Considering Weight Loss Surgery: A Patient’s Guide to Surgery, Second Edition

Before Gastric Sleeve Surgery
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Background

Considering Weight Loss Surgery: A Patient'S Guide to Surgery, Second Edition. Front Cover. Glenn M. Ihde. Trafford Publishing, Jan 24, - Health. vor 6 Tagen Kostenlose E-Books zum Online-Download Considering Weight Loss Surgery: A Patient's Guide to Surgery, Second Edition PDF. Glenn M.

Up to 70 percent of patients see a remission of or improvement in their sleep apnea. Some patients see a lessening of their gastroesophageal reflux disease GERD symptoms. On average, patients experience greater weight loss than with diet, exercise, and medication.

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However, there is insufficient evidence to recommend it as the new gold standard for sleeve gastrectomy in the place of conventional laparoscopic sleeve gastrectomy. Close Figure Viewer. Pylori infection; those who are pregnant or use aspirin daily should also avoid the device FDA, Gastric bypass had more parathyroid hormone elevation but no difference in B12 deficiency. Later visits will be scheduled as-needed. It is a prospective cohort study which evaluated patients immediately before and 12 months following Roux-en-Y gastric bypass RYGB.

Here are a few additional steps you can take to help improve your chances of getting your insurance company to cover the procedure:. If you know your insurance company wants a six-month doctor-supervised diet, get started! Weight loss surgery is just a broad category for several different weight loss procedures. Here are some basic descriptions of the most common weight loss surgeries:. Roux-en-Y pronounced roo-en-why gastric bypass: A procedure in which the stomach and intestines are divided and rearranged to make a new small stomach known as a pouch and bypass part of the stomach and the intestines.

Background

This procedure is the most common weight loss procedure being done today. Adjustable gastric banding: A procedure in which an inflatable silicone band or ring is placed around the upper part of the stomach. The band has a port that is placed under the skin, which is used to inflate the band. The port is accessed with a needle through the skin, and saline is added or removed; this is known as a fill or adjustment. Adjustments are given to reduce hunger and portion size and increase weight loss. The procedure is usually done laparoscopically.

Sleeve gastrectomy: A procedure in which up to 70 percent of your stomach is removed. The pylorus , which regulates the entry of food into the intestine, is not removed, and food enters the intestine normally. This procedure has been increasing in numbers.

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Biliopancreatic diversion: A procedure in which part of the stomach is removed and a significant intestinal bypass is performed. The biliopancreatic diversion can be performed in two ways, and the difference between the two procedures lies in which part of the stomach is removed. In the first version, known simply as biliopancreatic diversion, the lower part of the stomach is removed, and the remaining stomach is hooked up to the part of the small intestine that is closer to the colon, known as the ileum. In the second version, biliopancreatic diversion with duodenal switch, the outer curve of the stomach is removed, and the first part of the small intestine is hooked up to the ileum.

Approximately 90 percent of the small intestine is bypassed in both the surgeries, resulting in significantly fewer calories and nutrients being absorbed. Weight loss is maximized, but nutritional deficiencies can occur more frequently than with the other weight loss procedures, so you need to take nutritional supplements for the rest of your life.

Part 3: Preparing for life after bariatric surgery

So, you want to explore the option of weight loss surgery. Here are some ways to get more information about the different types of procedures that are out there:. On average, patients experience greater weight loss than with diet, exercise, and medication. Here are a few additional steps you can take to help improve your chances of getting your insurance company to cover the procedure:.

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If you know your insurance company wants a six-month doctor-supervised diet, get started! Weight loss surgery is just a broad category for several different weight loss procedures. Here are some basic descriptions of the most common weight loss surgeries:. Roux-en-Y pronounced roo-en-why gastric bypass: A procedure in which the stomach and intestines are divided and rearranged to make a new small stomach known as a pouch and bypass part of the stomach and the intestines.

Obesity Surgery - Medical Clinical Policy Bulletins | Aetna

This procedure is the most common weight loss procedure being done today. Adjustable gastric banding: A procedure in which an inflatable silicone band or ring is placed around the upper part of the stomach. The band has a port that is placed under the skin, which is used to inflate the band. The port is accessed with a needle through the skin, and saline is added or removed; this is known as a fill or adjustment. Adjustments are given to reduce hunger and portion size and increase weight loss. The procedure is usually done laparoscopically. Sleeve gastrectomy: A procedure in which up to 70 percent of your stomach is removed.

The pylorus , which regulates the entry of food into the intestine, is not removed, and food enters the intestine normally. This procedure has been increasing in numbers. Biliopancreatic diversion: A procedure in which part of the stomach is removed and a significant intestinal bypass is performed.

Obesity Surgery

The biliopancreatic diversion can be performed in two ways, and the difference between the two procedures lies in which part of the stomach is removed. In the first version, known simply as biliopancreatic diversion, the lower part of the stomach is removed, and the remaining stomach is hooked up to the part of the small intestine that is closer to the colon, known as the ileum.

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In the second version, biliopancreatic diversion with duodenal switch, the outer curve of the stomach is removed, and the first part of the small intestine is hooked up to the ileum. Approximately 90 percent of the small intestine is bypassed in both the surgeries, resulting in significantly fewer calories and nutrients being absorbed. Weight loss is maximized, but nutritional deficiencies can occur more frequently than with the other weight loss procedures, so you need to take nutritional supplements for the rest of your life.

So, you want to explore the option of weight loss surgery.

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Here are some ways to get more information about the different types of procedures that are out there:. Your doctor also may be able to refer you to a respected weight loss surgeon in your community. Read as much as possible about the different procedures.