For many people, losing weight through
weight loss diet and exercise is a choice. Nonetheless, due to obesity, some
patients can struggle in diet and exercise and be at high risk for
complications related to the disease. Weight loss surgery may be a choice for
this group of individuals.
There are various options for weight-loss
surgery, commonly known as bariatric surgery. Not everyone is a candidate for
weight-loss surgery though. To explore their choices, patients can meet with a
surgeon who performs bariatric surgery. Weight loss surgery is a lifelong
operation requiring a lifetime effort to maintain a healthy lifestyle and a
balanced diet.
Potential benefits of weight loss surgery
Ø Reduced
risk of diseases linked to weight, such as high blood pressure, heart disease,
diabetes, osteoarthritis, and sleep apnea
Ø Health
in general improves
Ø Possibly
longer life span
Ø Greater
self-esteem and a better quality of life
Some studies propose that surgery
together with medication works better in some diabetic patients than any
procedure alone, but not all patients can reach remission status, meaning they
no longer take diabetes medication.
Is
weight loss surgery good for you?
Determining if you are a candidate for
weight loss surgery is crucial and you do it with your doctor. Most people who are candidates
for weight loss surgery have attempted to lose weight by conventional diet and
exercise, and have not been successful.
Potential
weight loss surgery candidates may include you if:
Ø Understand
the advantages and the dangers of the operations.
Ø An
obese adult, particularly if you have a condition linked to your weight, for
instance, type 2 diabetes.
Ø You
are determined in making healthy lifestyle choices to hold off the weight.
Ø Have
a hereditary tendency for obesity
Ø Provided
a high Index of Body Mass
Does
your insurance policy cover weight loss surgery?
Depending on a patient's benefit,
health insurance is gradually covering many of the costs of weight loss
surgery. Unique specifications, however, need to be met. One of the criteria is
for a patient to have a certain body mass index (BMI) to qualify for the
procedure.
Many patients may require at least one
significant medical comorbidity, such as high blood pressure, sleep apnea, or
diabetes. Many health policies also include evidence that a patient has
achieved weight loss by conventional approaches such as diet and exercise in
the preceding two years.
BMI
(Body mass index) is categorized as below
Ø Underweight = BMI under
18.5
Ø Normal weight = BMI 18.5
- 24.9
Ø Overweight = BMI 25 -
29.9
Ø Obese = BMI 30 to 39.9
Ø Morbidly Obese = BMI 40
or greater
For a patient to qualify for insurance
coverage, one must have either;
Ø BMI greater than 40
Ø The scale of body mass
between 35 and 39 and at least one major medical comorbidity, such as
respiratory disorders (i.e. diabetes, hypertension or sleep apnea)
Ø Many patients may be
eligible for weight-loss surgery if the BMI is below 35, due to obesity, or
severe health issues.
A candidate should discuss this procedure with
a professional surgeon before considering weight loss surgery as a choice for
managing obesity. Importantly, they should contact the insurance company to
determine:
Ø If the insurance policy
covers weight loss surgery
Ø Hospital you have selected is covered by the
insurance
Ø When the patient is
expected to pay a coinsurance or premium for the weight-loss operation where
possible.
Weight loss surgery
options
Gastric Bypass Surgery
Gastric bypass surgery, which your doctor calls it Roux-en-Y
gastric bypass operation, results in staggering a portion of the stomach to
suppress appetite and food consumption. A small stomach pouch is developed but
there is no surgical removal of any part of the stomach. The top part of the
stomach (known as the pouch-around an egg or walnut size) is where food is
digested.
The pouch is then attached to the small intestine allowing less
absorption of the nutrients and calories. The consumption of hunger and food is
lowered and 55% - 65% of the excess weight will be lost, typically within one
year.
Likely complication of
this type of weight loss surgery may include
Ø
Higher risk of vitamin deficiency than
procedures with the gastric band or gastric sleeve.
Ø
Dumping syndrome (leaking)
Gastric Band surgery
Sometimes it’s referred to as lab band or band surgery.
The adjustable silicone band is positioned around the upper
stomach part. Tiny incisions are made in the skin to permit the placing of the
band (laparoscopic procedure). The band produces a tiny pocket of the stomach
at the top of the stomach-the size of the stomach is not decreased surgically.
After consuming smaller amounts of food, the smaller pouch that
is formed with the band results in less food consumption, and a feeling of
fullness. Usually, the surgery takes about an hour during which general
anesthesia is used. Recovery takes about two weeks.
The tightness of the band may be changed after surgery by
injecting saline in a small tube. During surgery, the port is inserted in the
skin and attached to the gastric band. The saline injection can be done at the
doctor's office. To meet weight loss targets the band may be loosened or
tightened.
Adjustable stomach band surgery is a reversible treatment and is
deemed the least invasive of all weight-loss surgery. Patients who implement
dietary guidelines will typically lose between 30 % and 40 % of their excess
weight with the treatment of the gastric band. However, weight loss with
gastric band surgery is slower, and full weight loss can take up to five years.
Some of the complications include additional replacement or
removal surgery, infections or bleeding, band slippage, or band erosion.
Gastric sleeve surgery
Can also be referred to as sleeve gastrectomy
Through surgery, nearly 80 % of the stomach is removed. The
remainder (gastric sleeve) of the small part of the stomach is attached to the
intestines. The volume of the stomach is decreased but there is no re-routing
through the intestine, thereby ensuring the absorption of nutrients.
In some cases, sleeve gastrectomies can be appropriate as an
option for gastric banding.
This option of weight loss surgery is acid reflux and leaking.
Biliopancreatic Diversion
with Duodenal Switch
According to Johns Hopkins Medicine, biliopancreatic diversion
with duodenal switch (BPD / DS), typically only called the duodenal switch
process, has two components.
Initially, a surgeon constructs a smaller stomach, similar to
the sleeve gastrectomy technique. The surgeon then removes a portion of the
small intestine which decreases the amount of food you can consume. Together,
these strategies produce a smaller stomach that can hold less food, while at
the same time keeping the body from adding as much weight as the food you
consume usually absorbs.
Patients with the duodenal switch usually lose more weight than
they do with other procedures. This surgery also provides the best possibility
of improving problems linked to weight, such as diabetes. This needs less
dietary control and the majority of people can consume relatively regular meals
over time.
It also has the highest difficulties and death rates, however,
presents a high rate of nutritional deficiencies, and needs continuous
follow-up visits.
Weight loss diet and
vitamins required after weight loss surgery
Following surgery, most patients will continue to be on a weight-loss
liquid-only diet for several weeks, shifting to soft food for the next 6 - 8
weeks, and eventually returning to solid food for the next nine months.
Dieticians specializing in meal preparation for patients undergoing bariatric
surgery may consult with patients after surgery and during the time of weight
loss.
Following bariatric surgery improvements in meal plans are
important. Proper dietary habits must be integrated into the everyday routine.
Patients would need to change their calorie intake to about 800 to 1,000
calories a day, including 40 - 60 grams of protein to help keep the muscle mass
going.
Daily it will need a multivitamin of at least 18 milligrams of
zinc and 400 micrograms of folic acid. Many patients, including fat-soluble
vitamins A, D, E, and K, may require additional vitamins and minerals.
Say no to high-fat foods and sweets that can contribute to the syndrome
of dumping. Dumping syndrome happens when food travels too rapidly from your
stomach to your small intestine after eating it may lead to abdominal side
effects such as fatigue, nausea, pain in the stomach, and extreme and rapid
diarrhea.
How much does weight-loss
surgery cost?
Cost may be a significant consideration when contemplating
weight loss surgery. The more you learn about the weight loss surgery-related
costs, the better place you will be in to go forward confidently.
In addition to reducing some health risks, having bariatric weight
loss surgery will help you reduce the unnecessary costs that may come from
being overweight. That's one justification that more and more insurance
providers are bearing some costs of these procedures.
Depending on the type of operation and where
you live, weight-loss surgery can cost between $15,000 and $25,000, according
to the National Institutes of Health (NIH).
Your weight loss surgery cost will be subject to other
considerations, such as:
Ø
Types of weight loss
surgery- Weight loss surgery forms include stomach bypass, adjustable
stomach banding, vertical stomach banding (also known as stomach stapling),
sleeve gastrectomy, and biliopancreatic diversion. Every one of these is
associated with a different fee.
Ø
The hospital you have selected
- Costs
may vary and can include, the cost of operating and hospital rooms.
Ø
Surgeon’s fee – surgeon’s fee will vary
depending on where you live, the skills of your surgeon, and the difficulty of
the procedure. It is important to remember that there are several major
downsides to traveling for a gastric bypass. You won't be in a position to join
support groups. Making your pre- and post-op appointments will be difficult.
After surgery costs
Ø Complications can be
enormously expensive. But when insurance covers the surgery, therefore
complications are usually covered. Treatment of wound site infection in most
cases is covered by the hospital.
Ø Follow-up visits costs
Ø Nutritionist visits are mostly
out of pocket or arranged before surgery it can range from USD 50 a visit to
over $100 a visit.
Ø Patients undergoing
gastric bypass lose weight very rapidly therefore you should be prepared to
purchase new clothing, as you will need some within two months.
Long term weight loss
surgery costs you might one to consider
Ø
Nutritional supplements- Most patients spend the
remainder of their life -consuming supplements and sometimes protein shakes.
Quality vitamins and nutrients are an important part of your new life. Such
supplements may equate to $50 / month.
Ø
Gym fee - Obtaining a gym
membership is not mandatory but it is mandatory to increase the level of
fitness. It does depend on you if you more likely to do daily exercise in a gymnasium or in a different place?
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