You may be a candidate for weight-loss surgery if you meet the following criteria:
Several different types of bariatric surgery are performed through our program― Roux-en-Y gastric bypass, gastric sleeve resection, adjustable gastric banding, duodenal switch and revisional surgeries.
The Roux-en-Y gastric bypass (CPT 43644) works by creating a small pouch closed off from the rest of the stomach to make you feel fuller faster. It also involves re-routing your small intestines, which makes the food bypass majority of the small intestines. This is both a restrictive and malabsorptive operation. Patients who have the gastric bypass lose an average of 66 percent of their excess body weight in 18 months.
The gastric sleeve resection (CPT 43775) works by removing 80 percent of the stomach, leaving a small pouch the size and shape of the banana. This procedure works through calorie restriction and changes in gastric hormones, and it will cause you to feel fuller faster and longer. Studies have shown that patients who have the gastric sleeve resection lose approximately 60 percent of their excess body weight at 18-24 months post-operatively.
The adjustable gastric band (CPT 43770) works by creating a pouch at the top portion of your stomach to make you feel fuller faster and longer. This procedure works on calorie restriction alone. It is the least invasive of the three procedures, but has the slowest rate of weight loss. Patients with the gastric band lose, on average, 1-2 pounds a week. In 24 months, the average patient has lost approximately 46 percent of their excess body weight.
The duodenal switch (CPT 43845) works by reducing the size of the stomach and rerouting the intestines. It is both a restrictive and malabsorptive operation. This procedure is associated with the most risks, so it is selectively offered.
All of the procedures are available laparoscopically, which means that the surgery is completed using 4-5 small incisions. The potential for complications is moderately high and varies depending upon which procedure you have. Some patients need additional surgery to correct complications such as abdominal and internal hernias, and some patients develop nutritional deficiencies such as anemia and osteoporosis. There are essential lifestyle changes the patient must be absolutely committed to making. People who once ate freely must become very attentive to their diets, eat smaller, more nutritious meals and take vitamin and mineral supplements.
Risks are associated with any type of surgery, including abdominal surgery, and these risks are greater for individuals who suffer from obesity. Your weight, age and medical history play a significant role in determining your specific risks. Your surgeon can inform you about your individual weight-loss surgery risks.
After you have weight-loss surgery and successfully lose your excess body weight, you will have some loose skin. Your option for this is plastic surgery. Unfortunately, insurance does not cover the majority of these procedures; only in very rare instances will they even assist in coverage. Although rumors persist about burn centers accepting skin donations for burn patients, we have found this to be untrue. Exercise and intake of the recommended protein is the best option in helping to reduce the amount of excess skin you have.
The decision to consider weight-loss surgery is one of the most important decisions you may ever make. It will not only impact your life, but the lives of those closest to you. Choosing the right program is equally important. The doctors, nurses, nutritionists and counselors at the Center for Surgical Weight Control are all specially trained and focused on helping you. For more information, please call the patient intake coordinator, Charlotte King, at 304-399-4118.