Best Bariatric surgery patient information on weight loss

Bariatric surgery patient information on weight loss

Bariatric surgery patient information: Hi my name is Dr. Megan Gilmore and I am the bariatric surgeon at mayo clinic health system in Mankato thank you for your interest in our surgery program the purpose of this online information session is to give you information about the history of weight how it impacts our health and some of the surgical treatments that are available after you complete this online information session you will contact our office for a post informational session quiz paperwork for your health

history and an insurance firm in the united states approximately two-thirds of adults are overweight and about one-third suffer from obesity these rates have doubled over the last 20 to 25 years what is even more alarming is that these rates have actually tripled in our adolescence here is a map from the CDC that shows the rates of obesity from 2011 to 2018. in medicine we use numbers to

define weight just like we use numbers to define diabetes and hypertension for the weight we use a number called a body mass index which is a complicated formula that takes into consideration your height and weight and then we get a two-digit number and this is how we define your weight from a medical standpoint the reason this number is important when we are talking about Bariatric surgery patient information.

surgery is the number that insurance companies look at when they’re deciding whether or not they will pay for bariatric surgery we will come back to this in a little bit we know that obesity is a very complex disease and there is no one cause of the changes that we’ve seen over the last 25 years rather it is a complex disease with many overlapping elements we believe there are different factors contributing to weight for each patient and so we take an individualized approach with a multi-disciplinary team our

weight has an impact on our health and has a well-known association with things like diabetes and heart disease but there are actually many other parts of our health that can be affected there is a link to liver disease infertility sleep apnea stroke and even certain types of cancer we believe that treating obesity will improve some of these problems for patients that are already suffering from these health conditions but we also believe that will help prevent patients from developing these medical problems in the future our surgery

team members consist of myself the surgeon heidi bernard chuck our clinical nurse specialist sarah baldwin our certified bariatric nurse our team also consists of dietitians grace feldberg roxanna padilla and christy wimpin our psychologist with bonnie betts and the physical therapists that work with our patients are sangwon and patti we also have a team that works in fairmont and includes

dietitians psychologists and physical therapy our dietitians provide one-on-one individualized sessions one of the benefits of working with a dietitian in this manner is that they can help you achieve your weight goals but they can also address other medical problems that can be modified by diet our dietitians will help you develop strategies to improve your dietary habits our psychologists also offer

one-on-one individual appointments to ensure that patients are psychologically and emotionally ready to proceed with surgery one of the keys for maintaining weight loss in the long term is exercise our physical therapist will help our patients develop an exercise program that they can either do at home or in a gym we do want patients exercising a minimum of three times per week before

surgery our physical therapist will also help patients learn how to increase the intensity and frequency of their exercise returning to the bmi that i talked about earlier technically obesity is defined as having a bmi of 30 or more unfortunately however in minnesota there are no insurance companies that cover bariatric surgery for a bmi between 30 and 35. if your bmi is 35 or greater you do have

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to have another medical condition that is related to your weight if your bmi is 40 or more you qualify for weight loss surgery based on your weight alone i touched on some of the medical conditions that can be associated with obesity earlier this slide is intended to demonstrate the degree to which those medical problems can improve following surgery the most studied medical problem in relation to surgery is diabetes anywhere from 43 to 85 percent of patients will have their hemoglobin a1c returned to normal while no longer

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requiring medications although this is a big range factors such as how long a person has had diabetes and whether or not they use insulin will affect the outcomes after surgery we also see improvements in fatty liver disease sleep apnea infertility degenerative joint disease and overall quality of life the following is an overview of the requirements of our surgery program the first step is completing

an informational session which this online session does fulfill you will have a minimum of four visits with a dietitian and a psychologist our dietitians and psychologists may require additional visits if they do not feel that you’re ready to proceed with surgery additionally certain insurance companies do require that patients have additional visits with our team you will have two visits with the physical

therapist and we do want you exercising three times a week prior to surgery there are also individualized requirements based on people’s medical history including sleep studies imaging of the stomach anatomy and working with your primary care provider to make sure that your health problems are under good control some patients will also visit with the pharmacist prior to surgery to

review home medications here in Mankato we offer two surgeries the gastric bypass and the sleeve gastrectomy here is a short animated depiction of the gastric bypass in ruin y gastric bypass the surgeon creates a small pouch at the top of the stomach the pouch is the only part of the stomach that receives food this greatly limits the amount that you can comfortably eat and drink at one

time the small intestine is then cut a short distance below the main stomach and connected to the new pouch food flows directly from the pouch into this part of the intestine the main part of the stomach however continues to make digestive juices the portion of the intestine still attached to the main stomach is reattached farther down this allows the digestive juices to flow to the small intestine

because food now bypasses a portion of the small intestine fewer nutrients and calories are absorbed the gastric bypass is the most common surgery that we perform in Mankato it does have slightly better results in regards to weight loss and resolution of other medical problems here is a short animated depiction of the sleeve gastrectomy in a sleeve gastrectomy part of the stomach is

separated and removed from the body the remaining section of the stomach is formed into a tube-like structure this smaller stomach cannot hold as much food it also produces less of the appetite-regulating hormone ghrelin which may lessen your desire to eat however sleeve gastrectomy does not affect the absorption of calories and nutrients in the intestines nationwide the sleep

gastrectomy is the most popular bariatric procedure with this procedure we do not do any rerouting however about 75 to 80 of the stomach is removed following bariatric surgery pregnancies should be avoided for 12 to 18 months patients who are currently suffering from infertility should be on reliable birth control as infertility can resolve quickly following weight loss surgery we also

recommend no alcohol use for one year following surgery you do need to quit smoking or using any nicotine products for two months prior to surgery and you should be committed to not starting these products after surgery as it can have devastating consequences on your surgery patients often ask if there is a reason that they cannot have surgery if you are too sick to undergo general

anesthesia the surgery cannot be performed if you have active addiction or uncontrolled psychiatric conditions you do need to have one year of sobriety or one year of psychiatric stability prior to proceeding with surgery we also will not perform surgery if you are actively smoking and you do need to quit smoking two months prior to surgery if patients have a condition called barrett’s esophagus

they cannot have a sleep gastrectomy but they are still candidates for a room y gastric bypass as with any surgery there is a risk of bleeding infection blood clots and reactions to anesthesia with the gastric bypass there are specific complications that can occur such as leak strictures ulcers dumping syndrome bowel obstruction and vitamin deficiencies the sleeve gastrectomy has similar risks to the

gastric bypass however patients occasionally have issues with nausea and heartburn typically these problems are controlled with medications however very rarely patients have required conversion to gastric bypass these risks will be discussed in more detail at your initial appointment as well as at your pre-operative appointment the surgery is performed laparoscopically with small incisions

we usually use about five or six small incisions patients will be up walking on the night of surgery and typically stay in the hospital for one or two nights they are sent home on a full liquid diet for three weeks and they slowly advance their diet while working with their dietitian over the next couple months we typically recommend two to three weeks off of work after surgery patients are usually

recovered from a physical standpoint rather quickly however it is a big lifestyle adjustment the big question that patients usually have is how much weight they can expect to lose after surgery again we look at a complicated formula to figure out what your excess body weight is basically this is any weight that is over your ideal body weight with the gastric bypass patients will lose about 70 of their excess body weight and with a sleeve gastrectomy they will lose about 60 of the excess body weight if you are a woman who is

5 foot 6 and weighs 280 pounds you have a bmi of 45.2 again this is based on your height and your weight your ideal body weight is 130 pounds and this is based on your height and your gender any weight that is over 130 pounds is considered excess body weight this patient would have 150 pounds of excess body weight if she had a gastric bypass we would expect her to lose about 70 or 105

pounds she would end up on average at about 175 pounds with a bmi of 28.3 if she had a sleeve gastrectomy we would expect her to lose about 60 percent of her excess body weight or 90 pounds on average she would end up at about 190 pounds with a bmi of 30.7 if you are a man who is 6 foot tall and weighs 300 pounds your bmi would be 40.7 your bmi is based on your height and your weight

you would have an ideal body weight of 171 pounds this is based on your gender and your height so this patient would have 129 pounds of excess body weight if he had a gastric bypass we would expect him to lose about 70 percent of that excess body weight this is about 90 pounds on average he would end up at about 210 pounds with a bmi of 28.4 if he had a sleeve gastrectomy we

would expect him to lose about 60 of 129 pounds this comes out to 78 pounds he would end up at a weight of 220 pounds with a bmi of 30.2 of course these numbers are averages and some patients lose more and some patients lose less after you complete this online information session please contact our office you will need to complete a post informational quiz fill out paperwork and give

us your insurance information once we have that information back from you we will call you to set up an appointment with either myself or heidi bernardchak we look forward to working with you on this journey towards a healthier lifestyle.

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2) Benefits of Bariatric surgery during high weight

I was almost 400 pounds my life had stopped I was literally treading water trying not to sink I was going to work because I had to go to work and provide a living and room and board and shelter and a lifestyle for myself and my daughter but I wasn’t living life very at rukh surgery has become a mainstay in the treatment of morbid obesity because it works it’s a fairly drastic intervention but the risk

of untreated morbid obesity is certainly higher than the risk of any surgical procedure to reverse it I have a diagram here describing a gastric bypass if this this is the stomach this actually represents the upper top part of the stomach and you can see that we bypass most of the stomach now food will come through this into this pouch and then pass into the intestine bypassing the majority of the

stomach here’s a model of a band this is again the esophagus coming down food comes down the band is placed around the top part of the stomach here were able to adjust how tight this band is around the stomach and therefore regulate how fast the upper pouch of the stomach empties into the rest of the stomach what happened with me was I became this that became the typical obese person

in that one thing led to the other and then it just became this huge cycle and it became too overwhelming and I could remember laying in bed thinking how am I ever going to put my feet on the floor and lose over 200 pounds it became impossible to me to even grasp the idea that was something that I could do and though i don’t believe that this is a quick fix i believe that there’s a lifelong

journey that i’m now on it was able to give me the tool that I needed that would facilitate me being success long term in this weight loss right so on friday i’m now maintaining a 238 pound weight loss at two years I went from a size 36 women’s down to a size six mrs. I guess the question would be how hasn’t it changed my life but what I was thinking i was once morbidly obese and went

through this program about four or five years ago because i know what it’s like to be morbidly obese and then to have a life-changing surgery to allow me to have a tool that helped me become healthier it really allows me to tell patients how it feels to be healthier and have your comorbid conditions resolved in a safe and healthy way it helps the patients because they can ask me questions and relate to me as a patient as well as an educator bariatric surgery is directed at achieving significant weight loss but there are many

comorbid problems or Z States or illnesses that are directly associated with being morbidly obese the most common are type 2 diabetes sleep apnea hypertension pain and osteoarthritis of weight-bearing joints all of these separate medical conditions will be completely eliminated or greatly improved with bariatric surgery my grandmother or my Nana was a type 2 diabetic and I knew that

that was my future when I went in for my one month checkup with my labs the hemoglobin a1c had been resolved and my blood Sugar’s had been completely resolved to normal after having done hundreds of these procedures we’ve seen ninety-six percent of our patients who had diabetes are either improved or reserved somebody could come into the hospital on 200 units of insulin and leave

the hospital on no insulin even before they’ve even lost one pound of weight I believe firmly that between the therapy that I receive externally the support group that i receive internally in the program the nutritional support the nurse and the surgeon it’s a well-rounded pro and therefore an excellent program.///Bariatric surgery patient information ///

3)Best diet and care after Bariatric surgery

Hey this is Morgan registered dietitian and personal trainer out live healthy MD today we’re gonna talk about can you eat whatever you want after surgery well, of course, you think immediately no however I will never be that dietician to tell you you can never have something again as a bariatric patient you hear protein a lot which is true protein is a very important one of my many golden rules is to

always remind patients that when they make their plate of food or their bowl of food to always ask themselves if this is the two-thirds protein you always want to eat protein first because what protein does is it plugs that pouch and helps keep you full over time you want to focus on your Dex proteins like red meat so beef steak have a hamburger without the bun seafood such as salmon shrimp crab

legs you can do pork products like bacon ham sausage turkey chicken eggs those are all dense proteins that will help food fill you up the quickest as a bariatric patient you have a small volume to fill I like to compare it to a funnel your stomach is about the size of an egg after surgery as you progress in time your stomach does not stretch it just relaxes allowing at a bit more volume remember though the importance is always to eat protein first so that it plugs this pouch and slowly digest to your small intestines protein

protein, when you’re eating carbs carbohydrates, go straight through this little hole and you can just keep eating them like Pringles say once you pop you can’t stop you can eat and eat and eat because they are a high-end carbohydrate and very highly processed now going into can you eat whatever you want sure you can if you want but if you’re eating whatever you want the terms

of high-carbohydrate very processed food you will gain weight main focus is protein this does not mean you can never have a small amount of mashed potatoes again there is a difference between two tablespoons of mashed potatoes and two cups of mashed potatoes there’s also a difference between one slice of birthday cake and one sliver of birthday cake now remember if you do tend to

go towards the sweets be cautious because of dumping syndrome happens when you eat very high sugary foods and those foods get dumped directly into your small intestine which causes your body to alert itself and have very bad symptoms such as headache nausea diarrhea and in the urge to lie down be very careful if you are a person who dumps again I will never tell you if

you can never have something again be cautious it’s all about finding that proper moderation for you making sure you’re meeting your recommended calories fat carbs and protein for the day protein first and focusing on that is going to give you the best success for your weight loss surgery.

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