Bariatric surgery is a transformative solution for many individuals struggling with obesity. Not only does it aid in significant weight loss, but it also improves many obesity-related conditions.
Kaci L. Schiavone, MD, a Bariatric Surgeon at the Bariatric Center at Highland Hospital, answers some of the most asked questions about the procedure to help you make informed decisions about your health.
1. What is Bariatric Surgery?
Bariatric surgery is a group of surgical procedures designed to help individuals lose weight by altering the digestive system. Common types include:
Gastric Bypass: Creates a smaller stomach pouch connected to the small intestine's middle part.
Sleeve Gastrectomy: Removes a portion of the stomach, leaving a smaller “tube-shaped” stomach.
Beyond weight loss, bariatric surgery can also help manage obesity-related conditions like type 2 diabetes, sleep apnea, and high blood pressure.
2. Am I a Candidate for Bariatric Surgery?
Determining eligibility for bariatric surgery involves a thorough evaluation by a healthcare provider. Typically, candidates fall into the following categories:
A BMI (Body Mass Index) of 40 or higher.
A BMI between 35–39.9 coupled with obesity-related conditions like hypertension or diabetes.
Some insurers and healthcare providers may also require documentation of prior weight-loss attempts and lifestyle changes.
3. What Are the Risks of Bariatric Surgery?
Like any major surgery, bariatric procedures come with potential risks including:
Infection
Blood clots
Nutritional deficiencies
However, modern advancements in surgical techniques, such as minimally invasive methods, significantly reduce these risks. Research consistently shows that for individuals with severe obesity, the long-term benefits outweigh the risks.
4. How Long Does It Take to Recover from Bariatric Surgery?
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Recovery time varies depending on the type of surgery. Most patients can return to normal activities within 2.
Patients should gradually resume physical activities and follow the guidance of a medical provider.
Minimally invasive techniques, such as laparoscopic or robotic surgery, often result in shorter recovery times.
5. What Lifestyle Changes Are Necessary After Bariatric Surgery?
Bariatric surgery is not a quick fix. Success depends on adopting lifestyle changes, including:
Following a specialized post-surgery diet.
Exercising regularly to support weight loss and overall health.
Attending follow-up appointments with your surgical team for monitoring and guidance.
6. Will I Need to Take Vitamins or Supplements?
Yes, bariatric surgery impacts the body's ability to absorb nutrients, requiring lifelong supplementation. Commonly recommended supplements include:
Vitamin B12
Vitamin D
Iron and Calcium
Multivitamins
7. How Much Weight Can I Expect to Lose After Bariatric Surgery?
The amount of weight loss varies depending on the procedure and individual factors. Weight loss and maintenance also depend on commitment to recommended lifestyle changes.
On average, patients lose 50-70% of their excess weight within the first 18-24 months.
8. Does Bariatric Surgery Improve Other Health Conditions?
Yes, bariatric surgery offers health benefits beyond weight loss. Studies show significant improvements in:
Type 2 Diabetes
Sleep Apnea
High Blood Pressure
High Cholesterol
Joint Pain and Mobility
Non-alcoholic Fatty Liver Disease (NAFLD)
These conditions are often resolved or significantly improved within months after surgery.
9. Is Bariatric Surgery Covered by Insurance?
Many insurance plans cover bariatric surgery, but coverage criteria vary. Insurers often require:
Documented weight-loss attempts.
A physician's recommendation.
A psychological evaluation to assess readiness for surgery.
Contact your insurance provider to confirm specific requirements and coverage details.
10. What Are the Long-Term Outcomes of Bariatric Surgery?
The long-term benefits of bariatric surgery are well-documented. Research highlights include:
Sustained weight loss: Many patients maintain significant weight loss for the rest of their lives.
Improved quality of life: Enhanced mobility, reduced risk of chronic diseases, and better mental health outcomes.
Success hinges on commitment to a healthy lifestyle, regular medical follow-ups, and sticking to dietary and exercise recommendations.
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Bariatric surgery is a tool that can help in your weight loss journey. It can help you to improve your quality of life, give you more energy and make you feel better than you have in years. Let us help you take your first big step to weight loss and a healthier you.
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