Bariatrics FAQs
How does this type of surgery promote weight loss?
Bariatric surgery alters the digestive process. This operation promotes
weight loss by closing off a part of the stomach to make it smaller. We
combine this stomach restriction with a partial bypass of the small intestine.
This procedure creates a direct connection from the stomach to the lower
segment of the small intestine, literally bypassing portions of the digestive
tract that absorb calories and nutrients.
What types of weight loss operations do you perform?
We offer the Roux-en-Y gastric bypass, which has been performed in
this country for over 20 years. We have performed most of these laparoscopically.
Patients who are extremely obese or patients with complex medical or surgical
problems may not be candidates for the laparoscopic approach. We can also
do the same procedure with an open approach if necessary.
How long have you performed this type of surgery?
We offer a broad range of complex laparoscopic procedures. With regard
to weight loss surgery, we have been performing this operation at St. Agnes Hospital since October 2001 and have performed over 800 of these procedures.
Can this surgery be performed using minimally invasive techniques?
We performed 90% of these procedures using minimally invasive techniques.
Our minimally invasive surgery suites at St. Agnes Hospital are on the
cutting edge of technology. Our cameras and instruments offer superior
visibility and access for the precise dissection of tissues and associated
blood vessels needed. We are normally able to complete these operations
in under four hour and with minimal blood loss. The benefits to our patients
include less pain, easier breathing and a quicker recovery.
Can I be considered a candidate for surgery even though I have one
or more associated health conditions related to my obesity?
Yes, but we may insist that you undergo a detailed pre-op testing
such as heart and lung evaluations to be sure that you are safe for surgery.
We occasionally ask patients to make special efforts to reduce their risk
for surgery including losing 10% of your weight, using a CPAP machine,
or taking new medication.
Which procedure is best for me?
The Roux-en-Y gastric bypass is the most common procedure and most
widely accepted by insurance companies and at present, is the only procedure
we perform at St. Agnes. It is a good procedure and reasonably safe for
most patients. The only good way to answer this question is to come to
our support group or make an office appointment.
What are the risks involved?
All surgery involves a certain amount of risk and there are many
risks and complications associated with these procedures. These will be
reviewed with you during the appointment.
How long will I be in surgery?
The operations range from two and a half to four hours. Occasionally,
we have had operative times from five to six hours, and this is usually
because the patient is quite large or we are doing additional procedures.
What is the length of my hospital stay?
The average hospital stay is three days. Patients who have complications
may stay longer than three days.
How long will it be before I can return to pre-surgery levels of
activity?
This ranges anywhere from several days to six weeks and depends on
how active you were and what type of procedure you had. Most patients need
about three to four weeks off from work. Even if you are doing well, you
may feel quite tired from the operation and may need to take a few weeks
off from work.
How will my eating habits change?
Drastically! You will meet with our dietician before your surgery
who will review specific details about how and what to eat. You may find
that your food preferences change significantly after surgery.
Do you have information about surgery costs and payment options?
Total costs vary depending on what procedure you are having done,
and usually the hospital, surgeon and anesthesia charges are covered
by your insurance, less any deductible and co-pay you might have.
Patients considering a self-pay option can figure on spending approximately
$20,000, including hospital and doctor’s fees.
What is the typical excess weight loss and improvement of associated
health conditions for your other patients?
Typically patients lose 60% to 80% of their excess weight. Surgery
is a tool, and there are no guarantees. Your commitment to exercise, eating
right and follow-up are essential for success.
Do you have patients who are willing to share their experiences,
both positive and negative?
Yes, you can come to the support group and ask other patients questions,
or we can provide you with names and phone numbers of patients who would
be willing to talk to you.
What information can you give me to help family and friends better
understand this surgery?
We have additional handouts in the office that we can provide at
the time of your office appointment. You may also invite your friends and
family to our support group as well.
What type of long-term, aftercare services (such as support groups
and counseling) can you provide for me?
We offer bi-monthly support groups as well as our “Post-op Only” support
group, designed for the patient who has already had surgery. We publish
a monthly newsletter that is available in our office and at the meetings.
We have a registered dietician who works closely with you to help
you achieve the very best weight loss possible. We will also see you in the
office for follow up several times in the first year and annually thereafter.
When does your support group meet, and how can I take part?
Our support group meets
normally twice monthly at St. Agnes Hospital on the first and third Thursdays
of each month, between seven and eight p.m.
What do you expect from me if I decide to choose a surgical solution?
We expect that you will comply with our weight loss program including
diet, exercise and lifelong follow-up.
What can I do while waiting for an appointment to help in the insurance
approval process?
First, check with your insurance company to see if gastric bypass
surgery is a covered benefit under your insurance plan. Second, help enlist
your physicians in your goal by gathering pertinent medical records such
as supervised weight loss attempts, medical records from your PCP, specialists
such as orthopedic physicians, cardiologists, pulmonologists, gynecologist,
or any other physician who has treated you for obesity-related illnesses.
Find out more about gastric bypass surgery
at:
For more information, call 410-368-2384.
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