Weight Loss Surgery Educational Seminar
|
|
- Derick Townsend
- 8 years ago
- Views:
Transcription
1 Weight Loss Surgery Educational Seminar Attendee Handout Obesity Overview Obesity is on the rise in the US Body Mass Index (BMI) (see chart in this handout, page 9) o : Ideal Less than 1/3 of US adults o : Overweight 1/3 of US adults o 30: Obesity 1/3 of US adults : Obesity Category I : Obesity Category II 40: Morbid Obesity 5 of 100 people Obesity Increases Risk of Death Obesity Affects Every Organ System Obesity causes or aggravates these conditions. Losing excess weight and keeping it off frequently results in eliminating, decreasing, or preventing these conditions. Neurological o Carpal Tunnel Syndrome o Pseudotumor cerebri (increase in pressure in the fluid surrounding the brain and spinal cord) Cardiovascular: o Hypertension (high blood pressure) o Heart attack o Stroke o Hardening of arteries (Atherosclerosis) o Varicose veins o Blood clots: Deep Venous Thrombosis (blood clot in deep vein) Pulmonary Embolism (blood clot travels to lung) Dermatological o Rashes o Chronic skin irritation Gastrointestinal o Gallstones o GERD (acid reflux/chronic heartburn) o Fatty liver, including nonalcoholic steatohepatitis (NASH) (fatty liver with inflammation and scarring) o Cirrhosis (normal liver cells replaced by scar tissue) Southwest Bariatric Surgeons, PLLC Page 1 of 10
2 Musculoskeletal o Arthritis backs, hips, knees, ankles o Disc disease o Back strain Psychological o Depression o Eating disorders Metabolic o Diabetes o High cholesterol o High triglycerides Respiratory o Asthma o Obstructive sleep apnea (airway obstruction during sleep) Reproductive/Genital o Polycystic ovarian syndrome (characterized by irregular/no periods, other symptoms) o Increased risk of pregnancy/fetal abnormalities o Low testosterone o Urinary stress incontinence Increased cancer risk Uterus Breast Ovary Prostate Pancreas Liver Health Care Costs Studies published in 2004 show weight loss surgery makes economic sense. o Obese people under 65-years-old have 36% higher expenditure for medicine than non-obese people. o 77% reduction in Type II diabetes and hypertension medicines after weight loss surgery o Roux-en-Y gastric bypass is more cost-effective than medical management in reducing and maintaining weight loss at five-year followup. o Number of prescription drugs taken usually decreases dramatically after weight loss surgery. Southwest Bariatric Surgeons, PLLC Page 2 of 10
3 Successful Treatment of Obesity Can Reduce risk of dying Minimize obesity-related health problems Reduce health care expenditures Improve overall quality of life Diet and exercise work. Unfortunately, only 2-5% of people with severe obesity keep weight off at 5 years. In contrast, most weight loss surgery patients keep weight off at 5 years. #1 Reason our patients tell us they have surgery: To be there for children and grandchildren Gastric Bypass (Roux-en-Y) Most popular bariatric procedure in the U.S. Overview o Restrictive procedure with a malabsorptive component o Stapling/division of stomach to form a small pouch connected to the small bowel o Remaining stomach left inside. Continues to produce gastric juices. (Intestine leading from it gets connected farther down the tract.) o Excess weight loss shown: 60-80% within two years Why Does it Work? o Stomach pouch = eat less o Aversion to sweets due to dumping syndrome o Bypass element of procedure results in not absorbing all that is eaten Decreased glucose absorption Roux-en-Y Gastric Bypass Decreased fat absorption o Decreased gastric hormone and gastric juice production Side Effects o Micronutrient deficiencies, including B12, folate, thiamine, calcium, and iron o Dumping syndrome (70-75% of patients) Gastric Bypass Performed Using Laparoscopic Method o First-choice gastric bypass method (Southwest Bariatric Surgeons) 6 small incisions that are ½ inch to1 inch, each o 2-night hospital stay o Quicker recovery than in open procedure o Reduces risk of some complications Risks and Complications o Complications Wound Infections Incisional Hernias Anastomotic Stenosis (narrowing at connection) Southwest Bariatric Surgeons, PLLC Page 3 of 10
4 o Operative Mortality (Death) Pulmonary Embolism Respiratory Failure Heart Attack Postoperative Leakage and Sepsis o Mortality rates are lower than other common operations, including heart bypass (CABG) and aortic aneurysm Laparoscopic Adjustable Gastric Banding (Lap-Band and Realize Band) Overview o Silicone band placed around the top of the stomach o Tubing connected to an access port located under the skin (not visible) o Adjustments performed in the office o Laparoscopic 5 small incisions 1/2 inch to 1 inch, each o Restrictive no malabsorptive component o Completely reversible anatomy remains intact o Adjustable depending on weight loss needs Weight Loss o Gradual over a 2-year period o Lost weight has been shown to stabilize at 50-70% of excess weight History o In use since early 1990s o Lap-Band FDA-approved in 2001, Realize Band in 2007 (BMI 40 or 35 with comorbidity) Why Does the Adjustable Gastric Band Work? o Stomach pouch = eat less food and get full faster o Slowed emptying of the pouch via the outlet = feel full longer o Addition/removal of saline via the port adjusts band tightness Risks and Complications o Gastric prolapse and concentric dilatation (aka slip ) o Gastric erosion o Obstruction o Port site hernia o Port site infection o Tubing leaks Lap-Band o Death. Chief causes: Pulmonary embolism, respiratory failure, heart attack Mortality rates are lower than other common operations, including heart bypass (CABG) and aortic aneurysm Online Tools: Lap-Band and Realize Band Websites o Patients gain access to online tools designed to foster success with their band. Tools include goal-setting and tracking, meal-planning, fitness help. Southwest Bariatric Surgeons, PLLC Page 4 of 10
5 Sleeve Gastrectomy (aka Gastric Sleeve and Vertical Gastrectomy) Overview o Stomach is shaped into a sleeve. Excess stomach is removed. o Purely restrictive, no malabsorptive component o Early studies show decreased complications in high-risk groups when bypass not advisable o Can perform as 1st stage if 2-stage procedure required. Second stage can be bypass or duodenal switch o Rarely covered by insurance Weight Loss o More gradual than with gastric bypass, but faster than with adjustable gastric band o Excess weight loss: 50-70% within two years Why Does It Work? o It helps you be satisfied with less food o Small stomach = get full faster Stomach now a tube that holds approximately 1/2 cup of food o Slowed emptying of the pouch helps you feel full longer Complications o Reflux o Bleeding o Stricture (narrowing) o Operative Mortality (Death) similar to other bariatric procedures: Pulmonary Embolism Respiratory Failure Heart Attack Postoperative Leakage and Sepsis Weight Loss Surgery Summary Success requires lifelong commitment to change o Procedures are tools Surgery can be defeated with high-calorie liquids Periodic follow-up with your surgeon is vital for success Who is a Candidate for Weight Loss Surgery? BMI 40 or BMI 35 with at least one obesity-related co-morbidity (type and severity of co-morbidity are factors) Documented attempts at weight loss If you are age 60 or older, your age will be considered along with your BMI and health in determining whether you are a candidate for surgery. Your insurance policy may have additional requirements you ll need to meet. We strongly recommend that you call your insurance company to learn about your requirements. If you provide us with your insurance information, we will contact your insurance company for information about your requirements. Southwest Bariatric Surgeons, PLLC Page 5 of 10
6 Procedure Summary and Comparison Gastric Bypass Sleeve Gastrectomy Adj. Gastric Band Procedure Type Restrictive Restrictive Restrictive and Malabsorptive Laparoscopic Preferred (99%) Yes Yes Hospital stay 2 nights (avg) 1 night (avg) Same day or 1 night Adjustable No No Yes Reversible No No Yes Return to Work 2 weeks (avg) 1-2 weeks (avg) 1 week (avg) Supplements Vitamins, B-12, Vitamins, Vitamins folic acid, others B-12 sublingual Weight Loss Initially rapid More gradual Most gradual Weight Loss Surgery Nutrition Patients meet with our dietitian prior to surgery. Our dietitian is also available after surgery for questions and additional consultation. You ll follow a pre-op diet before surgery. The goal is to shrink your liver and make surgery safer. You ll eat regular foods on this diet. Eating Methods after Surgery and Vitamin Supplements see page 8 Dumping Syndrome see page 8 Southwest Bariatric Surgeons Surgery in Austin and Round Rock o 2 surgeons in the operating room Ongoing care in Austin or Round Rock by your surgeon. Your surgeon will provide your care personally, not have you see assistants instead. There is always an experienced bariatric surgeon available to care for our patients even at night and on weekends and holidays. Licensed Dietitian on staff for pre-op and post-op consultations and questions Patient Advocates to help with insurance approval Weight Loss Surgery Program Pre and post-op consultations with your surgeon (personally) Licensed dietitian on staff pre-op consultation, post-op support Pre-op testing/consultation (hospital) o medical tests o psychologist consultation o exercise physiologist Support groups (hospital) Southwest Bariatric Surgeons, PLLC Page 6 of 10
7 Austin Clinic 3705 Medical Parkway, Suite 210 Austin, TX New Patient Line: (Located near Seton Medical Center Austin. Building is just south of 38 th Street, 1 block west of Lamar.) Round Rock Clinic 301 Seton Pkwy, Suite 102 Round Rock, TX New Patient Line: (Located in the Medical Office Building behind Seton Medical Center Williamson.) Southwest Bariatric Surgeons, PLLC Page 7 of 10
8 Nutritional Considerations for Weight Loss Surgery Patients Eat Slowly- Aim for 30 chews per bite of food. Bite size should be equal to the size of a small grape. Stop eating as soon as you feel full. Eat only 3 balanced meals per day with no snacks. No liquid intake 30 minutes before meals, with meals, or one hour after meals. Avoid soups and cold cereals which have a liquid composition. Aim for 8 glasses of water per day. All fluid intake needs to be between meals. No liquids with calories. Take multivitamin daily. Vitamin must be crushed, chewable, or liquid. o Adjustable gastric band - Adult multivitamin with iron once daily or children s chewable vitamin twice daily. o Gastric Bypass- Adult multivitamin with iron twice daily or children s chewable vitamin two or three times daily. Will need additional supplementation including calcium, B-12, and possibly thiamine and iron. Dumping Syndrome- Only occurs with gastric bypass. o 70-75% of gastric bypass patients o Triggered by high fat or high sugar foods o Symptoms can be immediate and last from 1 to 4 hours after a meal o Symptoms: cramping, diarrhea, sweating, fatigue, weakness, hypoglycemia, and hunger Pre-op Diet Prior to surgery, you will need to be on a diet designed to shrink your liver. You ll be given this diet at your nutrition consult. You ll start it two weeks prior to your surgery date (unless your surgeon instructs you otherwise). Diet Progression After Surgery o Liquids o Pureed o Soft Solids o Regular Adjustable Gastric Band: Patients are typically back on regular foods in 4-6 weeks Sleeve Gastrectomy: Patients are typically back on regular foods in 4-6 weeks Gastric Bypass: Patients are typically back on regular foods in 6-8 weeks Southwest Bariatric Surgeons, PLLC Page 8 of 10
9 Southwest Bariatric Surgeons, PLLC Page 9 of 10
10 Patient Process Attend seminar. Send in preliminary history questionnaire, Privacy receipt, and front-and-back copy of insurance card. You ll receive a call regarding insurance benefits and scheduling an appointment with the surgeon. Have initial consult with surgeon. Surgeon determines whether patient is a candidate for surgery. (Bring blue folder with all forms completed.) Using Insurance Not Using Insurance (Cash-Pay) Southwest Bariatric Surgeons submits info to your insurance carrier for pre-determination of whether insurance will cover surgery. Receive notification of approval, request for more info from insurance company, or denial. Undergo pre-operative testing. Have pre-operative visit with your surgeon. Schedule surgery. Approval Undergo pre-operative testing. Request for more info Denial Start pre-op diet. Stay on 2 weeks up to surgery (longer if recommended). Have pre-operative visit with your surgeon. Schedule surgery. NOTE: The date will come from our office. Please ignore any date your insurance company gives you. Provide additional info. Undergo any required consults or testing. Appeal according to your insurance company s process OR proceed as cashpay. Have surgery. Southwest Bariatric Surgeons expects payment for surgery from patients at least 7 days prior to the procedure. Start pre-op diet. Stay on 2 weeks up to surgery (longer if recommended). Have surgery. Approval Denial NOTE: This chart shows only the process up to surgery. Post-operative care is important for your health and weight loss success. Southwest Bariatric Surgeons, PLLC Page 10 of 10
Weight Loss Surgery Info for Physicians
Weight Loss Surgery Info for Physicians As physicians, we see it every day when we see our patients more and more people are obese, and it s affecting their health. It s estimated that at least 2/3 of
More informationOverview of Bariatric Surgery
Overview of Bariatric Surgery To better understand how weight loss surgery works, it is helpful to know how the normal digestive process works. As food moves along the digestive tract, special digestive
More informationWeight Loss Surgery Information Session. WFBH Bariatric Surgery Program
Weight Loss Surgery Information Session WFBH Bariatric Surgery Program What makes us different? Center of Excellence (COE) High volume center > 1000 procedures since 2003 Less complications than non-coe
More informationPATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS
As a patient you must be adequately informed about your condition and the recommended surgical procedure. Please read this document carefully and ask about anything you do not understand. Please initial
More informationUW MEDICINE PATIENT EDUCATION. Weight Loss Surgery. What is bariatric surgery?
UW MEDICINE PATIENT EDUCATION Weight Loss Surgery Divided proximal roux-y-gastric bypass, laparoscopic adjustable gastric banding, and laparoscopic sleeve gastrectomy. This section of the Guide to Your
More informationNHRMC General Surgery Specialists. Minimally Invasive Gastrointestinal Surgery Phone: 910-662-9300 Fax: 910-662-9303
Minimally Invasive Gastrointestinal Surgery Phone: 910-662-9300 Fax: 910-662-9303 W. Borden Hooks III, MD 1725 New Hanover Medical Park Drive Wilmington, NC 28403 Thank you for choosing NHRMC General Surgery
More informationBariatric Weight Loss Surgery
BARIATRIC SURGERY Bariatric Weight Loss Surgery The heart and science of medicine. Weight loss surgery, also known as bariatric surgery, was developed as a tool to help people with morbid obesity reduce
More informationSurgical Weight Loss. Mission Bariatrics
Surgical Weight Loss Mission Bariatrics Obesity is a major health problem in the United States, with more than one in every three people suffering from this chronic condition. Obese adults are at an increased
More informationWeight-Loss Surgery for Adults With Diabetes or Prediabetes Who Are at the Lower Levels of Obesity
Weight-Loss Surgery for Adults With Diabetes or Prediabetes Who Are at the Lower Levels of Obesity A Review of the Research for Adults With a BMI Between 30 and 35 Is This Information Right for Me? If
More informationSome of the diseases and conditions associated with obesity include:
WEIGHT-LOSS SURGERY facts about obesity Obesity is rapidly becoming the nation s number-one health problem. Of the 97 million Americans who are overweight, 10 million are considered morbidly obese. Obesity
More informationSection 2. Overview of Obesity, Weight Loss, and Bariatric Surgery
Section 2 Overview of Obesity, Weight Loss, and Bariatric Surgery What is Weight Loss? How does surgery help with weight loss? Short term versus long term weight loss? Conditions Improved with Weight Loss
More informationCatholic Medical Center & Androscoggin Valley Hospital. Surgical Weight Loss Options For a Healthier Tomorrow
Catholic Medical Center & Androscoggin Valley Hospital Surgical Weight Loss Options For a Healthier Tomorrow Presentation Overview Obesity Health Related Risks Who Qualifies for Weight Loss Surgery? Gastric-bypass
More informationBariatric Surgery 101
Bariatric Surgery 101 Dr. Brent Bell, MD Bariatric / General Surgeon Medical Conditions Caused By Morbid Obesity Type 2 DM Hypertension Cholesterol Sleep Apnea Fatty Liver Asthma Osteoarthritis Reduced
More informationIf you are morbidly obese, you should remember these important points:
What is Morbid Obesity? Morbid obesity is a serious medical condition. If you are morbidly obese, it means that you are severely overweight, usually by at least 100 pounds. It also means that you have
More informationObesity Affects Quality of Life
Obesity Obesity is a serious health epidemic. Obesity is a condition characterized by excessive body fat, genetic and environmental factors. Obesity increases the likelihood of certain diseases and other
More informationSurgical Weight Loss Program for Teens
Surgical Weight Loss Program for Teens Surgical Weight Loss Program for Teens The Surgical Weight Loss Program team understands the impact that being severely overweight can have on your life. Our guiding
More informationBARIATRIC SURGERY MAY CURE TYPE 2 DIABETES IN SOME PATIENTS
BARIATRIC SURGERY MAY CURE TYPE 2 DIABETES IN SOME PATIENTS Thomas Rogula MD, Stacy Brethauer MD, Bipand Chand MD, and Philip Schauer, MD. "Gastric bypass surgery has become a popular option for obese
More informationWeight Loss before Hernia Repair Surgery
Weight Loss before Hernia Repair Surgery What is an abdominal wall hernia? The abdomen (commonly called the belly) holds many of your internal organs. In the front, the abdomen is protected by a tough
More informationHOUSTON METHODIST SURGICAL WEIGHT LOSS
HOUSTON METHODIST SURGICAL WEIGHT LOSS Why choose surgical weight loss at Houston Methodist? Obesity causes many dangerous diseases and health conditions such as diabetes, high blood pressure, heart disease,
More informationFREQUENTLY ASKED QUESTIONS
FREQUENTLY ASKED QUESTIONS Prime Surgicare Morbid Obesity and Treatment Options Qualifying for Bariatric Surgery Co-morbid Conditions Coping with Concerns Life After Surgery Morbid Obesity and Treatment
More informationWhat is the Sleeve Gastrectomy?
What is the Sleeve Gastrectomy? The Sleeve Gastrectomy (also referred to as the Gastric Sleeve, Vertical Sleeve Gastrectomy, Partial Gastrectomy, or Tube Gastrectomy) is a relatively new procedure for
More informationInformed Consent for Laparoscopic Vertical Sleeve Gastrectomy. Patient Name
Informed Consent for Laparoscopic Vertical Sleeve Gastrectomy Patient Name Please read this form carefully and ask about anything you may not understand. I consent to have a laparoscopic Vertical Sleeve
More informationVertical Sleeve Gastrectomy (VSG) - Also known as Sleeve Gastrectomy, Vertical Gastrectomy
Vertical Sleeve Gastrectomy (VSG) - Also known as Sleeve Gastrectomy, Vertical Gastrectomy The Vertical Sleeve Gastrectomy procedure (also called Sleeve Gastrectomy, Vertical Gastrectomy, Greater Curvature
More informationBariatric Surgery Guide Dr. Stewart s Weight Loss Specialists of North Texas
Welcome. This resource is created for you by Dr. Stewart and our bariatric surgery team with input from people who have found success through weight loss surgery. It is not intended to replace consultation
More informationUnderstanding Obesity
Your Guide to Understanding Obesity As your partner in health for your life s journey, we want you to be as informed and confident as possible regarding the disease or medical issue you may be facing.
More informationGASTRIC SLEEVE SURGERY FOR WEIGHT LOSS. www.carepointhealth.org GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS. 201-795-8175 CarePointHealth.
www.carepointhealth.org GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS 201-795-8175 CarePointHealth.org 1 CONTENTS What is sleeve gastrectomy? Why choose sleeve gastrectomy? Health risks associated with excess
More informationGASTRIC SLEEVE SURGERY FOR WEIGHT LOSS. www.malleysurgical.com GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS
GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS www.malleysurgical.com GASTRIC SLEEVE SURGERY FOR WEIGHT LOSS 1 CONTENTS What is sleeve gastrectomy? Why choose sleeve gastrectomy? Health risks associated with excess
More informationRoux-en-Y Gastric Bypass
Roux-en-Y Gastric Bypass Restrictive and malabsorptive procedure Most frequently performed bariatric procedure in the US First done in 1967 Laparoscopic since 1993 75% EWL in 18-24 months 50% EWL is still
More informationINFORMATION FOR PATIENTS CONSIDERING BARIATRIC SURGERY: Obesity can lead to many health problems - these are mainly of the following types:
INFORMATION FOR PATIENTS CONSIDERING BARIATRIC SURGERY: Obesity can lead to many health problems - these are mainly of the following types: Obesity associated health risks: Psychosocial Cardiovascular
More informationINFORMATION SHEET FOR A LAPAROSCOPIC SLEEVE GASTRECTOMY
INFORMATION SHEET FOR A LAPAROSCOPIC SLEEVE GASTRECTOMY You are considering undergoing a laparoscopic sleeve gastrectomy for weight loss. The purpose of this information sheet is to provide you with the
More informationWeight Loss Surgery Program
Weight loss surgery helped me lose 112 pounds. Jennifer Weaver Weight Loss Surgery Program baylor university medical center at dallas Follow us on: Facebook.com/BaylorHealth YouTube.com/BaylorHealth When
More informationConsent for Treatment/Procedure Laparoscopic Sleeve Gastrectomy
Patient's Name: Today's Date: / / The purpose of this document is to confirm, in the presence of witnesses, your informed request to have Surgery for obesity. You are asked to read the following document
More informationTechnical Aspects of Bariatric Surgical Procedures. Robert O. Carpenter, MD, MPH, FACS Department of Surgery Scott & White Memorial Hospital
Technical Aspects of Bariatric Surgical Procedures Robert O. Carpenter, MD, MPH, FACS Department of Surgery Scott & White Memorial Hospital Disclosures Allergan, Inc. (Past) Faculty Member Educational
More informationSleeve Gastrectomy Surgery & Follow Up Care
Sleeve Gastrectomy Surgery & Follow Up Care Sleeve Gastrectomy Restrictive surgical weight loss procedure Able to eat a smaller amount of food to feel satiety, less than 6 ounces at a meal Surgery The
More informationBARIATRIC SURGERY. Personalized Weight Loss Program
BARIATRIC SURGERY Personalized Weight Loss Program Lafayette General Medical Center performs three major operations for weight loss surgery: Adjustable Gastric Band, Laparoscopic Sleeve Gastrectomy and
More informationWeight Loss Surgery Advisory
PATIENT NAME: D.O.B.: / / INSTRUCTIONS: As you consider surgical treatment for morbid obesity, it is very important that you fully understand (1) the nature of your condition, (2) the types of surgical
More informationLose the Weight, Find your Life
Bariatric Surgery: University of Iowa Lose the Weight, Find your Life Isaac Samuel, MD, FRCS, FACS Professor of Surgery Director, Bariatric Surgery 1 Present UI Bariatric Surgeons Jessica Smith, MD Peter
More informationWeight Loss Surgery. Malabsorptive: Your intestines are rearranged to reduce the amount of food absorbed into the system
The Region s Leader Weight Loss Surgery Table of Contents About Weight Loss Surgery 1 Laparoscopic Procedures 2 Adjustable Gastric Band 2 Biliopancreatic Diversion With Duodenal Switch 3 Rou-en-Y (RNY)
More informationSurgical Associates of Ithaca Guide to Weight-loss Surgery
Surgical Associates of Ithaca Guide to Weight-loss Surgery Please read through this entire guide. Weight loss surgeons Dr. John Mecenas and Dr. Brian Bollo are bariatric trained surgeons affiliated with
More informationPosition Statement Weight Loss Surgery (Bariatric Surgery) and its Use in Treating Obesity or Treating and Preventing Diabetes
Position Statement Weight Loss Surgery (Bariatric Surgery) and its Use in Treating Obesity or Treating and Preventing Diabetes People with diabetes Losing excess weight will assist in the management of
More informationbariatric care center Surgical Weight Loss Management
bariatric care center Surgical Weight Loss Management I chose Summa because of their reputation and the follow-up care. Diana Harper Watch Diana s story at summahealth.org/diana Contents 3 Program Overview
More informationConsent Document for Bariatric Surgery
Consent Document for Bariatric Surgery I,, have read and understand the following document completely. In addition, my surgeon has discussed with me at length and I completely understand the risks, benefits,
More informationWeight Loss Surgery. Our Surgeons. A Patient s Guide
Our Surgeons Our bariatric surgeons and support staff provide the information and support necessary to achieve substantial and sustainable weight loss. Our surgeons: Weight Loss Surgery A Patient s Guide
More informationBariatric Surgery. Overview of Procedural Options
Bariatric Surgery Overview of Procedural Options The Obesity Epidemic In 1991, NO state had an obesity rate above 20% 1 As of 2010, more than two-thirds of states (38) now have adult obesity rates above
More information5/9/2012. What is Morbid Obesity? Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2007 (*BMI 30, or about 30 lbs. overweight for 5 4 person)
Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2007 (*BMI 30, or about 30 lbs. overweight for 5 4 person) 1990 1998 The Bariatric and Metabolic Center of Colorado Bariatric Surgery: Options, Care
More informationDiabetes and Weight-Loss Surgery
WHITE PAPER Diabetes and Weight-Loss Surgery Treat the cause. Cure the symptom. Center of Excellence BARIATRIC SURGERY Written July 2011 Bariatric Surgery: The Cure for Type II Diabetes? For most individuals
More informationInformed Consent for Laparoscopic Roux en Y Gastric Bypass. Patient Name
Informed Consent for Laparoscopic Roux en Y Gastric Bypass Patient Name Please read this form carefully and ask about anything you may not understand. I consent to have a laparoscopic Roux en Y Gastric
More informationObesity When to Recommend Surgery. Lily Chang, MD September 27, 2013
Obesity When to Recommend Surgery Lily Chang, MD September 27, 2013 Obesity BMI >30 Trends Among U.S. Adults Source: Behavioral Risk Factor Surveillance System, CDC, 2012 Obesity Related Co-Morbidities
More informationWeight Loss Surgery Program
Weight Loss Surgery Program Weight loss surgery helped me loose 112 pounds. - Jennifer Weaver Follow us on: Facebook.com/BaylorHealth YouTube.com/BaylorHealth When Jennifer Weaver s husband was diagnosed
More informationWeight Loss Surgery and Bariatric Nutrition. Jeanine Giordano, MS, RD, CDN
Weight Loss urgery and Bariatric Nutrition Jeanine Giordano, M, RD, CDN UA: Mean BMI trends (age standardized) Prevalence of Obesity Among Adults United tates 68% Australia 59% Russia 54% United Kingdom
More informationWhat s YOUR new beginning?
Take a moment and think about your dream for the future. What does it look like? Maybe it s finishing that half marathon you ve always wanted to try. Or keeping up with the kids on their long bike rides
More informationWEIGHT LOSS SURGERY. Pre-Clinic Conference Jennifer Kinley, MD 12/15/2010
WEIGHT LOSS SURGERY Pre-Clinic Conference Jennifer Kinley, MD 12/15/2010 EDUCATIONAL OBJECTIVES: Discuss the available pharmaceutical options for weight loss and risks of these medications Explain the
More informationAssessment Day Bariatric Surgery. 12266 DePaul Drive, Suite 310 Bridgeton, MO 63044 (P) 1-877-477-6954 ssmweightloss.com
Assessment Day Bariatric Surgery 12266 DePaul Drive, Suite 310 Bridgeton, MO 63044 (P) 1-877-477-6954 ssmweightloss.com Assessment Day Agenda Types of Surgery Complications Expectations Next Steps Questions
More informationSurgical Treatment of Obesity: A Surgeon s View
Surgical Treatment of Obesity: A Surgeon s View Jenny J. Choi, MD Director of Bariatrics Associate Director of Clinical Affairs Assistant Professor of Surgery Albert Einstein School of Medicine Montefiore
More informationWeight Loss Surgery A Patient s Guide
Our Surgeons Ibrahim M. Ibrahim, MD, FACS, BSCOE Medical Director of Bariatric Surgery at Englewood Hospital Weight Loss Surgery A Patient s Guide Jeffrey W. Strain, MD, FACS, BSCOE Celinés Morales-Ribeiro,
More informationGastric Sleeve Surgery
Gastric Sleeve Surgery Introduction Obesity is associated with many diseases such as diabetes, high blood pressure, heart problems, and degeneration of the joints. These diseases and the obesity itself
More informationTypes of Bariatric Procedures. Tejal Brahmbhatt, MD General Surgery Teaching Conference April 18, 2012
Types of Bariatric Procedures Tejal Brahmbhatt, MD General Surgery Teaching Conference April 18, 2012 A Brief History of Bariatric Surgery First seen in pts with short bowel syndrome weight loss First
More informationConsumer summary Laparoscopic adjustable gastric banding for the treatment of obesity (Update and re-appraisal)
ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures Surgical Consumer summary Laparoscopic adjustable gastric banding for the treatment of obesity (Update and re-appraisal)
More informationBARIATRIC SURGERY PATIENT GUIDE
You the patient play a critical role in the long term success of surgery. You will need to: Commit to improving your health. Discuss your health history with your surgeon. Discuss any questions or concerns
More informationINFORMED CONSENT FOR LAPAROSCOPIC GASTRIC SLEEVE SURGICAL PROCEDURE
INFORMED CONSENT FOR LAPAROSCOPIC GASTRIC SLEEVE SURGICAL PROCEDURE It is very important to [insert physician, practice name] that you understand and consent to the treatment your doctor is rendering and
More informationINFORMATION SHEET FOR A LAPAROSCOPIC GASTRIC BAND
INFORMATION SHEET FOR A LAPAROSCOPIC GASTRIC BAND You are considering undergoing a laparoscopic gastric band for weight loss. The purpose of this information sheet is to provide you with the necessary
More informationMetabolic & Bariatric Surgery
Metabolic & Bariatric Surgery Are you...tired of struggling with your weight? aware those extra pounds are putting your health at risk? ready to start a new path to take charge of your life again? If so,
More information~ An Introduction to Weight Loss Surgery and the Southern DHB Bariatric Program
~ An Introduction to Weight Loss Surgery and the Southern DHB Bariatric Program Mark Smith MBChB MMedSci FRACS Renee Ladbrook PGDipDiet BSc Table of Contents Morbid Obesity... 1 What are we talking about?...
More informationORMISTON HOSPITAL WEIGHT LOSS SERVICE
ORMISTON HOSPITAL WEIGHT LOSS SERVICE Most patients achieve good to excellent weight loss results following gastric sleeve surgery, typically this is 50-60% of excess weight. A new beginning Welcome to
More informationAdvancing the Field of Bariatric Surgery at University Hospitals
Advancing the Field of Bariatric Surgery at University Hospitals More Sharing ServicesShare Share on facebookshare on emailshare on favoritesshare on printrss Feed By: Alex Strauss Sunday, March 11, 2012
More informationIntroduction to obesity surgery
Introduction to obesity surgery Auckland weight loss Surgery Surgery ADDRESS Mercy Specialist Centre PHONE FAX EMAIL WEB 100 Mountain Road, Epsom, Auckland 09 623 2409 09 630 8589 info@awls.co.nz www.aucklandweightlosssurgery.co.nz
More informationThe Role of Obesity in Bariatric Surgery - Part 1
MORBID OBESITY: The Role of Bariatric Surgery Rajan V. Nair, MD Medical Director Salem Hospital Bariatric Surgery Program ICL Willamette University Tuesday November 27, 2012 DISCLOSURES Medical Director,
More informationFrequently Asked Questions: Gastric Bypass Surgery at CMC
Frequently Asked Questions: Gastric Bypass Surgery at CMC Please feel free to talk with any member of the Obesity Treatment Center team at Catholic Medical Center regarding any questions, concerns or comments
More informationMetabolic and Bariatric Surgery Center
Metabolic and Bariatric Surgery Center www.bannerhealth.com/universitytucsonsurgicalweightloss 1 Welcome to Banner University Medical Center s Metabolic and Bariatric Surgery Center Thank you for choosing
More informationBariatric Surgery Guide
One Bariatric Surgery Guide Get back to enjoying the everyday moments. Obesity is one of the nation s leading health issues. More than half of Americans are overweight and roughly 12 million Americans
More informationRoux-en-Y Gastric Bypass. A Surgical Treatment for Weight Loss
Roux-en-Y Gastric Bypass A Surgical Treatment for Weight Loss When Weight Becomes a Problem Is excess weight affecting your life and your health? A surgery called roux-en-y gastric bypass may help you
More informationINFORMED CONSENT FOR POSSIBLE REMOVAL OF ADJUSTABLE GASTRIC BAND AND CONVERSION TO ROUX-EN-Y GASTRIC BYPASS SURGICAL PROCEDURE
INFORMED CONSENT FOR POSSIBLE REMOVAL OF ADJUSTABLE GASTRIC BAND AND CONVERSION TO ROUX-EN-Y GASTRIC BYPASS SURGICAL PROCEDURE It is very important to [insert physician, practice name] that you understand
More informationThe University of Hong Kong Department of Surgery Division of Esophageal and Upper Gastrointestinal Surgery
Program Overview The University of Hong Kong Department of Surgery Division of Esophageal and Upper Gastrointestinal Surgery Weight Control and Metabolic Surgery Program The Weight Control and Metabolic
More informationSUMMA HEALTH SYSTEM BARIATRIC CARE CENTER. Laura Ilg RD, LD Adrian Dan MD, FACS
SUMMA HEALTH SYSTEM BARIATRIC CARE CENTER Laura Ilg RD, LD Adrian Dan MD, FACS GOALS The Many Benefits of Bariatric surgery and Weight Reduction Bariatric Care Center Surgical Weight Loss Program Medical
More informationWeight loss surgery at BIDMC General Information
Weight loss surgery at BIDMC General Information For more information, call: What is obesity? How can weight loss surgery help? 617-667-2845 In recent years, we have slowly begun to understand obesity
More informationSudbury Bariatric Regional Assessment & Treatment Centre
Sudbury Bariatric Regional Assessment & Treatment Centre Outline Obesity as a Chronic Disease 5 A s of Obesity Management OBN & BRATC Referral Process Obesity Definition BMI Normal Weight 18.5-24.9 Overweight
More informationBARIATRIC SURGERY. Prerequisites. Authorization, Notification and Referral
BARIATRIC SURGERY Policy NHP reimburses participating providers for specific types of medically necessary bariatric surgery when needed to either alleviate or correct medical problems caused by severe
More informationInformed Consent for Laparoscopic Gastric Sleeve Resection
Informed Consent for Laparoscopic Gastric Sleeve Resection Patient s Name: Please read this form carefully and ask about anything you may not understand. DOB: I am giving Blossom Bariatrics permission
More informationOhioHealth Weight Management
Surgical Patient Guide Surgical Medical Weight Loss Our comprehensive, individualized approach sets us apart Learn more at OhioHealthcom/WeightManagement OhioHealthcom/WeightManagement 1 Table of Contents
More informationHealth History Questionnaire Medical / Nutritional
SURGICAL PROCEDURE YOU ARE INTERESTED IN: LAPAROSCOPIC GASTRIC BYPASS (ROUX-EN-Y) LAPAROSCOPIC SLEEVE GASTRECTOMY UNDECIDED PERSONAL INFORMATION LAST FIRST: M.I.: DATE OF BIRTH: AGE: CITY: STATE: ZIP CODE:
More informationGASTRIC BYPASS SURGERY CONSENT FORM
Page 1 of 6 I, have been asked to read carefully all of the (name of patient or substitute decision-maker) information contained in this consent form and to consent to the procedure described below on
More informationTransform your life! Bariatric Surgery. J. R. Salameh, M.D., FACS. University of Mississippi Medical Center Jackson, Mississippi
Transform your life! Bariatric Surgery J. R. Salameh, M.D., FACS University of Mississippi Medical Center Jackson, Mississippi Required reading for all patients considering Weight Loss Surgery TABLE OF
More informationBariatric Surgery Education Syllabus
Bariatric Surgery Education Syllabus Texas Health Fort Worth Bariatric Services (located in the Klabzuba Tower) 1300 West Terrell Ave, Suite 220 Fort Worth, TX 76104 (817) 250-4933 Revised January 2015
More informationA guide for physicians with patients who have undergone bariatric surgery
WEIGHT LOSS CENTER OF EXCELLENCE A guide for physicians with patients who have undergone bariatric surgery M STJOHNWEIGHTLOSS.ORG 866-823-4458 An overview of our program St. John Providence Weight Loss
More informationINFORMATION SHEET FOR LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS
INFORMATION SHEET FOR LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS You are considering undergoing a laparoscopic Roux-en-Y gastric bypass for weight loss. The purpose of this information sheet is to provide you
More informationTop Ten Things You Need to Know About Bariatric Surgery Patients. Laura Dyck, M.S., R.D., LDN Comprehensive Weight Management Center, Kingsport, TN
Top Ten Things You Need to Know About Bariatric Surgery Patients Laura Dyck, M.S., R.D., LDN Comprehensive Weight Management Center, Kingsport, TN Top Ten Things You Need to Know About Bariatric Surgery
More informationChoices Around Bariatric Surgery
Choices Around Bariatric Surgery What should you know? Richard Stubbs MD FRCS FRACS Wakefield Obesity Clinic, Wellington 152 kg / BMI 59 74 kg / BMI 29 Indications (NIH Consensus Statement 1991) BMI >
More informationBariatric and Metabolic Surgery
Bariatric and Metabolic Surgery It may reduce more than just your weight. It may reduce certain risk factors. The information in this brochure is intended as Before Cholesterol 250 Blood pressure 149/95
More informationBARIATRIC SURGERY (SURGERY FOR THE TREATMENT OF OBESITY)
BARIATRIC SURGERY (SURGERY FOR THE TREATMENT OF OBESITY) WHAT IS OBESITY? Obesity is the condition whereby the individual sustains the body weight that is significantly higher than ideal body weight for
More informationGP Guidance: Management of nutrition following bariatric surgery
GP Guidance: Management of nutrition following bariatric surgery Introduction Patients who are morbidly obese will have struggled with their weight for many years before going forward for bariatric surgery.
More informationLaparoscopic Gastric Bypass. Patient information leaflet. www.londonbariatricgroup.co.uk
Laparoscopic Gastric Bypass Patient information leaflet www.londonbariatricgroup.co.uk The London Bariatric Group was formed to provide private patients with the highest quality Bariatric Surgery available
More informationMEDICAL COVERAGE POLICY. SERVICE: Bariatric (Weight Loss) Surgery Policy Number: 053 Effective Date: 5/27/2014 Last Review: 4/24/2014
Page 1 of 6 MEDICAL COVERAGE POLICY Important note Even though this policy may indicate that a particular service or supply is considered covered, this conclusion is not necessarily based upon the terms
More informationreally help your physical, social and emotional wellbeing helping you do more of the things you want and feel more confident and relaxed.
Weight loss surgery If you are seriously overweight, losing excess weight can transform your life. Find out how you can make that change with the help of Spire Healthcare. If you One are off seriously
More informationSleeve Gastrectomy Weight Loss Surgery General Information
Sleeve Gastrectomy Weight Loss Surgery General Information What is obesity? How can weight loss surgery (WLS) help? In recent years, we have slowly begun to understand obesity as a disease a chronic disease
More informationGASTRIC BYPASS SURGERY
GASTRIC BYPASS SURGERY This leaflet gives you general information about your surgery. Please read it carefully. Share the information with your partner and family (if you wish) so that they are able to
More informationPREOPERATIVE MANAGEMENT FOR BARIATRIC PATIENTS. Adrienne R. Gomez, MD Bariatric Physician St. Vincent Bariatric Center of Excellence
PREOPERATIVE MANAGEMENT FOR BARIATRIC PATIENTS Adrienne R. Gomez, MD Bariatric Physician St. Vincent Bariatric Center of Excellence BARIATRIC SURGERY Over 200,000 bariatric surgical procedures are performed
More informationSlEEvE GASTRECTomY SURGERY What is a sleeve gastrectomy operation? BARIATRIC SURGERY
Sleeve gastrectomy surgery This leaflet gives you general information about your surgery. Please read carefully. Share the information with your partner and family (if you wish) so that they are able to
More informationBariatric Surgery a guide for patients 1
Bariatric Surgery a guide for patients 1 Contents 1. Is obesity surgery effective? 2. Surgical procedures for obesity 3. Risks of obesity surgery 4. Before the operation 5. After the operation; It all
More informationThe first 6 weeks after gastric band/bypass surgery
Patient information The first 6 weeks after gastric band/bypass surgery Eating and drinking In the first 4-6 weeks after the operation it is vital that you keep to the diet that we have advised in order
More informationAmerican Society for Bariatric Surgery 100 SW 75th Street, Suite 201 Gainesville, FL 32607
May 11, 2005 Steve E. Phurrough, MD, MPA Office of Clinical Standards & Quality Centers for Medicare and Medicaid Services 7500 Security Boulevard Mail Stop C1-09-06 Baltimore, MD 21244-1850 Re: Request
More information