What is Bariatric Surgery?

Bariatric surgery, also known as weight loss surgery, is a type of gastrointestinal procedure where the physiology of the stomach and/or first part of the intestine are changed in order to help an individual lose weight. To date, bariatric surgery is the best treatment for obesity as well as other medical conditions such as diabetes, high blood pressure, and sleep apnea.

Some of the most common types of bariatric surgery include gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Weight loss surgery is usually a last resort for people with obesity who have not been able to lose weight by following a healthy diet and exercising regimens. For this reason, weight loss surgery has become increasingly popular in recent years, as more and more people struggle with weight loss success. 

Bariatric Surgery Risks

Any surgical procedure requires the acceptance of some risk in order to gain the benefits sought from the operation. Bariatric surgery is typically performed using minimally invasive techniques, which means that there is less risk of complications and a shorter recovery time.

The safety and risks of weight loss surgery vary depending on the type of procedure that is being performed, however, bariatric surgery is considered to be a safe and effective way to lose weight and it can also have a number of positive side effects such as improved diabetes, blood pressure, polycystic ovarian syndrome, sleep apnea, improved testosterone levels in males, higher chance of conception in women, increased self-esteem, and so much more. 

The complications of bariatric surgery include the risk of anesthesia. Having Sleep Apnea increases further the risk, however, anesthesiologists are trained to manage CPAP therapy and anesthesia during the procedure. Additional risks are if individuals have heart disease, diabetes, high blood pressure, prior abdominal surgery, and/or revision bariatric surgery.

Bleeding, infection, leakage of bowel closures, or bowel obstruction are other bariatric surgical risks. Since the surgeons need to open the stomach and bowel, this  may lead to abscess formation in the abdomen, or formation of an abnormal communication of the bowel with the skin. Injury to the spleen may also occur, requiring its removal. Pneumonia or lung collapse can occur, or embolism of blood clots, and can require assistance with breathing. To prevent blood clotting, your surgeon will prescribe a blood thinner and the nurse will explain how to inject at home. 

Depression or emotional imbalance right after bariatric surgery is also possible. Lastly, dumping syndrome, lactose intolerance, and other food intolerances may be possible and are on a one on one basis. Persistent nausea is usually related to a poor eating pattern and nutritional deficiencies are possible. For this reason, the use of high-potency multivitamins and mineral supplements will be necessary lifelong. 

Types of Bariatric Surgery

Gastric bypass surgery is one of the most common types of bariatric surgery. In this procedure, a small stomach pouch is created, and the small intestine is re-routed so that it bypasses the majority of the stomach. This allows food to bypass a large portion of the stomach and the upper part of the small intestine, which helps to reduce the amount of calories that are absorbed.

Sleeve gastrectomy is another type of bariatric surgery that involves removing a portion of the stomach in order to create a smaller stomach pouch. This procedure is typically performed using minimally invasive techniques, which reduces surgical risks and recovery times.

Adjustable gastric banding is the least common type of bariatric surgery. It  became popular over 10 years ago as it was considered less invasive  but many bariatric clinics have stepped away from it in the last few years. This procedure involves placing an adjustable band around the upper part of the stomach to create a smaller stomach pouch. The size of the pouch can be adjusted over time, which allows patients to make adjustments as needed based on their weight loss progress. The surgeon or his Physician Assistant may also fill the stomach to prevent the person from eating large amounts of food. The reason gastric banding is less popular is due to the high incidence of band slippage and increased risk of ulcers. Patients also may develop a “second pouch” above the ring with time that may cause unwanted symptoms such as nausea and vomiting as well as eating more volume of food eventually given that additional space created above the ring. 

Bariatric surgery can be an effective way to lose weight and improve overall health, although it is important to discuss the risks and benefits with a qualified physician before making a decision.

How long is Bariatric Surgery Recovery?

Recovery times vary depending on the type of procedure, but most people are able to return to their normal activities within 2 weeks since most surgeons are using laparoscopic techniques, which means that it is performed through small incisions in the abdomen. After weight loss surgery, it may take up to several months for some patients to see full results.

Is Bariatric Surgery Worth It?

Bariatric surgery is the most effective weight-loss treatment. It can produce a permanent weight loss of up to 80% of excess body weight. There are many reasons why someone may choose to have bariatric surgery. Weight loss is one reason but also because they have a higher risk of developing diabetes and other serious health problems if they do not lose weight.

There are many benefits associated with bariatric surgery, including weight loss and improved self-esteem. In addition to helping people lose weight, bariatric surgery can also improve overall health by reducing the risk of certain medical conditions such as heart disease and diabetes. Bariatric surgery is relatively safe when performed by a qualified physician, although there are some risks involved. 

If you are considering bariatric surgery, it is important to discuss the risks and benefits with a qualified physician. 

Bariatric surgery can be an effective way to lose weight and improve overall health, but it is important to make sure that you are fully informed before making a decision. If you are considering bariatric surgery, talk to your doctor about the different types of procedures available and how they might be a good fit for your weight loss goals.

How Long From Consultation to Bariatric Surgery?

In the United States, the average time from a surgeon consult to weight loss surgery is around three months to six months. This varies depending on factors such as surgeon availability, insurance coverage and their requirements for approval, and other issues such as Sleep Apnea diagnosis and CPAP therapy compliance prior to surgery.

Does Insurance Cover Bariatric Surgery?

If you are considering bariatric surgery, be sure to check with your insurance provider to see what is covered under your policy. You can also contact a bariatric surgery center to learn more about the procedure and to find out if you are a candidate. Most weight loss surgery centers employ case managers who are dedicated to verify bariatric coverage and can inform you early in the process if you have coverage. One thing to remember is that if your requirements take 6 months and it takes you over the next year policy, it is highly recommended to ask your case manager to verify bariatric coverage again since it may have changed. With careful planning, you can ensure that you have the coverage you need to pay for your procedure and get the care you deserve.

If you have more questions about health insurance and want to learn more about how to get insurance to cover bariatric surgery, know if you can buy insurance to cover bariatric surgery, go to our blog

Does Insurance Cover Bariatric Surgery

In summary, when it comes to successful weight loss, bariatric surgery may be the right choice for you. With a variety of benefits and minimal recovery times, bariatric surgery can help you achieve your goals and improve your overall health lifelong. 

If you are considering bariatric surgery, it is important to do your research, talk to your doctor about the various options available, ensure a financial plan ahead of time, and find support groups that will help you succeed in your journey. With proper planning and preparation, you can make an informed decision that will help you achieve your weight loss goals and improve your health for many years to come.


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