Bariatric surgery achieves excellent long term weight-loss for most morbidly obese patients who follow recommended guidelines. Many of our patients comment that if they knew how good they would feel after weight loss surgery they would have done it much sooner.
Improvement in Health
A recent report from the Journal of the American Medical Association has detailed other health benefits of weight loss surgery.
- Diabetes was resolved in about 80% of patients and improved in about 90% of patients. Most patients are off all of their diabetes medications or have significantly reduced doses in the first three months after surgery. Blood sugar levels and Hemoglobin A1c levels usually return to normal or near normal.
- Hypertension (high blood pressure) was resolved in 62% of patients and improved in 78.5%. Most patients are able to reduce their blood pressure medications to a single medication or no medications within a few months.
- Hyperlipidemia (high cholesterol and high triglycerides) improved in more than 60% of patients.
- Obstructive sleep apnea was resolved in about 86% of patients.
- Risk of death is decreased by about 89%.
Other potential benefits:
- Improvement in arthritis with reduction in pain and increased mobility.
- Resolution or improvement of other medical conditions such as: Acid reflux, ankle swelling, obesity related heart failure, asthma, urinary stress incontinence, infertility and other menstrual problems.
- Potentially reduced risk of developing cancer.
- Improved ability to participate in physical and recreational activities.
- Improved lifestyle and outlook toward the future.
Weight Loss Results
Adjustable Gastric Banding:
The Lap Band® affords weight-loss without dividing the stomach or rearranging the intestinal tract. Based on studies conducted in Europe and Australia, 8 year results for Lap Band patients show an average loss of 50-60% total excess body weight. Weight loss results with the Lap Band® occur gradually over a period of 18 months to 2 years. The need for adjustments of the Lap Band® are determined by the patient’s progress with weight loss as well as level of restriction patient feels. Patients who lose a significant amount of weight can obtain resolution of type 2 Diabetes, high blood pressure and obstructive sleep apnea following the gastric band surgery.
Roux-en-Y Gastric Bypass:
The laparoscopic Roux en Y procedure or gastric bypass, has shown excellent long-term weight loss. Weight loss 5-10 years after laparoscopic or open Roux en Y averages between 62-75% of total excess body weight. Gastric bypass is regarded as the Gold Standard bariatric surgery in the US and has excellent weight loss results in several long term studies. It had reduced in popularity as the Gastric Sleeve became more prevalent. A significant advantage of the gastric bypass is the excellent resolution rate of type 2 diabetes of about 87%. Many patients get the resolution within the first few weeks after surgery, prior to significant weight loss. Patients who lose a significant amount of weight can obtain resolution of type 2 Diabetes, high blood pressure, obstructive sleep apnea, high cholesterol and experience an improvement in overall quality of life. Ten year post-op results for super morbidly obese patients show an average of 40-50% total excess body weight loss.
Gastric Sleeve / Vertical Sleeve Gastrectomy:
Long term weight loss results are excellent with the gastric sleeve procedure and fairly similar to the RNY gastric bypass. Average excess weight loss with this procedure is similar to Gastric bypass. Gastric Sleeve appears to have minimal long term complications related to bariatric surgery. Patients who lose a significant amount of weight can get resolution of type 2 Diabetes, high blood pressure and obstructive sleep apnea following the gastric sleeve.
The duodenal switch procedure achieves superior weight loss results for super morbidly obese patients in comparison to the Roux en Y gastric bypass. 10 year post-op results for the duodenal switch show an average of 75-80% total excess body weight loss. Duodenal switch patients need a close follow up with the surgeon because of the risk of nutritional deficiencies secondary to malabsorption. Patients who lose a significant amount of weight has the best chance to get resolution of type 2 diabetes, high blood pressure, high cholesterol, high triglycerides and obstructive sleep apnea following this procedure.
Overstitch and Stomaphyx:
Stomaphyx was an endoscopic gastric stoma reduction procedure that is currently outdated. The overstitch procedure is a method to revise gastric bypass or a gastric sleeve with endoscopic suturing. The results of this procedure are encouraging in the short term.