Exercise and eating right are the best ways to lose weight. However there are many people who have tried those methods for years and still can’t lose excess weight — weight that can cause serious health problems.
For people in this frustrating situation, weight loss surgery (bariatric surgery) may be an option. Below you will find information to help you better understand the procedures, and determine if you’re a good candidate.
The Gastric Balloon
Gastric balloon is a reversible and incision free weight loss procedure. The concept is simple. A deflated soft silicone gastric balloon is inserted into the stomach via the mouth and filled with liquid or air, reducing the amount of food the stomach can hold and causing the patient to feel fuller faster. The balloon can be left in place for up to six months. Once removed, the stomach — and sometimes the patient’s appetite — returns to normal.
Gastric Balloon: Are You a Candidate?
The gastric balloon procedure may be right for someone who needs to lose weight before an upcoming, once-in-a-lifetime event, such as a wedding or high school reunion. It can also help individuals better comply with prescribed diets. Unlike with other weight loss surgeries which require a body mass index (BMI) of 40 or higher, you only need a BMI of 27 or above to undergo the gastric balloon procedure.
Adjustable gastric banding is a restrictive type of weight loss surgery. In a nutshell, it involves placing a silicone band with an inflatable inner collar around the upper stomach to restrict food intake. This creates a small pouch and a narrow passage to the lower stomach. This small passage delays the emptying of food from the pouch and causes a feeling of fullness. The silicone band can be tightened or loosened over time to change the size of the passage.
Other terms for adjustable gastric banding are laparoscopic adjustable gastric banding and gastric banding.
Who Is a Good Candidate for Gastric Banding?
The National Institutes of Health (NIH) requirements for adjustable gastric banding are the same as for other weight loss surgeries. For example, the NIH requires a body mass index (BMI) greater than 40. This is the equivalent of being about 100 pounds overweight for men and 80 pounds overweight for women. BMI takes height and weight into account to measure body fatness, and a BMI of 30 or above in adults is considered obese.
People with BMIs between 30 and 40 may also be candidates for gastric banding with Lap Band if they have obesity-related illnesses such as diabetes, high blood pressure or high cholesterol. The Realize Band is approved for use in people with a BMI between 35 and 40 and at least one obesity-related condition.
Gastric banding may be an option also for people in whom the more invasive gastric bypass surgery is deemed too risky due to underlying health complications
Roux-en-Y-Gastric Bypass (Traditional and Laparoscopic)
The Roux-en-Y bypass is more common and considered less complicated than the biliopancreatic diversion bypass, since Roux-en-Y does not remove portions of the stomach.
The traditional Roux-en-Y-gastric bypass is performed through open surgery with one long incision.
The Roux-en-Y gastric bypass can also be performed laparoscopically. The laparoscopic Roux-en-Y-gastric bypass uses multiple smaller incisions (instead of one long incision) — a laparoscopic tool is inserted, which offers a visual guide to the inside of the abdomen during the procedure.
The laparoscopic Roux-en-Y produces less scarring and lets you recover faster than the traditional Roux-en-Y-gastric bypass.
What Candidate should choose a Gastric Bypass?
The gastric bypass procedure is a type of bariatric surgery or weight loss surgery designed to reduce your food intake if you have tried and failed to lose weight through diet and exercise.
Gastric bypass can greatly improve the quality of life not only because of an improvement in appearance and an increase in mobility, but also because it can reduce the number and severity of health problems that overweight people are prone to suffer, such as diabetes and heart/circulation problems.
The Change Is Upto You …
Being a good candidate means having realistic expectations. Weight loss surgery will help reduce your risk of life-threatening conditions and improve your overall health and appearance. The results may change the way others interact with you. These changes should improve your quality of life; however, the surgery alone is often not enough to turn your life around. Significant behavior modifications, and even a variety of additional procedures, may be necessary.
Additional surgical procedures (for example, to remove excess skin, lift sagging body areas, improve loose muscles or treat fat deposits) might include a facelift,breast augmentation, breast lift, abdominoplasty or liposuction.
If the excess weight is localized in an area that produces an apron of fat below the breast, abdomen, or hips, a panniculectomy may help to remove excess fat or skin.