Practice Policy Update Regarding Covid-19
Practice Policy Update Regarding Covid-19

Weight loss surgery is often considered a way for obese patients to lose a significant amount of weight and treat medical conditions related to obesity. However, despite what other may think, weight loss surgery is NOT the ‘easy way out’. To make weight loss surgery successful, considerable effort is required before and after the operation.
 

You might be wondering which weight loss procedure you want to choose. However, there are several types of weight loss procedures. Most people just choose what their surgeon recommends- and while this is usually a good way to go, it’s important that you understand your options before you pull the trigger. So which weight loss surgery is best for you?

 

Permanent Weight Loss Procedures

 

Gastric bypass

 

Gastric bypass is the bariatric surgical procedure that has been performed by the longest.  It is considered the “gold standard” of bariatric procedures.  It involves forming a pouch from the stomach and connecting that pouch to the lower part of the small intestine. This cuts off the rest of the stomach from the pouch, shrinking the usable volume of the stomach. It also causes less food to be absorbed as part of the intestine is bypassed (hence the name).
 

Can be recommended if:


●    You have a BMI of over 40.
●    You also suffer from obesity-related complications such as sleep apnea, hypertension, or diabetes mellitus type 2.
●    Malabsorption is not an issue for you, or is preferable for you.
 

Gastric sleeve

 

Sleeve gastrectomy, or the gastric sleeve, is the newer cousin of the gastric bypass. The surgeon reshapes the stomach into a tube-like shape, shrinking it down to a portion of its old size. Removing that part of the stomach also reduces the amount of ghrelin (hunger hormone) that is released.
 

Can be recommended if:


●    You have a BMI of over 40.
●    You also suffer from obesity-related complications such as sleep apnea, hypertension, or diabetes mellitus type 2.
●    You’re concerned about malabsorption effects from gastric bypass.
 

Biliopancreatic Diversion


This weight loss surgery is particularly invasive and is not recommended for most patients.. This reshapes the stomach and reroutes the small intestines in a way so that fat is more difficult for the body to absorb. It is one of the few bariatric surgeries approved for the heaviest of patients, however.
 

Can be recommended if:


●    You have a BMI over 60
●    You’ve tried weight loss surgery before and it hasn’t worked.
 

Reversible Weight Loss Procedures

 

Adjustable gastric band

 

The adjustable gastric band is also known as a Lap-Band, which is the brand of the most commonly sold gastric band. It is done by inserting a band around the stomach and inflating it to restrict its size. A reversible surgery, and done through a keyhole in the abdomen, it’s a very common choice due to its lower cost and lower recovery time. However, it’s losing popularity in recent years due to controversies over its effectiveness.
 

Recommended if:


●    You have a BMI over 30.
●    Cost is a concern, as the gastric band is generally lower cost than other types of bariatric surgery.
 

Intragastric balloon


A balloon is inserted into the stomach through the mouth, then inflated. This procedure is even less invasive than the band and easier to reverse. It’s also completely temporary, being removed after six months.
 

Recommended if:


●    You have a BMI over 30.
●    You want a procedure that only lasts six months.