onto solid foods. Your doctor will have some basic supplements for you to take, a good liquid multi-vitamin is recommended, as well.

Liquid Diet

Recommendations for this diet include, water, tea, flat diet soda, broth and sugar free gelatin. Also you can have skim milk and light frozen yogurt as long as they are well tolerated. Other choices are tomato soup made with milk and other pureed soups with no lumps. It is important to sip foods slowly, and only consume 2 or 3 ounces at a time.

Pureed Diet

This diet generally lasts 2 to 4 weeks. You will only want to eat food that has a smooth consistency.
Good choices for this diet include fish, beans, egg whites, soft fruits and vegetables. If needed blend solid food with water, milk, broth or sugar free juice. Again it is imperative to eat slowly and only consume small amounts at one time.

Soft Solid Food Diet

This requires a doctor’s okay and will probably take place around eight weeks after surgery. If you can mash it with a fork, it is soft enough to try. Some suggestions for this diet are oatmeal, ground meats, low fat cottage cheese, tuna, and cooked chicken and low fat cheeses.

It is a good idea to avoid bread, pasta, nuts, soda pop, and stringy vegetables such as celery, peanut butter and dried fruits.

Solid Diet

At this point, you can slowly start adding a variety of foods back into your diet. Spicy or crunchy foods may cause not be well tolerated, at first. If a certain food is not well tolerated, wait a week or so before trying it again.

Maintenance of Proper Diet

Remember to keep meals small and to chew your food slowly and thoroughly. For the first three months avoid crunchy foods. Drink plenty of liquids between meals, but avoid liquids 30 minutes before and after meals. Avoid sticky foods like bread, pasta and peanut butter. Avoid high sugar foods, as they can cause “dumping syndrome.” This syndrome can cause sweating, rapid heartbeat and fainting. Avoid foods high in fat. Concentrate on protein, but avoid tough meats like pork chops and steaks or you can always try cooking meats in a crock pot to tenderize them.

Proper diet maintenance is very important after gastric bypass surgery. Try to get the most nutrients possible from your food choices. By making good food choices you will lose weight that much quicker.

How Do You Know You Need Weight Loss Surgery?

2010-07-23T11:07:00.000-07:00

There is no doubt that weight loss surgery can be an effective weight loss solution. However, it is not without risk. Knowing for certain if you need weight loss surgery is something that will ultimately require the guidance of a medical doctor. There are some factors you can look at beforehand to help you make an informed decision.

What is weight loss surgery?

Weight loss surgery, basically reduces the size of your stomach. You feel fuller faster and as a result take in fewer calories. The speed of weight loss varies on the type of surgery.

What are the types of weight loss surgery?

Weight loss surgery is considered a bariatric procedure and will often be performed at a bariatric treatment center. There are different types of bariatric surgery. The most common types are: gastric bypass, Lap-band and gastric sleeve surgery. The risks vary among the different procedures. As does the rate at which you will lose weight. A bariatric surgeon can help you decide which procedure is right for you.

Gastric bypass surgery divides the stomach, usually with surgical staples, into two pouches. The smaller, upper pouch is then attached to the small intestine. The amount of food you are able to take in is greatly reduced, resulting in very fast weight loss.

In Lap-Band surgery a silicone rubber band, placed around the top part of the stomach, creates a small pouch. Similar to gastric bypass you feel fuller quicker, but the food passes from the smaller stomach pouch into the lower part of the stomach and then into the digestive tract.

Gastric sleeve surgery is a relatively new procedure. A portion of the stomach is removed during this surgery. Only small incisions are used and a laparoscopic tool provides a guide during the procedure.
This surgery is most often used for people who are not able to have one of the more invasive surgeries.

Who makes a good candidate for weight loss surgery?

If you have been struggling with what is considered to be morbid obesity, you may be a good candidate for gastric bypass surgery. Those having a BMI over 40% fall into the category of being morbidly obese. Other factors that may make weight loss surgery a good option are, any health problems that are, at least in part, caused by weight problems, such as high blood pressure or diabetes. You do not have any untreated mental illnesses and are between the ages of 18 and 65. You have struggled to lose weight before without much success.

What the benefits of weight loss surgery?

At the top of the benefits list would be fast weight loss. It is common to lose weight very rapidly in the first year of having weight loss surgery. The total amount of weight loss will vary depending on the individual and type of surgery performed. Improved health is another potential benefit, the risk of heart disease and diabetes is reduced. Life expectancy can also be increased.

About Morbid Obesity

2010-07-22T20:07:00.000-07:00

Morbid obesity is not only dangerous from a health perspective, but can also make life hard to live. Being morbidly obese affects all avenues of one’s life, from their emotional well-being and self-esteem to their ability to enjoy life to its fullest. To be considered morbidly obese, a person:

is more than 100 pounds over their normal weight or
is more than fifty to one-hundred percent over their normal weight or
has a body mass index (BMI) that is 40 or greater or
has severe health problems as a result of their extra weight

Causes of Morbid Obesity

Obesity in general is caused by eating more calories than one expends by daily activities and exercise. For most folks, this boils down to the simple matter of exercising too little and eating too much. But there are other factors that must be considered, especially when considering the morbidly obese that can cause this more pronounced form of obesity. These factors include:

Physical activity (or lack thereof). Active persons need more calories than those who are less active to fuel their bodies. A sedentary lifestyle is becoming more commonplace, with more and more people sitting at their desks (and in front of their computers) for the bulk of their days. This can lead to obesity and morbid obesity, especially in those who are predisposed to be overweight.
Illness. Morbid obesity can be directly or indirectly caused by illnesses and conditions like thyroid disorders (hypothyroidism), depression, and other diseases. What’s more, there are particular drugs, like certain antidepressants and steroids, that are used to treat illnesses and disease that can cause excessive weight gain, and in effect, morbid obesity.
Genetic disposition. Being “fat” or “thin” often “runs” in families and more and more research is unearthing the specifics of genetic tendencies towards morbid obesity.
Gender. There is a tendency for women to be overweight in greater numbers than men, and this is due in large part to the fact that men have a higher resting metabolic rate, which simply means that they burn more energy in a resting state than women do. Women who have gone through menopause also have a decrease in their metabolic rate, which can lead to weight gain. Reaching menopause as an obese person can increase the likelihood that morbid obesity will develop.
Emotional eating. Many people who are morbidly obese are influenced by psychological problems. They tend to eat in response to emotions, like sadness, anger, and boredom.
Age. As we age, our body’s ability to use the food that is eaten slows down, and we do not need as many calories to maintain our current weight. If a person was obese at 20, their chances of being morbidly obese at 40 are greater.

Morbid Obesity Effects

The effects of morbid obesity are obvious when it comes to physical health. Those who are morbidly obese are at a higher rate for cardiac diseases, cancer, and diabetes. One of the most painful aspects of being morbidly obese, however, can be the emotional suffering that the morbidly obese person suffers. Our society tends to shun the morbidly obese and even the overweight, equating being “skinny” with being attractive or worthy. Morbidly obese people, despite the mounting evidence that obesity is a disease in itself, are often profiled by society as being lazy, gluttonous, and more, and thus face discrimination in social situations, at work, and at school. Shame, depression, and feelings of rejection are commonplace for the morbidly obese.

Seeking Help for Morbid Obesity

There are many new avenues that can be explored if you are morbidly obese. From managed weight loss plans to weight loss surgery, finding a solution that fits your lifestyle will help you reclaim your life and live it to the fullest.

What is gastric bypass surgery?

2010-07-21T10:39:00.001-07:00

Are you considering gastric bypass surgery? Losing extra weight can be a tough challenge for some folks. There is good news for those who have struggled with fat loss, especially for individuals that have tried for years to lose weight, without much success. Today there are many options to help those individuals struggling to lose weight, achieve success and live a healthier lifestyle. One alternate method to help those trying to lose weight, with a proven success record, is gastric bypass surgery. For those considering this weight loss option, it is helpful to find out exactly, what gastric bypass surgery is.

Roux-en-Y

There are several different types of gastric bypass surgery; the most common is Roux-en-Y. This procedure works by dividing the stomach into two pouches, a smaller upper pouch and a larger lower pouch. The pouches are divided either by surgical staples or a plastic band. The middle part of the small intestine is then connected to the smaller stomach pouch. This surgery basically makes the stomach smaller, which helps people to feel full on less food, and a portion of the intestine is bypassed, resulting in a lesser intake of calories. The end result of this is very fast weight loss.

Results

The amount of weight loss experienced will vary; most individuals will lose 50% to 80% of their excess weight within a relatively short period of time. It is common to lose weight very rapidly in the first year. Weight loss goals are generally met within one to four years of the surgery. Fast weight loss is not the only advantage to having this surgery. Gastric bypass will reduce the risk of diabetes and heart disease. It may also increase life expectancy.

Bypass Risks

As with any surgery, there are risks to consider. It is estimated that one-third of the individuals who have had weight loss surgery, develop either gall stones or a nutritional deficiency. Infection in the incision and possible leaks from the stomach into the abdominal cavity are other risks to consider.

Do You Qualify?

While this weight loss surgery does produce excellent results for most, it is not for everybody. There are few, general guidelines most doctors follow before recommending this surgery. Individuals that have BMI of 40% or higher or a life threatening condition resulting from excess weight are good candidates. A few other factors include being between the ages of 18 to 65, having struggled to lose weight for 5 years or more and not having any untreated mental disorders.

After Gastric Bypass Surgery

There are also lifestyle changes that will have to be made after weight loss surgery. It is very important to eat slowly and chew foods completely. Avoiding all carbonated drinks, candy, ice cream and any foods containing simple sugars is essential. Consuming simple sugars after weight loss surgery can cause what is known as dumping syndrome. This syndrome can cause severe diarrhea, rapid heartbeat, dizziness and shaking.

While not a cure-all, gastric bypass surgery can be an enormous help for those individuals who have struggled to lose weight for years with little success.

Introduction to Weight Loss Surgery

2010-07-18T14:19:00.000-07:00

Weight Loss Surgery Options

Making the decision to have weight loss surgery is not easy, and once the decision is made, it is also very difficult to weigh the many weight loss surgery options that are available. Selecting the right procedure is a decision that must be made based on the weight loss goals that you have set, your current health, and which procedures are covered under your health insurance policy. And of course, you should put a lot of thought into the decision regarding which weight loss surgery option will work best for you, and should discuss all options with your doctor. Let’s look at the three most common options that you might be considering, and the advantages and drawbacks of each.

(1) Adjustable Gastric Band

One of the least invasive weight loss surgery options is the gastric band. This is a fairly simple procedure that involves the use of an inflatable band that sections the stomach into a small upper pouch and a larger lower section. The sections remain connected through a small channel that allows for a slow emptying of the upper pouch into the lower. This type of procedure works by restricting the amount of food that can be eaten at one time; in fact, most people can eat less than one cup of food before they feel satiated. The band is easy to locate just beneath the skin in the abdominal area, making it simple for the doctor to tighten the band or loosen it with the injection or removal of saline, which if often undertaken as an outpatient procedure. This allows the band to be customized based on its effectiveness.

Although the gastric band procedure is sometimes referred to as the “LAP-Band” or “Realize” procedure, this simply is a reference to the brand of the band that is used in the surgery, not to the procedure itself. The advantages of the adjustable gastric band are obvious; it is a simple procedure that is considered to be the safest weight loss surgery option. The procedure is done using a laparoscope, which is a tiny camera that allows the surgeon to place the band via small incisions.

Because it is minimally invasive, the adjustable gastric band procedure has a faster recuperative time than other options, and it can be reversed with a simple procedure that removes the band. The biggest drawback to the procedure is that the weight loss that is experienced may be less remarkable than with other procedures that are more invasive.

(2) Gastric Sleeve

The gastric sleeve, also referred to as sleeve gastrectomy, is a fairly new weight loss surgery option. In this procedure, which is typically done using a laparoscope, around three-fourths of the stomach is removed, leaving behind a narrow sleeve that is connected to the intestines. The gastric sleeve is sometimes used as a precursor to other weight loss surgeries, like the gastric bypass (which we will discuss below), but in many cases, this is the only procedure that is needed to achieve weight loss.

The gastric sleeve is sometimes recommended for people who are sick, or who are very obese because it is less risky than some options. This safer procedure allows the person to lose some of the weight and address health concerns before having a riskier procedure.

A major advantage of the gastric sleeve procedure is that it allows the person to lose up to fifty percent of the weight that they needed to lose within three years. The major drawback to this procedure is that it cannot be reversed and since it is a relative newcomer on the weight loss surgery scene, its long-term risks are not known.

(3) Gastric Bypass Surgery

Gastric bypass surgery, which is also called Roux-en-Y gastric bypass, accounts for four out of five weight loss surgery procedures in the United States. During the procedure, the stomach is sectioned into two parts, and the upper section is sealed off from the lower. The upper stomach is joined with the lower section of the small intestine, bypassing a large section of the digestive tract, resulting in fewer calories being absorbed by the body. The biggest advantage to this procedure is that it allows for fast and very dramatic weight loss, with most of the weight being lost in the first six months following the procedure.

For those people who suffer from obesity-related health problems like high blood pressure, diabetes, high cholesterol, sleep apnea, and so on, the swift weight loss can often cause a rapid improvement in the person’s overall health. The majority of individuals who have this procedure report being able to maintain their resulting weight loss for ten years or longer. The main drawback to gastric bypass surgery is that it is not reversible, so those people who have this surgery must be prepared to accept the permanent change in the way that their body digests food.