But there are some considerations that might tip the scales pun intended in favor of one over another. How can you decide which weight loss surgery is best for you? Aminian breaks down the options. But finding the right procedure requires a discussion between you and your bariatric surgeon.
Today, doctors perform almost all bariatric surgical procedures using minimally invasive techniques. That means smaller incisions usually five or six in the abdomen and faster recoveries. Most patients go home the day after surgery and recover in two to three weeks. The basics: Roux-en-Y gastric bypass surgery is an operation that shrinks your stomach, along with the amount of calories and fat your body absorbs.
Answer these 10 easy questions to discover the weight loss operation that should suit your situation best. What is your Age? Not diabetic Pre diabetic Diabetic diet controlled or tablets Diabetic needing regular injections. Not hypertensive Borderline hypertension Hypertension on tablets.
No reflux symptoms Mild heartburn at times Significant heartburn Acid volume in the mouth Severe reflux with food regurgitation. No diagnosis made Diagnosed mild-mod sleep apnoea Diagnosed Severe Sleep apnoea. Bowel resection None. Normal Severely constipated Mildy constipated Diarrhoea. I will only have the safest, gentlest procedure, fully reversible, no stomach cutting I am willing to take some risk within reason to achieve good weight loss I want the most powerful procedure to lose the most weight and keep it off regardless of extra risk.
The Orbera implantable balloon may be an option to consider. BMI These patients represent the grey area for the more invasive operations. BMI is a formula that uses weight and height to estimate body fat. Weight-loss surgery might be an option for an adult with a BMI of 40 or higher. Instead of using these BMI numbers as a guideline for surgery, a surgeon may use growth charts for adolescents.
These charts show the standard BMI range for each age. Depending on the type or severity of an obesity-related illness, some adults or adolescents with lower BMIs may be able to undergo weight-loss surgery.
If you're considering weight-loss surgery, you'll meet with a health care team that may include the following:. Members of your team will explain what to expect before and after the procedure.
They will evaluate whether you're ready for surgery and help you decide if it's an option for you. They may identify concerns to address — medical, behavioral or psychological — before you're ready for surgery.
You'll have a medical exam to diagnose any unknown obesity-related conditions. Your doctor also will test for problems that could make surgery more complicated. You may undergo tests for:. Weight loss after surgery depends on your ability to change behaviors in eating and exercise. Also, being in good mental health is important for the demands of following your treatment plan.
Your team's goals are to identify psychological or behavioral risk factors, address any problems, and decide whether you're ready for surgery. If your team members recommend bariatric surgery, they will work with you to develop a treatment plan. This may include:. These requirements are intended to help you achieve the best possible weight-loss outcomes after surgery. Also, your ability to follow through on these plans will show your team how motivated you are to follow guidelines after surgery.
Weight-loss surgery can be delayed or canceled if your health care team determines that:. Your insurance company may cover the costs of weight-loss surgery. Your team will need to show that the procedure is medically necessary. Also, you may need to provide documented evidence that you weren't able to lose enough weight with a supervised program of diet and exercise.
Medicare and some Medicaid programs may cover the costs. Some functionalities will not work properly. Please enable it. A lot - at least half of my "excess weight", hopefully a lot more. Anything less is unacceptable. A moderate amount - up to a quarter of my "excess weight" or more would be ideal, and I am open to any procedure. YES I have tried one or more diet and exercise programs b.
I've dabbled, but never really gotten serious about it b. Male b1. Female b2. English Metric. Height feet. Weight lbs. Height cm. Weight kg. Yes b. Under 18 b. Limiting my visits is important to me b. I hate the doctor. Frequent and strong b. Occasional c. I don't necessarily crave food other than normal hunger. Weight loss and health improvement are all I care about - the more things that keep me on track, the better. I don't want to worry about vomiting or bowel movement problems if I happen to eat the wrong foods or eat too much food, even if it increases my risk of weight regain.
I don't know. Yes I am open to that b. Probably not unless that's my only option. I would prefer the ability to "reverse" my procedure, even if it means less weight loss. It doesn't matter as long as I reach my weight loss goals.
Yes, as long as the procedure leads to more weight loss and health improvement. No, I am not sure that I can commit to lifelong supplements. Unfortunately, none of the available types of weight loss surgery seem to be a good fit. Unfortunately, none of the available types of weight loss surgery seem to be a good fit for you.
Gastric balloon requires a BMI between 30 and 40 with or without health issues. AspireAssit requires a BMI between 35 and 55 with or without health issues. Learn more about Gastric Balloon. Find a Top Surgeon. Runner Up. Failed Diet Programs Most types of weight loss surgery - gastric sleeve, gastric bypass, duodenal switch, and gastric band, and AspireAssist - are only appropriate for people who have tried and failed with a medically supervised diet program.
Gastric balloon surgery is the only procedure that does not require this. Talk with your surgeon about how to get started with a supervised diet program. Failed Diet Programs Most types of weight loss surgery - gastric sleeve, gastric bypass, duodenal switch, and Lap-Band, and AspireAssist - are only appropriate for people who have tried and failed with a medically supervised diet program.
Health Improvement You indicated that you currently have weight-related health issues, which will likely improve and may even be "cured" following weight loss surgery. Patients Under 18 While bariatric surgery is performed on patients under 18 years of age, your surgeon will have several concerns including: whether you are disciplined enough to adhere to strict diet and exercise requirements many teens are not ready for or cannot prepare for that level of dedication , whether your family and friends will be supportive enough, whether you can properly evaluate the risks vs the rewards of surgery, whether the procedure could potentially affect your growth or bone density especially malaborptive procedures , and the unknowns about the long-term effect of having an external device in your body for those procedures like Lap Band.
Patients Between 19 and 21 Years Old All types of weight loss surgery are available to you except AspireAssist, which requires a minimum age of Patients Between 56 and 64 Years Old All types of weight loss surgery are available to you except AspireAssist, which requires a maximum age of Patients 65 or Older Since you are 65 or older, it is possible that bariatric surgery is a good option, but you may be less likely to qualify than younger patients due to higher risks. Ongoing Doctor Visits After the initial surgery, Lap Band and may require several doctor visits to "fine tune" the device to the point that it is just right for you.
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