Top
20
Doctor insights on: Bmi Before Bariatric Surgery

Share
1

1
How exactly is lap band bariatric surgery done?

How exactly is lap band bariatric surgery done?

LapBand surgery.: Laparoscopically (cameras and instruments stuck through small incisions in the abdomen), a band is placed around the stomach, creating sort of an hourglass shape to the stomach. Perhaps takes 45 minutes. ...Read more

See 4 more doctor answers
Dr. Joseph Kuhn
361 doctors shared insights

Weight Loss Surgery (Definition)

Surgical procedures for obesity may be appropriate for some dangerously obese people, and they may reduce heart problems and many of the risks associated with obesity. These risks include high blood pressure, sleep apnea, and diabetes. In fact, surgery provides much greater control of weight and diabetes than nonsurgical weight-loss methods. Studies are reporting significant reductions in diabetes, and the need for diabetic medications, after surgery. Other medical conditions that often improve after surgery include heartburn, arthritis, and other joint and circulation problems. The care of patients undergoing bariatric surgery, before and after surgery, requires specialized expertise and facilities. Studies have shown that the likelihood of complications is significantly associated with the experience of the surgeon and staff. Bariatric surgeries produce weight loss through one of two approaches: * Restrictive Banding Procedures. These procedures restrict the amount of food by closing off parts of the stomach with bands. * Malabsorptive Bypass Procedures. This approach restricts the amount of food and also reduces absorption by using a bypass of parts of the intestine. The malabsorptive procedures are more successful in achieving weight loss than the banding approach, but they carry a greater ...Read more


2

2
Will bariatric surgey (gastric bypass) help with diabetes? Thanks!

Will bariatric surgey (gastric bypass) help with diabetes? Thanks!

Yes: Bariatric surgery will often resolve many medical issues along with successful weight loss. Some of the most significant health conditions that can be improved or resolved with bariatric surgery include, type 2 diabetes ( previously described as adult onset or non Insulin dependent ) , sleep apnea , high blood presssure , gastroesophageal reflux disease, and osteoarthritis. ...Read more

See 3 more doctor answers
3

3
Should I expect to lose hair after bariatric surgery?

Should I expect to lose hair after bariatric surgery?

Possibly: There are two common reasons for this. First, endocrine (thyroid) levels can fluctate with rapid weight changes and should be monitored. Second, extreme stress can cause hairloss that may not be evident or 3-6 months following the stress, and may not improve for 3-6 more months. Your dr should be able tell if a work-up is necessary, versus reassurance and time. ...Read more

See 2 more doctor answers
4

4
What's the youngest age they can perform bariatric (weight loss) surgery?

What's the youngest age they can perform bariatric (weight loss) surgery?

Weight loss: Age is not the issue. It is your weight, your medical history, your meds, etc. It is only after the baratric surgeon has done a thorough job can he/she decide if you are a candidate or not. Then you must decide yes or no. ...Read more

5

5
What will happen after bariatric surgery?

You'll lose weight.: Hopefully. You'll follow a prudent weight loss diet and exercise regimen. You'll supplement vitamins. You'll consult regularly with a Dietitian. You'll get blood tests to make sure you're nutritionally optimized. ...Read more

See 3 more doctor answers
8

8
How healthy is bariatrics operation?

How healthy is bariatrics operation?

Quite safe: In experienced hands, the risks of WLS are actually very low. That being said, it's OK to ask your surgeon for his data, including his complication rates. ...Read more

See 1 more doctor answer
9

9
Would Bariatic surgery be recommended for PCOS patients?

Would Bariatic surgery be recommended for PCOS patients?

Not per se: Hi. Bariatric surgery may be recommended for severe obesity especially if accompanied by comorbid conditions. PCOS patients may be obese, in which case bariatric surgery may be considered, but it's for the obesity, not the PCOS per se. See the distinction? Good luck! ...Read more

10

10
Does gastric bypass surgery work?

Does gastric bypass surgery work?

Bypass works: Gastric bypass "works" in 95-97%. Works in three ways: 1. Small pouch makes you feel full. 2. Decreased ghrelin (hunger hormone). 3. Diverts food from lower stomach and duodenum (helps with diabetes). Must eat appropriately. Solid food, no sipping with food, no sweets, no bad snacks. Most lose 80% of excess weight at one year. Then some bounce back with total loss at 5-7 years of 70% excess wt. ...Read more

See 2 more doctor answers
13

13
When are you a good candidate for gastric bypass surgery when obese?

When are you a good candidate for gastric bypass surgery when obese?

Candidate for bypass: For either band, bypass, or sleeve: 80-100 pounds overweight. Gastric bypass is preferable when there is significant heartburn (reflux), diabetics on insulin, or severe obesity (bmi > 50). The sleeve and band are generally avoided with significant heartburn problems. All procedures can really help with joint problems, hypertension, high cholesterol. ...Read more

See 2 more doctor answers
14

14
Do you recommend roux-en-y gastric bypass surgery?

Do you recommend roux-en-y gastric bypass surgery?

Gastric bypass: Yes. It may not be the best choice for everyone, the the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is also the best operation for patients with diabetes, heartburn/reflux, large hiatal hernias, or are very obese (bmi over 50). It should only be done by an experienced surgeon. ...Read more

15

15
Can I continue smoking after bariatric surgery?

No.: Shouldn't have been smoking before Bariatric surgery. Take the opportunity to do something else healthy for yourself and quit smoking. ...Read more

See 3 more doctor answers
16

16
Anyone done a nissen fundoplication laparoscopic surgery?

Anyone done a nissen fundoplication laparoscopic surgery?

Yes!: This is the most common anti-reflux procedure, involving closure of the hiatal hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. An incisionless option, tiff, is available 2. ...Read more

See 3 more doctor answers
17

17
Is gastric bypass/lap band surgery elective since they should just stop eating?

Is gastric bypass/lap band surgery elective since they should just stop eating?

Bypass ; band: It is elective surgery because it isn't emergency surgery. It has nothing to do with the fact that an obese person may eat too much. ...Read more

See 2 more doctor answers
18

18
How does gastric bypass surgery work in losing weight?

How does gastric bypass surgery work in losing weight?

Makes you feel full: Since the large stomach is eliminated or reduced in size one feels full after small meals. This helps to reduce intake and weight ultimately. ...Read more

See 1 more doctor answer
19

19
After bariatric surgery can you eat fruits?

Post Bariatric: Yes. Of course. The only thing is that you will be limited in the amount of food you can eat at any given time. ...Read more

See 2 more doctor answers
20

20
What happens if you gain back weight after gastric bypass surgery?

What happens if you gain back weight after gastric bypass surgery?

If you begin to regain weight after gastric bypass surgery, talk to your doctor: You may have a sense of what’s causing your weight gain. However, you may need a more thorough evaluation to determine what factors — medical, psychological, lifestyle — are involved in the weight gain. You may have gained weight after gastric bypass surgery because of changes in your stomach and intestine that allow you to eat more and absorb more calories. It's also possible that your diet and exercise habits have slipped, in which case you must typically lose the regained weight the old-fashioned way — both by reducing your calorie intake and increasing your physical activity. In some cases, a second surgery to repair — or redo — a gastric bypass may be appropriate. This is especially true if the anatomy of your stomach and small intestine have changed, such as with a fistula (additional connection between the stomach and intestine). However, a second surgery has an increased risk of complications, including infection, bleeding and leaks in the gastrointestinal tract. Because of these risks, gastric bypass surgery usually isn't redone if you regain weight because of poor diet or exercise habits. Gastric bypass surgery can be an effective treatment for obesity, and most people do lose weight after the procedure if they are adequately prepared for the changes that are necessary. But you'll always be at risk of regaining weight, even years later. To help reach your weight-loss goal and prevent weight regain, it's crucial to make lifestyle changes along with having gastric bypass surgery. ...Read more

Dr. Kenneth Foreman
212 doctors shared insights

Bariatrics (Definition)

Bariatrics is the field of medicine dedicated to the study and management of obesity. Medical and surgical weight loss, treatment options, clinical research in obesity, and the general medical care of hospital patients who are severely overweight are all covered in this field. Almost a third of american patients suffer from obesity defined as a body mass index ...Read more


Dr. Cornelius O'leary jr
557 doctors shared insights

Body Mass Index (Definition)

Body mass index (BMI) is a measurement based on a person's height and weight, to decide if a person is too heavy or too light for his height. The index is a number that can be in the underweight range, normal range, overweight range, or obese range. Children use different number ranges than adults do, ...Read more