Ask Bariatric surgeo. I guess the success is the lost of weight and the improvement in the numbers of the glucose (a1c) and improvement in blood pressure and the lack of complications vomiting, dehydration, formation of ulcers etc.
Many factors. Many factors go in to determining the success of a surgical weight loss procedure. The percent of excess body weight lost is important, however improvement and hopefully resolution of medical problems is also a significant factor in determining "success".
Very good. Bariatric surgery has a success rate of about 80-90% for significant weight loss and maintaining that weight loss. Diet and exercise has a success rate of more like 5-10%. Average weight loss with the gastric bypass is about 70-80% of your excess body weight.
70-70% EWL. The average pt loses 70-75% of the weight that they are overweight in 12-18 months. -dr c evanson md fasc fasmbs carmel, in.
100% There is no data to show the success rate of a gastric bypass. However if done by a well trained bariatric surgeon who rule out hiatal hernia and emotional eating this procedure can be 100% successful. Research you surgeon well and good luck.
Small stomach bypass. 90% of stomach is excluded with less than 10% stomach gastro intestinal continuity established, now stomach is small, called mini gastric by pass.
One less connection. Mgb was originally coined to describe a method of gastric bypass that connects the stomach pouch to a loop of small intestine - rather than a limb of intestine that is " defuntionalized" for a distance before the reconnection down further to allow for the union of food and digestive juices.
Mini gastric bypass. The mini gastric bypass is not endorsed by any asmbs or any of the top academic bariatric surgery programs in the country. It is safe, but it is basically a billroth 2 operation which can cause bile reflux. The fix for that problem is a roux-en-y gastric bypass meaning that for 50 years we have known that a roux-en-y is better than a billroth 2. The b2 is just easier for the surgeon to do.
Safe/effective. The safety of gastric bypasses has dramatically improved over the past 15 years with improvements in training, instrumentation, and introduction of laparoscopic techniques. Mortality in experienced hands is less than 0.1%. These surgeries are safer than heart surgery and most orthopedic procedures. Look for a facility and a surgeon that carry a centers of excellence (coe) designation.
Key word. I would like to emphasize the importance of seeking coe listed surgeon. There are plenty of surgeons that offer services and have *much* worse outcomes. Dr st laurent is in my area and has an excellent reputation.
Like appendectomy. Assuming you see an experienced surgeon, the mortality 0.1% is similar to incidence with appendectomy (according to statistics from bariatric centers of excellence. Many studies show a significant prolongation of life, which is uncommon with most other operations.
1 st do you need one. Then you have to be in program, will motivate you loose weight, assess your general status before accepting into program. Go and see one close to you, if you are a candidate they will tell you how much it costs work out a plan for the payment.
Varies. You can find a bariatric surgeon nearby, and call the office. They will have general ranges of costs for the operation, the before and aftercare, and probably the hospital and anesthesia also.
Typically surgery is. Recommended for patients with morbid obesity (BMI>40), patients who are obese (BMI > 35) with other medical conditions like diabetes or heart disease, and now many people are also recommending surgery for those with BMI > 30 (overweight) with other high risk med problems. There are many options for weight loss surgery (bypass, sleeve, band); see a good bariatric surgeon to discuss. Good luck!
Bariatric surgeon. Bariatric surgery has definitive indications, and patients have to fit the profile. The right candidate for gastric bypass surgeries have to be carefully screened by their physicians. See a bariatric surgeon to see if you are a proper patient from a physical and psychological prospective.
Absolutely. Bariatric surgery represents the single most effective therapy of losing weight and potentially resolving medical conditions such as diabetes, high blood pressure, sleep apnea, high cholesterol etc… surgery should not be taken lightly. It is work, but worth the effort. Find a reputable surgeon with a good dietitian and after-care program willing to follow you and help you be successful for life.
Bypass can reverse. The doctor can reverse the gastric bypass laparoscopically. The lower stomach never shrinks or loses function. The national incidence is only 1 in 1000. Usually only under rare circumstances.
Yes you can. The standard bypass does not remove any parts, so re-connecting the stomach pouch to the remnant stomach and removing the roux small bowel limb are possible. Reversal is rarely done since most problems causing patients to consider reversal can be treated with other means. The procedure has higher risk than the first operation since the surgeon is working with altered anatomy.
YES. It's called a revision of the original surgery.