FAQ

Obesity Treatment Options and Effectiveness

Results of Five-Year Follow-up

TREATMENT WEIGHT LOSS (% OF PATIENTS)
Diet and Exercise* 2% to 5%
Medication** 0%
Bariatric Surgery*** 50% to 70%

* Success measured as a loss of 10% of initial body weight.
** Weight loss is not maintained once treatment ends.
*** Success measured as a loss of 50% of excess body weight (equivalent to loss of approximately 20% to 25% of initial body weight).

What is bariatric surgery?

Bariatric surgery is a procedure designed to make the stomach smaller so the patient feels satisfied with less food. It is intended for people who are 100 pounds or more overweight (with a Body Mass Index of 40 or greater) and who have not had success with other weight loss therapies such as diet, exercise, medications, etc. A person with a Body Mass Index (BMI) of 35 or greater and one or more co-morbid condition also may qualify for bariatric surgery.

What is Body Mass Index (BMI)?

BMI is a measure used to index a person’s height and weight. BMI allows healthcare professionals and patients to better understand health issues associated with a specific weight classification (classifications such as obesity and morbid obesity).

How do I know if I qualify for bariatric surgery?

Patients should have:

  • 100 pounds or more of excess weight; or a BMI of 40 or greater
  • A BMI of 35 or greater with one or more co-morbid condition

Other common guidelines include:

  • Understanding the risks of bariatric surgery
  • Committing to dietary and other lifestyle changes as recommended by the surgeon
  • Having a history of weight loss treatments having failed the patient
  • Undergoing a complete examination including medical tests
  • Completed psychological evaluation demonstrating stability
  • Absence of drug/alcohol/nicotine

Is bariatric surgery right for me?

Attend one of our Free Information Sessions
(Please have a link to a calendar of dates: Every fourth Wednesday: 6:30-8pm Milton Hospital)-November 17 (due to Thanksgiving holiday)

Talk with your surgeon about the different surgical treatments, as well as the benefits and risks

Remember:

  • Bariatric surgery is not cosmetic surgery.
  • Bariatric surgery does not involve the removal of adipose tissue (fat) by suction or surgical removal.
  • The patient must commit to long-term lifestyle changes, including diet and exercise, which are key to the success of bariatric surgery.

What are the complications and risks associated with bariatric surgery?

As with any surgery, there are immediate and long-term complications and risks. Possible risks can include, but are not limited to:

  • Bleeding
  • Complications due to anesthesia and medications
  • Deep vein thrombosis
  • Dehiscence (separation of areas that are stitched or stapled together)
  • Infections
  • Leaks from staple lines
  • Marginal ulcers
  • Pulmonary problems
  • Spleen injury
  • Stenosis (narrowing of a passage, such as a valve)
  • Death

What are the possible side effects of bariatric surgery?

Side effects include:

  • Vomiting
  • Dumping syndrome
  • Nutritional deficiencies
  • Gallstones
  • Need to avoid pregnancy temporarily
  • Nausea, vomiting, bloating, diarrhea, excessive sweating, increased gas, and dizziness

What is the difference between laparoscopic, or minimally invasive, surgery and an open procedure?

Open surgery involves the surgeon creating a long incision to open the abdomen and operating with "traditional” medical instruments. Laparoscopic, or minimally invasive, surgery is an approach that allows the surgeon to perform the same procedure using several small incisions, a fiber-optic camera, video monitor, and long-handled instruments.

(Picture of Open Surgical Technique/Laparoscopic Technique)

How successful is bariatric surgery?

Studies show that bariatric surgery can effectively improve and resolve many co-morbid conditions.

  • Cholesterol-63%
  • Diabetes-90%
  • Hypertension-70%
  • GERD-98%
  • Cardiac Function Improvement-95%
  • Gout-72%
  • Sleep Apnea-90%
  • Depression-47%

Do I qualify for insurance coverage for the surgery?

Because every insurance policy is unique, it's important that you thoroughly understand your Certificate of Coverage to know exactly what is and isn't covered through your plan. Our team advises you to call the Customer Service phone number on the back of your insurance card to verify if Bariatric Surgery is a covered benefit and if you can have Bariatric Surgery at Milton Hospital with Dr. Charlene Chao.

What is included in the qualifying process?

The qualification process includes a series of medical tests with your bariatric surgeon. You also will meet with a nutritionist, psychologist, and other support staff members in sessions leading up to surgery. Each healthcare professional will help you prepare for the changes and challenges that lie ahead.

What are the routine tests before bariatric surgery?

Certain basic tests typically are performed:
Laboratory
Electrocardiogram
Psychological evaluation
Pulmonary function testing
Sleep study
GI evaluation
Cardiology evaluation

What can I do to prepare for surgery?

Bariatric surgery is like other major abdominal surgery. You can best prepare by knowing the benefits and risks of surgery, and by closely following your doctor's instructions.

  • Understand the surgical process and what to expect afterward.
  • Keep in mind that you’ll never be able to eat the way you did before, and that you’ll have to watch what and how you eat for the rest of your life.
  • Talk to people who have had bariatric surgery and attend one of our monthly Support Groups
  • Write down your reasons for having bariatric surgery and outline your plans to maintain your weight loss after surgery.
  • Practice the post-op diet, including the transition from an all-liquid diet, to pureed food, to a normal diet of smaller portions with 4 ounces of protein and limited carbohydrate intake.
  • Start a journal. Record how you feel now, the challenges you face, and the things you hope to be able to do after bariatric surgery.
  • Ask your family and friends for their support. Talk to them about why you want to have bariatric surgery. It helps to have people support you through this major life event. Our program welcomes family members and significant others to come and meet with our team or attend Information Sessions or Support Groups.

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