Doctor insights on:
How To Qualify For Gastric Bypass Surgery
Not sure why doctors think my mom would qualify for gastric bypass surgery or the band? Yes she's 350 lbs but she has copd, chf, diabetic with fluids around lungs and her legs swell up a lot due to the fluid . How could she qualify?
Obesity, and...: Obesity is the main health problem to qualify. Bmi (body mass index) >40, or >35 with associated health problems such as diabetes, sleep apnea, hypertension. Formerly had to be "morbidly obese" >100 pounds (45 kg) over ideal body weight. Bmi=wt (kg)/sqht (meters). Can be thrown off if very muscular. Measures weight not amount of fat. ...Read more
Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
Gastric bypass: 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 a safe operation but should only be done by an experienced gastric bypass surgeon. There are many lap band surgeons out there, but few are good gastric bypass surgeons. I have recommended bypass for family members. ...Read moreSee 1 more doctor answer
Major surgery: Significant rerouting of the plumbing. It is a combo restrictive (make a small stomach pouch) and malabsorptive (shorten effective absoptive capacity of small bowel). "centers of excellence", with ample experience (not the occasional bypass operator) reasonably safe track record. Can have significant complications at and after surgery, short and long term. Balance risk/benefits of surg or not. ...Read moreSee 1 more doctor answer
Cost of bypass: That depends. Generally speaking, health insurance covers the cost of surgery. However, you may have a co-pay of 10, 20, even 50%. If you didn't have any insurance at all, it could cost you $30, 000 to have a gastric bypass done depending on where and by who. ...Read moreSee 1 more doctor answer
Depends on behavior: A roux-en-y gastric bypass can be quite effective in weight loss if it is part of a multi-modality treatment process. This can include support, diet, exercise, as well as the surgery. Your doctor can guide you in finding a qualified bariatric program, but you must be willing to accept that such a procedure is not the end, and you will have to actively participate in your recovery. Good luck. ...Read more
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