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According to the American Society for Metabolic and Bariatric Surgery, studies by the Agency for Healthcare Research and Quality (AHRQ) show significant safety improvements in bariatric surgery. A government agency, the AHRQ reports the risk of death from weight-loss surgery as minimal – about 0.1 percent. Like any surgery, complications can occur. These include blood clots, hernia, infection, heart attack, stroke, abscess and leaking from the surgical area.
Many physicians consider the risk of obesity-related death much greater than the risks associated with weight-loss surgery.
To qualify for weight-loss surgery you must have a body mass index (BMI) greater than 40 or a BMI that is greater than 35 with an obesity-related disease, such as diabetes, high blood pressure or obstructive sleep apnea. To qualify for the adjustable gastric band, you must have a BMI of 35 or greater or one greater than 30 with an obesity-related disease. Your surgeon will help you determine which type of surgery is best for you.
The amount of weight you lose and the speed at which you lose it depends on individual factors like the surgery you choose, your starting weight and your physical condition at the time of your surgery. Typical weight loss in the month after surgery ranges from 20 to 40 pounds.
Once you qualify for our program, our bariatric surgeons will discuss your different surgical options. They will make recommendations based on your medical history, current health, BMI and other factors.
Yes. However, most patients keep their weight off after surgery. Long-term studies (10-14 years) demonstrate that weight-loss surgery patients maintain a greater degree of weight loss than people who did not have surgery. Many patients discover that co-morbidities such as diabetes and hypertension disappear. Lifestyle changes are essential to maintaining a healthy weight. Studies show that bariatric surgery patients who keep all of their doctor appointments and attend support groups have greater success with weight loss.
Your medical team will give you guidelines for foods you may eat and those you should avoid. Generally, you will be told to consume only clear liquids for the first week or so after surgery. During your second week, you may progress to skim milk and protein shakes. By the end of that week, you will most likely graduate to a puréed diet for 30 days before progressing to a soft diet.
When you are able to eat regular food again, you should avoid sugary or greasy foods. Not only are these unhealthy choices, they tend to cause digestive upset for bariatric surgery patients. Your surgeon or nutritional counselor can provide a complete list of recommended foods.
Yes, and in some cases it is easier to get pregnant. Female patients are advised to wait at least two years after surgery before trying to become pregnant. Your surgeon can offer advice for your individual situation.
Your surgeon is your best source of information regarding weight-loss surgery. Please discuss any additional questions with him or her. He or she can help you make an informed decision regarding your personal weight loss goals and bariatric surgery.
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