Surgical Method For Weight Loss  

OBESITY is the main factor that leads surgery.
WHAT CAUSES MORBID OBESITY???
The causes of morbid obesity are multiple and complex. Despite conventional wisdom, it is not simply a result of overeating. Research has shown that, in many cases, significant, underlying causes of morbid obesity are genetic, environmental, and social. Studies have demonstrated that, once the problem is established, efforts such as dieting and exercise programs have a limited ability to provide effective long-term relief.
What is Body Mass Index (BMI)?
BMI is a measure used to index a person’s height and weight. BMI allows healthcare professionals and patients to better understand health issues associated with a specific weight classification (classifications such as obesity and morbid obesity).

What is bariatric surgery?
Bariatric surgery is a procedure designed to make the stomach smaller so the patient feels satisfied with less food. It is intended for people who are 100 pounds or more overweight (with a Body Mass Index of 40 or greater) and who have not had success with other weight loss therapies such as diet, exercise, medications, etc. A person with a Body Mass Index (BMI) of 35 or greater and one or more co-morbid condition also may qualify for bariatric surgery. For patients whose weight limits their mobility and everyday activity, bariatric, or weight loss surgery can change lives. Bariatric surgery is often the appropriate weight loss option for those with a Body Mass Index (BMI) above 35. Surgical weight loss options typically result in quick and dramatic weight loss among patients, and significantly reduces obesity-related health issues, such as diabetes.
Qualifying for Bariatric Surgery:
Certain basic tests typically are performed:
Complete Blood Count (CBC)
Urinalysis
Chemistry screen
Electrocardiogram
Psychological evaluation
Other tests that may be requested include:
Blood glucose test
Pulmonary function testing
Sleep study
GI evaluation
Cardiology evaluation
Three surgical weight loss options are available for our patients:
Gastric Bypass

The gastric bypass surgical weight loss option reduces stomach size and diverts the passage of food through the small intestine to limit digestion, leaving patients feeling full after eating less. In addition, food that is consumed has less opportunity to be absorbed because of the re-routing of the small intestine. Most gastric bypass patients lose approximately two-thirds of their excess body weight within two years.
Gastric Banding

Gastric banding is a minimally-invasive weight loss procedure in which doctors place an adjustable silicone band around the upper portion of the patient’s stomach to reduce stomach size. Patients feel full more quickly and, as a result, eat less. This type of weight loss surgery is reversible when medically indicated.

Sleeve Gastrectomy

The sleeve gastrectomy procedure is a surgical weight loss option in which doctors permanently remove approximately 75% of the patient’s stomach. The remaining, smaller stomach is reshaped into the form of a sleeve. Patients experience normal digestion and report feeling full more quickly and having less hunger.
Weight loss surgery does involve some risks and may not be appropriate for all patients. But in combination with lifestyle changes and other bariatric treatment options, such as consultations with nutritionists and wellness coaching, bariatric surgery can lead to substantial long-term weight loss. For patients who need to follow a medically supervised weight loss program or lose weight before bariatric surgery, Emory Bariatric Center offers programs to fit your needs.
Bariatric surgery right or not???

Talk with your surgeon about the different surgical treatments, as well as the benefits and risks.
Remember:
Bariatric surgery is not cosmetic surgery.
Bariatric surgery does not involve the removal of adipose tissue (fat) by suction or surgical removal.
The patient must commit to long-term lifestyle changes, including diet and exercise, which are key to the success of bariatric surgery.
Problems after surgery are rare, but corrective procedures may be required

How successful is bariatric surgery?
Studies show that bariatric surgery can effectively improve and resolve many co-morbid conditions. A review of more than 22,000 bariatric surgery patients showed:
Improvement in or complete resolution of conditions including type 2 diabetes, hypertension, and sleep apnea4
61.2% reduction of excess weight
The possible side effects of bariatric surgery?
Side effects include:
Vomiting
Dumping syndrome
Nutritional deficiencies
Gallstones
Need to avoid pregnancy temporarily
Nausea, vomiting, bloating, diarrhea, excessive sweating, increased gas, and dizziness

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