To qualify for bariatric surgery, you must have a body mass index (BMI) of 40 or greater, or have a BMI of 35 with other health issues related to obesity, with obesity being defined as being 100 pounds or more overweight.
These health issues might include:
It can take up to 8-9 months (in some cases longer) from the time you establish with the Weight Management Clinic to your bariatric surgical procedure. Requirements you may need include but are not limited to: efforts towards healthier habits and weight loss (driven by our registered dietitian), psychology evaluation, exercise physiology evaluation, support group attendance, bariatric surgery education, and monthly visits with one of our registered dietitians and one of our weight management providers. You may also require cardiology clearance, sleep medicine evaluation, and/or ongoing behavioral counseling.
All our bariatric procedures are laparoscopic, or minimally-invasive, and are performed by our bariatric surgeons. The most common surgeries include:
The Roux-en-Y gastric bypass procedure helps patients lose weight in two ways:
The surgeon divides the stomach, creating a pouch – about the size of an egg – that feels full after eating a small amount of food. The larger portion of the stomach and a portion of the small intestine are bypassed and reconnected in a Y-shaped configuration. The shortened length of intestine absorbs fewer calories and nutrients.
Sleeve gastrectomy is a restrictive bariatric procedure that permanently reduces the size of the stomach by about 85 percent. The larger, rounded part of the stomach is removed, leaving a small sleeved-shaped portion about the size and shape of a banana. Though the stomach is smaller, digestion and absorption of nutrients go on as normal. Some patients also may have duodenal switch surgery that reduces absorption of calories and nutrients by shortening the length of intestine that food passes through.