At Research Medical Center, our bariatric experts will learn about you and then create a treatment plan to help you meet your weight loss goals. We are here to support your weight loss journey by offering resources and options, in consideration with your health needs. Patients should be aware that bariatric surgery requires a strong commitment to a lifestyle change and regular follow-up appointments to maintain weight loss and ensure continued success.
To be a candidate for bariatric surgery, patients will be expected to meet the following criteria:
- Have a BMI of 35-40 with comorbidities (other chronic conditions along with obesity, such as diabetes or hypertension), or greater than 40 without comorbidities
- Healthy enough to undergo a major operation
- Failed attempts at medical weight loss
- Absence of drug and alcohol problems
- No uncontrolled psychological conditions
- Consensus approval by multidisciplinary medical team
- Understanding of surgery and risks
- Dedication to a permanent change in lifestyle and regular physician visits
Research Medical Center offers two options for bariatric surgery:
Endoscopic gastric sleeve
Endoscopic sleeve gastroplasty is a newer type of minimally invasive weight-loss procedure. During this procedure, a suturing device is inserted into your throat and down to your stomach. The surgeon then places sutures in your stomach to make it smaller. This procedure may be an option if you're significantly overweight — a body mass index of 30 or more — and diet and exercise haven't worked for you.
Endoscopic gastric sleeve surgery leads to significant weight loss. It helps you lose weight by limiting how much you can eat. And the procedure is minimally invasive, reducing the risk of operative complications and supporting timely return to daily activities.
Like other weight-loss procedures, endoscopic gastric sleeve surgery requires commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure long-term success of endoscopic gastric sleeve surgery.
What to expect after endoscopic gastric sleeve weight loss surgery:
- Patience for recovery and life style adjustment
- A strict diet
- A change in the amount of food you can eat due to the smaller stomach capacity
- Depending on the patient, varying length of time to return to work and normal activities
Endoscopic balloon placement
The endoscopic placement of an intragastric balloon helps you lose weight. Weight loss can lower your risk of potentially serious weight-related health problems, such as:
- Gastroesophageal reflux disease (GERD)
- Heart disease or stroke
- High blood pressure
- Obstructive sleep apnea
- Nonalcoholic fatty liver disease (NAFLD)
- Type 2 diabetes
An endoscopic balloon placement procedure and other weight-loss procedures or surgeries are typically done only after you've tried to lose weight by improving your diet and exercise habits.
Why might endoscopic balloon placement be for you?
An intragastric balloon may be an option for you if:
- Your body mass index (BMI) is between 30 and 40
- You’re ready and willing to commit to healthy lifestyle changes, get regular medical follow-up and participate in behavioral life-style changes
- You have not had any previous stomach or esophageal surgery
The endoscopic gastric balloon placement procedure isn’t right for everyone who is overweight. A screening process will help your doctor determine if the procedure might be beneficial for you.
Revision weight loss surgery
If you have a bariatric surgery and the results were not successful or you experienced complications, you may want to look into a revision weight loss surgery. These surgical procedure recommendations can differ depending on your current situation, including:
- Previous bariatric procedures
- Time since your previous procedure
- How much weight you have lost
- Your updated health status
The recommendation for a revision procedure varies depending on your current situation and more. We hope the information below gives you an idea of what may be available to you based on your history of bariatric surgery.
Gastric bypass revision
It is not common for patients to need gastric bypass revision. The most common concern we hear from patients who have regained weight after gastric bypass surgery is that the pouch stretched out. While that is possible, most patients tend to revert back to unhealthy eating habits. It is important that each patient track and be mindful of the types and quantities of food being consumed.
Weight loss surgery is an option to help individuals deal with issues like slow metabolism or poor eating habits. However, the main goal for gastric bypass surgery is to help you control your appetite and your portion sizes.
After gastric bypass surgery, another cause of weight regain could possibly be the stretching overtime of the opening between the pouch and small bowel connection. This is called “anastomosis”. This can cause quicker emptying of the pouch which then allows you to eat more at a meal (or feel less full). Revision surgery is typically not effective in maintaining that small opening over time.