Doctor insights on:
Do I Need To Get Bariatric Surgery If My Hb A1c Levels Are Elevated
Maybe: There are several studies out there demonstrating that bariatric surgery is more successful at treating diabetes than medications. If you are morbidly obese and have diabetes you may want to consider seeing a bariatric surgeon to see if weight loss surgery is right for you. ...Read moreSee 3 more doctor answers
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
I'm 486 lbs. Bariatric surgery on 10/21 and the cardiologist wants me to get a pet scan. I live in nj and need a scanner that can accommodate my weight
What do you advise if I'm going to get the sleeve done - bariatric surgery - I found out I have a hiatal hernia is that procedure done together or separate?
Together: The presence of hiatal hernia is not contraindication to having a sleeve done at the same time. If you have severe reflux in addition to the hiatal hernia, most surgeon would push you to have a RYGB. However, few surgeons believe that just repairing the hiatal hernia at the same time will decrease the reflux in combination with the weight loss. Very few surgeons may add a fundoplication. ...Read more
Cost of Surgery: The out of pocket cost of bariatric surgery in the us for an individual varies tremendously. The factors that affect cost include the type of operation (band, bypass, sleeve), where the operation is done (hospital vs surgery center), and who does the operation. Bottom line, $13k to $30k as a ballpark figure. Shopping for the cheapest is a bad idea. Look for the best surgeon. ...Read moreSee 1 more doctor answer
Bariatric surgery: Any surgery has its risks including bleeding, infection and risks of anesthesia. Bariatric surgery is no different. However, obesity has so many risks for disease, including diabetes, high blood pressure, heart disease, joint problems, that when the risks are compared it is often a better safer choice to have the surgery. ...Read more
A handful...: The portioning and allowed foods after a bariatric procedure vary somewhat depending upon the type of procedure you undergo; however there are some fixed items. For example you should not consume any meal that is bigger than the palm of your hand, avoid carbonated beverages and avoid fatty/'junk' foods. I would encourage you to ask a bariatric surgeon for further details...Happy eating! ...Read moreSee 2 more doctor answers
Diabetes and more: Bariatric surgery has a major impact on diabetes, hypertension, sleep apnea, joint disease, gastric reflux, infertility, high cholesterol, headaches, urinary incontinence, and depression. The latest press showing dramatic correction of diabetes should make anyone with a bmi over 35 (70 pounds overweight) and diabetes really think about bariatric surgery. ...Read moreSee 2 more doctor answers
Bariatric surgery: Answering that question requires getting your full medical history and can take a while to figure out. Some patients take days, weeks, or months to decide between having a lap band, gastric bypass, or sleeve gastrectomy. You'll need to see an experienced bariatric surgeon for a consultation to help you with that answer. I go through this everyday with new patients, but can't give a short answer. ...Read moreSee 1 more doctor answer
Insurance policy: All insurance companies offer coverage for bariatric surgery. However, you have to select a specific plan that includes benefits for bariatric surgery. If your health insurance is provided to you by your employer, they may not elect to pay for bariatric surgery coverage. If you are buying your own policy, read the fine print to make sure it is covered. ...Read moreSee 1 more doctor answer
By your BMI: Bariatric surgery is considered medically necessary when your BMI is greater than 40 (about 100 lbs overweight) or your BMI is greater than 35 (about 60lbs overweight) with 2 comorbidities (other medical problems). These are the indications for bariatric surgery as per the american society of metabolic and bariatric surgeons. ...Read moreSee 2 more doctor answers
Possibly...: The answer to this is possibly; I'm sure they look at all these details but I'm am not aware of any of the study (ies) results at this time. The best advice I can give is to ask a bariatric surgeon; or ask some people who have undergone the procedure. The bottom line though is the weight loss component; which is completely individualized based on how well one follows their diet post-op. ...Read moreSee 1 more doctor answer
Absorption issue: After gastric bypass (not banding) your abiltiy to absorb b-12 and iron and you need to be on b-12 injections monthly and usually 2-3 years after bypass require IV iron infusions which may need ot be repeated as your iron sat% drops we usually monitor these patients regularly. In any case you nee dot have a complete work up for anemia to amke sure nothing else is going on. ...Read moreSee 3 more doctor answers
Depends: Each surgeon has their own protocol for diet after surgery. And it often depends on which procedure you have done. Generally speaking, however, you will likely be on liquids for a short period of time, and then advance from there to soft diet, to regular food. Just less of it. ...Read moreSee 1 more doctor answer
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
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