Weight Loss Surgery

List of Possible Gastric Sleeve Complications

As with any kind of weight loss surgery, gastric sleeve surgery also brings the risk of complications. The possibility of gastric sleeve complications is even greater if you already had severe obesity and health-related problems prior to your weight loss surgery. However, gastric sleeve surgery is actually a lot safer compared with other forms of weight loss surgery.

The following is the list of possible gastric sleeve complications:

1. Internal Leakage

Internal leakage is one possible gastric sleeve complication that patients could get. This can cause life-threatening condition for you will get infection or septicemia as the consequence of internal leakage. If you get internal leakage, you must do second surgery to fix it.

2. Dumping Syndrome

When foods or liquid with high content of sugar moves rapidly to small intestine, this can cause dumping syndrome. However, this condition is quite rate because gastric sleeve surgery only alters stomach size but not digestive system. There are several conditions that you will experience when you get dumping syndrome such as shaking, lightheadedness, sweatiness and diarrhea.

3. Stomach Stretching

Stomach stretching is one of the most common gastric sleeve complications. Even though a large portion of your stomach has been removed, the remaining of your stomach has an ability to stretch again if you constantly overeating. Therefore, it is important you get accustomed with eating smaller portion as directed after your surgery otherwise your surgery will be useless.

Other gastric sleeve complications include:

  • Internal bleeding
  • Blood clots
  • Pneumonia
  • Respiratory problems
  • Allergic reactions to certain drugs

How to Avoid Gastric Sleeve Complications

You will stay in hospital for few days after your surgery. During this time, it is important that you are monitored by your surgeon to avoid any possible complications in the future. When you feel something wrong, you should tell your doctor or nurse immediately to get immediate treatment.

For first few weeks after you are out of hospital, you should avoid any strenuous activity such as heavy lifting or gym exercise. Your surgeon will tell you when you can return your normal activities again. In the meantime, take your time to rest and recover your body.

After your surgery it is important you chew your foods properly to avoid any complications such as indigestion or vomiting. Usually, you will have to chew your foods 30 times before swallowing. Your stomach can’t handle hard food anymore after the surgery, so make sure the food is soft enough for your stomach.

Be the first to comment - What do you think?  Posted by - March 21, 2012 at 2:40 pm

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Vertical Banded Gastroplasty – Procedures, Benefits and Risks

Vertical banded gastroplasty or popularly known as stomach stapling was once became the most popular weight loss surgery procedure. It is a restrictive weight loss surgery that attempts to limit the amount of foods that you are able to eat.

The surgery will create small vertical pouch in your stomach (this is the reason vertical banded gastroplasty also called vertical sleeve surgery), limiting the size of meals you can eat to approximately one ounce, and slow your digestion process by making the foods to pass through a restrictive ring first.

This surgery creates a large incision in your stomach for the band to loop through. Compared with lap-band surgery where there is no incision made, the later is more favorable procedure nowadays. Another benefit with lap-band surgery, your surgeon can make adjustment with the right without surgery. As with vertical banded gastroplasty, your surgery will need to make surgery every time he/she makes adjustment to the ring.

The patients need to make radical changes in their lifestyle as a requirement of the procedure. This is permanent if you want to keep maintain the weight. You need to eat meals and drink fluids in extremely small quantity compared with your previous portion.

The Procedure

The surgery is done at hospital or surgery center, using general anesthesia. Usually, the surgery is performed using laparoscopic technique. But depending on the case, some surgeries are performed open surgery technique creating a large incision.

The surgery begins with your surgeon makes half-inch-long incisions. Then your surgeon will insert laparoscopic instruments through these incisions to begin making an incision inside the stomach. The hole is created and restrictive band is placed to decrease the absorption processing time of your stomach.

The stomach is then stapled to force the digested food to enter the banded area before leaving your stomach. After your stomach is stapled, the area of stomach that processes food will hold one ounce food at the time.

Your surgeon then will withdraw the instrument and close the incisions with sterile tape.

The Benefits

There are several benefits that you can get from vertical banded gastroplasty:

  • The procedure doesn’t disrupt the normal digestive process for the amount of food that enters your stomach in not bypassed but restricted.
  • The procedure can be reversed easily.
  • A lot of health problems associated with obesity can be healed after vertical banded gastroplasty performed. Health problems such as diabetes, hypertension and sleep apnea.
  • The rate of nutritional deficiencies is considered lower compared with other kinds of weight loss methods.

The Risks

Vertical banded gastroplasty also carries some risks such as:

  • Leaking around the stapled area.
  • Slippage of the staple of band.
  • Nausea
  • Stretching of the pouch when you keep overeating for a long period.

Be the first to comment - What do you think?  Posted by - March 19, 2012 at 12:58 pm

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Different Types of Gastric Bypass Revision Procedures

Different Reasons You Need to Do Gastric Bypass Revision

Generally, there are two reasons why you will do gastric bypass revision:

  1. You experience problem with losing/gaining weight after your gastric bypass surgery.
  2. You experience some complications after surgery.

According to research, 20% morbidly obese patients and 35% super obese patients gain their weight back after 10 years. This phenomenon can be caused by internal issues, metabolic reasons or simply inappropriate eating habit.

The first step to find out the cause of failure of your gastric bypass surgery is to look at your eating habit. You can simply start your own food dairy or ask someone to help you. A lot of patients are often shocked after find out how many calories that they consume every day.

The next step is to adjust your eating behavior to the proper one. You can ask dietician or your surgeon to help devised plan for you. Some people manage to lose weight after this adjustment but some people fail and the rest fail to adjust their eating behavior.

Emotional issue could be another cause here. You should talk with your psychologist to find out if you have any emotional issue that affect your eating habit.

Mechanical Causes of Gastric Bypass Revision

There are also mechanical causes that could be the cause of your gastric bypass surgery failure:

  1. Gastro gastric fistula
  2. Pouch dilation
  3. Anastomotic dilation

Gastro gastric fistula is the situation where your stomach pouch grows back and re-connects to the bypassed stomach. This happens because your stomach pouch gets leak. The leak causes local inflammation and disrupts the staple line of the bypassed stomach. The revision surgery will close the fistula and restore the original surgical gastric bypass anatomy.

Pouch dilation is the situation where your stomach pouch stretches out and enlarges. This cause you eat more than prescribed quantity required to maintain your weight. Your surgeon will re-trim your stomach pouch to make it small again. Other approaches include surgical banding, endoscopic fixation, duodenal switch and Vertical Sleeve Gastrectomy based procedure.

Anastomotic dilation is the situation where the passage between stomach pouch and intestine stretches out.

Different Gastric Bypass Revision Procedures

1. Shrink The Stomach

This is common procedure used to treat pouch or anastomotic dilation. Your surgeon will inject a sclerosant to shrink the opening between your stomach and small intestine. The success rate is quite high with this procedure.

2. Make The Stomach Pouch Smaller By Using A Device

This is relatively new procedure where your surgeon will insert special tubes through the mouth, down the esophagus and into the stomach pouch. The aim is to create permanent folds around the stoma (the opening between your stomach and small intestine) and within the pouch.

The procedure can be divided into two types: ROSE procedure and StomaphyX procedure.

ROSE procedure or commonly called Revision Obesity Surgery Endoscopic is the procedure where your surgeon will form the folds manually utilizing special graspers and holds them in place with sutures and tissue anchors.

In the second procedure, StomachyX procedure, your surgeon will use special device that suctions the stomach skin fold in and insert an H-shaped fastener to hold the fold in place. This procedure is only used to reduce pouch size and not to shrink the stoma (the opening between your stomach and small intestine).

The cost for both procedures is around $8000 to $13,000 and it takes around 30 minutes to perform the procedures. Most patients can leave the hospital in a day or two after the surgery. The lack of incisions makes these procedures relatively safer compared with other methods. Most patients are able to return to their original post-surgery diet in 6 weeks after the procedures.

3. Adjustable Gastric Band

The insertion of adjustable gastric band is another common procedure used to treat failed gastric bypass surgery.

4. Lengthen the Roux Limb

This procedure is applied when the cause of your gastric bypass failure is a very low base metabolic rate. In this procedure, your surgeon will convert a proximal Roux-en-Y gastric bypass to distal Roux-en-Y gastric bypass. This procedure carries the highest risk compared with other methods. Therefore, many surgeons won’t recommend this procedure no matter what is the case of your failed gastric bypass surgery.

5. Duodenal Switch

If you super obese with body mass index 50+ prior to gastric bypass surgery, conversion to duodenal switch maybe the best option for you. According to one study, there were patients with an average original BMI of 53.9 experienced 63% excess weight loss after 1 year revision.

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Cost of Gastric Bypass & Different Financing Methods

The average cost for gastric bypass surgery is around $20,000 and can be as high as $35,000. This high price can turn off a lot of people to do the surgery. The high price of the surgery depends on several factors such as:

  1. The procedures – There are two types of gastric bypass surgery procedures: open and laparoscopic surgery.  You need to pay $2,500 more for open surgery than for laparoscopic surgery because you need to stay longer at hospital.
  2. The surgeon – Different surgeons have different prices. Some surgeons charge more because they are more experienced. Other surgeons charge more because they are the only ones that can do gastric bypass surgery at your area.
  3. The region – You may be able to get lower price if you do your surgery for example at Mexico. This can have plusses and minuses on its own.
  4. Do you have insurance? – Your surgery can be less expensive if it is covered by insurance. Usually, your insurance provider has negotiated some kinds of deals for you.

The Breakdown for Each Cost

We can breakdown the cost of bariatric surgery into several elements, including:

-          The fees of the hospital

-          Your surgeon

-          Surgical assistant

-          The fees of anesthesia used

-          Lab and x-ray cost

-          Operation room

-          And Consultation cost

In most cases, you need to pay more money for pre and post surgery fees such as:

-          Fees for dietitian

-          For psychologist

-          For bariatric vitamins used

-          For follow-up sessions after the surgery

It might seem expensive for you. But in the long-term you can save a lot of money if you do gastric bypass surgery. According to one study, gastric bypass surgery patients could save as much as $3000 per year or more in comparison with people who have obesity health problems but don’t do the surgery.

Another study also showed that for people doing laparoscopic surgery, they were broke even within 2 years and for open surgery patients, they were broke even within 4 years.

Gastric Bypass Surgery Insurance

Insurance is the most popular way to make gastric bypass surgery affordable for most people. It is a good thing if you already have insurance, you can ask your insurance provider regarding the process to apply.

If you don’t have insurance, you should ask your employer whether your bariatric surgery is covered or not. The application process can be long but you can rest assure the insurance will pay everything you need for the surgery.

Other Financing Methods

If you don’t have insurance, you can look for other financing methods:

-          Make several payments. You should talk with your surgeon if she/he offers payment plan.

-          Ask help from family and friends.

-          You can try to secure loans.

-          Retirement plan loans.

-          Permanent life insurance loans.

-          Credit cards.

Be the first to comment - What do you think?  Posted by - March 18, 2012 at 11:40 am

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Bariatric Surgery Cost – Compare Different Weight Loss Surgery Price

Bariatric surgery cost has been greatly decreased in several recent years. The following is the latest average price of bariatric surgery at the time of writing:

  • Gastric Bypass is around $25,000
  • LAP-BAND® is around $18,000
  • REALIZE™ Band is around $20,000
  • Gastric Sleeve is around $15,000
  • Roux-en-Y gastric bypass is around $25,000
  • Biliopancreatic diversion bypass (BDP) is around $23,000
  • Duodenal switch is around $20,000

Several Different Factors that Affect The Cost of Bariatric Surgery

The cost can vary widely based on several different factors such as:

1. The type of surgery: You need to consult with your doctor to know which type of surgery that you need to take.

2. The physical location of the surgery: Different location can have different price. You may want to compare different price offered at different clinics.

3. The experience level of the surgeon: Together with location, the experience level of your surgeon is another biggest influential in your weight loss surgery price.

4. The number of procedure performed: Depending on your health condition before surgery, you may need to undergo several pre and post surgical procedures.

5. Pre-op assessment and post-op treatment: The level of service required can affect your bariatric surgery cost.

6. Cost associated with health professionals: After the surgery, there are several professionals that help you with your treatment such as psychologists and nutritionists.

7. Cost of additional procedures: Additional procedure may be needed after your bariatric surgery such as plastic surgery, liposuction and breast augmentation.

The cost of bariatric surgery is expensive but if you compare the cost of the surgery with long-term benefits that you will get, you will save a lot of money in long-term. There are several financing methods that you can take, make sure you speak with your health providers and surgeon to find the list of financing methods available for you.

Remember, cheaper is not always better. Make sure you choose experienced surgeon and good clinics. You will save a long painful complications later on if you pick the right surgeon and clinic.

Be the first to comment - What do you think?  Posted by - March 17, 2012 at 5:18 am

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