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How Do You Know What Type of Bariatric Surgery Is Right for You?


How Do You Know What Type of Bariatric Surgery Is Right for You?



If you have tried every diet and exercise plan but still struggle with weight loss, you may be a candidate for bariatric surgery. As one-third of Americans suffer from obesity, bariatric surgery may be the solution for you. The two most common procedures are Roux-en-Y gastric bypass and sleeve gastrectomy. According to bariatric surgeon Dr. Ali Aminian, both procedures are suitable options for patients with severe obesity. However, the choice between the two will depend on individual factors and a consultation with your surgeon.

To be eligible for bariatric surgery, your body mass index (BMI) must be 40 or higher, or between 35 and 40 with associated health problems such as diabetes, high blood pressure, or sleep apnea. If your BMI is between 30 and 35 and you have uncontrolled diabetes, you may also be eligible.

Minimally invasive techniques are used for the majority of bariatric surgeries, which results in smaller incisions, quicker recoveries, and faster returns to normal activity. Most patients are able to go home the day after surgery and fully recover within two to three weeks.

Let's take a closer look at the two common weight loss procedures:

Gastric Bypass Surgery: Roux-en-Y gastric bypass surgery shrinks your stomach, reduces calorie and fat absorption, and reroutes the gastrointestinal (GI) tract. The top part of the stomach is disconnected, and a small pouch is created. A loop of the small intestine is then connected to this pouch, bypassing 90 to 95% of the stomach. Gastric bypass is a more powerful weight loss tool, with patients typically losing 10 to 20 pounds more compared to sleeve gastrectomy. It also offers improved hormonal changes and a higher chance for diabetes improvement. This procedure is ideal for patients with severe reflux disease, high BMIs, and diabetes.

Sleeve Gastrectomy Surgery: Sleeve gastrectomy, also known as gastric sleeve, involves the removal of 80 to 85% of the stomach, leaving a smaller "sleeve" in its place. This procedure is safer than gastric bypass, with a 3% risk of complications compared to 5% with Roux-en-Y gastric bypass. Sleeve gastrectomy is suitable for patients who have had multiple abdominal surgeries, high-risk surgical patients such as those with heart disease or lung problems, patients who weigh more than 450 to 500 pounds, and patients on multiple medications to treat psychiatric illnesses.


Duodenal Switch Surgery: Duodenal switch is a combination of sleeve gastrectomy and gastric bypass, resulting in the potential for even more weight loss and greater metabolic effects. However, this procedure carries a higher risk of surgical complications and is only performed in 1 to 2% of bariatric surgeries in the US. It is essential to find an experienced surgeon and center if you choose to pursue this option. Duodenal switch is best for patients with severe obesity, as it can result in significant weight loss.






 

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